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Home My WebLink About062-730-024J VERNON - KARLSTEDT' 35 Snowline Rd,Berry Creek , " r "e7-�"" 93-1513 P, E KARLSTEDT, VERNON,9 2q-q 35 SNOWLINE, BERRY CREEK MU . ELEC GAS q-3 f3 'REQ COMPACTION TEST�No SUPPORT STRUCT REQ �o 93-2998 MHI KARLSTEDT, VERNON I 35 SNOWLINE RD, BERRY CREEK 4 2 g o?9 MHI / I y3 J w t RSI DENTIAL 062-23-0-134 93-1513 PE KARLSTEDT, VERNON f 35 SNOWLINE, BERRY CREEK mu OFFICE COPY Address GAS Meter By Date I ELECTRIC y' 4ff Meter By Date i J V= OK O = Not OK • = Not oRedyablet aMOBILE HOMES Date/Initials MOME HOME UTILITIES (Plana) OK except #'a " ; Special MH Support Sketch S er; Location -Teat -Fall -C/O Concrete ter; Location -Teat -Easement Needed (Sketch) Ele ricity; Location-Clearences-Gr mp-Concrete Gas; Location -Teat- rap: / "Nat. 'L" 'LPG ell ear nce & Dls6ohnect tilitY Clearance Easements Line MH Test-Demand-Valve—Connector 1 .4r-Ere-ctricity; MH Test -Crossovers -Breakers -Clearances uU Irm,_CMI-Clnv r Wete 11 Teat -Regulator -Connector Tfrd Sewer Connected -C/O to Grade -HD Approval d Electricity Tagged "xi sp: Sketch cr rt. of Occupancy (r 2s � spa d� Se vv ,2,6,A �'`�r MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures G. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nall I ng -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boa rds- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Anchor-Regulator-Servlce Test 12. Electric; Underground 13. Plenums & Ducts; Clears nce-Material-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/Initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral . ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic 'I_Date/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walla (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-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 -Lending -Fire Protection 54. plywood on Roof Ovefhang-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 Wells; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance-Flreplace:Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: } .. .- .. 1 ,-'-r-�f`i.lr-�:�r'`+Ll�+.:w.-/L_v=«CYti..-...?�"`rif•+'""%J4i�`-^"'ba-.'.`1.+•.'�a"k.k^r"`'"`.,+y„v:'^. '`i'. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA- (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE lir A roufrre 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 con pleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Z Inspector .14— REV 1 COUNTY OF BUTTE BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916)891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) :872-6307 CORRECTION NOTICE 12, >-1,i-) PERMIT NO. A routiee inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please` ct this office immediately. Date - 02 l �/� Inspector REI/ 1492 COUNTY OF BUTTE BUILDINC'DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES': 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 s t 747 Sliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4 KG Y115,16-.1 elf OWNER PERMIT NO... /A ooutine arspectian indicates that the following violations of Butte County Ordinances exist at the move addiess and should be corrected. Please notify thisoffice when correction of work,,,. uTM iscowpFetedLffymanhave any questions pertaining to this matter, or need additional explanation, .1 please contact u s office immediately. A y: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE , f DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE x • OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 , PERMIT NO:Q • i Address or location of mobilehome J 5 ),�L Cc,) ~ Owner's name Owner's address Insignia or hud number. i - Manufacturer's name! Serial number of V.I.N. a (OfficA I ?nck/�, rC 7t 0�4 T� !1-7 O KC >IAving Installation) i ? �r i X v Year of manufactuPe -a r IF, THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEH ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT MOBILEHOME IS INSTALLEDVON A FOUNDATION SYSTEM. ' 5138 White - Owner, Yellow - Installer, Pink - D:P:Wr� INSTALLATION USED WHEN THE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 85965 - Telephone: 916.538-7541 APPLICATIGN AND, PERMIT PERMIT NO. j ASSESSOR PARCEL NUMBER 062-230-134 ZONING U BUILDING PERMIT OWNER Vernon Karlstedt TELEPHONE SO. FT. OCC. BUILDING VALUATION _589-2291 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ HA 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 Permit fee $20.00 PLUMBING PERMIT Filing Fee 15.00 35 Snowline Rd.. Berry Creek Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 3@ 15.00 45.00 TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities E3 Installation❑ Other ❑ Describe work: MHU Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 50 Main service 200ATO1000A) 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 my license is in full force nd ffect. �/ License .JO. Classification'v ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.B\ OR ADDNS. ACC. BLDGS. I _37.50 3.60sq.ft. NEW CONST. "ULT' -OUTLET NON-RESID ITS BRANCH CIRC @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES p( 20 7RA FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15,00 Misc. Wiring 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject e,,.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, cos nc , and expenses which may in any way accrue against sai ounty in se f is the ting of this permit. X Datey /_ 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 TO AL E $128.50 HAz DFEES IMP FLO VCDF PA VL PO HD I E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees ECT LIC By PERMIT EXPIRES Date applicable provi resolutions to do j have been paid. WORKS Date d719f 141385 Receipt No. WHITE-O.P.W., YELLOW -.s.[..011. PI.x-I..PECTOR. .OLDEN....APPLICANT APfir` �2--'Z3y—l�� OWNER PERMIT MH UTIL.CLEARANCE DATE_ INSPECTOR A ov� ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YES NO YES NO Size- Load Type Size Length I R T COUNTYOFBUTTE-•,DEPARTMENT OF E\ PMENT SERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALI_'FORNtA'95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER XAPL57" D-` A. P. No. Proposed Building Use j�[�/"n �( Building Inspector Date ',At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................ ! ....... 2. Plot plans, 3/4 sets, signed by prep rer of plans. .....' 3, Complete plans, 3/4 sets, si ed byy'Vreparer of plans. ...... ;. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans' u, ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance tlated supporting documentation . .................. 7. tStatement of Inte�t o(0-'and¢A/C Buildings . ...................... 8. 'Engine �r�d trs's/ etai-Ajs' and layogt'in duplicate (required prior to plan check). .... g�Mgb-ileome data and manufacturers installation instructions, 2 sets. ........... 1®� Fees of $ ...................................... . 11. Impact fees as shown on attached schedule. ............................. . } 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) b California Engineer. ... n-�� 14. Sanitation and plot plan approval Health Departmed 15. City of Chico plumbing permit. . . 16. Plot plan and business license approval from City of Biggs/Gridley. ........... 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . t/ 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for an°a"spec'°n req�es -- {, p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . ..................,= 25. Letter of signature authorization . ........................................ f (T 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ................................:........ . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ............................................... :: 33. '34. t When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offi e. Deliver with inspector. Other Parcel Creation-r�•'_,Z / c�� Acreage Applicant Date 7 / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date 4� Plans checked by Date Plans approved by _�� Date I;� - % Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works rr' " TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 004410on J660hAL— Owner Location PI„i I'l:m Au I I„or ,Tm A sent to B.D. Plan Approved for: Sewage Disposal Water Supply: PLIWIC Clearance for � bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE �74, E) D gyp_ / Environmental Health Specialist 8/92 � a A P/1 Private Well -r lac (Dq, 19 q- � Date I BUTTE COUNTY SCHCOLS DEVELOPMENT FEE CERTIFICATION FORM ('One 2Form per Building) A. P. Number (y `'�`''�'' /elBuilding Depa-rtment No. School District City = County Jurisdiction Property Owner eRAIJAJ Project Location/Address `�jJ� S/V4>c,1,X4/Ve. 0Y 004J &'Z/7yeZ Subdivision Lot Number Residential Development: F51 Sq. Footage (� / of Living KMHI Addition (Group R) Units - r Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building epartmert Representative Dat (Floor Plans reviewed by School District Personnel) District Id No. 9_3' 0 5 5 61. School District certifies that plicant ,parte ( treet Addr s) Phone Number kcity)p kstate) (zip cocee) has complied with the requirements of Resolution No. by the payment $. ��./1 representing A square feet. Slchool Distr4ct Representativ..6 A Date PAID BY CHECK NO. BANK NO PAID BY CASH 0 white -applicant, yellow --building department, pink -school district SCHOOL.FEE (8/88) A Return to DPW . Section requires prior to AGRICULTURAL STATEMENT OF ACI NUWLLWi!A'"`I i FOR RESIDENTIAL DEVELOPMENT 4. 26-8.1 of the Butte County Code- this acknowledgement be recorded issuance of,a building permit. 7 �40T.(,OMP^R The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents r of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor.. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations( ORiGJJw�1 ED 1NiTh DOCUAArArt cn 93-021536 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property: situate in .the County of Butte, State of California, described as follows: C !C_,C XZ JA-) - " A 01 Jim X11 vv�c PROPERTY OWNERS: Date: State of On this the a qday of X 19 3 3, before me, the SS. undersigned Notary Public, personally appeared County of� i� ,o Personally known to me. -fl Proved to me on the basis ��a •. LINDA F. WILSON of satisfactory evidence. Comm. # 961$58 �¢24b . to be the person(s) whose name(s) 3 = NOTARY P Butte co CryLIFORNI. Z& subscribed to the within instrument and acknowledged that Q. Butte Coun F H� My Comm. Expires Mar. 24, 1996, executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand.and official seal. Present A.P. No. 0 � � a 3 � " 13X Notary Public COUNTY OF BUTTE- Department'of•Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and -return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. QI personally.plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2 I (have/have not) signed an applic.ation 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 wort: but I have contracted (hired) the following persons to provide the work indicated: - Name Address . Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County•Center Drive - Oroville, California 95965 - Telephone (916) 538-754 "9 ER IT�10. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-930-134 ZONING 11 BUILDING PERMIT OWNER VERNON KARLSTEDT LEPHONE TE589-2291 SQ. FT. OCC. BUILDING VALUATION .� OWNER'S MAILING ADDRESS 8 ROCKERFELLER RD BERRY CREEK 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 35 SNOWLINE RD PERMIT FEE $ 43.00 BERRY CREEK CA PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome INOther SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑X Other ❑ Describework: INSTALL MOBILE HOME PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200V OR LESS ) 200AOR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO• 3.5C FT. CONTRACTORS LICENSE LAW I dec a under penalty of perjury (check one) fifI am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code m ease is in full force a effect. Acense No. Classification Ci 6',y E/�/p. L as the owner, or y employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ' ( POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @'.50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IflESID.I EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Ificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, * d mentS, cos , an expe ses which may in any way accrue against said County in asequence f th r of thi rmit. X ��. Date �^ Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ INNO 100.00 Energy Inspection Fee $ Dcc CONST. TYPE FTOTAL FEE $ 143.00 HAZ• D. FEES IM F CD P EL H ISS This permit is hereby issued under the applicable provisions of the Butte C my Code and/or Resolutions to do work indicated a for which fees have een paid. E TOR OF PU I WORKS By Date `17 s� PERMIT EXPIRES ON (Dote) Receipt No. 14R9—i5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r'"-COUN.TYORBUTTE--DEPARTMENTOFDEVE- OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAUFOPIA 95965 -TELEPHONE (916)538-7, P MIT APPLICATION DATA SHEET - OWNER�l Sf el A. P. No. 6Z Proposed Building Use d' flBuilding Inspector 4?® Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or iss. DATE RECEIVED 1. All items have been submitted. :............. . 2. Plot plans, 3/4 sets, signed by preparer of plans. ....`°.,:. 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . SIC 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of.$ . ......................................... 11. Impact fees as shown on attached schedule 9 3 12. California Department of Forestry plan pprfe s-.`') ....................... ' 13. Flood elevation letter (100 year flood)�by-Galifersi+a-•E-rlgineer. ................. . f_AcLr 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B)'Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. o Build g Inspedorr (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. . 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................... I IIPI K'`25•f Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Nlobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...............................................:.... . '33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 5 2-ZZ9 / and hold for pickup at office. Deliver with inspector. Other Parcel Creation i S� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -ter,Co ter by _ Date Plans checked by Date Plans approved by Date q1,71N3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538-7541 OWNER �Q �(%/) �ir�sff A. P. # Ofd -Z-9o- /3y PROPOSED BUILDING USE /'vl ��'-�� DATE_ g��l`�.3 REC. # DATE REC 1. SCHOOL DISTRICT FEES �'AJ ��( �- �f,� (paid at District Office)...... ................. 2. SHERIFF FEES (paid at Building Department) Residential ...... x =$ 3a W535 ` 93 unit amt. Commercial (sqft) x =$ -sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per.sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... (paid at Building Department)` 7. OTHER 8. OTR At time of permit application, I was advised the above fees are required to be paid prior'to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Lounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER , 2-3�3 l/Q - -- zGNy • BUILDING PERMIT OWNER .. �. TELEPHONE^ 22a SO FT OCC. BUILDING VALUATION OWNER'S MA GADO U E env e P /6 CONTRACTOR'SnE UJ.AJ TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ Z 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ Y Cao J �.J A✓O 1,0 2124 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 / Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation Other O Describe Work: -2^ _S r,4,4 4 /2a G / L PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( 11V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP.SD. OR AODNS. ( 6 ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Cod d my icense is in full force nd effect. No 10 Classification � ��t� f{ as the owner, ormy employees with wages as their sole c mopensation, will do work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI.OUTLET NON,RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR, Ex. Occup. ( OUTLET OR FIXTURES )C123.00 Ex. Occu FIXED APPLNS. ORLicense P'(OUTLETS (RESID.) EA. )I, Temporary Servicethe Mobile Home Facilities Misc. Wiring WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ,Gfritificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and a enses which may in any way accrue against said County in co a uence of he gr tin is perm' . q Date (— Signature of Applica Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ /00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ` °® HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON lDarel L/�S 35 �- 7l Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .COTE: ,AIl materials Accordance with RIO of a Quality Presc-c=il ,ul tine Uniform Buil m, es ead the . Nati( Norkmanship Shall Be In for the Specival .Iso g, ?l.ffibirlg & ; jhG,@A L tri^ C90, /, o / ,46 S Ne1)A1Aj ill. STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL I`ASEMENTS: A SET BACK OF s FT., FROM THE SIDE AW- T -7.. FROM THE R1=A%", PROPERTY LINES At.., FT. FROM THE ROAD CENTERLINE SHALL E-;' CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT A 2 FT. EAVE OVERHANG. r ov j L, t� P environmental Heatm APPROVED Butte County MAY 2 7 1993 environmental Health Oroville, California 4_6L3 Oi�r/ 11 Y Date Signature BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: M �) k) 0 /u �A A /6 .7Z!�- 4 2. Installer's Name: VZ1-- /l% D A/ �� 2�S �_ 6 / 3. Is the site currently under permit? Yes PT— No (If yes, furnish permit number q-5-,(51:5 ) OR Is the site an existing site? . Yes 1-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes 0'-� No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z ' Amps 6. What is the mobilehome site service rating? ------------- C) Amps 7. What is the mobilehome site circuit breaker rating? ----- 1 69 Amps 8. Is there any other electric load to be served by the '- mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- J (in.) 10., . What. is .the type..of gas. service? ------------------= Natural LPG_ 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- �(ft.) n * 12. What is the mobilehome gas demand? ---------------------- ` (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. MOBILEHOME SUPPORT DATA lJ If other than single wide., Mobilehome Mfr. °i�'1n o�� furnish Setup Model No. Year (g Width -f -L (ft.) Box Length x`67 (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish.manufacturer's installation manual and structural setu sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.- 2. Other (specify) SUPPORTS (check one) 1. Concrete block, ❑ 2.. Other.(specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Lines e 1 �, Line 1 Line 2 - — — —Line 2 Main Beams Line 2 ` — — _ — — — — — — _ — — — — Tine 2 —• — — � Main Beams — — — — — — — 4_Line Tag or Triple -- --- ------ .� rim Line 1 Piers: Line 1 Openings: Size -Min. ------------ k „ Size -Min. ----------------- Spacing -Max. -.---',-r- , Each Side of. Openings _ From Ends -Max.------- With Width Over --------- Line 2 Piers: Size -Min. =----------- Spacing -Max.--------- From Ends -Max .------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „x Spacing -Max.--------------- From Ends -Max -------------- Line 3 Roof Loads: Size -Min.---------- „ x "x Sc k "x "x "x k Location (From Front) _ Line 4.Piers:.__. _ _.. ._ _. Line.5 Piers: (Under Bearing Walls Only) . Size -Min.--- -------- Size -Min.------------------ Spacing -Max.--------- , „ Spacing -Max.--------------- � From Ends -Max.------- „ From Ends -Max.------------- Line 5 Roof Loads: Size -Min. ------------ x "x1.'k " "x k "x " "x "x Location (From Front) _ _ _ _ ,_ ,_ u --r