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HomeMy WebLinkAbout063-010-126Greg Crump 63 -01 -'ft% k_'* m�i.E_of Doe Mill Rd., S/S Nicholas Rd. , Fo` eszt Ranch #2,24-_-_P,E.�util-,., ELEC. 9-10-91 "No& GAS 370-81 /y0/ 15 r4 SUPPORT STRUCTURE /1-60 COMPACTION;PTES ;O'M'Q 01 - 63-01-126 Permit �..2168 <81. MH I Is ea ✓ 63-01-126 1OWNER ARD PAUL S/S Su erplace Rd, 3/10 mi E Siwini Rd Forest R h -Pe-imit#76 ' 3B,P,E,M(new siftgle' famib�ol Forest re ms i '83B P! - !i - \ I P 63-01-126 j i s Permit#401­80(1 , renewal/767-83) 6\3-01-126 I rmjtl, -85B(2nd re ewal/767-83)SF Permit#742 56 6 --01-126 , //E Permit #566-86B(3rd enewal) 6 6 3-01-126 P ?e ty rmit#902-' B(4th renewal/767-83`)� 63-01-126 Pe lt#1058-88B(5th renewal/767-83) B08-0626 063-010-126 MISCELLANEOUS Roor� A ddn-First Stry ADDITION TO'SIN(jLE FAMILY DiNr 10 SUMMER PLACE RD', PAUL HOWARD & VALERI,' Of -- -, �I 'I �"_\. s4.'. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds REMODLERS INC THE P O BOX 899 FOREST RANCH, CA 95942 (530)893-4741 REMODLERS INC THE Building Garage P O BOX 899 170 FOREST RANCH, CA 95942 Other Porch/Patio (530)893-4741 FEE INFORMATION Ag Com Building Permit Clearan $32.50 PROJECT INFORMATION $78.90 Site Address: 5310 SUMMER PLACE RD DBFIRE Fire Inspection (SRA) Owner: Permit No: B08-0620 APN: 063-010-126 $107.00 PAUL HOWARD & VALERI, $289.15 Permit type: MISCELLANEOUS P O BOX 142 Issued Date: 06/16/2008 By KEJ Subtype: Room Addn-First Stry FOREST RANCH, CA 95942 Expiration Date: 06/16/2009 Description: ADDITION TO SINGLE FAMILY Dl (530) 895-1918 Occupancy: Zoning: TM40 REMODLERS INC THE P O BOX 899 FOREST RANCH, CA 95942 (530)893-4741 REMODLERS INC THE Building Garage P O BOX 899 170 FOREST RANCH, CA 95942 Other Porch/Patio (530)893-4741 FEE INFORMATION Ag Com Building Permit Clearan $32.50 DBEH Building Review Fee $78.90 DBF Room Addition - First Stor $192.77 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Room Add -1st Story 250sf $289.15 DBOMSC Fire Safe Standards Rev $118.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires REMODLERS INC THE 813508 / B / 10/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force) and effect. �/ X k \�, 06/16/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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. ❑I HAVE 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; y 713-0012499 P 08/01/2008 Carrier: Policy Number: Ex .Date: (This section need not be completed if the permit is for one hung red 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 . A— V/`, ✓\_ ` ' 06/16/2008 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. DBSMIP Residential Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION Remdl/Addn $1 Total 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 Contractor's 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 Professions 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 reason: i 06/16/2008 Owner's Signature Date I CONSTRUCTION LENDING AGENCY I 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 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 State 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 Ar owner or am authorized to act on the property owner's behalf. . kX Lt , i:A� kAn-w 06/16/2008 ❑ Owner Contractor OR: Agent for Owner Agent for Contractor FILE COPY 'BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN# A.^ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. a, --k f-, i ('1 • 12� OWNER INFORMATION Last Name P a I First Name vd Uu w Mailing Address 5 3 Su M m e V- City 0r�s� QwA(P) State e� Zpa�Rt-%L Phone �R S Fax E-mail _ ARCHITE T/ENGINEER NameU w4i ca( ---re (� h0 (0 CONTRACTOR Name R eW► o C( ej ©rs 1 IIV1 C Address i'D D X 8 5 City -o r? 5 { r.2pyi C k State e� Zip 6t S9 Phone t Fax E-mail Uc. # 1 Class ARCHITE T/ENGINEER NameU w4i ca( ---re (� h0 (0 1 P S' Address _. 39- 3 d? t o L I hd A'V e-�' a D a City (—kA- t C o State CA Type Const. Zip '� S-1 y L Phon9 S- ?O) Fax � 11 — S qy 9 Email State License Number &/ 3 �-D& O-V/,CON► f APPLICANT SIGNATURE X •vl ✓�. C ie - PROJECT LOCATION AP# 2 Property Address rj 1 O City Fvve Sf %f an CL, C'j QS-I`(L WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name N Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living 17 D Garage Open aL� Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy a� .� • l.Y� (Note previous use): For office use only: APPLICANT INFORMATION Name C 0 H f _ -1, 7� Address o City Type Const. State Zip Phone Fax E-mail t f APPLICANT SIGNATURE X •vl ✓�. C ie - PROJECT LOCATION AP# 2 Property Address rj 1 O City Fvve Sf %f an CL, C'j QS-I`(L WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name N Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living 17 D Garage Open aL� Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy a� .� • l.Y� (Note previous use): For office use only: Zoning Flood Zone S Yes o Occ. A Type Const. SGPU ear y l BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 - Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0620 Job Address: 5310 SUMMER PLACE RD Contractor:. REMODLERS INC THE P O BOX 899 FOREST RANCH, CA 95942 Printed: 04/07/2008 4:29 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Com Building Permit Clearan 0010-460001-4612200-1010 $32.50 04/07/2008 $32.50 DBEH Building Review Fee ' - 0021-540013-4614901-1010 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 0100-450001-4617240-1010 $107.00 04/07/2008 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 04/07/2008 $107.00 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $289.15 DBF Room Addition - First Stor 0010-440001-4210500-1010 $192.77 04/07/2008 $192.77 DBSMIP Residential Printed By: Karen Jones 1001-0-280-1011298 $1.11 19034.41 $439.27 Balance Due: $595.14 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. - Signature: LA� Date: 04/07/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 0 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B08-0620 Date: 04/07/2008 Location: 5310 SUMMER PLACE RD By: KEJ Parcel Number: 063-010-126 Sub Type: Room Addn-First Str Owner Name: PAUL HOWARD & VALERI, Phone: (530)895-1918 Description: ADDITION TO SINGLE FAMILY DINING ROOM (170) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: 4 v , �� Title: P—M o p (res 4 e v1. f FILE Date: 04/07/2008 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds **PERMIT APPLICATION DATA SHEET** Reference Number: B08-0620 Date: 04/07/2008 Location: 5310 SUMMER PLACE RD By: KEJ Parcel Number: 063-010-126 Sub Type: Room Addn-First Str Owner Name: PAUL HOWARD & VALERI, Phone: (530) 895-1918 Description: ADDITION TO SINGLE FAMILY DINING ROOM (170) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ M Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 f-1 ❑ LOAPUD, 11960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 OTHER ❑ F] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: 11 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: ,1 VL, �-� / Date: 04/07/2008 FILE SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ F] Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: 11 ❑ Other: "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Applicant: ,1 VL, �-� / Date: 04/07/2008 FILE 'California Department of Forestry and Fire Protection Butte County Fire Department ` Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: "1108-0620 Date: 04/07/2008 Location: 5310 SUMMER PLACE RD By: KEJ Parcel Number; 063-010-126 Sub Type: Room Addn-First Str, Owner Name: PAUL HOWARD & VALERI, Phone: (530) 895-1918 Description:. ADDITION TO.SINGLE FAMILY DINING ROOM (170) To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location' must be' staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 04/07/2008 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.html FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municir)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0620 Location: 5310 SUMMER PLACE RD Parcel Number: 063-010-126 Owner Name: PAUL HOWARD & VALERI, Description: ADDITION TO SINGLE FAMILY DINING ROOM (170) Date: 04/07/2008 Phone: (530) 895-1918 Signature of Applicant: l 1 11 � Date: 04/07/2008 FILE BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM - (One form per Building) School District: Chico Unified School District Building Permit Number: B08-0620 t Tax Rate Area No: Assessor's Parcel Number (s): 063-010-126 Jurisdiction: County Property Owner (s): PAUL HOWARD & VALERI, Project Location/Address: 5310 SUMMER PLACE RD i FOREST RANCH Type of Development Residential Development: 0 No Yes No Sq. Footage: 170 No of Living Mobile Home Addition/•Supplemental to mo - existing Units Installation onversion PerCr.. mit # g *(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed coov of Deed Restriction and Notice of LimitedUse Facility ocument Commercial/Industrial: =New Addition Sq. Footage: (Including Exterior Roofed Areasr' Project Descriptio. DDI ION TO SINGLE FAMILY DINING ROOM (170) 04/07/2008 Building Department R prese tativ Date District Indentification No. 0�_School District certifies that eu_ (Payor) _C', 9 .sq�tZ X4'3• .� 7�� (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. I O Q� —0 E by payment of $ representing (J square feet. AB 2926 $ FULL MITIGATION $ l _School District Representative Date Paid by Check # Remarks: 6t Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will t prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a the signing this Butte County Schools Impact Fee Certification kiorm, the Schoo= District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School Di-trict) Yellow (Ruildin2 l)enartment) Pink (Annlirant) r)r)R Crhnnl Pep Fr% m reVA 1 In AR w CERTIFICATE OF EXISTING SQUARE FOOTAGE Chico Unified School District Building Permit Number: B08-0620 Assessor's Parcel Number (s): 063-010-126 Project Location/Address: 5310 SUMMER PLACE RD FOREST RANCH Existing Sq Ftg: MH Replacement: No Existing Construction Type: ADDITION TO SINGLE FAMILY DINING ROOM (170) Demo Permit Issued?: No Demo Permit Issued Date: Verified by: Comments:ADDITION OF DINING ROOM AND DECK ABOVE 04/07/2008 Building Department Representative Date r .�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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 whe correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office Immediately. r 7I -S %-Y 131)x/ b X% gAl- o- -1 (21,,,vc. %%6 c---v-jJ TI A 0 ri' a COUNTY OF BUTTE DEPARTMENT 00PUBLICWORKS _ - .� 196 Memorial Way, Chico = Phone: 891-2751 ` - - .7 County Center Drive, Orovllle.— Phone:=534-4541. Skyway and'Ell iott Road, Paiadise —.Phone: 872-2961, Ext..57 �+ CORRECTION NOTICE, . OWNER PERMIT ND'. A routine lnspectlonlndlcates that the,following`violations of County Ordinance exist at' the 'above address and should be corrected., Plesae notify thls.offlce when correction of work Is completed. Ifyouhave any questlon•pertalning to this /Matie,r need-additional explanation, please contact -this office Immediately. ' . P" Gf' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ttr' 196 Memorial Way, Chico — Phone 891-2751 7 County Center Drive Oroville - Phone:'534-4541- Skyway'snd Elliott Road, ,Paradise'— Phone872-2961, Ext.,57 - CORRECTION NOTICE . La..&r.r/J/�.s i(i✓ (/ate-} v routine inspection Indicates that thefollowing 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 hive any question pertaining to this xitier, or need additional explanation, please contact this office Immedlately. 7 f� Inspector Date XW J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 Uy 7 County Center Drive, Oroville — Phone: 534-4541 / J Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. !VJ u -a Inspector Date/— �L% iftft W- -PERMIT NO. ' 'M PERMIT EXPIRES OWNER HOWARD PAUL (G ! owner CONTR. 63-01-126 1 ASSESSOR PARCEL S'310 2 0 V-1— O iL�.- LOCATION 5` Summer Place Rd, app 3/10 mi E of S4:w!iii Rd, Forest Ranch Y t 743 5A vol /Loa 40o r" ,,,-g S1.1ilta!W171f�� Z.) .- S*a-1ro-). --will f Temp. Power Pole Called PG&E Temp. Elec. Service -� Called P( to Temp. Gas Sei Cal led PG JOB FINALE{ �. Signature . &A—, X.7 ✓1 A�j�'p�✓ p/"c'9 �/ J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready - • • s 4 ' r . '�•fl MISCELLANEOUS *> Date MOBILEHOME UTILITIES (Plans] OK except q's, 1. Zoning Requ irements-Setback`s- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except M's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2• Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI LDate _ Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equi p.- Pool •Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval Card B -I Date Card -BI Date 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 1 r i l 6 Te. 4 R'1 I w � V. =iOK O ,Not OK -,r Not Applicable RESIDENTIAL -(tingle and Duplex) = Not Re9dy Date UND OOR (Plans) OK except N's Date FRAMING (Continued) 1. IP'Zoni requirements -Setbacks- ments ;, -'Openings g., Main; Soils-Steel-EIe rnd.- / /" Ftg. Depth 4 xt. Doors a 3'.-Ch"ec - is 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth airs; WidT� o_m-R' ` -La ing ire Pr ti 4. Ftq., Porches & Decks; Soils -Steel- / /" Ftg. Depth Wlywood on RapjD*er}fang- ttic s-Rafrm-,8 W;je cs emwalls, Main; S-f3ieskeetts-W d- 7,41 SidingtNaWr 6. StejRwAkT, Garage; Steel-Blockouts-Wrapped-Slab'ryVents-Underflr. Access s -F' - I Glazing-Area=Gla coon ky" h -Plastic RxiY'Fit1ioirg-s- -2 C/0 -Sewer T Bolts Size -Anchors ipe; Test -Anchors -Regulator -Ser est i? nderground Z 3 / ucts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI tft Dat ' Card -BI Date Card -BI Date Card BI Date Card -BI Date . Card BI Date Card -BI Date - Card -BI Date Date FINA ans) OK except q's Card -BI Date Card -BI 00 Dale Date '' PL�1fV�pnvG (Permit) OK except Vis_ E eps-Door & Sidelight Protection -Landings 9Y Smo etector 7 j2Water Ht. yentfAcc - usti Ze-Wat Pipe; Test &BpcHors-NaiY.ELple¢tion rnac ents-Clearance-Comb. Air-Connector- In ag bove Floor -Ducts -Meth. Protection :W.V.; - ttn . chors-Nail on e m Exiting _ ower First Floor- th Fixtures &Tub Access _ _ e t T Shower(5n Tub e as Pipe; Size & Anch rs lgeOlrim & Subpanel; Breaker Sizes -Labels tairs Is 6 replace or Stove; Clearances -Hearth let. ets at Wood Panel; Int. & Ext. Card -BI Date Card -BI DateF--z7-.P . F' . & Appliance; Grnd.-Air Gap -Cooking Clearance Card-BI -K Dat Card -BI Date rec. Outlets & Receptacles at Kit. Counter --iiZ Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's `.68�►•C n Garage -Damper 2 xtuse'Z�Tra c-Ins_Psetection Fle�. Receptacles p Light�$,$witches at Doors --772-- tr. Htr.; Ve Clearance -Comb. Air-Connector-P.R.V.- In G ; Above Floor -Meth. Protection 7 Elec. &Mech. Equip. Listed for Location ­%ia Boxe & . of onductors-St mad -.741 lec.cies in Garage; (G.F.I.)-Romex Protec. - ex Installed Close to Edge of Studs & C.J. ulatio -Foam-Looked in Attic es -- quip. Ground made up w/ tFasteners 7 rd Rails & Deck Construct i -Post Ca s 2 Appliance Circuits in Kitchen & Conductor Size _ - feed Wire Size ( / ga.49"r AI-A.C. or AI is & Crawl Hole Door -Dr ood-Earth Clearance Looked under Floor ❑ Yes -- -- ^� na (irr r n^ �• or AI -Oven Circ. / / ga. Cu or At, ^' Insulated Neutral r Yes ONO - 26. Service -Riser Conductors & Gr�ef>d-Main BisCtfe'ct --W4-.Following in ] Drive El Yes No; Walks El Yes ❑ No; Planters s ONO Ye ❑Ye .-7B-Stucc ; Brown -Finish _— 2 quip. Clearances; Panels-Motors-Mech. Equip. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 3n r Inthac r� co ���. S�e...er , ;9,, — ---------------------- ---.--- 7 e Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. at ell• isconnect, Electrical, Plumbing r Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I �y __DateS`i _ _ and -BI - Dateit Date qCi Card -61 Date roughout House 8 rotection Date E ANICAL (Permit) OK except q's _ orreclions from Previous Inspections Gas Test -Meters Tagged; Gas -Electric — _ A.C. Ducts: Insulation & Support Venl-Fan_ Exhaust above Insulation — _ veri low, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 3 7tm_ Comb. Air -Return Air Vent -115V outlet Card -BI -- Card -BI orm if Furnace in Attic - •-- --- --- - - - ---- - ----- - --- Date j Gard -BI Date Date f;/ Z%/ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at inal: -el Is; Proper Materianchors _ _ _ _ 3 s; Studs- Spacingd.&,ning-IZLWW-6eer�- ---- - -- ng Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) �- / _ �Olt " z 4� �tliv ��� `7 / Fire Stops; F-cFed Gei'ings t T d�! Header &Beam -Size Bearing '- - - -- H' ers os A s-Cort�r's i♦,'urliti-RodJ.BTac.-Jr�es-ShLNfq.-Ring. Fs o u roar �jr AAccess: Size & Romex Protection -Draft Sto n les Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimension re-- - -- -... 9 -- --- - - --- - -- --- -- (NOTE: An entry must be made each time youvisit jobsite) ENERGY INSTALLATION CERTIFICATE Building Owner fO�44, Building Permit # 67-,0532 1!T -11 Building Location DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material tz- Thickness(inches) CEILING Batt or Blanket Typqf.'?O Thickness( inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) ! `� FLOOR, SLAB Material SrkAo Thickness(inches)' 1,, Width(inches) /1101 " FOUNDATION WALL Material -63-- Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name 1'1A1JV1LA-6v Thermal Resistance(R Value) Brand Name l"d 4th o"i-z. Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name i�`7,4.✓vi���� Thermal Resistance(R Value) Brand Name Z Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with approved building. department plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement: F I&M NAME / OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy .equirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER .(Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. q�l7 vc7 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillp, Q.alifornia 95965 - Telephone 916/534-4541 • ' APPLICATION AND PERMIT i PERlM`I�T NO. PER; ASSESS RAR CEL NUMBER / ® L[�/ ZONING BUILDING PERMIT OWNIEfR ��'•// TELEPHONE I/ SQ. FT. OCC. BUILDING VALUATI o � OWNE/1J�S MAI ING ADDRESS /O le V CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER It/O UNKNOWN Total Valu Ion $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ z V7, 1 O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $` Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ vZS BUILDING ADOR ESS ' `! (/ PLUMBING PERMIT Filing Fee 10.00 Ivir r Each Trap2.00 , Solar Water Heater 20.00 2,0,00 G Water piping 5.00 , O (J LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent( 5.00 c) Gas piping system 1 - 5 outlets 5.00 C7 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G 1 W 10.00 e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: — Permit Fee $ Contractor f�e_ ELECTRICAL PERMIT Filing Fee 10.00 Main service o0v \, LEssESS 10.00 Main service EA, 'L too AMP 2.50 NEW CONST. DWELLING �.& OR ADDNS. ( ACC. BLD t 2�sQsgft 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) ❑ 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 CONSTR ULTI.OUTLET NON-RESID. BRANCH CIRC ITS 2-SO ea CONSTR. R ESID. SINGLE OUTLET CIR, POWER APPARATUS & NEW NON . ( Ex. Occup(OUTLETS OR FIXTURES 0A @300 • FIXED APPLNS. OR \ Ex. OCCUp- OUTLETS (RES'D.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirings/ 15.00 S,dU Permit Fee $ , (j Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Fy/1 I shall not employ any person in any manner so as to become subject Jam' 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. Heating N Cooling Hood 3.00 () Ventilation permit Fee $ Contractor WEf 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 c uence of the granting of this permit. 3/2i �� X Date , Signature of Applicant — Ownerg 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 $ TOTAL PERMIT FEE $ 6-27, S' occuP���777GROUP y _3 �'` TYPE OF CONST. tT iG PARCE PD HD ✓ ISSoF t/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By �2 P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .7—'- / J�� Receipt No. 10zli/6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO: -Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance ZLM-f _?tIj zid Owner Location AP# Plan approved for: sewage disposal `/ water supply Hold final for: water supply Final•clearance O.K. for: water supply ` Clearance for bedroom meba&e home. Other 44 Note*** rA Sanitarian 3 - LV 4-3 Date COUNTY OF BUTTE - DEPARTMENT "OF PUBLIC WORKS - BUILDING DIVISION f 7 COUNTY CENTER DRIVE -. OROVICLE>,-CrALIFIJRNIA 95965 - TELEPHONE: 916/534-4541 ^ PERMIT APPLICATION DATA SHEET ' l Permit No. 1 V OWNER 4,/ A. P. No. D/ lel;'� Proposed Building Use �lC Permit Fee Based Upon: Complete Contract PriceDPW Valuation Other -(E p ain) Building Inspector.__20Date At time of permit application, I was advised the I owing 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. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . ... . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. - 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . C? - _ Sanitation approval from C�l�� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 0X �'4. Owner -Builder Verification (Given to owner©�Ma-il to ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other fl' s v� �/ ��/D o, �A�lT h you issue the permit, process as follows: ail downer. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspecto Other �y " Applicant_, Date 321 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items n`ot checked above at time of a0l3lication,ycirc item.) 1. Index permit for above Items No. , 2. Additional'items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other i.uNy-urvv COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the emielope provided at your earliest opportunity to avoid unnecessary delay in processing and _issuing your build- ing permit. No building permit will be issued until this;verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ;yam 2. I (have/have not) k1A V signed an application for a building permit for the proposed work.' 3. I have contractedr.with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors 1 icense 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 S igned : Property Owner & /GAJ Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit., Howard Paul P.O. Box 142 Forest Ranch, CA 95942 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 DATE March 25, 1983 RE: Building Permit Application ,1767-83 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER LLXJ We need the following information: X A. P. # 63-01-126 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of. Codes; Enforced. Permit application signed and completed where.indicated with all copies returned. Fees.of $. payable to Butte County Treasurer. Certificate of,Woikmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. ;Plot•plans in , Structural detail's in Complete plans•and,calcs in by registered engineer or architect. Energy, design including .Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation'approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder -Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement ,statement. rine at roof center. Should -you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Dir or of 'Public Works .F. Glander JFG/aj Chief Building Inspector A. GE RAL Zoning requirements Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. (sideyards and parking). or Architect (if required). B. PLQX PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4XI b�G Grading, fills, drainage., Permit # # �Pe 0 a ti s e �,.. ,2-0 q C. FLOOR PLAN' /Complete to scale plan with dimensions. � 'top~ Required windows for light and ventilation (Sec. 1405). ° Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law). 5 Human impact glass ' (Sec. 5406) . Required room sizes, ceiling heights (Sec. 1407). ..7� G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8). !` Light -fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing 'fixtures. Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 �- 3'0" exterior exit door (Sec. 3303d). : ii./ Fireplace location. 13. Smoke detectors (Sec. 1413). D ~-STRILGTURAL DETAILS :r Foundation plan complete enough to construct building. or construction details complete enough to construct building. vations and wall construction details complete enough to construct f construction details complete enough to construct building. eplace construction details and calcs if over one-story in height. ficient data and details to satisfy energy insulation requirements E. MIS -LLANEOUS ITEMS TO LOOK OUT FOR f CCX plywood on exposed.locations and'overhangs. , �,2. Stairway details (Sec. 3305). ivardrail details (Sec. 1716). �;4-*�., $rick or stone veneer (Chapter 30). 5 Exterior plaster - weep screeds (Sec -..4706 & 4708). ifik Proper roof pitch for roof covering (Chapter 32). �79. Rafter ties or bearing ridge beam. , age door or porch header sizes. ,*9 Adequate bracing. a yr 3 L3 �p3 ' y�1?3 ti t�-. Ir bufid in . /V/1 T Sw— (State law). s1y0� Ziving area over garage;- complete 1�-hour separation required including supporting walls and posts; etc. , 1� Two (2) exits on three-story dwellings (Sec. 3302). f f PIRKIT APPL IM 10R- WORK SHEET Permit No. OWNER _)/le4g l GGO l�lt�// A. P. No. Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuatiori'(show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. ------ -------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ . -------------------- 6. Letter of,signature authorization. ---------------------- 7. Sanitation approval. ----------------------- ------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ---------------- --------------- ------ 13. Autit Minnie information. ------------------------------ - 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. --- ------ 16. Parcel map, recording data.. ---------------------------- 17. Pre -inspection request for• -- 18. Improvements - plans required & DPW approval. -- -------- 19. they r , 06u s�fu.�07/rif By bate Bldg. Inspect During plan checking process, the following data Before permit.issuance,- all of the following or information must be submitted prior*to permit items must be signed or marked NA: issuance: 1. Zoning use 1. Index permit for items 2. Legal parcel above and in addition the following: 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works, - Date Notice Sent 'A: Street Imp. 2. Applicant advised by Telephone B. Drainage Mail C. Permits & Fees Other D. Other 3. Plans checked by Date 5. Planning 4. Plans approved .by DateA. Use Permit B. Variance When permit is issued, process as follows, C: Other 1. Mail to owner. 6. Other Agencies - Date Plans Sent_,_, 2. Mail to contractor. A. Fire'Dept. 3. Deliver with inspection. B. Other 4. Telephone and hold., for pickup @ office. • Other 5,rr �� l MARCH 21, 1983 I HEREBY STATE THAT UPON COMPLETION OF THE NEW STRUCTURE ON LOT 3 OF THE NORTHWEST QUARTER OF SECTION 16 TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B.&M., A.P. # 63-01-126, I WILL.REMOVE THE EXISTING MOBLEHOME. HOWARD PAUL I 1 . r Return to DPW AGRICULTURAL STATEiEN'f"OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section, 26-8.1of the Butte County Code requires this acknowledgement .be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included ,�i.t�.� within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising ;-.�; from the use of agricultural chemicals, including, but not limited to herbicides, EE i; sj�ici.des, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and res;'id_!nts within said zones'and on adjacent property should be prepared to accept such inc�onvenit�nce or discomfort from normal, necessary farm operations. A1.1 that real property situate in the County of Butte, State of California, described as follows: LOT 3 OF THE NORTHIvi-EST QUARTER OF SECTION 16 TO-WNSHIP 23 NORTH, UN,3E 3 EA -ST, M. D. B.&M. Date, 21.2 //P PROPERTY OWNERS: a) On this the 21�,t day of Marrh , 19 q 11 SS. before me, the undersigned Notary Public, personally G, _— Butte _) appeared HOWARD PAUL WHO PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE OFFICIAL SEAL = L. M. MUNDY = Accr mK->tmxxx to be the person(s) whose name(s) IS t- d worAar vUeuc - uvoa+w► subscribed to the within instrument and acknowledged J. couerr of eume C e that he executed the same for the purposes Comm. Eip. Sept. 23, I98S therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official ' seal. Notary Public COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �-i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 } APPLICATION AND PERMIT PERMIT NO. AS ESSOR PARCEL NUMBER 3—rM ZONING A16 BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VAL A ION OW ER'S MAILING ADDRESS 114 a0 CONTRACT R'SNAME I TELEPHONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS . Permit Fee $ 192, -7fi ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ A CHIT CT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS J � $�U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water.heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: n / / I RPnPt, l Pt%'h'll 7!n �'-� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/2Qsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.' Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code f r this reason ''. NEW CONSTR ULT' -OUTLET 2.50ea NO N.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. Ex. OccuP(oX20e50C FIXTURES BAL®30 IED A PDR EX. OCCUp. OUTLETS (RESID PEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE "'�'9yf I declare under penalty of perjury (check one): ; / ❑ The permit is for $100.00 (valuation) or less. 4: ••.- ❑ 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. ,�,• 1 , INj� 1 shall not employ any person in any manner so as to become subject . to the W. C. laws of California. r�•� ^ } ._ Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith com`ply with such provisions or this permit shall be deemed revoked. � -' Heating ' Cooling ;.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 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 ainst said County in c sequence of the granting of this permit. X Date�/ �' / gnature of Applicant — Owner Contractor ❑ Agent ❑ construct- An OSHA permit is required for excavations over 5'0" deep and demolition or cons ion of structures over 3 stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ ''� 3 �� OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD ISSUE This permit is hereby issued under sio of the Butte.Count Code and/or w k indicated above for, which EIQTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. I��37 WHITE-D.P.W., YELLOW -ASS SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � a COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the -envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �FS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 41A 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 N/!4 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 S igned : Property Owner, Social Security, number NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 63-01-126 ZONING BUILDING PERMIT Toward Paul TELEPHONE 895-1918 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 14 est Ranch CONTRACTOR'S NAME _ owner TELEPHONE 2nd renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee g $ 1.00 LENDER'S MAILING ADDRESS Permit Fee z FEE $ ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS SIS Summer Place Rd., app. PLUMBING PERMIT Filing Fee 10.00 3/10 mi. E Sweeny Rd. Each Trap 2.00 Solar Water Heater 20.00 Forest Ranch Water piping 5.00 LOT NO. SUBDIVISION NAME • PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[N Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W ed —10-00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[—] Other ❑ Describe work: — 2nd rPnPwa 1 Permi t 4762—RI 1st renewal #401-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for thi r son NEW NON-RESID R BRANCH CIRCUITS 2.50 ea NEW CONSTR. POWER APPARATUS .&) & (SINGLE OUTLET CIR ExOccu zo@soa . P�OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 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 i1enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above informationMobile 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 nst said County in consequence of the granting of this permit. X�� Date 9Ignature of Applicant — Owner[ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ovel 3 st/ori s in height. Home Installation Fee $ TOTAL PERMIT FEE 133.75 0CCUP. GROUP I TYPE of CONST. PARCEL PO HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE C O F P BLIC BY PERMIT EXPIRES/Date-29-86 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �J / 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: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity�to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until .this verification is received. 1. I personally plan to provide,the major labor and materials for construction of the proposed property improvement (yes or no) yrs 2. I (have/have not) PA diE signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name N/19 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 i IVjp S igned : Property Owner ,�C 11 X1_4 Social Security number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned -to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 1 APPLICATION AND PERMIT A SESSOR PARCEL NUMBER .. — I ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCL`, BUILDING VALUATION O N 'S LI G ADDRESS CONTRA R'Y MAMIE EL- ONE ONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS V 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 800V OR LESS Main service 600 AMP OR LESS 10.00 Main service EA. ADD'L 600 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pen Ity 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 ,+ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N A ) New , /20sq It CCONSTR.� ULTBI.OUTLET NON•RESID BRA CH CIRC ITS 2.50 ea .50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 200504; eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare un penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I� I shall not employ any person in any manner so as to become subject YYww 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 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 buildingkeonstruction, and hereby authorize representatives of the County of Butte to ent r,_uphri/'the above-mentioned property for inspection purposes. I also,,a9fee to save ,,IA ndAq.i?y and keep harmless the County of Butte against all lialirllties',,-juggments, costs, and expenses which may in any way accrue against satd'tConty'in cpnseguence of the granting of this permit. il X ^�� Date 3zr` Signature of Applicant — Ownerg Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TYPc cLooD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE F PUB 10 BY PE MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. C ORKS Date%(4 �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ssa % 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention -Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) NA 0:E_ signed an application for a building permit for the proposed work. 3. ,I have contracted with the following person (firm) to provide the proposed construction: Name /VIA 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 MIA Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner %..r,.✓' �G� Social,Security Number / Date NOTE: This,Owner-Builder Verification is sent to you as required by Sections -19831 and 19832 of the California Health and Safety Code. fy; This verification must be completed and returned to our office before we�are per- mitted to issue the permit. 41 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Orovil.le, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT R TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION NE 'S MAILING FADDRESS ICO_NTRACTORIS 'A E TELEPHONE TRA OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit FefsiZ $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Pee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMITFiling Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 7PARL 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 G W In-ooea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 DR LESS 100 AMP OR LESS 10•00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under p*ayof perjury (check one): ElI 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 ISYP'I 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd , New STR.(A �22sgft COO UC TI -OUTLET NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200505 .20 AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ ORKMEN'S COMPENSATION INSURANCE I declare unde enalty 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. 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and'keep"harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said/County in consequence of the granting of this permit. %� �^'�-�! Date 3�/G�lr7 o Signature of Applicant - Owner,® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 33, occu P. CONST*TYPEJ JFLOO.O1P-RCF1J PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich RECT U13LI BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees ave been paid. RKS ate OMReceipt — ' No. WNITE-D.P.W.. YELLOW-A38C9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 186181 UWVj SNHOm nnend :Q J�d-,U 51ino -qo uNnoo COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 1:2A01 signed an application for a building permit for the proposed work. - 3. I have contracted with the following person (firm) to provide the proposed construction: Name Al /4 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 /V/,4 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 IVIA- Signed : Property Owner Social Security Number � Date V /G 4,7 NOTE: This Owner -Builder Verification is,sent to you as required by Sections 19831 and 19832 of the California Health.-an'd Safety Code. This verification must be completed 'and returned to our office before we are per- mitted to issue the permit. ``F COUNTY OF BUTTE - DEPARIMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. lJ APPLICATION AND PERMIT ASSESSOR PA CEL NUMB E — ZONING BUILDING PERMIT w R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEMAMING AIDDRESS- 2 ,m CON RACTO 'S M TELE HONE O TRAC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fe S ARCHITECT OR ENGINEER LICENSE No. Plan Check ng 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: i — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �^ G Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penafty 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` OR ADONS. ( ACC. BLDGS. / , /20sgft NEW CONSTR. '.OUTLET 2,50 ea NON"RESID BRANCH CIRC TS POWER APPARATUS 6 (SINGLE OUTLET C'R. I 20050t Ex. OCCUp OUTLETS OR FIXTURES DA 030 FIXED APPLES. OR EX. Occup. OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and 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. (pf I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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. 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 said _C(ounty in consequence ofthe granting of this permit. X L ` Date l� Signature of Applicant — Owner C9 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC SCHOOL PL000 PARCEL D� No SSUE This permit is hereby issued under sions of the Butte County Code and/or work Indic d above for which IRECT PUB PEWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Depar.tme'nt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916;- 538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y� S 2. I (have/have not) �-/41//�E. for the proposed work. - 3. signed an application for a building permit I have contracted with the following person construction: Name Address (firm) to provide the proposed Phone Contractors License No. City 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 0 r Signed: Property Owner vL- Social Security Number 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 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 5344597 CERTIFICATE OF OCCUPANCY (This. mobilehome.has been installed in accordance with the reqquuirements of the. CalifgrniaiiAdministrative Code, Title X25, Chapter_ 5, under permit number 12O$ —T.l - for the following location: - i,!F/, 46 -)(As U %o/ /t- C zhl' floe- 7f�a Owner's Addr'e'ss -4z �`����Y_-• -� Mobilehome,Mfg. " Model Inei� ,gn323. Serial No., It is hereby certified, for. occupancy at the above described location end' -maybe occupied.. Directo r of Public Worksr r /'gy L Date THIS CERTIFICATE IS VOID: WHEN MOBILEHOME'ISAELOCATM Whim',Ownir?Vellow`=Inm ller; Pink-D.P.W. _ T COUNTY OF BUTTE o--� DEPARTMENT OF PUBLIC WORKS (395 Oleander Avenue, Chicu`— Phpne 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skywa^' and Elliott Road, Paradise — Phone 877-3435 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinande exist at the above address and should loc corrected. Please notify !his office when correction of work is completed. I1 you have :!ny question pertaining to this matter, or need additional explanation, pIcase contact thi; office immediately. COUNTY OF BUTTE J DEPARTMENT OF`PUBLIC WORKS 695. Oleander Avenue; Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 RECTION NOTICE BUILDING OR PROP,RtY ADDRESS 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 explanp lion, please contact,ils office ,immediately. �-" Inspector Date •- - 2724-80P,E r 'PERMIT NO. "{ PERMIT EXPIRES OWNER Greg, Crump owner + CONTR. 63-01-69 LOCATION (A.P. ) 4 mi.E.of,Doe.Mill Rd., S/S Nicholas Rd., Forest Ranch q /, a . Temp. Power Pole � Called PG&/j 5- fe... F. Elec. Serv.�? "t &E Cal/Gs Temp. qm Ca'led PG&E V ' 011/(Da FINALED5 - Zature) �i I )n COUNTYrOF tUTTE = DEPARTMENT OF' PURL" IC WORKS y - rC; BUILDING INSPECTION RECORD ' BUILDING— BUILDING (Cont'd) PLUMBING Vms Fire II S I Piping Para s •1 t Floor . Restrook Finish 2n Floor otin s Windows X 3rd oor St wall Siding To out Slab Roof Sheathk9 Water PIDIWO Piers Roofing Sewer Garage j Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab handicar pehysically`�\ Appliances Carport Conformancdde of ex. % Gas Piping & Test Footings A structure Temp. Gas Slab Final Sanitation Patio riREP4CE Final Footin s \ Footing ELACTRICkL Masonry Wall - Throat Rough Relnf. Ste, I Final �, Fixtures Bond Be m - IFIRE SPRINKLER , Motors Framina Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fa (t—P—rot- Scr4ch Heati Servic B n Coo ng T p. Pole F ish Duifts nder round In rior Lath 4ntilation Permanent D or Closer Final iinal MOBILEHOME UTI ITI E - - - - - - - - - - - - - - - - - - Elec. Service Elec . Pedestal d Water Piping a=- Sewer 3 Gas Piping WQIILEUQME INSTALLATION ... . ...... . . . . Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 4.1 4.j Yj 4.1 QL 71 4.1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov,ille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. All , ASSESSOR PARCEL NUMBER — ZONING BUILDING PERM T OWNER G FR-lap(11 TELEPHONE SQ. FT. OCC. BUILDING VALUATION R'S MAI ING ADDRESS 0 Blip SSc�B /QYLL CONTRACTOR'S NA ELF,PHO F, CONTRAC R AILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A10 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /, 141 6, OE 9015 /K/_ 2D PLUMBING PERMIT Filing Fee 3.00 ED Each Trap 2.00 Repair drainage or vent piping 2.00 62S7- Water piping ! iD,co /0100 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets / O USE OF STRUCTURE �/ SF [:1 Duplex ❑ Mobi lehome Other SPECIFY Building sewer ob Lawn sprinkler system 2.00 TYPE OF WORK �/ New ❑ Addition ❑ Remodel ElUti Iities I—� Installation ❑ Other ❑ Describe work: — Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100AMP ORSLESS 5.00 DO Main service EA. ADD'L 100 AMP 2.50 2 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq ft 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 owner, or my employees with wages as their sole compen- s ' 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 CONSTR. ULTI.OUTLET 2,50 ea NON -R ESI D. BRANCH CIRC ITS NNEW ON•CONSTPOWER RESID R. (SINGLE OUTLETTUS.&) CIR Ex. Occ Up(OUTLETS OR FIXTURES 50@� BAL@10¢ FIXED APPLNS. OR Ex. Occu OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -,00 Misc. Wiring 6.25 DO Permit Fee $ Contractor_ WORKMEN'S COMPENSATION INSURANCE 1 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 Ce t.ificate of Workmen's Compensation Insurance or a Certificate onsent 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 3.00 Heating Cooling Hood 2.00 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 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 againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrue against id County I quence of the granting of this permit. X Date Signature of/cant — Owner nrractor ❑ Agent An OSHA prequired for excavati ns over 5'0" deep and molition or construct- ion of structer 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE s vqi(� GROUP TYPE OF CONST. PARCgL v/ PD iJ HD v 99UE his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT�OFBL'IC i By IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS CDate — �� 6-7- P Receipt o. �&Zy WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /Ca/5'k— APPU:NCATION RMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 AND PERMIT ASS 2ACC��//ryy RCEL,•VUM R /0Z V (�//j(—]j // ZONING'�O BUILDING PERMIT OW R �a/// EPHON �/•�� SQ. FT. OCC. BUILDING VALUATION OW 'S MA NG ADDRESS // ��J ­ ® L 4VL e7 'CONTRACTOR'S TOR'S AME - TELEPHONE CONTRALTOR'S MAILING ADDRESS Fireplace , CONSTRUCTION LFINV UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ QodO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESSf / D / _v _, PLUMBING PERMIT FilingFee 10.00 . rC Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system .5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities ❑ InstallatiorP9 Other ❑ Describe work: 2 p -.i "2 7l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 Main service EA_ ADD'L 100 AMP 2:50 NEW CONST' ( DWELLING OCCUP.y\ OR ADDNS. ACC. SLOGS. I 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p y (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification �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 CON5TR •OU LET 2,50 ea NON•RESID BRANCH CIRC TS NEW CONSTR. I POWER APPARATUS IN NON•RESID. \SINGLE OUTLET CIR, i 50@250 Ex. Occup(OUTLETS OR FIXTURES BAL@100 Ex. Occup.(OUTLETS IXED P(RESID.)LISIS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,9i -Consent to Self -Insure. JZ 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts, and expenses which may in a way )accrue against id County in se uence of the granting of this per . X Date P/"This Signature of Appl'cant - Owner Contractor ❑ Agent An OSHA perm' is required for exc ations over 5'0" deep an demolit'on or construct- ion of structur s over 3 stories in he ght. Mobile Home Installation Fee $' Q , TOTAL PERMIT FEE $ S �© occuP. GROUP I TYPE OF CONST. I PARCEL PO ND 1 ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which Dt TOR UBLIC PERMIT EXPIRES Date the applicable provi- resolutions .to do fees have been paid. WORKS �,f� Dae `10 v Receipt No. � 1___,By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE -'Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued'until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed,an appliation for a building . permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: _o q Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coord ate, upervise, and provide the major work: Name Address i 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 ^ess Phone Type of Work S igned : Property Owner _ Social Sec rity. . Date NOTE: -This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. utility connections shall be within A ft* of the mobilehome, either Iriouly bel i _ 'rid-or-w-it-htn-thexear _ half' of the roadside (left) of the -- mobilehome. NOTE,—All materials. & Workmanship Sa e n Accor ' mce v✓it�lm"coc eArs�_Practices and v prescribed for ,the Specified use in the UniforPn Builciin .Pum mg ,& MachanicaL-Godes-and the-Nafi��lectr�� al Code. G!7 7 4.4® BUTTE -COUNT. -Y -•UILDING-WART-ME T This-set-of-plans-and-specificatians_IVIUST be kept on the job at all times and .it is unlawful to APPROVED m ..e any changes or alter-ati-ons=on-same-wifhout vKr_itten ermission from the Department of Public -per - - P Works, County of Butte. permit will be required for the installation of the mobilehome. IIN 1":`c —• A_setbackof_ eft. from the property lines and a setback of501t-from th�eroad eentexline shall be clear of . structures or equiprnen.t except . for a 2 ft. wave overhang; NOTE,—All materials. & Workmanship Sa e n Accor ' mce v✓it�lm"coc eArs�_Practices and v prescribed for ,the Specified use in the UniforPn Builciin .Pum mg ,& MachanicaL-Godes-and the-Nafi��lectr�� al Code. G!7 7 4.4® BUTTE -COUNT. -Y -•UILDING-WART-ME T This-set-of-plans-and-specificatians_IVIUST be kept on the job at all times and .it is unlawful to APPROVED m ..e any changes or alter-ati-ons=on-same-wifhout vKr_itten ermission from the Department of Public -per - - P Works, County of Butte. l ourrrz BUILDING DEPApjMEt\+ AA.PROVE 10 C, -S I'TADOW, ffl STRIP -TR-rPP NG vooS v'NA Dooj?S tasy �, '°� ' ders, Inc. Professional carpenters will do any -kind of building, 0 0 remodeling or home fix -up, -.,and repair. No job 'too big C/o or too small.. Free esti-m'-ates, Lic. bonded and insured. Reasonable prices. Call today: MARK PRANCER ROBERT FOOTE 363-2722 BUTTE COUNTY DEEPARTMENT OF PUBLIC WORKS_ % County Center Drive, _Oroville, CA. PHONE: 534-4541 110E LLEHOME INSTALLATION SHEET I . Omer = s name: 2. Installer's name: -----.-.- 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR ' Is' the site an existing site? Yes./ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from. septic tank and leach.fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 5. What is the mobilehome electrical rating?------------------------tzmps 6. Ggiat isthemobilehome site service rating? --------------------- Amps 7. What 'is the mobilehome site circuit breaker rating? ------------- Amps _ 8. Is there.any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No l (If yes, identify the load and size: ^(Load) _(Amps) 9. What is the mobilehome site gas.pipe size? ______________________ (-_n.) 10. What is the type of gas service? ----------------------------- Natural A,/ . LPG 11. What is the gas pipe length from meter or tank to -the mobilehome? _(ft.) 12. What is the mobilehome gas demand? -- ----------------- •------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas -or ;les,s ethan 50 ft. on LPG.) t( ji ti MOBILEFOME SUPPORT DATA If other than single -.7s G, Mokil.ehome. Mfr. furnish Setup Model ':o._ Width (ft,) ox I.ength_(ft.) Tagalong or Expa d S_ze �ft� x��__-ft::, (SHOW SUPPORT DETAILS BEL01,4) On all mobilehomes manufactured after October 7, 1973, furnish installation manual and structural setup sheets (if not on file with the Count; c_ Butte). All center supports measured fry front of mobilehome unless otherwise specified. � x (ft.)(in.) (in.) (in,) (i.n,) (in.) (in.) *If cedrawn above, are other than drawabove, draw in- locations, spaciP_a, and dim.er_sions. xoot-ips (check one) ,E<Wood ood either pressure treated of Lcundation grade. ❑ 2. Other (speci.%y) Su*»orts (check on=-) - Concrete block. E] 2. 0Cher (specify) -Tagalong or Expando, show support details. FS' x X -- T ,7?,i cal SUpport i.) in.), Fobting Size (ft.)(in.) (ft,;?)(in.) -- u? x. Pier Spaci`n- 20 d -ill BUTTE COUNTY BUILDING DEPARTMEN? APPROVED�� Single II Lx (ft.)(in:) (in.) (in.). Center. support Center support locations* footing sizes (in.) . U L. k X ft. in. in, in. Y°1 . (ft.)(in.) (in,) (in,) � x (ft.)(in.) (in.) (in,) (i.n,) (in.) (in.) *If cedrawn above, are other than drawabove, draw in- locations, spaciP_a, and dim.er_sions. xoot-ips (check one) ,E<Wood ood either pressure treated of Lcundation grade. ❑ 2. Other (speci.%y) Su*»orts (check on=-) - Concrete block. E] 2. 0Cher (specify) -Tagalong or Expando, show support details. FS' x X -- T ,7?,i cal SUpport i.) in.), Fobting Size (ft.)(in.) (ft,;?)(in.) -- u? x. Pier Spaci`n- 20 d -ill BUTTE COUNTY BUILDING DEPARTMEN? APPROVED�� 1300'-0" - - - - - - - - - - - - - - - - - - - -- PROPERTYLINE i v Ono i m C c3 3:3 co 70 I � I E1 IW LEACH M Q g •� - - - _ _ _ - _ - - - _ -- Pw."L., - - _ - - - - - _ _ _ - _ - _ - _ - _ - _ _ 5510 SIMMER PIAR Lo 0 0 0 .� m m PAUL RESIDENCE MODIFICATION DATE: 080318 O m , T W - - DRAWN BY: oo.rn�^ te'ns PcmmoOc� m€pTA n4 n F'� c�o >zog�m.as-, Gr�Omz 4�=Gr^o 3�allo-- fiop ciAhopi nxg 205�0F°°m8oo OOi6E ol^ p�Fz�o" HM$aN o2Z �o >3Ts^� c� c Sc�xnRoc£ onF i r �Ng o -g mo z i i �` cs> �, cm�T aWr=.vz g3AZ �Q ygzOs^x z mo z oZ �czi To q'Q"i�0 � yo -r 3 a�o� S Zen�ac 9 s3 a " ^c- y o� c 8 ��A � n� Z¢a neo zp"z< n,` -loo H� ° o�^,i 5r 2-1 �z2 �.am 30 Ezr�Sr,`m g p Lm` y n� o 9. <2 ATO nnH2 mmzA m ac zo-$po 8$y n >y no ppb A £ �� •` $z�x iObA pPY. Gz° fl5s„ oA�' °mg* >Fno< yy , =1' z F zpF $ a P3 T3 °�=P T N 6 �i z °� Z ° o gA�o°�<� 7 P!2 A Sv $°$ Y Z F O� p O o ?ti z > ° < 2 G Z w p m m m m W N O T m .. m r � t D -"1 O tZj1 N N O Z 5n � Lo 0 0 0 .� m m PAUL RESIDENCE MODIFICATION DATE: 080318 O m , T W DRAWN BY: JOHN B. GAMBLE, i . e oU I �y2� FYNnUSt yq p Ev DO an ❑ coon N I a 3'-2 3/4• <'.q T-91/4'; f G m °rn —, w,n ,i e� ;=711 y ❑ r € ° II I O Ot O ryT � €#; rmi II M $aY Q •- 'i IJI = O O x°x o .v. n wo -sem' cF AD MON LOM'fvEO DKI( A^ T winn� � I s -s• low — Ao°nwN P e; f9 7c� L. 28'-9• FXTG i —n r m O Z— D -- i� --- m I F -1Z r A Z II ZF 4 m � o I 0 - m m m ' II El ��-91.11inc• 1 cn DATE: 080318 N � PAUL RESIDENCE MODIFICATION PLANS & ELEVATIONS 0 T uj DRAWN BY: B. GAMBLE �� JOHN PROPERTY LINE . I . f I I I I I I � I I � I I I PROPERTY LINE . . f I I I I I Lu J W .il • d ce SETBACK REQUIREMENTS: 25' SIDE 50' REAR I \ 50' FROM CENTERLINE OF ROAD, FRONT � � I CL = 1000 GAL. SEPTIC u w �� TANK a • I ce .o ce -ADDITION I N 24'-0" o EXTG. DWELLING Ln EXTG. DECK 60'-0" — EASEMENT N I —180 FT. • M i f y i