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HomeMy WebLinkAbout062-750-0116-21a_75D-or 1377-90B,P,E,M 2 1_36 ` - MO 1 3 Bay Ranch R '� C � (Aew.sf) ,.._ . 307 9 P , E MOORE, Sharon .31 Bay Ranch Rd, Berry Creek �� vlD (utilities/MH) ��'l '1 ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT REQ C Permit#3513-9OB;'P (garage7"S�gi k 24 Permit 3767-9.MHI (installation/MH) Permit#98-91B.E _ (woodstove & elec for garage) Permit#1170-9 (covered & open dec mh) Permit#1364-91B- ° (addl open�ck/mh) I/ B07-2140 062-750-011 RESIDENTIAL SFD-Mobile Home RET EX MH, EX SITE, PERM FNDi 31 BAY RANCH RD 'Fl(V4 MOORE, SHARON A. & MICHAEL' B07-2559 062-750-011 MISCELLANEOUS Re -Roo REROOF GARAGE 21 SQ 31 BAY RANCH RD. UNDERWOOD, LON & SHANNON BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 31 BAY RANCH RD Owner: Permit No: B07-2559 APN: 062-750-011 UNDERWOOD, LON & SHANN Issued Date: 12/17/2007 By AAM Permit type: MISCELLANEOUS 31 BAY RANCH RD Subtype: Re -Roof BERRY CREEK, CA 95916 Expiration Date: 12/16/2008 Description: REROOF GARAGE 21 SQ (530) 589-2331 Occupancy: Zoning: Contractor Applicant: Square Footage: CHRISTIANSEN ROOFING COMPANY CHRISTIANSEN ROOFING CI Building Garage Remdl/Addn P O BOX 2749 P O BOX 2749 OROVILLE, CA 95965 OROVILLE, CA 95965 (530) 532-9338 (530) 532-9338 Other Porch/Patio Total FEE INFORMATION DBMSC Re -Roofing $144.50 Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B5662 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License CHRISTIANSEN ROOFING COR 651425 / C39 / 7/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) fuIi force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: tractor's Signature Date ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or rmance of the work for which this permit is issued. improve for the purpose of sale.). KHAVEAND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: on3700of the Labor Code, for the performance of the work for which this permit is issued. orkers' Compensation insurance carrier The Contractor's License Law dows not apply to an owner of the property who builds or improves and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the xp. Date:�l/2008 Cartier. STATE FUND policy Number: 713-0018402 Ey Contractors License Law.). (This section nee not a competed if the permit is or one hure dollars ($100) or less. ElI AM EXEMPT under Section B. & P.C. for this reason: ❑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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 12/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 12/17/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building S`rnature Date _19WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Prop rt gwrlpr gr am authorized to act on the pro arty owners behalf. 12/17/2007 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN) Print Date the performance of the work for which this permit is issued. (3097 civ. code) ElOwner FZJ<ontractor OR Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR OWNER Name Last Na a Address irst Namel Address 31 A?,41 P4Ac- Map Book City _ e ✓r /) /'e Planner State If hiring anyone other thaflicense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Zip Phone _/ 3 Fax E-mail E-mail Lic. # ClasG-3.% APPLICANT NAME CONTRACTOR Name Name Address Address Fax State City Phone Map Book Fax E-mail Planner State License Number If hiring anyone other thaflicense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Phone._3A X93 Fax Name E-mail Address Lic. # ClasG-3.% APPLICANT NAME ARCHITECT/ENGINEER Name City j) Address City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address L� City j) State Phone .,� �3 3 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning API � . Flood Zone Property Addre D q /[ 1i e SRA f Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K•\Fr1RAAC\RI 111 NW, Fr)RMS1RIdaADDISubRamts.doc PERMIT NO. BIN # Paqe 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed .Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: � Amount: Bldg SRA Receipt M Sheriff SMIP Other Date: Total REV 2-24-05 LOCATION API � _ 1-7 va --G/ Property Addre D q /[ 1i e ity // �i (i/ . Cross Sire t l o G�. 1. WORKER'S COMPENSATION Policy Number Carrier g O If hiring anyone other thaflicense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Paqe 1 of 2 Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed .Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: � Amount: Bldg SRA Receipt M Sheriff SMIP Other Date: Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only).. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carver and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:TORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 It BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Se ion 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eff t. X � 10/15/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION II HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-00 Exp. Dale:01/01/2008 (This section need not be competed if the permit is ors 2nd_,ed 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 the 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 10/15/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $583.90 Fees Paid: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this X 10/15/2007 Ownees Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am auth ¢ed o act on thA property owner's behalf. l„ K E t 9 10/15/2007 Owner Deontractor OR. E]Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 31 BAY RANCH RD Owner: Permit No: B07-2140 APN: 062-750-011 MOORE, SHARON A. & MICHA Permit type: RESIDENTIAL 31 BAY RANCH RD Issued Date: 10/15/2007 By KCG Subtype: SFD-Mobile Home RET BERRY CREEK, CA 95916 Expiration Date: 10/14/2008 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0599 (530) 534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Se ion 7000) of Division 3 of the Business and Professions Code, and my license is in full force and eff t. X � 10/15/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION II HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. E AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 046-00 Exp. Dale:01/01/2008 (This section need not be competed if the permit is ors 2nd_,ed 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 the 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 10/15/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $583.90 Fees Paid: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this X 10/15/2007 Ownees Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am auth ¢ed o act on thA property owner's behalf. l„ K E t 9 10/15/2007 Owner Deontractor OR. E]Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 .4 FEE WMI BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last Name Mae>AE First Name I M%GHAEL !�5NAr20,U Address 1 647 )eANCF1 XUAD City y L d 412 7 CREEK i Blau �'p9s 9/6 Phone _T Fax 1 E-mail APPLICANT NAME Name Address City Stale �? _ Zip Phone S-3 q OS-qI Fax E-mail APPLICANT SIGNATURE X /671_�,, For office use only: Zoning Flood Zone SRA Yes No Occ, Type Const. Subdivision Name hlap Book Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP '` BIN N LOCATION AP# 64Z 750 Ott Property Address City 1 1319 r X -4N01 /CoAb 'eneRr ewEEK Cross Street WORKER'S COMPENSATION Policy Number Y2_�;- 7 Carrier C / If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address Description or Scope of Work: rG�-un^.•�i-��"- .LG•v,c�4 �,•,,G��_;,,, yGce-cru- f'!o-�,.-<. Sq. Footage 1 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. Amount U3 • V Bldg SRA Receipt#: Sheriff SMIP Date:`' ��'Other Total CONTRACTOR Name Address City � State �, c:c- Zip YS -f E 6• Phone 5-�y �S9 y Fax E-mail Lic. # • 4 Class �S APPLICANT NAME Name Address City Stale �? _ Zip Phone S-3 q OS-qI Fax E-mail APPLICANT SIGNATURE X /671_�,, For office use only: Zoning Flood Zone SRA Yes No Occ, Type Const. Subdivision Name hlap Book Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP '` BIN N LOCATION AP# 64Z 750 Ott Property Address City 1 1319 r X -4N01 /CoAb 'eneRr ewEEK Cross Street WORKER'S COMPENSATION Policy Number Y2_�;- 7 Carrier C / If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address Description or Scope of Work: rG�-un^.•�i-��"- .LG•v,c�4 �,•,,G��_;,,, yGce-cru- f'!o-�,.-<. Sq. Footage 1 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. Amount U3 • V Bldg SRA Receipt#: Sheriff SMIP Date:`' ��'Other Total ARCHITECTiENGINEER Name Address ' City State Zip Phone Fax E-mail State License Number APPLICANT NAME Name Address City Stale �? _ Zip Phone S-3 q OS-qI Fax E-mail APPLICANT SIGNATURE X /671_�,, For office use only: Zoning Flood Zone SRA Yes No Occ, Type Const. Subdivision Name hlap Book Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP '` BIN N LOCATION AP# 64Z 750 Ott Property Address City 1 1319 r X -4N01 /CoAb 'eneRr ewEEK Cross Street WORKER'S COMPENSATION Policy Number Y2_�;- 7 Carrier C / If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ' LENDING AGENCY Name Address Description or Scope of Work: rG�-un^.•�i-��"- .LG•v,c�4 �,•,,G��_;,,, yGce-cru- f'!o-�,.-<. Sq. Footage 1 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by. Amount U3 • V Bldg SRA Receipt#: Sheriff SMIP Date:`' ��'Other Total o Clt), pnuAL SItE g St+A VE OF PtoOf40Y �I33' P/L 16' ScR£Ets CoV EOct o Root, DE[r 13 x cy' 13x S-9, Hots.¢ 133 t3' of 09ro D[c1t, � v DEctc 3 8' its T E COUNTY BUILDING DIVISION Got - A ROVED I 0C� �2.S0 0 I 15-g7 40 TV\IGHAr I- E r.00RE sNA-0.cw- ANu KooR.t,_ 3k CRY �{►Nt:H A°A D �R CQE E K �A 9.59 lb 6 6z iso o I I 5" l ' `I c, F1 Je �Opy ISO iJft7 OA S° QIL Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System' - . BUILDING DIVIs14p,. _"OVED Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MO9%E BOMB FOUNDATION SYSTEM RBALTR AND SAFETY CODE. SECTION 18351 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND RBOULATIONS Stab of Cdlifands lil4pubmet st Rosdsa nd Comm* DaMpmot D 1 OF COijR$ AND STAIIDJIRDS INT E�"i— .,..DJ►Tll O SPAMM le- TkkPI=AffmdExp1rn Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design,loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum, • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 !z!-F,� 57ialoj 0 0 0 0 I Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. , Clear all organic matter and debris from the pad site. 4. y Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Lateral Struts J -Bolt Nut & Washer I®1 Strut (flag end) }' 1-1/2" Tube 4-#11/2x1 Tek Screws I -Beam Figure 2 U -Bolt & mountlne Bracket;, Figure 1 No�1 e - end °f OR 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. 12r-r-A,e, jPage0336 %/E 401 DOWN ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Stmt, pad & hardware kit (#59329-1 includes aN nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit M2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 FA fALE- riE DOWN ENGINEERING - - Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on. anchor,. leave. enough room for 1. to .2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bok/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with -the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 6 DOWN ENGINEERING I rn 0 0 0 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. ' Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 BeamClamp Bracket J -Bolt r Longitudinal Strut Xi2 Concrete - ,s_. �« 00 Concrete Longitudinal Hardware Kit Lone Xi2 Installation Placement Beam I q 9 ® I 1 O p Page 6 of 8 m 0 0 ► I o+ 0 7 M Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. i Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 jQ Iw"r-A*, <i/0 TIE DOWN ENGINEERING • � f Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 jQ Iw"r-A*, <i/0 TIE DOWN ENGINEERING • OF Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hardware Kit 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/20 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Beam Clamp Top Flange Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt -1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 0 0 LD 0 0 0 • 90-43007 RECORDING REOUESTED By P l� RT'l 5 #'".i r) 90-043007 ; Roe Fee V . uu AND WHEN RECOROEU MAIL TO Cash 9.00Recorded ' Official Records F-� County of ; Sharon A. Moore Butte ; 93 Montego, Candace J. Grubbsshow ; AdmessBel Marin Keyes Recorder CAV e Novato, CA 94947 J 1:30pm 5 -Oct -90 X 3 L_ SPACE ABOVE THIS LINE FOR RECORDER'S USE Deed of Gift This Deed, made the ....... ..?.7th,,., day of ..Septembec.... ........... , one thousand nine hundred and . • ni•ne�ty Between Charles M. .Potty.. and..".e..Judn.l.tAjp.dt>;y.. , ....... hsuband.. ARO. .wi.fe.................................................................................... , Grantor and ..Shac.on..A.. - Moore..and. -:7i•chael• . MOOre•P - -husband • and . •w•i ie,• ..as.. j.oint..tensni:e.......................................................................................... , Grantee Witnesseth: That the Grantor, for and in consideration of the love and affection which . they ...... ha .ve... for the Grantee, do ....... by these presents gift, give, and grant unto the Grantee, and to ... tbsi.r... heirs and assigns forever, all .............................................. . th at.... certain lot ........ piece ........ or parcel ....... of land situate in the .......................... ..unincorposat=ed. •ar.ea..o£..the ............................. ........................ County of...Bu.tte.......................... State of .....California . and bounded and described as follows: ' Please see attached for legal description COUNTY C-1✓ i 15 2007 DE V:"%c3PN ENT SERVICES _, Together with the tenements, hereditaments, and appurtenances thereunto belonging or appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof. To have and to hold the said premises, together with the appurtenances, unto the Grantee, and to ..their• ... heirs and assigns forever. d aocv+w. roti,• CWWW tm'~ffl10 WWIN Mn W""M W%WW""0"r Oft&* tftd%mr..aNawr. w.tivw.n Kr,w rti v�aew q «+nn+r. wnw •.pw, o ni�0 r 0 h Imp .rap 61 •y ow"M s M &Aoft of w.M bww - w..ow It In Witness Whereof the Grantor, ha . ve ..... .....hereunto set ........their .............. and 4.... the day and year first above written. Delivered in the Presence of CHAR�ES M. PATTY _ l H. ANITA PATTY 5 4 ISTATE OF CALIFORNIA__ . _ .On -this 27th- _ Se tember ---U N-- _ .ss, 1990 .......... day of ...... P. .................. . in the yea i COUNTY OF.,— FBut.ta............ .............. I ................... . before m< ..... ..the ..undersigne.d.............. a Notary Public, State of California j duly commissioned and sworn, personally appeare.9..Chsr] es M. Patty and H. Juanita Patty ......................... ................................. .................... jI OFFICIAL SEAL personally known to me (or proved to me on the basis of satisfactory evidence) to b PATSY L CARTER the person .......... whose name . a ....are ............................... . ED: NOTARY PUBLIC CALIFORNIA �t Bum COUNTY subscribed to this instrument, and acknowledged that .......th ... executed it I �.... my comm. expir" MAY 13, 1992 IN WITNESS WHEREOF I have hereunto set my hand and affixed my officia 3800 U&Ma Ondgt CA 9WM seal .n !i,e . ILII .... .. Butte ...........: ....................................... .....Countyo .................... on the date set forth abov; in this certificate. II I My commission Notary Public, State of Californi 't... 90-43007 ' DESCRIPTION All tnat certain real property situated in the County of Butte, State Of California, being a portion of the NE 1/4 of the SE 114. of Section 74, T'21N, R5E, MDBi'`, described as followss Beginning at the southwest corner of that. certain parcel of land as showr, on the Record of Survey recorded in the office of the Butte Col:nty Recorder, in Book 64 of Maps at Page 93, thence along the +aestcerly line of said parcel N 0054'17"E 620.00 feet to a point; thence N89c312'58"E 1123.95 feet to a point on the easterly line of s,? l c! Parr—&I; %hence along the easterly line of said parcel S0002'3311W c,f9.8ri feet to the southeast corner of said parcel; thence along the sol.rtherly line of said parcel S89 -12'58"W 1133.213 feet to the true point of beginning. Said parcel containing 16.06 acres more or less. TOGETHER WITH: A right-of-way for road purpose, 60 -feet in 'width, extending from Bald Rock Road the above described parcel,_lying_easterly_, of and -adjacent to_ the westerly line of that certain parcel of land shown on Record of Survey, recorded in the office of the Butte County Rec,*)rder, in Book 64 of Maps at Page 93. EXCEPTING THEREFROM: A 60 foot wide right-of-way for road ;purpose, lying within the above described parcel, as that right-of-way is shown an Record of Survey, recorded in the office of the Butte County Recorder in Book 64 of Maps at Page 93. END OF DOCUMEP�'a' FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-2140 Address or location of unit: 31 BAY RANCH RD BERRY CREEK CA 95916 Legal Description of Real Property: 062-750-011 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SHARON A. & MICHAEL MOORE Owner's address:31 BAY RANCH RD BERRY CREEK CA 95916 INSIGNIA OR HUD NUMBER:PFS224659/60 SERIAL NUMBER OR V.I.N.: HSCASNA/B91321141 MANUFACTURER'S NAME: 09578 HM SYSTEMS INC YEAR: 1990 OFFICIAL APPROVING INSTALLATION: 12aa�, Keuui DATE: /D119107 PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT StNc• Division of Codes and Standards " Z Title Search 3G��0 + DEQ Date Pnnted : 10/09/2007 Decal #: LAR4406 Use Code: SFD Manufacturer: 09578 HM SYSTEMS INC Original Price Code: AQW Tradename: CANYON CREST CL Rating Year: Model: CANYON CREST CL Tax Type: LPT Manufactured Date: 11/02/1990 Last ELT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 11/30/1990 ELT Exemption: NONE Serial Number HUD Label / Insignia Length Width HSCASNB91321141 PFS224659 581811 131411 HSCASNA91321141 PFS224660 64' 131411 Registered Owner: MICHAEL E MOORE SHARON ANN MOORE (Joint Tenants with Right of Survivorship) 31 BAY RANCH RD BERRY CREEK, CA 95916 Last Title Date: 01/08/1991 Last Reg Card: 01/08/1991 Sale/Transfer Info: Price $60,743.00 Transferred on 11/30/1990 Situs Address: 31 BAY RANCH RD BERRY CREEK, CA 95916 Situs County: BUTTE * * * END OF TITLE SEARCH BUTTE ' COUNTY 15 2007 DE VELOPMENT SERVICES ej V/ -COUNTY OF BUTTE. - DEPARTMENT OF PUBLIC WORKS PERMIT NO, -` 7 County Center Drive - Orovl-lle, California 95955 s Telephone: 916/636.7541 APPLICATION AND PERMIT ASSESSOR PARCELN 62-21-X3.3-'�- �6 ZONING U BUILDING PERMIT 0WNE Pt Mike oore TELEPHONE 589-5798 SO. FT. OCC. BUILDING VALUATION 460 C 4,600 OWNER'S MAILING ADDRESS 31 Bay Ranch Road, Berry Creek 95916 490 0 2,450 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS N/A Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is 7,050 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking. Fee $ 34.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 31 Bay Ranch Road Berry Creek Permit fee $ 112.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 405.00 Building sewer 5.00 Mobile Home s G W Oea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:_ new cnv. deck 460 sq. ft. new open deck 490 sq. ft. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.yd qft OR ACDNS- C ACC. BLDGS. iz¢Sea NEW CONSTRESID. RANCH TLETCIRCUITS) 2.50 ea N•R ESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. I EX. OCCupOUTLETS OR FIXTURES 20®602 \ eALe3o FIXED APLNS.El Ex. OCCUp. OUTLETS P(RESID )REA.� 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc.�Yiring 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ounty In consequence of the granting of this pe�6? �� O=�7`t1 y X Datesions Si oture of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE A- PARK SCHL F PA PD I Hq, I E. This permit is hereby issued unser the applicable provi- of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. TICIT0 OF PUBLIC WORKS By Date ZS—� PERMIT ;;ZE7 Date— Receipt No. 88698/112.75 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I NA ? rjfr?~i 4 i COUNTY OF BUTTE--DEPARtMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE`OROCTrLLE; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION "DATA:.SHEET n�J n Permit No. OWNER "" (/ IV OO/C _ Proposed Building Use /VCw ��C�S Building Inspector Date 41—,119' 9/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: V'ee1. All items have been submitted . .................................... DATE RECEIVED APPROVED 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 and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's, installation instructions ................................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .......................... 13• School District fees paid . 14. Sanitation approval from C-010 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and'business license approval•from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22.rCertificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. —I� Telephone _-Z8!?-5776F and hold for pickup at DQE office. Deliver w/inspector. Other Applicant T Date n. Copy of !.az-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of,plans sent Health Dept. Fire Dept. Other Date By f" 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---nail_cou ter by -.date Contractor, designer, owner, was advised of above required data by—phone—mall—co nter by date Plans checked by DatePI ns approved by Date Sets of plans on hold in File cabinet ZAP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DTlve - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER rr 20NING BUILDING PERMIT OWNER 2e TELEPHONE sf -s F SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADORF-33 I &I &A NCIr. �cQ , eaeeK o 0 0 0 CONTRACTOR'S NAM TELEPHONE ViU oui/✓ CONTRACTOR'S MAILING ADDRESS 111114- . Fireplace d 5 o OJ CONSTRUCTION LENDER_ _1. Ji UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS . Filing Fee $ t0.00 Permit Fee $ 6 9,50 ARCHITECT OR ENGINEoER •� LICENSE NO. Plan Checking Fee $ �/- I ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3\ a aNc.�• .getz�e eeC Permit fee $ Z , CA 95 PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeZ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition2' Remodel ❑ Utilities ❑ Ifnsta�lllation❑ Other ❑ Describe work: 4%CLU rov 2e5—C� Y t'O lJ f ./V,cw o)06- T '©orcle 'jingo SF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000 AMP ORS 0LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST, DWELLING OCCUP.61 , OR ADONS.' ( ACC. BLDGS. =QSQ ft NEW cONSTR U I.OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20B50t SALO 30 FIXED Ex. Occup. OUTLETS(RE 1REA. ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE (,declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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, indemnity 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 Signature of Applicant — Owner C1 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storrinies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ) TOTAL FEE '$ [ [ 2 HAL. I CUA. I PARK $CHL I FLD cDF I PAR PD I HD. ISSUE This permit is hereby issued unser the appiicabie 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 Receipt No. 56g® WNITE-O.P.W.. YELLOW -ASSES oR. PINK -INSPECTOR. GOLDENROD -APPLICANT NOTE. --All Materials & Workmanship Shall ge rn Accordance with * Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. (This set of plans and specifications MUST be kept on the job at all times and it is unlawful tr make any changes or alterations on same with- out written permission from the Department of Public Wnrles Crn.�nh� 0-9 131r++^ The 4 $ftack'nes and am property etbadc of 50 ft. from the road centerline shall beclear except structures or equip for a 2 tt. eave overhang- AW + h d rvh Ir 1�W �,°�I �i�.:lt,,a 'Cle,4Q OF /�tC c�tsE� �! - Ir �I t 5a� f1 OW� - Ou17E couw* BUILDING DEPARTMENT APPROVED vw z y c� r� v *tet C r zt• �. ns t5` a CL r w �r: o•l�to; 5- C3 U "' 15, , a. cv a ' wF •pIp� CJ iI �'� '� ry i I. r� v *tet C r zt• �. ns t5` a CL r w �r: o•l�to; 5- C3 U "' 15, , m i Y&" T� G PLYWOOD CC EXT i (n' TYP. -- �- „ u DECKIM6 (ALT) 4 x(a; DF" 2 GIR,I)ER I Ys" T� L, PLYWOOD CC EXT. / '` -- CTUARDI:AIL fi�'�nnnu 0 I W Impo STAIR STRINGER. 48'o.r✓. MAY,. -rnr� ♦��r1ll H AK)OVAIL NOT SHOW M FDK CLARITY. r 3/S I BOLT MOBILE HOME OR DE(.I� 1 - MAX I 4F MR. FfCMU �--- F. — — MAX. CLIP (EA. SIDE 4!)44` POST BUTTE COUNTY *"Z 12 BUILDING DERARTMEN r a`M� DOLTS GIRDCR APPROVED '' L • Y �. 4"X9" PO�� F AIA i,A T U1 1C�C1Nf1i. w 12"� 12" PIEPS „ u DECKIM6 (ALT) 4 x(a; DF" 2 GIR,I)ER I Ys" T� L, PLYWOOD CC EXT. / '` -- CTUARDI:AIL fi�'�nnnu 0 I W Impo STAIR STRINGER. 48'o.r✓. MAY,. -rnr� ♦��r1ll H AK)OVAIL NOT SHOW M FDK CLARITY. r 3/S I BOLT MOBILE HOME OR DE(.I� 1 - MAX I 4F MR. FfCMU �--- F. — — MAX. CLIP (EA. SIDE 4!)44` POST BUTTE COUNTY *"Z 12 BUILDING DERARTMEN r a`M� DOLTS GIRDCR APPROVED '' L • Y �. 4"X9" PO�� F AIA i,A T U1 1C�C1Nf1i. fJ,R RCI 1\1 G. I T YPiI-i 1) re / v 7-11j') COUNTY OF BUTTE — OEPARTMEN.T OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 -__ w M � • d � � s RT'p, WOOD `fit fJ,R RCI 1\1 G. I T YPiI-i 1) re / v 7-11j') COUNTY OF BUTTE — OEPARTMEN.T OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 -__ I A ir" .1 cv- I 4 R A r -7-f- e.s Su�POIZ'i POSTS q . •__r !�, �RAnC w IT -N( ,�� y ST�as,C� ��1' o�c 1 powN l�•''@ Td� , r _...�__N�.� �►..�p_.s' r�d�. PR1�ss��� iRt:A.-,, y PR Css u R �j c A, i 0 (.J 1 77 r.v 1 pDwOLLA '0Rcc�A-Tii. ,,) FA 57 �J1! Od�F; svt^/,ati. ;..t� r i FLOOk V IO 1S r A7— IG" �(G Sv�r�OQ.r /.'f•'� B YKG �1 -:44 w1T-K 11.,4 't G<<�tbr�.s. t��r �a/G Pn,Ax s N L woah rL06,e, 1tiJC r d y RLxpu.,aon Q1'. C/�Q a, o„ 0 d.N (1,o(An6* r t) 7-1, d y6 0 Ccv DdfC-,qgo: BUTT COUNTY 3UILDING DEPARTMENT APPROVED I r � pot/ r -i R A r -7-f- e.s Su�POIZ'i POSTS q . •__r !�, �RAnC w IT -N( ,�� y ST�as,C� ��1' o�c 1 powN l�•''@ Td� , r _...�__N�.� �►..�p_.s' r�d�. PR1�ss��� iRt:A.-,, y PR Css u R �j c A, i 0 (.J 1 77 r.v 1 pDwOLLA '0Rcc�A-Tii. ,,) FA 57 �J1! Od�F; svt^/,ati. ;..t� r i FLOOk V IO 1S r A7— IG" �(G Sv�r�OQ.r /.'f•'� B YKG �1 -:44 w1T-K 11.,4 't G<<�tbr�.s. t��r �a/G Pn,Ax s N L woah rL06,e, 1tiJC r d y RLxpu.,aon Q1'. C/�Q a, o„ 0 d.N (1,o(An6* r t) 7-1, d y6 0 Ccv DdfC-,qgo: BUTT COUNTY 3UILDING DEPARTMENT APPROVED I r � pot/ TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance C, owner L cation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Othe`z-- %�! k� �� j - NOTE * * * _•_ — �_ r Date Sanitarian '91 RESIDENTIAL 62-21-136 11 1 - eT MOORE, Sharon & Mike 31 Bay Ranch Rd, Berry Creek (covered & open decks/mh) t { ll JOB_ FINALE t Signature 4 OK O=Not OK _ - = Not Applicable RESIDENTIAL (Single ' = Not Ready , & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. 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. Battles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 'f 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper �) 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco: Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform it Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card 8-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils. Proper Material & Anchors Date Card B-1 Date Card 8-1 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: _ 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made J=OK O = Nb( OK , -=Nt Applicable MOBILE NAMES ' Not Rea t 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / f L" ft. / P'Nat. or/ /"Vft./ /"LPG Date CELLANEOUS �n i nn -Renu irements-Setbacks-Easements L,9.-Deckk"iiders and/or Joists -Decking -Bracing -Stairs -Rails #'s t,A-Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg :Bracing 5. Alum. Awn.: Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Daj,e 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 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line I 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card 13-1 Date Card B-1 Date CELLANEOUS �n i nn -Renu irements-Setbacks-Easements L,9.-Deckk"iiders and/or Joists -Decking -Bracing -Stairs -Rails #'s t,A-Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg :Bracing 5. Alum. Awn.: Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Daj,e 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 1� • "'�-�-r� �-fed.•-"?%�`aI"�4�=•+-""`a.i�t,.�y�-'lFki+iS-r-". ,�""�9tMr�.i'�..+'ai•-�.�^:,r-3it 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 to Y 747 .mot Road, Paradise — Phone. 872-63.07 CORRECTION NOTICE �} _j �' OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office {n, when correction of work is completed. If you have any question pertaining to this matter, /oryneed additional explanation, please contact this office immediately. -X? led �/LI�A 7SI �I Q.(�M et. tLQt ASS y i D/� /amu n -�.._ _ o r .� or 4 ✓J.O.n) .�t� .d�c_�. 4 �M w�+ of �i 4 Y ".4 it cf ~ 4, w Date �/ / Inspector TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance mo eg c--- -31 Owner Lo ati�o4I AQP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Supply W 2 Clearance for bedroom mobile home. Other D 0 C) r— a=/ c— Sanitarian Date COUNTY OF BUTTE - DEPARIW OF PUBLIC WORKS 7 County Cente; Drive - Ororville, California 95965 - Telephone: 916/538-7541 ' APP4CATtON AND PERMIT PERMIT 0. ,--i /� ASS6LSO�2 PgR3C�L NUMBER ZONING U BUILDING PERMIT OWfilce oore TfWPMg SQ. FT. OCC. BUILDING VALUATION 126 0 R89 OW R' MAI NG A. D ESS ay and �2oad, Berry Creek 95916 COTRACTOR'S NAME �nknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace COWOne CTION LENDER UNKNOWN Total Valuation is RR Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER one LICENSE No. Plan Checking Fee $ 15-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIff'y y VESs y Aja �(anch Road, Berry Creek Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeff Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New ❑ Addition XX Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 126 sq. ft. deck addition per permit _ #1170-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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) P] 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.t] OR .CONS. A ) , /20sgft ULTBILDGS.-OUT T NON.RESID BRANCH CIRC ITs 2.50ea POWER APPARATUS .&) SINGLE OUTLET CIR. EX. OCCU o p UTLETS OR FIxTURES 20@5ot .ALO 30 EX. Occup. FIXED APPLNS. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F\71 I shall not employ any person in any manner so as to become subject L�' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Id ount In consequence of the granting of this permit. X 1i X�"� Date _6—�� Sign tore of Applicant — 0 w n e Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I l coNs TYPE U TOTAL FEE $ 41.00 HAz. CUA PARK SCHL FL cDF PAR PD l HD sue This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date PEWT EXPIRES Date �� Receipt No. 89070-41.00 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .� # 17 .. � r ., � :Y ... . _ ... r,. r'r-iIK.P,k T..+!.'i.Fv4 .,...i'.. 1 Kr;� .1-" ,. ,,,� ,�1•. -{ .. .. COUNTY OF BUTTE,- DEPA�ME.NT OFA` 'UBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE -'O' .a�itLY��,;CALIFORNIA 95965 -TELEPHONE: 916/538 -7541- -PERMIT 00 ICATIONIDATA SHEET Permit No. OWNER_A//e ./!//f ,eo A. P. No. (S2-7/- Proposed'Bui (ding Use /U�'(�/L',� Amp Bui (ding Inspector F� Date r �� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: e DATE RECEIVED APPROVED 1. All items .have been submitted. ......... .1 ........................ 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 ......t. 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $" 11. Chico Urban Area fees paid ...................................... 12. Park fee0paid ..................................................... 13.—_ School District fees paid .............. 14. Sanitation approval from 6 Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ' 19. Driveway permit (construction approval required prior`to occupancy)' c 20. Pre -Inspection for required Pre-Inspec. request to :, Building Inspector r (Date) -r- 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensatiori Insurance .................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner'❑) . •:... 24. Recorded copy of Agricultural Acknowledgment Statement ......... _ s 25. Letter of signature authorization .......... .................. . 26. . 27. VWhen yo issue the permit, pro es as follows: Mail to owner. Mail to contractor. y ele hone�JI ? pickup p and for Icu at ffice. Deliverw/inspector. Other 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 —mal l—counter by date Plans checked by Date Plans approved by Date ✓� Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - oePARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive.- f%ovlller California 96985 - Telephone: 918/538.7541 APPLICATION AND PERMIT Af.E , R PAPIC&L NUM (3 6o = NIN .I BUILDING PERMIT = OWNER - ' T6 Q HONG J �- 5 96 SO. FT. OCC. BUILDING VALUATION OWNER'S MA LING /!DDR E7! &NC O _9)9r^f t�� • `35 /6 CONTRACTOR'S N M UNCCN®LAN TELEPHONE CONTRACTOR'] pl/f ING AOOR E53 ,nl'�' Fireplace CONSTRUCTION `ENO_ER yANLENOER'0 UNKNOWN Total Valuation $ MAILING AODRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AOORESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE F STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY. Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 ea TYPE OF WORK New ❑ AdditionX (� 6 Remo/sQ del ❑ Utilities ❑'/ Installation ❑ Other ❑ ) Describe work: �t DeLK N� Pei' Qe(1111_X%1+ O t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service a00V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, DIV. 3 of the BUSIneSS and Professions Code and my license IS in full force and effect. License No. Classification. ❑ 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 OCC' OR AODNS. ACC.'BLOGS. /21twit NEW CONSTR U TI.OUTLET �NO`N:RESID BRANCH CIRC ITS 2.50 ea -. POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. OCCup\OUTLETS OR FIXTURES 20@30C BALo30 -43 Ex. Occup. OUTLETS PRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. 5rovisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE S Z. cuA PARK scHL FLD I CDF ppq PO I HD. IssuE This permit is hereby issued urger sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. -H26 7 6 7� ��� WNITC-O.P.W.. YELLOW-ASeC730R. PINK -INSPECTOR. GOLDENROD -APPLICANT 5cenc- 1160 I IAPO. C2,.;u--13G VE 1160 I IAPO. C2,.;u--13G cr CD X CIO TV% Y Z� I I %a" T4 G PLYWOOD CC EXT. L-, 4„x(o„ DF' 2 2"Xl�" DECKING (ALT) GIRDERS I'Is” T4(, PLYWOOD CC EXT. \ / c., -- CrUARPRAIL MAY (-I[- r, l/ I I I L. I'!"� Il'`! MIN. F0c,7-17.!6 43" MAX, Jj x FRMN 6, CLIP^ I 2"x4" - MOBILE HOME OR DELIC--� MTL. FRM116 CLIP (EA. SIDE (o" 4!',,4 4" PO ST - 2"X 12" #2DF L: 1'2"x 12" PIERS T� L-, 4„x(o„ DF' 2 2"Xl�" DECKING (ALT) GIRDERS I'Is” T4(, PLYWOOD CC EXT. \ / c., -- CrUARPRAIL MAY (-I[- r, l/ I I I L. I'!"� Il'`! MIN. F0c,7-17.!6 43" MAX, Jj x FRMN 6, CLIP^ I 2"x4" - MOBILE HOME OR DELIC--� MTL. FRM116 CLIP (EA. SIDE (o" 4!',,4 4" PO ST - zo >1 -TDF 2'x 12" STAIR STRfIJGER. 48'0.x. MAX. -TDP VIEW H AW)VAIL NOT SHDW H FDR b Nk7IT`(. BDLT 2"X 12" #2DF L p Z 9"'44"T F 5 U f _. —T1 . (2) SULTS i' :f zo >1 -TDF 2'x 12" STAIR STRfIJGER. 48'0.x. MAX. -TDP VIEW H AW)VAIL NOT SHDW H FDR b Nk7IT`(. BDLT 2"X 12" #2DF L p Z 9"'44"T F 5 U f (2) SULTS i' :f a MIN; ,. Rj-[)WOOD .A .. GIRDER z x9" POSIT PA(ZT c' '^ 13RACI 1J C,. COUNTY OF BUTTE — O ' PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:538-7541 _ a -s RESIDENTIAL �...�.._;, 62-21-14(port) 3513-90B,P MOORE, Sharon ` j 31 Bay Ranch Rd., Berry Creek 1 fContr:. Jim Potestio (garage) ' f � I 1' f I 37/3 z,3 JOB FINALE Signature VOK O=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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occuoancv Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, VERS, CARPORTS, GARAGES, Plans OK except #'s 'Y oning guirements-Setbacks-Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 2-frtf"-g; Sils-Anchors-Studs-Rftrs-Trusses Sk.8rdiKQ'. Nailing -Veneer -Stucco -Mesh P Date ' . i . (/ Card 6= Dat!,2,,S . Card B-1 A' Date //-4Mfaard 1311 Date 1 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 J* I ✓=OK O = Not OK' = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. 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 -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC'WORKS ...... 196 Memorial Way,'Chico —Phone: 891-2751. 7 County Center Drive. Oroville — Phone: 538-7541* 747 Elliott Road, Paradise— Phone: 872-6307 ''CORRECTION NOTICE C) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. , 3 a h'Z-1 v V". yr , jaunita Patty. . . Berry Creek, Califomia �. .. : . � :. :.� •:) � n'i .. � � '. S y ,q}..r�..we.r'e�.asl r..w.�1.... 41_��.. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance / -- I Owner Location AP# Plan • Approved for: sewage Hold final tor: Final clearance O.K. for: Clearance for .en unitarian Dls posal Water Supply Water Supply Water Supply Other ��� ,_�T, uaze ..—. _. ...-. �,..,...-�w�.:J1S.T:i+'4fiRtnv.l:da.7'F"!.—rii+u�iil�!.r+5/JetM.'GZA�+$.�wi...43.✓+'—�i+u.,.xyk,i�„r'�=�1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE JNER PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be°corrected. Please notify this office when correction of work is completed. If you,have any question pertaining to this matter, or need additional explanation, plea`s' contact this office immediately. jF i Date /� �/�% ',Inspector COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Cin- ASSESS?RW' RCEL NUMBER 62' 21-14 ZONING U BUILDING PERMIT OWNER SHARON MOORE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S Mk4PADORESS 31 Ba 1lrd: Berry Creek CA 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS �. Fireplace A CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS g Fee Filin F $ 10.00 Permit Fee $ 17.50 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 31 Ba Ranch Rd. BerryCreek Permit fee $ 27. CJO PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Tiff-_ (AYAOP - SPECIE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities F-1 Installation[] Other X❑ Describe work: Woodstove & Electric _ for #3513-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORI OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not inrended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADON.S. ACC. BLDGS. �z�Sgft I 33.60 NEW CONSTR ULTI.OUTLFT NON.RESID BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20 a soe 1..L. 30t FIXED APLNS Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 'Permit Fee $ 43.60 ' 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 4honsent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W..C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and keep harmless the County of Butte against all Iiabi1itie judgments, costs, expen s which may in any way accrue again a C unty in consequen e o r nting of this permit. X ,� Date Signature of plicant — Owner ❑ Cant ract r ❑' Agent B- An OSHA permit is required for excavations ove 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz cuA PARK SCHL FLo PAR PD HD ISSUE This permit is hereby issued under sions of t Butte County Code and/or work i Ic ed above for hich f DIR R PUBLI , //Z /I , 4 B PERMIT EXPIRES Date the applicable provi- r solutions to do s ave been paid. RKS // 0/ ate Receipt No. WHITE-O.P.W.. YELLOW- S(ySOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R _ - — �. _ ZONING BUILDING PERMIT .- OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO NTFj.PCTQR'S N M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ /7 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDR SS �C �� `) Permit fee $ -2 � S C� (C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTUREGas SF ❑ Duplex❑ Mobilehome❑ Other L—D 6—eq / SPECIFY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Install ation❑ Other Describe work: UVB 1l L t✓C� Permlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1N•R I am licensed under provisions Of Chapt. 9, DIV. J of the Business and Professions Code and my license Is In full force and effect. License No. Classification El1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L. too AMP 2.50 NEW CONST. DWELLING OCCUP.& New DONS. ( A LDGS ULTBI OUT LET ETA0sgft NFN-ESID BRANCH CIRCITS 2.50 ea .. (POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOC eALO 30 FIXED APPLNS. Ex. Occup. OUTLETS IRESID IRE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 3 r 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'sCompensation Insurance or a Certificate of Consent to Self-Irisure.-. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofocc 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 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAI permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE TOTAL FEE$ HAZ I CUA tiPARK SCHL FLDJPARJ PTD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW.ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1 OWNER -BUILDER VERIFICATION , Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and M terials for construction of the proposed proper y improvement (yes or no) bp i 2. I (have/have not) signed an appl 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 work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: i Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE :DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965;- Telephone: 916/538-7541 _ APPLICATION AND PERWIT -4�/ AS6YS21Pl4CE� port) R ZONIN�j/r �C) BUILDING PER T OWNER Sharon Moore TELEPH NE 3 S0. FT. OCC. BUILDIN UATION OWNER'S MAILING ADDRESS t o Ke Novato CA 94949 1344 M 18,81 CONTRACTOR' NAME Jim Pntpst-io TELEPHONE 589-1784 CONTRACTOR'S MAILING ADDRESS 1716 Bald Rock Rd. Berry Creek 95916 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ T34.50 ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 67.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 31 Bav Ranch Rd. Berry Creek Permit fee $ 211.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New R7 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2$x48 _ Permit Fee$ 24.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Cod pd my license is in full Pfforce and effect. License No. 4i gaPSO / Classification lJ ❑ 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 EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR AODNS. ( ACG, BLDGS. / 2/20sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCITS 2.50 ea/POWER (POAPPARATUS 6) OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@030 FIXED APPLNS. EX. Occup. OUTLETS IIRESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of -Butte against all liabilities, judg is cos s, and expenses which may in any way accrue agai said Count in nse en a of the granting of this permi . X y �,� l Sign u of Applicant — Owne Contractor ❑ Agent An A permit is required for excavations over 5'0" deep and demolition or construct- ion o structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 235.7 HAz cuA PARK SCHL F PAR PD HD ISSU Th;s permit is nereby issued under sions sions oT the Butte County Code and/or work indicated above for which fees D ECTO OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate %awl Receipt No.. WHITE-D.P.W.. YELLOW-A$SE$90R, PINx'INSPECTOR, GOLDENROD -APPLICANT ✓ ,, COUNTY OF BUTTE - DEPARTMENT.OF PUBLIGWORKS - BUILDING DIVISION c 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIk�r59 +!d=`TELEPHONE: 916/538-7541 ` `PERMIT APPLICATION DATA SHEET --- Permit No. OWNER sAoroy\ ' .�/►lCi(9 y A. P .No. Proposed Building Use g %� Building Inspector Date !0 9(e�? At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... = " 2. Plot plans in duplicate/triplicate, 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 ......... It 7. Statement of Intent for Non -Heated and.AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9d { 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. Sc oQI Distri ees paid .............. ` 14. Sanitation approval from 1 f �121- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector !_(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner. ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter o signatur 9au horization................................... 26.r� 27. Wh.erilyou issue theee it,gc s as fDolodwfor lls: Mai�gwner. Mail to contractor. Telephone�7C� r and pickup at v Voffice. Deliver w. /inspector. Other Applicant Date �� a Copy of Haz-Mat Corm sent Health Dept. re 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---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by Date /O Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9596 -Telephone: 916.538-7541 :- APPLICATION AND PERMIT PERMIT NO. AS ESOR PARCEL NUMBER - tJU`f ZONIN BUILDING PERMIT WR 4ron v'rE TELEPHONE SO. FT. OCC.1 BUILDING VALUATION qER 'S ILIN ADDRESS / ©n E e /()o Uat0 CONTR'ACTOR'S TELEPHOyE NTRACTOR' AIL G A RES S /`�Ct t0 Fireplace CQN•$TRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ 21ARCH TECT OR ENGINEER vi eL LICENSE NO. Plan Checking Fee $ 'ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS hh rr^^ Vl •lC �, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap vL 2.00 d Q Pr1 % r�� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 (� Mobile Home S I G I W 0.00e TYPE OF WORK New Addition❑ Remodel Utilities ❑ ,Installation❑. Other ❑ Describe work: ��$' ?< ' 1 Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 ORORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING occuP.e OR ADONS. ( ACC. BLDGS. ) h¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e1 `SINGLE OUTLET CIR. / ` EX. OccU P(OUTLETS OR FIXTURES 20®50¢ .20050C FIXED Ex. Occup. OUTLETS IIRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwithermit comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 11 Ventilation p 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 red. for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in -height... Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE _ TOTAL FEE $ HAZ I CUA PARK I SCHL FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees - DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. T -' x. WHITE-D.P.W.. YELLOW-ASSESgOP, PINE -INSPECTOR• GOLOENROO'APPLICANT k •� � • ��� � �� ) � ' . /�' 1 =s/- � o �' �' � � ����"� �` ���� ,-� w' t . 3afte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Sharon Moorp ADDRESS: 93 Monteeo Ke CITY & STATE: Novato_ C gG4GQ IMPORTANT: DATE OF CLAIM: September 6 1990 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) Owner has decided not to do work. Permit #1377-90B,P,E,M, AP#62-21-14. RerPi.,r AAA10n .7_ — loual Yermit Fees Paid--------------------- Retain Plan Checking Fee --=---______ ------$1x013.70 Retain Energy Plan CheckingFee-----$215 75 Retain Building Permit Filing Fee--- 15.00 g e an um Ing Permit flinFee-10.00 i Retain Electrical Permit Filing Fee- 10.00 e ain Mechanical Permit Filing Fee- 10.00 Total Fees Retained______________________________ 307.75 705.95 TOTAL AMOUNT $705195 I, the undersigned,. declare under penalty of perjury that the services or articles claimed have bee formed or delivered, end that this claim is true and correct as stated. 7 Dated this y„�j'�,C:.................. day of ../E„J' , . 19Y //�j ,,, / ....... � ..�.�......:.............. if. /may...........................................� (/ Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation CD or Specific Board Approval (Check one) for the 30� Dated this......,7th day of Se tember Q Ordv'1 p .................. 19 9 et 1... .... , calif. ................. Dep' 440-002 Code............................. DEPT. & SUB. I PROJ Exp. .... Code .,,,.42. 10500.,.,.. DO NOT WRITE RF SUB. OBJ. I CLAIM NO PAYABLE FROM THIS LINE - AUDIT INV. NO. Head or Authorized uty .....VernitS.................................. FUND USE ONLY INV. DATE I ENCUMB. I GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. �) ASSESSOR PARCEL NUMBER 62-21-14(portion) ZONING UBUILDING PERMIT OWNER Sharon Moore TEL -PHONE SQ. FT. OCC. BUILDING VALUATION 2879 R 115 160 OWNER'S MAILING ADDRESS 93 Montego, Bel Marin Keyes, Novato, CA 94947 1216 cov 12,160 CONTRACTOR'S NAME unknown TELE -PHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A11 1,000 CONSTRUCTION LENDER none UNKNOWN Total Valuation Is 128,320 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 505.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 252.75 Energy Plan Checking Fee $ 15,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS - KKIXIX D.P.A. $ 1p5.00 BUILDING ADDRESS 31 Bay Ranch Rd. Permit fee $ 798.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2 2.00 24,00 Bern Creek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5,00 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ Permit Fee $ 54.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): RSNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Busines and Professions Code and my license is in full force and effect. Icense 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) 21111, 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.N NEW DONSTR.� A ,zQsgft 2/ 71.95 ULTB OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20 ® 60` BALP 30 Ex. Occup. OUTLETSP(RESIO.)ED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 94-45 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 f Consent to Self -Insure. 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 1 10.00 Heating DUAL-PAK 80K 6.00 Cooling 32T 11.00 Hood 3.00 3.00 Ventilation 3.00 6.00 Permit Fee $ 36.00 ' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, and expenses which may in any way accrue against s ounty in consequence of the granting'of this permit. X DateS 3^�DThis Signature of Applicant - Owner Contractor ❑ Agent.❑ An OSHA permit is required for ex avotions over 5'0" deep and demolition or construct- on ofstructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 co ST P (% TOTAL FEE $ 1013.70 HAzcuA I- PARK SCHL FLD AR PD HD ISSUE permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date eceipt No. 64280 LR NITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • .'`� COUNT' w h OWNER Proposed Building Use Lf ji 7 �n i `O0­6UTTE - DE-PART)AENi°"0f"AuB4 LIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER51VE - OROVILLE, CALIFORNIA 95965 ;TELEPHONE: 916/538-7541 PERMIT APPLICATIOWDATA SHEET F r Building Inspector Permit No. A. P. No. - -G) Date , - 3 �'a At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1., All -items have been submitted . ........................ ........... 2. Plot plans in duplicate/triplicate, 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 and layout in duplicate (required prior to plan check) _ 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $'........................ 11. Chico Urban.Area fees paid .............. ................ .... 12. Park fees paid ................................................... . 1 School District fees paid .............. v14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................. . ................. 44 , 16. Plot plan and business license approval from City of ,(see City for other requirements) 17. Planning approval for (A) Use: - (B) Parking: ...... 18. Improvements may be required. Contact land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... - 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) 4. Recorded copy of Agricultural Acknowledgment Statement .. ..... 25. ✓26. LAtter of siggnatu e ad hoµµ.��atio�1 r ij t'E't l).p 0 27. When you issue the permit, process as follows: Mayiil owner. Mail to contractor. -too t� Telephon ne and hold for pickup at (damoffice. Deliver w/inspector. Other 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 permitissuance: CircI n�"� ite hecked above). 1. Index permit for above items No.—���—�. l/� 2. Additional items required: ' Contractor, designer, owner, was advised of above required data b phone__nail_counter by—. date - J Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Z- Date s/ Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville,"Califo�iiia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER — /FD=-ro ZONIN BUILDING PERMIT OW e__OWNER'S TEL PHONE SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS CONTR()T 11 IIR N AIA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace r A,, CONSTRUCTION LE ER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S ILING DRESS Permit Fee $ ARCHITECT OR N INEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ DD ARCHITECT OR ENGINEER'S MAILING ADDRESS $ r da BUILDIN ADDR SS / S CL+ Permit fee $ PERMIT Filing Fee 10.00 r f dPLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. sqeblvisioN NAME PARCEL MAP Water piping 5.00 DD Each gas water heater or vent 5.00 USE OF STRUCTURE .SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �p p Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New P --'Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): F -1I 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 License Fl I, as the owner, or my employees with wages as their sole compen- sa ' n, will do the work,and the structure is not intended or offered r 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 0CUP.d OR ACDNS. L ACC. BLDGS. 2/ZTsgft NEW CONSTR. MULTI -OUT LET NON-RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (POWER OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES .20@50t 20@BOQ Ex. Occup. OUTLETS PRESID )FIXED APLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 d I 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 Consent to Self-Insure.Iva 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 FiIirig Fee 10.00 Heating C0 Cooling �' Hood 3.00 rp Ventilation 0' permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iiabiliti , judgments, costs, and expenses which may in any way accrue against sa' my in cons quence of the granting of this permit. X Date Signature of Applicant — Owner Contractor E]Agent❑ An OSHA permit is required fore conations over 5'0" deep and demolition or construct- stuctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ...� Occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date pNo. C� %�9 L...CT.-..tr".W.. YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL ' -_. 62-21-14(port)3077-90P,E MOORE, Sharon 31 Bay Ranch Rd, Berry Creek j (utilities/MH) iO 7 �/-S-cto i 3-)67-90 A. i i f OFFICE COPY Address 1' - I' GAS " Meter By Date ; TRIC J OFFICE COPY j Address G r Me ,,_ By Date ELECTRIC } Meter By Date ' I 4 i JOB FINALE Signature d=OK O = Not OK -,=Not Applicable Not Ready MOBILE HOMES ' =„ Date MOBU.E-HOME UTILITIES Plans OK except #'s v . Z ning Requirements -Setbacks -Easements Soi s; Specie MH Support Sketch Sewer; L ation-Test-Fall-C/O Concrete } L at , Location -Test -Easement Needed (Sketch) ectri ' y; Location-Clearences-Grnd- mp-Concrete s; Locati n' est- p: / /"L"ft. / /"N1L"ttA"LPG go-ffility Clearance r F Ad Date and B-1 Date Card B-1 t Date ifoyya Card B-V2LU, Date Card B-1 t Date MOBI 'ROME INSTALLATION Plans OK except #'s oni g,Requirements-Setbacks Easements 2 otings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector . Electricity; MH Test -Crossovers -Breakers -Clearances ra!,n;,MH Test -Fall -Flex Connector Loe4iter; IH Test -Regulator -Connector L2,Wayrand Sewer Connected -C/O to Grade -HD Approval 'I Ger d Electricity Tagged 4 ,f `s; Insp.-Sketch LAmdCert. of Occupancy Date j` J6 z7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3 .4 MISdItLLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures i 6. Carports; Windows -Doors 1 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 tDate Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements j 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 r 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater i '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit t 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i, x .bate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable ' =Not Ready RESIDENTIAL (Single & Duplex) , Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date --Card-B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,- 7 County Center lUrtye - Oroville, California 95965 - Telephone: 916/538-7541 •� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 62-21-14 ZONING BUILDING PERMIT OWNER Moore TELEPHONE 41 '83-69(6 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 31 Bay Ranch Rd Berry Ck., CA 95916 CONTRACTOR'S NAME Mobile Home Center Inc TELEPHONE CONTRACTOR'S MAILING ADDRESS 1838 Feather River Blvd. Oroville CA 95965 Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each TrapWvent 2.00 Solar or heat pump 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping5.00 Each qas water hea5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 5.00 Building sewer5.00 Mobile Home O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationN Other ❑ Describe work: 11T „-S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS t00 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): 19 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. 261905 7 License No. Ci18SSIfICatlOn —_ C4 ❑ 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.pI\/z¢sgft OR ACDNS. ACC. / MULTI -OUTLET NEW RESID.CONSTNCH CIRCUITS) 2,50 ea NON-RESID BRANCH IRC TS POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES .200030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g . Hood 3.00 Ventilation Permit Fee : Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County 'of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ AgentU 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 $ TOTAL PERMIT FEE $ occuP. CONST.TTPc �. ISCHoo� ✓ ,LO PSA OD PARC L PD ND LE This permit is hereby issued under sions of the Butte County Code and/or work Indicated abov for which D) C A OFC By PERMIT EXPIRES V ate the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE�SOR. 1016 -IN SPECTOR. GOLDENROD -APPLICANT COUNTY.OF BUTTE �i DEPARTMENT,'01 PUBLIC WORKS - BIJI,LDING DIVISION 7 COUNTYCF5N,;t3rj3 Df1 VE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 , =;-..P��RMIT APPLICATION DATA SHEET Permit No. OWNER �h�nrm moare A. P. No. &2- 21- l4 - r Proposed Building Use M+1T Building Inspector)�W Date Ik5-9G 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 . ..................................... OL 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 and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ......................... 11. Chico Urban Area fees paid ....................................... 12.Parkfees' ..paid .. .. .......................................... 3 —v 01j I D School District fees paid .............. U— 942 Sanitation approval from Health Department 15. City of Chico plumbineg 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 wad 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... DIS 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... Yh N U UJAUM (.P When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _ and hold for pickup at office. Deliver w. /inspector. Other 3 r &0Y% .41A afpl. IIIA-`tplicant 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 sub mitt dfor ermit 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 ---nail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by &4 ` Date 1)-f 96 Sets of plans on hold in File cabinet AP folder Copy—DPW 1: Owner's Name: _ 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET C 3. Is the site currently under permit? Yes No (If yes, furnish permit number ��(� % 90 OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) Cep 0 3-70-90 ` r .� v F Tn 0-swu C 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 F (If no, clarify Cod 5. What is the mobilehome electrical rating? --------------- zoo Amps 6. What is the mobilehome site service rating? ------------- ;-a 1) Amps 7. What is the mobilehome site circuit breaker rating? ----- ' D O 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: VJ ELL (Load) �- `'-,' (A P ) TO$ 9. What is the mobilehome site gas pipe size? -------------- 311V, ., 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------- ?0 * 12. What is the mobilehome gas demand? ---------------------- *(:This information not required if pipe lengthr:less than Inatural-gas-or-less..-than-50-£t.-on_-,LPG. )� t tt. on (BTU) MOBILEHOME SUPPORT DATA If other than single wide, �s Mabilehome Mfr. 0/V& S ,J(- furnish Setup Model No_e N Del jfk_ef7 Year 194D Width (ft.) Box Length�"'fft.) Tagalong or Expando Size ft. x ft. 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)® 1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one)® 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Main Beams _Line w Tag or Triple X 136AM Line 1 Piers: Line 1 Oceninsa: Size -Min ------------- Size -Min. ------------------ „x „ Spacing -Max. -•------- Each Side of Openings From Ends -Max. ------- With Width Over ""------ " Lin'e121[Pi•ers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------ i1 ,rx a n Size-kin-----------------t,x K. , u Spacing -Max---------- , ,r Spacing -Max .-______________ 4 From Ends -Max.------- '_ D '� From Ends -Max -------------- LA ne -------------Line 31Roof:Loads-: 48 X 3o v r ^y� I, SHiO------------ a".jor 24°x3V,r. LO[YtiOn (Fz`!Zj!nt)0 ,_ V � s._ 7 r, Line 4 Pi_ rs:Line S Piers: (under Bearing a e n y Size -Min -------- ---- Size -Min -------------------- Spacing-Max.--------- ,_ ., Spacing -Max.------- -------- From Enda-Max-------- „ From Ends -Max -------------- - Line 5 Roof Loads: Size -Min. ------------ Location (From Front)I _ ,_ W , * -<�d DOES no. NOK SM EM TA" ►." + 1xTI-inoe �6ILE IpES RfAUIRE ADOTTI SUPPORTS AT KART" i I - 2' d 12-d POTNIS AIow, TJif CENiiiklllE. Tin (JACKS) MUST NAVE A O;AC TV THAT IRii S vo; Tin lHow >f M 1w CJMRT Mfo ' BFJiiF LOM IN POUNDS, i THE UO - (7 Pj T CATIdJS FOR TnOTY d i SUPPORTS AT KMIJJG POINTS AL046 TJJE CFMTER- f IIJE. liN SM -6F MnWS ARE SNOW IN SQIUIRE INCHES FOR VARIOUS Solt owrnw. SI"M MR SiiM SE SELECTED FOR EACH LOCATION INDICATED foe `- SWA-L BE VQW To OR GR£ATUt IRAN TME !DtlfJDS RMI WD PERBEAM LOADS COLUMN FOR AMMO W FOOFM MWIM"n W" TD THE HOME SVSTEJIS INC. am 11MVILLMON WOW. tt ... .. .. ........ .. .. _ ear i. e _ 1105 i FO9TIIIG MMKRBBITS p ueAD 1N raRMls 3r710 4644 CAPACITY FDOTIJIG ApoO s�o. IJi. 25aD 2 �� +&(p 29 8 . 200 FOR AMMO W FOOFM MWIM"n W" TD THE HOME SVSTEJIS INC. am 11MVILLMON WOW. tt ... .. .. ........ .. .. _ ear i. e BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Gj�-„l� % Building Department No. ' School District6re) un i p✓\-City!D County W Jurisdiction Property Owner Project Location/Address. �_ t4 I/ CfAr h 'M, -j C)P tr f V L_(�6e Subdivision Lot Number Residential Development: a // Sq. Footage f�151-) # of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) /9((g Builldin•CObepartment Representative Date ' (Floor Plans reviewed by School District Personnel) D /strict Id No. y 1 U 1 rl School District certifies that (Applicant Name) (Phone Number) Street /Addrre s ) )(City)./ / (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing / (a square feet. S°chool District Representative R ( Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink-school'district SCHOOL.FEE (8/88) COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC.WORK9 7 County Center Drive - OroviWe, Cdliflornia 95965 - Telephone-: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3077-90 / ASSESSOR PARCEL NUMBER 62-21-14(port) ZONI G _ BUILDING PERMI OWNER Sharon Moore TELEP ONE .SQ. FT. OCC. BUILDING V ATION OWNER'S MAILING ADDRESS - CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Ener Plan Checking Fee Energy 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 31 Bay Ranch Rd. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 M911119 Berry Creek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 ` Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome®X Other SPECIFY Gas piping system 1 - 5 outlets. 5.00 Building sewer 5.00 Mobile Home 10.00e 30.00 I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities)M Installation ❑ Other ❑ Describe work: MHU Permit Fee $ 40.09 Contractor -ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORSLESS 10.00 10.00 Main service EA. ADD -L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS 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) 9/1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP. OR ADDNS. (ACC. BLDGS. & , 2/zQsgft NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®80¢ BAL®3o FIXED APPLNS. Ex. Occup. OUTLETS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00, Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s judgments, costs, and expenses which may in any way accrue against sPounty in consequence of the granting of this permit. X r a2 �-� /c.'� Date ' Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An -OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE A TOTAL FEE $ 92.50 HAZ "� CUA — PARK — L' FLD PAR PD HD Issu Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees E OR F PUBLIC BY G PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate Alld Receipt No. 7�?S &I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ..,, -' r i/.1f T•'-.rr �.�,rTr wf"'�r '•S" �`-I '^' �.� .��A II i. _� i v n COUNTY OF BUTTE-tI.EPARTME1I ,`,. 'PUBLIC FORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE-'OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA --SHEET V V % COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Calijornia 95965 - Telephone: 916;"538-7541 APPLICATION AND PERMIT PERMIT NO. ©77_—! C ASSFSS0 PARCEL NUM ER _ J r ZONING BUILDING PERMIT OWNER S Dbr-e TELEPHONE SO. FT. OCC. BUILDING VALUATION i OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 5 Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ :7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 Building sewer414 5.00 Home al AJ&kr 110.00e ID TYPE OF WORK New❑ Addition❑ Remodei❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ ,CID Contractor ELECTRICAL PERMIT Filing ee 10.00 OR L Main service 100 VAMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.Di) OR ADONS. ACC. BLDGS. '/z2sgft NEW CONSTR.ULTI-OUTLE NON-RESID BRANCH CIRCT ITS 2.50ea IPOWER APPARATUS &) I SINGLE OUTLET CIR. ) ( Ex. OCCUp\OUTLETS OR FIXTURES , AL0Q DAL@20@30 FIXED APPLNS. Ex. OCCUp- OUTLETS (RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^ Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT ', FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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. Signature of Applicant — Ownerk Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ructuresover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHL IL. I PAR PD Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rReceiplNo.BY P. W., 7ELLOW-A98[$90 R, PINx-IN9P [CTOR, Gala EN Ra D -APPLICANT r. �- ~\�' jai sn�r►'�. ..� g,)` 6(.' g 1, i 4 i rid' leop 0 -5 er 6 ' �lvf'a' _ ._......._............ y 56 14- 40M—W' - ViUM—W Matertels tc wor monsnip Shan a q) Accordance with Recognized Good Practices one ,f a quality prescribed for the Sppecified use in the. niform Building, Plumbing ' & Machanical Com atd hd %Lw9^"Psl plom.,40cal Cade. This set of plans and specit nrifions MIDST be kept on the job at all ¢;,-nes - it is unlawful to rneike any changes or alterations on same without written permission from the Department of Public Works-, County of Butte. AP#c2-;I-1`{ (,i%kr) Io H setback of yet. trom it �... property lines and a setback of 50ft. from the road centerline shall- be clear of structures or equipment except For a 2. ft. eave overhang. �' clear oft all ease W1E n1s• 36 i � - Fd BUTTE COUNTY BUILQINQ DEPAMM APPROVE t 36 i � - Fd BUTTE COUNTY BUILQINQ DEPAMM APPROVE ►90-43008 I u n to•.DPW AGRICULTURAL STATEMM OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Y-- - - The property described herein is adjacent 90-043008 Rec Fee 7.00 to land or included within an area zoned r Cash 7.,00 for agricultural purposes, and residents Recorded of this property may be subject to incon- E Official Records veniences or discomfort arising from the County of ' use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs ,�J,-I r •• and fertilizers; and from the pursuit Recorder of agricultural operations including, 1 :30pm� 5 -Oct -90 X but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .real .property: -.situate in the County of Butte, State of California, described as follows: Date: Ub(Aro PROPERTY OWNERS: State of On this the day of CCr-�b� 19_2L, before me, the ��SS. undersigned Notary Public, personally appeared County of 4&4x_4 ) �rsonally known to me. U Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s)�_ OFFICIALSEAL ubscribed to the within instrument and acknowledg NOTARY PUBLIC -CALIFORNIA purposes that GBERTOLI xecuted the same for the therein contained. IN WITNESS ate U COUNTY OFMARIN JHEREOF, I hereunto set my hand and official seal. MY Commission Expires June 1, 1993 Present A.P. No. 6.2-11-/K P%1V t 90 3008 DESCRIPTION All that certain real property situated in the;County of,Butte, State C" 'Df California, being a portion of the NE 1/4 of the SE 1/4 of Section .4, T21N, RSE, MDB&M, described as follows: r' Beginning at the southwest corner of that. certain parcel of land as shown on the Record of Survey recorded.in the office of the Butte ounty Recorder, in Hook 64 of Maps at Page 9:, thence along the westerly line of said parcel N 00-54'17"E 620.00 feet to a point; thence N89 -12'58"E 1123.95 feet to a point on the easterly line of saia par -cal; thence along the easterly line of said parcel 500-02' "'W c•19.80 feet to the southeast corner of said parcel; thence along the southerly line of said parcel S89 -12'58"W 11 28 feet to the true point of beginning. Said parcel containing 16.06 acres more or less. TOGETHER WITH: A right-of-way for road purpose, 60 feet in width, extending from Bald Rock Road the above described parcel, .lying easterly of and adjacent to the westerly line of that certain•parcel of land shown on Record of Survey, recorded in the office of the Butte County Recorder, in Book 64 -,of Maps at Page 93. EXCEPTING THEREFROM: A 60 foot wide right-of-way for road purpose, lying within the above described parcel, as that right-of-way is shown on Record of Survey, recorded in the office of. the Butte County Recorder in Book 64 of Maps at Page 93., END OF DOCUMENT ,_.,, _�-_-- �. _R... _.� _.-.�_-_..-r,..-�.....'v:a�-:•.cry-sv.-. y,,,.r.ti:,yr�rst:�.ar=�.n�,�,.�,r.,{"�'y��;'°.',-� COUNTY OF BUTTE r.� _• DEPARTMENT OF PUBLIC WORKS i 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 1 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE &6n bn -3 y 7 7 `tr) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction,of work is completed. If you have any question pertaining to this matter, or need additional explanation, p�l ase contact this office immediately. l.4 % Al \UIVA art / I Date Inspector TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance r ',"a 3 l6Cf-'r'a'tI0'&Z4 - Owner Loc ion AP# Plan Approved for: Sewage Disposal _ Water Supply � •P ` r Hold final for: Final clearance O.R. for: . Clearance for bedroo mobile e. Other Water Supply Water Supply NOTE "** ��- ate Sanitarian I AP # OWNER iyl�O�PL,C� PERMIT # 307 % --90 MH UT IL . CLEARANCE DATE% INSPECTO ELE TRIC GAS Support Str c. Compaction Test Req. ;ervice ;ize Other Load Type Pipe Size Len5zth YES NO YES NO p Q� Ute" � - • - 30 .._ ,r, t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville = Phone: 538-7541': 747 ElIiott -Road, Paradise— Phone: 872-6307 S CORRECTION NOTICE OWN PERMIT NO. A routine inspection indicates that the following violations of County Ordinance ; exist at the above address and should be corrected. Please notify this office ~y when correction of work is completed. If you have any question pertaining to this 3" matter, or need additional explanation, please contact this office immediately.; A Date /-„ Inspector_ ' F7- I 1� - IVW" 7 _71 MOBILEHOME INSTALkTiON'ACCEPTANCE. COUNTY OF 'BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY.0 .ENT ER DRIV' • OROVILLE, CALIFORNIA — 534411510 PERMIT NO. Address or location of mobiiehome Owner's name 'Owner's address Insignia or hud number 4 Manufacturer's name Serial numberof Year of manufacture, PP A v Yt IF THE MOBILEHOME'IS MOYED:OR RELOCATED, THE MOBILEI-16MEANSTALLATIbN SHALL. BECOME INVALID. THIS FORM,SHALL: ;ACCEPTANCE NOT' BE USED WHEN TkIE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM A .�hit. -Q.er Y"il,z,- Insta, .1 140 le I D' P W 9 M _ 4 3 M 0 7 ' | 90-043007 | 8ec Fee 9,00 | Cash 9.80 Recorded | Official Records | County of | Butte � Candace J. Grubbs | Recorder | 1:30pm 6-Oot-90 ( X 3 -----------SPACE ABOVE THIS LINE FOR RECORDER'S USE -- Deed of Gift the y ...... ha.ve ... for the Grantee, do ....... by these presents gift, give, and grant unto the and bounded and described as follows: Please see attached for legal description Togetherwith the tenements, hereditaments, and appurtenances thereuntobelonging or appertaining, and the reversion and reversions, remainder and remainders, rents issues and profits thereof. To have and to holdthe said premises, together with the appurtenances,'unto the Grantee, and to . - t h e I r.... heirs and assigns forever. Thi document is only a general form which may be proper for use in simple transactions and In no way acts. or is intended to act. as a Substitute for the advice of an attorney. The printer does 5 c forms in any specific transaction. not make any Warranty, either express or implied. as to the legal validity of any provision or the suitability of these � | 90-043007 | 8ec Fee 9,00 | Cash 9.80 Recorded | Official Records | County of | Butte � Candace J. Grubbs | Recorder | 1:30pm 6-Oot-90 ( X 3 -----------SPACE ABOVE THIS LINE FOR RECORDER'S USE -- Deed of Gift the y ...... ha.ve ... for the Grantee, do ....... by these presents gift, give, and grant unto the and bounded and described as follows: Please see attached for legal description Togetherwith the tenements, hereditaments, and appurtenances thereuntobelonging or appertaining, and the reversion and reversions, remainder and remainders, rents issues and profits thereof. To have and to holdthe said premises, together with the appurtenances,'unto the Grantee, and to . - t h e I r.... heirs and assigns forever. Thi document is only a general form which may be proper for use in simple transactions and In no way acts. or is intended to act. as a Substitute for the advice of an attorney. The printer does 5 c forms in any specific transaction. not make any Warranty, either express or implied. as to the legal validity of any provision or the suitability of these � � Qn-hinn 7 4 In Witness Whereof the Grantor, ha .ve .......... hereunto set ........their .... • .. • • . . ands..... the day and year first above written. Si d nd Delivered in the Prese ce of CHAR ES -M., PATTY H. ANITA PATTY E' V 4-4 0 Piz A STATE OF CALIFORNIA On this .... ....27th .......... day of ... September ................ in the yea ss, COUNTYOF ...... aut.tQ.................................................................................... .1990 .. , before me .........the ..under.s.igne.d.............. a Notary Public, State of California duly commissioned and sworn, personally appeared .. C h a rl e s .. M.: Patty, . and H. Juanita Patty ...... :........ :...................................................................... L personally known to me (or proved to me on the basis of satisfactory evidence) to b OFF=CARTER PAthe person .......... whose name. s ... •are .. • . • • • ............................... . NOTARY RNIA subscribed to this instrument, and acknowledged that .......t hey ....... executedit INMTY mIN WITNESS WHEREOF I have hereunto set my hand and affixed my officia My comm, 1992 On CA 95i�ii seal in the................................................................. County o 3880 tl eb vW4 Butte ............................... on the date set forth above in this certificate. Notary Public, State of Californi My commission expires 5/13/92 4 DESCRIPTION 90--3007 All that certain real property situated in the County of Butte, State of California, being a portion of the NE 1/4 of the SE 1/4 of Section -4, T21N, RSE, MDB&M, described as follows: Beginning at the southwest corner of that. certain parcel of land as shown on the Record of Survey recorded in the office of the Butte �ounty Recorder, in Book 64 of Maps at Page 93, thence along the westerly line of said parcel N 0054'17"E 620.00 feet to a point; thence N89 -12'58"E 1123.95 feet to a point'on the easterly line of said parcel; thence along the easterly line of said parcel SOO-02'33"W 619.80 feet to the southeast corner of said parcel; thence along the southerly line of said parcel S89 -12'58"W 1133.28 feet to the true point of beginning. Said parcel containing 16.06 acres more -or less. TOGETHER WITH: A right-of-way for road purpose, 60 feet in width, extending from Bald Rock Road the above described parcel, lying easterly of and adjacent to the westerly line of that certain parcel of land shown on Record of Survey, recorded in the office of the Butte County Recorder, in Book 64 of Maps at Page 93. EXCEPTING THEREFROM: A 60 foot wide right-of-way for road purpose, lying within the above described parcel, as that right-of-way is shown on Record of Survey, recorded in the office of the Butte County Recorder in Book 64.of Maps at Page 93. EN® OF DOCUCAtzi',, ar