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063-040-047
COMPLAINT GIVEN TO B.INSp. DATE: /� /b_GZ ^ r 63-04-4 92 -1251,P -,E. DOERSCHLAG, D & Sandra;ti 15355 Chase,_`Dr ,' ' rest Ranch ' /� - mh utilities ELEC u pp 30-Gt>e �b._.��� GAS kJOG " / COMPACTION,TEST REQ SUPPORT STRUCT REQ 111 063-04-0-047 �� -9.2-3045 _ MH ` DOERSCHLAG, Dodi & Sandra ' 15355 Cha � llr , Forest Ranch 1 U '� ' mhi ., s- '� 063-04-0-047 -� 92-4095B ^ DOERSCHLAG, Don 15355 Chase Dr, Forest Ranch 2 open porches/ M ff U (D � 3-� APP: FOR DETERMINATION 63-04-47 6-4-92 r 063-040-047 10-20y 92 CERTIFICATE OF COMPLIANCE `x DON DOERSCHLAG Fin 0 FAR ju BUTTE COUNTY DEVELOPMENT SERVICES Complainant: . Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 a,20100MQ: Main Assessor Inilluiry Dec 12, 2002 11:56.?rn 1 C # o F063 040 047 000 Name DOERSCHLAG DONALD A & SANDRA K �I As � ee # Status. ACTIVE Status Date - Addr1 IP 0 BOX 127, Tax= 000 NORMAL OWNERSHIP 1 TURA 062-018 Addr2 FOREST RANOH CA 95942 Situs 115355 CHASE DR FOREST RANCH u Addr3 Base Dt MIR Addr4 Land 17,919 — - ' �� jJ Timber Preserve Structure 4,6941 , AgPres Fixtures 0, Comments 6304004700 CONVERTED 09/08)88, .r Etal Growi ng 0 Creating Doc# 197281734591 Date �_ Notes - T otel L--&I ` Current Doc# 1993PFD Date 02/28/1993 r'� Bonds 1 _ L--�� "-.. Fix, FiP 0 fMulti Situs Killing _Doc# --- -- -- — - �� Date fJFIag1 MH`PP _-- - 0' Asmt Desc PTN SEC 9.23-3E SuplCnt 0 Flag2 PP - 0, Zoning TM10 Dwell r 910 MH Exempt 0 J Asmt PP Pen Net [_22,613 AcreslSq Ft' 0 I N1C 063 ' J Tax PP Pen RIC# J Appeal Pending TIR: Dt , JSplitPeriding R1CSat� ��PHY I OWN IF EXP I TAX I HON I ATT L SIT I APR. = PCL A ► I :- l 5 Find II IG IJ I --' - - _— 11 2002 I sa, 07/25/2001 3:27:21 PM / 63-040-04 63-04-'4 7-, 92-1251 P,E DOERSCHLAG, Db & Sandra /� A 15355 Chase Dr, orest Ranch mh utilities ELEC p 30 GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 063-04-0-047 _92-3045 iii DOERSCHLAG, & Sandra 15355 Cha Dr, Forest Ranch /0 ' mhi 063-04-0-047 92-4095B DOERSCHLAG, Don 15355 Chase Dr, Forest Ranch 2 open porches/40MR -3-9-3 0630J J APP. FOR DETERMINATION 63-04-47 6-4-92 063-040-047 10-20-92 CERTIFICATE OF COMPLIANCE AM DON DOERSCHLAG 6 RESIDENTIAL r^ 063-04-0-047 92-4095B�� DOERSCHLAG, Don 15355 Chase Dr, Forest Ranch 2 open porches/mh JOB FINALE Signature J=OK O = Not OK Not = Not Readyable 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3 L MISCELLANEOUS. Date DECK%,COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements 2eL,Footings ;Soils -Size -Depth -Spacing -Connectors -Steel 3/Dec6 Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date% Card 13-16/e Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK Not OK =Not Applicable =Not Ready RESIDENTIAL (; ' Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. -Water Htr.: Vent -Access -Combustion Air -Baffle --------------- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------- ------- ---------------------- _- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------- -------------------- 19. Shower Pan; Test. First Floor -Tub Access ----------------- ------------------------ 20. Test -Tub & Shower, Second Floor -Tub Access ---------------------- -------- ----------- 21. Gas Pipe: Size & Anchors --------- ------- ----------------------------------------------- Date Card B-1 Date Card B-1 ------------ ----------------------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - ----------------------------- --------------- ------ ----------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - - ------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------- 26. 26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water ------------------------- -- --------------- ------ --- ---- - ---- 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - ---------------------------------------------------- 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------- 31. Equip Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- ------------------------------------------------------------------ 33. Smoke Detector ------------------------------------------I--------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation -------------------------------- ----- ---------------------- ----------- ------------ 36. Condensate Drain & Overflow Size & Grade ------------ 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -1--15-5 outlet------------------------------------------------------------- 38.Attic -Access-&. Platform if Furnance in Attic ------------------------------------------- -------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------- - -------------------- -----_----------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- --------------------- ----------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------- ------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------- 42. Draft Stop in .Walls (rat proof) ---------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing >Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ------------------------------------ 54.-- plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- --- ----------- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------- - Date Card B-1 Date Card B-1 --- --------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s --------- 61. Ext. Steps -Door & Sidelight Protection -Landings ------------- 62. Smoke Detector ------------------------ ----- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------ 64. Bedroom Exiting --- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stairs -&-Rails- 68. Rails68. Fireplace or Stove: CILarances-Hearth ---------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -------------------------------- ------------- -------...--------------------- 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------- ---------------------- ___ ------ -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------------------------------- -- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7,. Insulation -Foam -Looked in Attic ❑ Yes -------------------------- - --- ------------- --------------- 78. - Guard- Rails & Deck-- Construction -Post Caps -------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - -- - ---- -------................... ----- - - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------- --- --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ----------------------------- - - 86. Ventilation Throughout House - - - - - - -------------------------- -- - - - - - - - - - -------------- ------ 87.-- Glass Protection --- - ----------------------------------------- 88. Corrections from Previous Inspections - - - - - - - ---------------- 89. ------ --------89. Gas Test -Meters Tagged; Gas -Electric ---------------------------------- 90. ------ -----------------90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------- -- --- - Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER -"IOGS PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address ands d be corrected. Please notify this office when correction of work is completed. If you h e any questions pertaining to this matter, or need additional explanation, please contact tbid office immediately. on xh/w,41 n A'k�v () " " V'j " r4j� r?)'9^, Date -c2-1-7-3 Inspector u . REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 9 - ASSESSOR PARCEL NUMBER — — •ZONING TM10 44 BUILDING PERMIT OWNER TELEPHONE 42-220190 SO. FT. OCC. BUILDING VALUATION O N 'S ING ADDRESS FOREST RANCH 2 0 630 CON R O 'S NAME TELEPHONE CON R CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 17.50 $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $52.563xNN PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 17.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Duplex[] MobilehomeiR Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home ISJGJWJ @ 15.00 TYPE OF WORK New ❑ Addition)] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2 OPEN PORCHES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST./ DWELLING OCCUP.&) OR ADDNS. \ AGC. BLDGS. / 3.6Q sq.ft. NEW CONST R. U TI.OUTLET NON.R ESID BRANCH CIRCUITS @ 5•00 POWER APPARATUS 6 (SINGLE OUTLET CIR. I EX. OCCU P OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County in consequence of the granting of this permit. X Date ��� 2 0� � , of Applicant — Owner ❑ Cant crOr ❑ Agent ❑ An OSHA q permit is re uired for excavations ver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 52.50 I I H4DFEES I IMP FL!!5 DF PARCE PD I X Ippri This permit is hereby issued under the sionssignature of the Butte Co ty Code and/or work Indic d for which fees OR OF PUBLIC By P EXPIRES Date LL—/i0-9 applicable provi- resolutions to do have been paid. WORKS DatVZ 7-0- Receipt No. 1 �h�7q WHITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 3 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVJLLE, eALIFORNIA95965 - TELEPHONE (916) 538-7541 n� PERMIT APPLICATION DATA SHEET y .• OWNER cso- C \ l 0 A. P. No. ogo3 •-(7(1O -CZ4-1 Proposed Building Use ')ecIC Building Inspector (,.'�ewk ., Date )I•ao-4Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .......... ................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instrtictions, 2 sets. ........... 10. Fees of $ ................ ..................... . 11. Impact fees as shown on attached schedule. ......41 ......................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (.100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval...% -i LQ Health Department.-...-.. . 15. City of Chico plumbing permit. ........ ............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . • ....Irel,... speatio-', 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner, ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................: . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / Acreage Applicant CrG Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution fte Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designerCownpplwas advised of above required data by hone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Coun or by _ Date Plans checked by Date Plans approved by G - Date (Z-1 O -Q ?� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner d, Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 F.H. USE ONLY 1:1 r Man nu.chcd �v Sent to B.U. �v T y `!7 AP# Private Well Date DCN---DOEISCHLAG . 342-2201 , �b►6A II �1►OGa i GIN, ON co v APPROVED Butte County Elivironfl-1 ntoi Ili.t'allh ") 1Z— 2— GL, 3j IY, z 6 S;o7 Ac, I . f 15o Fr LLA c is ► 5 c p A D sD X co Srr i Slc. � voo GAS 7s 71D 59. 13y.,77 CPASE PizI �„11j,�L �CraD 1 �t Z O DON DOERSCHLAG POD 127 Forest Ranch, CA 95942. (916) 342-2201 LOCATION: 1.5355 Chase Drive AP # 63-04-47- 1. DOOR LANDINGS: not more than 71/2 inches below floor level. 2. STAIRS: A) Rise not 10 exceed 8 inches, run shall not be less than 9 inches. B) Variation in height of risers and width of treads in one flight not to exceed 3/8 inch. C) Variation of bottom riser height to established grade not to be more than 3 inches. D) Handrails (open side only) not less than 30 nor more than 34 inches above nosing to treads with intermediate rails spaced 9 inches or less. 3. GUARDRAIL: not less than 36 inches in height with intermediate rails spaced 9 inches or less. EA S r pow fl W I� 2 X % DpGK 1N (r _ M� 3 1 �-� N�N1� s ► DE o I� 1 I ' ' y-� ti 612 � rv�2 �9 Z�'6 DE&k��tr Ah Butte County E r qo SPA► S (�� tL- z-qL ti�L� Post �{ I' Co h GiZ1yT�z S Q J y! (4031 LE } Orr S o -r Ll -� 4 G 11ZD FtZ A LL Poi i S DIA &01.1 A t_r,Y � jLW'GLyi% AF G3 -0z4 DON DOERSCHLAG No /� TE. All Materials & Workmanship Shall Be Jr, 3 4 2201 Accordance with Recognized Good Practices and L of.a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all.times and it is unlawful- to make any changes or alterations on same with- 3 Z 6 out written permission from the Departme �.►hli� 1Al.�rl c. ni in+„ of R� ++ T C Location of structures & Qquipment shall be as shore & clear of all easements. /'I.Pq -1 /,*&*-' A� . o0 v II 1-L 10(r¢ SC 4 V, Tr- g OrA0 1 l.�a-�fr2 t+r�r S:o7 Acs f V) 1 So rT �iyA N SSI s1L 1 Joo &AL 70 5 9� 13 LI. -77 tjof►Lii kDt-_16. PA D Sox I,::o, (,v cons re Piz IUE o" a BU. OUNTY ° QUILl1ING DEPART C►,o16D j 14 kP 1: Ems`_ Slir+ � C11 �s 713L X -I S' Cl a t^i2 � �1 � !oa � !h' I Y(7 t ii_. --J n nn r yr - GrUARDRAIL 9 MAX. c /— DECK) wG REGAST 0710mlmpF• x 4" MIN. FOOT I NC 4"x V 6- f- — — - = -L - - - �C X --1r — - - �¢ T FRMN G. CLIP.= 2'x 12" STAIR STRINGER. 48'a.c,. MAX. RS -TOP VIEW HRIPUL NOT SHOWN FDR CI.AIZIT`(. AN r 3W BoLT Lu z= MOBILE HOME �r OR DECK �' J 4? cs MAX a F4 MTL. FRMIJ �— — '�� •� �' 9��F�.Z Mfis MAX, CLIP (EA. RE L 9"MIN. 4!,(( ,. • 4!1(4" POST zo Z 2'k4„ PRESSURE TREATED OR BOLTS RFDW00D PLATE GIRDER . � 4.x9„ POST `�U% �7 CWU 6_ 190 _ AONU4TE' 1)b4G IDNA L NG DPap., BRRCI NG. T-(PICAL COUNTY OF BUTTE — DEPARTMENT 0 LIC WORKS 7 County Center Drive — oroville, California 95965 Telephone: DON DOERSCHLAG POB 127 Forest Ranch, CA 95942 (916) 342-2201 LOCATION:'- 15355 Chase Drive AP # 63-04-47 1. DOOR LANDINGS: not more than 71/2 inches below floor level. 2. STAIRS: A) Rise not to exceed 8 inches, run shall not be less.than 9 inches. B) Variation in height of risers and width of treads in one flight not to exceed 3/8 inch. c) Variation of bottom riser height to established grade not to be more than 3 inches. D) Handrails (open side only) not less than 30 nor more than 34 inches above nosing to treads with intermediate rails spaced 9 inches or less. 3. GUARDRAIL: not less than 36 inches in height with intermediate rails spaced 9 inches or less. k� n k.d 0 t ko J 0 DtzLK INIr Zx6 MOFIL-(HomE S19 y1,+ t'aSf BUTTE COUNTY BUILDING DEPARTMENT � o s r I A 6-0" p 1AY-P P® V E D IZ.V4 C ryD DON DOER.SCHLAG db POD 127 Forest Ranch, CA 95942 (916) 342-2201 LOCATION: 1.5355 Chase Drive AP # 63-04-47 1. DOOR LANDINGS: not more than 71/2 inches below floor level. 2. STAIRS: A) Rise not to exceed 8 inches, run shall not be less than 9 inches. B) Variation in height of risers and width of treads in one flight not to exceed 3/8 inch. C) Variation of bottom riser height to established grade not to be more than 3 inches. D) Handrails (open side only) not less than 30 nor more than 34 inches above nosing to treads with intermediate rails spaced 9 inches or less. 3. GUARDRAIL: not less than 36 inches in height with intermediate rails spaced 9 inches or less. �. EA sr Poul•( Mo a I LE Hot'lfi S I Df- 0 2)<G DECK ON it 2/t6 ���k�►� MoB►LE 4ot7E 91f)r y,t4 6-112,DFt?- SPA►4 S A Lz PoS i S 6- O a.{ A u, Y C9 TY' BUILDING DEPAR?P71 NT APPROVED . A October 19, 1992 Don Doerschlag RE: SAP -63=04=47` P. 0. Box 127 Certificate of Compliance Forest Ranch, CA 95942 Dear Mr. Doerschlag: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Development Services in the office of the Butte County Recorder on.September 15, 1992. The Recorder's Serial Number is: 92-041198. If you have any questions regarding this matter, please contact this office. Very truly yours, v� Stuart Edell Manager Land Development Division SE/ds attachment cc: Building Division Environmental Health Department e ���.- ..... u e oun y LAND OF NATURAL WEALTH, AND BEAUTY LAND DEVELOPMENT DIVISION " DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7266 FAX: (916) 538-2140 October 19, 1992 Don Doerschlag RE: SAP -63=04=47` P. 0. Box 127 Certificate of Compliance Forest Ranch, CA 95942 Dear Mr. Doerschlag: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Development Services in the office of the Butte County Recorder on.September 15, 1992. The Recorder's Serial Number is: 92-041198. If you have any questions regarding this matter, please contact this office. Very truly yours, v� Stuart Edell Manager Land Development Division SE/ds attachment cc: Building Division Environmental Health Department e A0 PF -QUESTED BY' RETURN TO: Development Services DeI;aYA-.mc,nt: Land Development Division 92 0411981 Total .00 I I Recorded 1 Official Records I County of I Butte 1 Candace J. Grubbs I Recorder I 8:02am 15 -Sep -92 I COMS JJ 1 CEFt'.l'1.F'1CA'J'J, UF' CUMPLI ANCE Issued to: Don Doerschl'-.1c.l P. u. Box 1.2'1 F'nr,cst:: Winch, CA 95947. This Certificate of Compliance is hereby issued by the County of Butte to certify that: the .Land Clivi:,ion which c.reat.ed the parcel of property identified below C0111plies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on the west: side of Chase Drive, one half_ mile south of Wishing WeI-1 RoacI. Forest Ranch area. 2. Assessor's Parcel. Number: 63--04-47 Description: All that cPr.tai.n property -i.ocated in the County of Butte, State of California, more particularly described as follows: THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF '3E(-'TI()N 9, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M. TOGETHER WITH RIGHTS-OF-WAY OIC' RECORD RECORDED IN THE OFFICE OF THE BUTTE COUN'T'Y RECORDER UNDER SERIAL NUMBERS 92-019829 AND 92- 007946 AND IN BOOK 1734 OF BUTTE COUNTY OF'F'ICIAL RECORDS AT PAGE 591. Issuance of this Certificate :is con(Jitional. upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-1.66 and Government Crude, -Section 66499.35 (b), to protect the public health and public safety: NONE Country of Butte Developrnent Services Committee E;N1.) OF 1)0CUMEN P _ _ ------- END OF DOCUMENT IDENTIAL ` 63-04-47 CX7�5[DE 92-1251 P,E-1 I ' DOERSCHLAG, Don & Sandra 15355 Chase Dr, Forest Ranch mh utilities i t Go r JOB FINALE Signature J=OK O = Not OK =Not Applicable MOBI E HOMES ' =Not Reaiiy Date MO LE HOME UTILI IES Plans OK ekce t #'s 111�Z ing Requirements -Setbacks -Easements Soils; Special MH Support Sketch 4!S21- er; Location -Test -Fall -C/O nc Water; Location -Test -Easement Needed (Sketch) Electricity; Location -Clea rences-Grn mp-Concrete 6. Gas Location -Test -Wrap: /'T'L"ft. "Nat. orUV'L' ft.%LPG Ww I Clearance & Disconnect Utility Clearance Date4?-jT ZCard B-1 r Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOJAE INSTALLATION (PI s) OK except #'s 1. g Requirements-Setba s Easements 2. Foot ize-Spac' arriag 3. Gas; MH Test-Demand-Valve=Connector 4. EI icity; MH Test -Crossover reakers-Clearances r H Test -Fall -FI on or 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/ Grade -HD Approval 8. Gas pd Electricity Tagged 410 it nsp.-Sketch 1 ert. of Occupancy Date%` 7. 9Z Card B-1 U Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing=Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Linina 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's tE. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---- 19. Shower Pan: Test. First Floor -Tub Access ----- -- 20. Test Tub & Shower, Second Floor -Tub Access ------------------------- --------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------------- -------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------- ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ----------- -------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled -------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made 'up w!Mech. Fastners-Bond Gas & Water ----------- - - - ----------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - ------------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - ------------------------------------------------ 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------- ------------------------------ 31. Equip_Clearances PaneIs-Motors-Mech_ Equip_ 32, Clothes Closet Light -Shower Light -Spa Light ------- - - ------------------------------------ -------------------- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card -B-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support -------------------------------------------------- 35. Vent Fan Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------- ------ ----- ---- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----- ------------------------------- ------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------ ------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils, Proper Material & Anchors - --- -- - - -------------------------------- -------------- --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- --------------------------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing ------------------------------------ ------------------------ -------------------- - 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------- 44. Headers & Beam -Size & Bearing ►ingle & DLIplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng. -Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- 55.- Siding -Nailing Veneer ------------------ - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date ______ __ Card B-1 -Date Card B--1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector------------------- __ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------------- 64. Bedroom Exiting --------- -------------- 65.- G.F.I.--& Bath Fixtures & Tub Access -Spa ------------- - 66. Elec. Trim & Subpanel; Breaker Sizes & Labels - -------------- 67. Stairs & Rails ----------- -------- - ------------ - 68. Fireplace or Stove: Clearances -Hearth ----------- 69. Elec.-Outlets at -Wood Panel: Int. & Ext. -------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer - -------------- 73. A.C.-Duct in -Garage-Damper --------------------------------- -- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------ --- 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.;.Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ' ❑ No ------------------------------------------ --- 81. Stucco: Brown -Finish -------------------------- 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------------- ____ ------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84 Water Well: Disconnect, Electrical, Plumbing ----------------------- ------------- ----------------------- 85. Exterior Elec. Trim,:.-G.F.I. Receptacle -Underground 86. Ventilation Throughout House - ----------------------------- -- - 87. Glass Protection _38 Corrections from Previous Inspections 89. Gas -Test- Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy -Compliance -Certificate -Other Certificates - ------ -------------------------------------- --- --- Date Card B-1 Date Card B-1 -- -------------- ------------------------- - Date Card B-1 Date Card B-1 --- - ------------------------------ - - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE .- DEPARTMENT OF PUBLIC WORKS �. 3 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE uxs�� 30q S-- 9 OWNER U PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date/( Ins pector REV 11/91 : -"'� ' v -+.-A .^�"'�.-.,�+.^....r--s:,`- 1•�'�--+n--.rte r...�.ycj�` ..,- .. ti .,, .-d-.,Y.. �w+.rrr F4� COUNTY Ot BUTTE DEPARTMENT OF PUBLIC WORKS t 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER i2 S-/ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the ab a address and should be corrected. Please notify this office when correction of work is competed. If you have any questions pertaining to this matter, or need additional explanation, r pleas contact this office immediately. c, 1.�l!en Date ���/-7 4r-- Inspector A�---- REV 11/91 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 �t _ PERMIT No. Address or location of mobilehor a Owner's name V nn nn Owner's address 1910 36X' 12h ° 1 C— Insignia or hud number�p X353-'�063•�� _ Manufacturer's name 01 Serial number of V.I.N. 3Cal . S (0732. Year of manufacture 0 . 10--2 -9'2-- (Official Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B - White - Owner, Yellow - Installer, Pink - D.P.W. i �dk d �e �x !/COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. 0S -ASSESSOR PARCEL NUMBER ZONING .-r 063-040-047 BUILDING PERMIT OWNER Don & Sandra Dojerschlag TELEPHONE 342-2201 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 127 Forest RAn h 95942 CONTRACTOR'S NAME TELEPHONE Unknown CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 15159 Chase Dr-, Forest Rnnch Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ____[PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 15.00 Mobile Home SG W 1 @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEXl Other ❑ Permit Fee $ Describe work: MHI (2 Bedroom) _ Contractor /GL F+ez �Z—� > ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.tr) ( 3.6C sq.ft. I declare under penalty of perjury (check one): OR ADONS. ACC. BLDGS. / I am licensed under El p provisions of Cha t. 9, Div. 3 of the Business NEW CONSTR ULT'.OUTLET NON•RESID BRANCH CIRC ITS ^ 5 00 and Professions Code and my license Is In full force and effect. (POWER APPARATUS tri SINGLE OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20 761 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS.❑ EX. Occup. OUTLETS P(RESID )REA.) 1 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with suchEEEnergy mit Fee $ provisions or this permit shall be deemed revoked. tractor I certify that I have read this application and state that the above informationbile Home Installation Fee 570.00 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. c CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against I TOTAL FEE $105.00 all liabilities, judgments, costs, and expenses which may in any way accrue HA2 OF EES IMP FLOOD CDF PARCEL PD HD SS ag i t said County in consequence of the granting of this permit. V Date �Z Z This permit is hereby issued under the applicable provi- Signature of Applicant — Ownerontractor ❑ Agent Elsionso f the Bu to C unty Code and/or resolutions to do An OSHA permit is required for excavor ons over 5'l1" deep and demolition or construct- work Idic or which fees have been paid. ion of structures over 3 stories in height. R OF PUBLIC WORKS Receipt No. 122701 By Date i PERMIT EXPIRES Date — — WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT C(TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRJVE*I- OROVILLE, C,,ALtPORNIA 95965 - TELEPHONE (916) 538-7541 + PERMIT APPLICATION DATA SHEET OWNER �/v V / �- (`7 L� T �` . P. o 6-,9*46 6 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ........:............ . ngineered truss details and layout in duplicate (required prior to plan check). .... obilehome data and manufacturer's installation instructions, 2 sets. 7Z' L Feesof$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ......................... 13. Flood elevation letter (100 year flood) by California-gineer. ............\.... . 14. Sanitation and plot plan approval Health Department . ....... ..... . 15. City of Chico plumbing permit ........ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. . 17. Planning approval for (A) Use: (B) Parking: . ........ / 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Building Ins requ� required. . to Building Inspector (Dale) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization. ......... ,............................. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use.- j - ................................. Mobilehome utility clearance. w . .......:..... .................. 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........................ ............................ 33. 34. When you issue the permit, process as follows: V Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applica _ Mail to contractor. - office. Deliver with inspector. Date '/P 7/ ' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: issuance_�(Cle new item not checked above). Contractor, designer, owA6r, was advised of above required data by phone _ mail Counter by ate z- Z Contractor, designer, owner, was advised of above required data by _ phone _mail o ter by Date Plans checked by Date Plans approved by Date d Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'536-7541 APPLICATION AND PERMIT As.m33 p PM N6,IM NI BUILDING PERMIT O WNMR SO. FT. OCC. BUILDING VALUATION OWNS 3 LING AOCRIE33 CONT w T / TELEPHONE CON A OR•S MAILING(G A/ODRE33 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENOER'S MAILING AOORF-33 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee s Qc (J Energy Plan Checking Fee - $ ARCHITECT OR ENGINEER'S MAILING ADORE33 Penalty $ BUILDING AOORES3/ ,, Permit fee S C7 PLUMBING PERMIT Filing Fee 15.00 _ Each Trap I 5.00) Solar or heat pump water heater 20.00 LOT NO. SUSOIVISION NAME PARCEL MAP Water piping .7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mob ilehomel,f( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installi3ti9wt, Other C:]Permit / Describe work: I&& ( Fee $ Contractor � ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main, service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am. licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s`` OR AOOFIS. ( ACC. BLOCS. J 3.6eaa.ft.l NEW CONSTR. UL.I.ou TLET NON.R�510. BRANCH e'IRC 'ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. 1 Ex. Occup( OUTLETS OR FIXTURES i 20 16d � Ex. Occup. OU L Ts gResi0.i EA.) 1 3.001 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee q t — WORKMEN'S COMPENSATION INSURANCE I declare under penalty -of perjury (check one):. Thepermit 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 j MECHANICAL PERMIT FiIingFee 15.00- 5.00The Heating 1 1 Cooling Hood 6.50 Ventilation.1 Permit Fee $ Contractor 1 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 an way a crue against said County in consequence of the granting of this permi n n_ 7 Mobile Home Installation Fee Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ MAL 0FEES i 1 IMP FLOOD COF PARCEL PO �0 1ssuE X Date d �� Signature of Applicant — OWner❑ Contractor ❑ . Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct. :on of structures over ] stories In height. Receipt No. / nw,r[•O J.w.. ♦[��ow.Aseessew. -Iww..we�[cr e. .... n....nn..--u uri This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicted above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,` CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER D�� 5C/L A'y &A. P. N0. �l0 PROPOSED BUILDING USE I / �71 DATE 1. School Distric Fees (paid at District Office) 2. Sheriff Fees (paid at Building Department) Residential ............ X -3�0 =$ 360 unit amt. Commercial(per sq.ft.) R =$ �{- sq.ft. - amt. / 1 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. XOL�- 4. Recreation District Fees (paid at District Office) -4 5. Drainage District Fees (Contact Land Development) „ 6. Other 7. Other REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. ►`' M-,-_ DATE �% �� '}+�.�rw+�r�iyt' t r $' � w ia,ry1p,?` `�� r?ri,+. r.st4'��i u..�.¢�, 4�y„�y�j•'< T, ,,,,,. s '4,;.;�i+.' .;1, BUTTE COUNTY SCHOOLS'IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C_.-- Building Department No. A.P. Number%& ]�~ Clo/ 0 47iurisdiction City �unty Property Owner -22U/t/ 44 ZYJE�/Z- Property Location/Address ' �'� /�y'L�5 7-,,196,"1 Subdivison Residential Development No. of Living MHI Units Commercial/Industrial New Lot No. use Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Area ) �;7 9 Date (Floor Plans reviewed by School District Personnel) District Identification No, NM School District certifies that i - (Applicant) (Street Address) (CRY) (State) WE - acv Number) has complied with the requirements of Resolution No. —9V— by payment of $ representing _61& O square feet. School D Paid by Check Number Bank Number Paid by Cash ga -7� a-- Date W --,o "16A m RK NO 3M If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the 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 (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92) AP 63-04-47 60'N' DO E R SCH L AG 342 -'220J This set of plans and specifications MUST he kept on the job at all tines and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. 0. NOTE: All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. A setback of from the property lines and a setback of 50 -ft. from the road centarline shall be clear of structures or equipment except for a 2 ft. eave overhang. 4- IN i, 06 yl (}v Location of structures & tV equipment shall be as shown & clear of all easements. /40 fy/iali //'�► SG>.QQG/mss II1iO(. 150 FT06� Fr 6Xw"a- PAD Sox�ao cc 4aTr- ' Sh'�rS1c. i voo bA� �4 EN9 U SLofa I-� uGL 3, _y�3�7 Wtsr+�Wr vJ�j,l.�. -3oySNOTF P0STVO It -OA -D t.1 A" � S a d BUTTE COUNT P�T_i C,r� A S BUILDING DEPARTMENT s�4M a- 7 z 'O° 4 r 2 r1 Dfs d _� l'.20 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, orovillei CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: o 14 o�� 2. Installer's Name: ,�A 3. Is the site currently under permit? Yes Fx] No F] (If yes, furnish permit number 11 2 2 51 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5, ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes © No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- D Q Amps 6. What is the mobilehome site service rating? ---- ------ 2 Q O Amps 7. What is the mobilehome site circuit breaker rating? ----- % an Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------- Yes _` No Si%lk,v id•ent�if the -load -and • and s ize °' � l � � � (If'--yd-s, y' ._.,�%�•:Load') ., �� __ � / (Amps )G,/7,yZ 1 9. What is the mobilehome site gas pipe size? -------------- (in.) a' 10. What is the type of gas service? ------------------- Natural LPG [7X 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) _ ! * 12. What is the mobilehome gas demand? ---------------------- /t(�/�. (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)• BUTTE COUN ; APPROVED MGBILEHOME SUPPORT DATA f�IL If other than single wide, Mobilehome Mfr. �U Q U o/'z�S furnish Setup Model. No. O.�pogi: Year 7 1Y A Width 2 (ft.) Box Length (ft.) Tagal-ong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)[21*1- Wood-pressure treated or foundation grade.7 2. Other (specify) SUPPORTS (check one) al:-- Concrete block.21. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE 1,.. _ _ + _ _ _ _ _ _ Line 2 Main Beams Line2_ `[in Line i Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max- --------- _ From Ends -Max. ------- Line 2 Piers' Size -Min - ------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max-------- . Q " V 1.e, Line 3 Aoof Load'', ���--- Size -Min------------- ",3 0 Location (From Front) Main Beams Tag or Triple if tt/;:rr d y -/I- yy jjXty It`�rR "x k k Line 1 0 icings: Size -Min - ------------------ .k .r Each Side of openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max - -----------------Spacing-Max- _-------------- From Ends -Max ----------- -- ?v TS ..x ,.x ..x .k n I- 1 _ 1 _ N Line 4 Piers: Line riers: kunoer ce-nm ...". --..y� Size -Min------------- k Size-Mi-------------------- Spacing-Max ----------- -------------------Spacing-Max---------- ._ .. Spacing -Max ---------------- From Ends -Max. -} From Ends -Max -------------- Line 5 Roof Loads: Size -Min --------- --- location (From Front) AP OWNER PERMIT"t 9�Z _ )-Z- Mi Z MH UTIL.CLEARANCE DATE�(��/—'1L INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Other Pipe YESI NO YES NO Size Load Type Size Length ao -30 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil,le, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 4P„EQMIT NO. ` �� / ASSESSOR PRCEL NUMBER - 040-047 ZONING TM -10 BUILDING PERMIT /'_ OWNER D TELEPHONE 42-2201 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 127 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 S- �5- NI nume-m- Chase 12e Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome X❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 45.00 TYPE OF WORK�tI New ❑ Addition ❑ Remodel ❑ Utilities [3 Installation❑ Other ❑ Describe work: 2 Bedroom MHT Permit Fee $100.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (Check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BUSImeS$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA) 37.50 NEW CONST. / DWELLING OCCUP.8d\ OR ACDNS. \ ACC. BLOGS. // 3.6Q sq.ft. NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. OCCUp. OUTLETS (PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee $48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue tsaid Count in consequence of the granting of thisspermit. Fne2_ Date _f —2(—�12 gnature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $128.50 HAZ DFEES IMP FLOOD CDF PAR L PD HD Is u -- This permit is hereby issued under the sions of the Butte Count Code and/or Work indicat abov r which fees OF PUBLIC By PER T EXPIRES Date � — applicable provi- resolutions to do have been paid. WORKS Date S1 ^f-- Receipt No. 115440 WHITE-D.P.W.. TELLOW-AS9E990R, PINK•INSPECTOR, GOLDENROD -APPLICANT M COUNTY OF BUTTE- DEPARTMENI,,QF PU8'LIC'WORKS - BUILDING DIVISION 7 COUNTY CENTER DRI ORSVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .� P jZINI APPLICATION DA71A SHEET F - Permit No. OWNER Proposed Building Use Building Inspector �1� At time of permit application, I was;advised the following data must be submitted prior to permit processing and/or issuance;' DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 1 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. I. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... 10. -Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13 School District fees paid .............. 4 Sanitation approval from eff- k* f C_ 7) J0/0s Health Department 15. City of Chico plumbing permitf/CC,Ak,,PT.S14Ar.?rcr.�?/a7........ 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... g -�"18. Improvements may be required. Contact Land Development Section DPW 9. Driveway p re mit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. X3,, -Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. L tter of si nature authoriz . Nw QA When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other �-��W,&7, 01<4 Applican Date ::�/ 7� Copy of ! laz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted r' r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owKer oas advised of above required data by`p e_rnail_counter by date —2 - Contractor, designer, ov;r, was advised of above required data by phone_mall_c�oouunter by_&Aate Plans checked by Date_��:7Z Plans approved by , Nv/N CIs/1 Date .7 J, %L Sets of plans on holdlin File cabinet AP folder C0py1_yDPW Fz (60 TO. Buildina Department FROM: * Environmental Health SUBJECT: Sanitation Clearance n O * er Location AP#' Plan Approved for: Sevaae Disposal Water Supply w� Hold final for: Final clearance O.K. for: Water Supply Water Supply Clearance forhedroom mobile home. Other r'r MOTS Senn Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR p CEL NUMBER —Orzt ZONING — BUILDING PERMIT OWNER .-- S T�jL 2�o,{�,E SQ. FT. I OCC. BUILDING VALUATION O E MAILING �]pO R_ 55 ,f L 7� (J"r CONTVCTgX $,fJ TELEPHONE CONTRRAA/C�/�TOO/R''r'S/MAILING AODR ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15. Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ^ ,/) Permit fee PLUMBING PERMIT Filing Fee 15.00 r Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 US OF STRUCTURE SF❑ Duplex❑ Mobileho:%.. Other—Building SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 sewer 15.00 Home WQ1 W @ 15.00 �Q TYPE OF WORK New ❑ Addition ❑ Remodel ❑ uti litie Installation E] Other ❑ Describe work: D Permit Fee $ GA O Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License Ao. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST.( DWELLING OCCUP.ad) OR ADONS. ACC. BLDGS. II 3.60 sq.tt. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 APPARATUS e \SINGLEOUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 16d FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Q Misc. Wiring 9 15.00 Permit Fee $ r — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'l)" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAz 1 DFEEs I IMP FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. WHITE-D.P.W., YELLOW-ASeEssOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COU`1TY OF BUT -;.E- - Deoarcmenc of °ub L is Wo r'.cs 7 Councy -Cancer -Drive, Oroville, C.% 95903 OWfER-BUILDER VERIFICATION .%ccention Property Owner: Phone: 9L0 -53,8-7j„1 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 tate major labor and materials for construction of the proposed property improvement (yes or no) v�j ..2. I (have/have not) A/xk-V�i 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 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. S. I will provide some of tate work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number �iOTL: . This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Realth and Safety Code. 11 This verification must be completed and returned to our office before we are per- micted to issue tate permit. AP# 63-04-47 DON DOERSCHLAG 342-'2201' v' ?Z � II� ►atr� SGL4V,Tr IZo" 10 IS1+14 00 V 33 tf, z 6 S o 7 /4 L 150 fr Lei} c A I o. o FT R6x*&a r!`►,r t1of I La' PAD SoX1c01 /5, S�, rS1G. I uoo o bql- END �OrrCJ T> 33, q.,7 7 6� CPAs C D2 I L/C ' O 7v too/ `a and COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center. Drive, Oroville, CA 95965 PHONE. 916-538-7541 ~ DATE 4-28-92 R DON & SANDRA DOERSCHLAG ME' APP. #92-1251 P.O. BOX 127 A.P. # FOREST RANCH CA 95942 63-040-047 With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced �l We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen'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 details 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. :=it -Recorded copy of deed showing 60' right of way parcel man or old unrecorded map. Recorded copy of agricultural acknowledgement statement. L1 OTHER Should you have any questions concerning the above, please contact Rod Taylor of this office. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector { C- 7 123 z `Prrurn.Lo DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded' priorto issuance of a building permit. 92-0171231 Rec Fee 8.00 `L'he pr. open y described herein is adjacent , to Land or. included within an area zoned I Check 8.00' for agricultural purposes, and residents Recorded of this property may he sub *Ject to incon- Official Records ven.ie,nccs or d i.scomfort arising from the County of u�;e of agricultural chemicals, including, Butte I but not 1.imil.ed to herbicides, pesticides, Candace J. Grubbs and EerL:il.izers; and from the pursuit Recorder of agci.c:u]Lural cipe:raLion s including, 11:02am 21 -Apr -92 I PUBL XX 2. but not. limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ.i.shed <a;;rk.-.ua- Lural zones which have as a priority 6Ae for productive agricultural. purposes, <and res.i.dew.s within said zones and on adjacent property should be prepared to accept such inconvenience. or, discomfort from normal, necessary farm operations. All that real property situate in the CounLy of Butte, State of California, dcscri.bed as fol.l.ows: SEE LEGAL DESCRIPTION ATTACHED HERETO AP#063-04-047 Date: April 21, 1992 PROPERTY OWNERS: DONALD A. DOERSCHLAG State of Calif. ) On this the 21st day of April , 19 92 , hc•.fore me, SS. the undersigned Notary Public, personally appeared County of Butte ) Donald A. Doerschlag OFFICIAL SEAL Personally known to me . © Proved to me on the hrl5_i s TAMI BARLOW of satisfactory ev:id.c>ncc:�. NOTARYPUBLIC- CALIFORNIAbe the person(s) whose name(s) is PRINCIPAL OFFICE IN BUTTE COUNTY bscribed to the within instrument and acknowledged that he My Commission Expires October 24.1992 lecuted the same for the purposes therein contained. 'IN W.l.TNESS IIIIIIIIIIIIIIBEIIBEIYi1]MllillulIHUIIIIHIIUHium116ilIliB1WEREOF, I hereunto set my hand and official seal. Present A.P. No.�' 01`"��77 �r N t r--y--P ub1.J c Tami Barlow END OF =MiNT PARCEL I[*. THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER 23 NORTH, RANGE OF THE. NORTHWEST QUARTER OF SECTION 9, TOWNSHIP 3 EAST, M.D.B. & M- PARCEL II' A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH., THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF THiZ WEST HALF OF THE WEST TOWNSHIP 23 NORTH, HALF OF THE NORTHWEST QUARTER OF SECTION 9, 14ORTH AL04G THE EAST LINE OF RANGE 3 FAST, M.D.B. & M.; THENCE THE WEST HALF OF THE WEST HALF OF THE NOR ' THWEST QUARTER OF SAID SECTION 9 TO A POINT ON THE NORTH LINE OF SAID SECTION 9 AND'THE END OF SAID CENTERLINE. PARCEL III: A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER THE NORTHERLY - 60 FEET OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 9,TOW1, 'SHIP 23 NORTH, RANGE 3 EAST, M.D.B. & H. END OF =MiNT RECORDING REQUESTED BY F AND WHEN'RECORDED MAIL TO I NAME Don �Doerschlag 1 ADDRESS POB 27 CITY a1 Forest Ranch, CA 95942 STATE L Title Order No. Escrow No. 92_ _ 01 9,946 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO Documentary transfer tax $.......................... NAME ❑ Computed on full value of property conveyed, or ADDRESS Same as above ❑ Computed on full value less liens and encumbrances CITY & remaining thereon at time of sale. STATE ..?..�c�.:� �................I....... . Signature of declarant or agent determining tax—firm name 3ibibibuaY juir�t �er�at�ep �eeb WESTERN TITLE FORM NO. 105 AP#063-04-047 FOR VALUE RECEIVED, DONALD A. DOERSCHLAG AND SANDRA K. DOERSCHLAG, HUSBAND AND WIFE GRANT-S_to DONALD A. DOERSCHLAG AND SANDRA K. DOERSCHLAG, HUSBAND AND WIFE as JOINT TENANTS all that real property situate in the UNINCORPORATED AREA County of BUTTE SEE ATTACHED LEGAL DESCRIPTION Date L97 60NA�LDA.DOERSCHLAG , State of California, described as follows: SANDRA K. DOERSCHLAG STATE OF CALIFORNIA County of �(� I ss, On /Q TN j • • . 1�9�, before me, the undersigned, a Notary Public in d for said State, personally appeared o jJA ( 3 - 9A- C 17 , personally known to me or proved to me on th asis satisfactory evidence to be the whose name -1 AeE sub a within instru"and ayK9.wI.d4d to me thatl he executed it. FOR NOTARY SEAL OR STAMP OFFICIAL SEAL SALLY J LEON m NOTAFZ PUBLIC - CALIFORNIA BUTTE COUNTY My comm. expires KAY 29, 1993 MAIL TAX STATEMENTS AS DIRECTED ABOVE PARCEL I• THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 9, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M. PARCEL II• A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHEAST CORNER OF THE WEST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 9, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE NORTH ALONG THE EAST LINE OF THE WEST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF SAID SECTION 9 TO A POINT ON THE NORTH LINE OF SAID SECTION 9 AND THE END OF SAID CENTERLINE. (BUTTE COUNTY RECORDER NO. 92-07946) PARCEL III• A RIGHT OF WAY FOR ROAD AND UTILITY PURPOSES OVER THE NORTHERLY 60 FEET OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 9, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M. (BUTTE COUNTY RECORDER NO. 92-07946) PARCEL IV• A NON-EXCLUSIVE EASEMENT FOR ROAD AND UTILITY PURPOSES OVER THE WESTERLY 60 FEET OF PARCEL TWO AS SHOWN ON THAT CERTAIN MAP OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 8, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 16, 1973, IN BOOK 45 OF PARCEL MAPS, AT PAGE 4. (BUTTE COUNTY RECORDER NO. 92-019829.) :I JHJRAq RSTRAUP TE2WHTU08 SMT 10 ' SMZAUQ TaSWIlTU02 SIIT '30 '3JAIi H'^[J03 3'IIT HV'j.l;R , HTR03 4^S gI H2bIWOT , e 40ITOS2 10 RETRAU0 T83WHI'330YI 3HT 0 M A .E.G.M ,TEAS I �,iI3�Si_Fi�3 GMA.I go glHT2 A 93VO 24-80gFIU"_ YTIJITU QI1A GAGR Roti YAW 90 THOISi A 2n G3J ; 8S i 81 HOIHN 10 311IJ5t3TI1HO EFT ,HTC117 i1I 15S'3 03 : 2 W01.10'3 TESD? :3HT 1.0 UAH T23W MIT 10 REMR00, T2A$HTU02 3HT TA DVIIIMILD38 .HTA01A £ 4IHUMOT ,e A01?!:G2 40 RaTRAUQ T22WHTA04 2fiT '=0 'I,.IAii qO 3171d TLZ 3 BHT DMOJA HTtZN1 SDMSHT :-M Z . S . G . 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M , TP -AS £ $DUAP , HTROVI £ S q I H2rIW'-) 10 3TAT2 STTUS 'q0 YTYUOJ SHT g0 REC131GO3.q ZHT '30 uO It 140 3HT AI TA , agAM aSOAAq '30 Z I X005 VII , £ i e I , al YRAURAL VIO , A 1 ti1FOgI jA-) kSariO-OR RSCIAOJHR YTEAU00 3TTUa) .111 HJA9 APO 63-04-q7 DON DOER8CHL'AG 342 -'2201 xPoxp,v & 1 7 APPROVED K Butte County EnvironMen� H¢� 7-41 iL OcAlloµ 2z S c 41>Tr ltoAp �OS6O SIFe1 � ��.�--1°3'� X44 , `�r� y� u� Jyt. sx COUNTY of SUY'Y'E BUILDING DFPT JUL u it -- 33 ly, 2 6 wA-rfk& w wl� Sol 00 v 1So f'r u�ca � �.yo Ft R�A.+►�fi� i � . T'ta►.r .. tloj l La #Ot'►C PAD Sox 1co, a� 71 n Lvl�L S�fS1L 1 voo bAt- $t orF: lEUCiL �Ola'D .ro S 3.3• lLf. . 3 7 60 CPRS E Pa i ✓E Wls?+Iwr walo. Z*40 NoT6-i POSE XO)kD MA" a Ir PATQ < </A _ O kv14 79 j 1� Q � r' Eutte Co N; a- Ji V'.. Ez A -J A N D B E A U i `( DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 RONALD D. McELROY Deputy Director June 3, 1992 Don Doerschlag RE: AP 63-04-47 P. 0. Box 127 APP. FOR DETERMINATION Forest Ranch, CA 95942 Dear Mr. Doerschlag: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on June 3, 1992, the committee granted a conditional Certificate of Compliance for the above -referenced roperty. The conditions are: q 1. Provide satisfactory evidence that a suitable site for the installation and replacement of a sewage disposal system for a single family residence exists on the property. J2. Provide satisfactory evidence that adequate quantities of potable ater for a single family residence is available to the property. Provide two-way traversable access to the property from a publicly p� maintained road. CL There is a fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If the conditions are cleared prior to the end of the appeal period, a ''clean" certificate with no conditions will be issued. If you have any questions regarding this matter, please contact this office at 538-7266. Very truly yours, William Cheff Director of Public Works Stuart Edell Assistant Director SE/ds attachment cc: Planning Department Environmental Health Department Building Department r ' File No. BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. 8 Br. Mtce. Shop &.Yards ` Bldg. Insp. Admin. Design Engr. i Bridge Engr. Constr. Engr. Maps Surveys Permits ' Mapping T ran sp. � e Land Dev. Drng. /S.I. - - Sub.B PCI. Maps Permits ' Addr. , Donald & Sandra Doerschlag P.O. Box 127 Forest Ranch, CA 95942 Dear Mr. & Mrs. Doerschlag: May 8, 1992 RE: Permit Appin. ##92-1251 (A.P. #63-04-47 In response to your letter and deed submittal dated May 7, 1992, we have reviewed your permit application and submitted material and have found that the deed submitted is unacceptable to verify the above noted parcel meets acceptable standards for parcel creation. Mr. Stuart Edell, of the Land Development Department advised us that a Certificate of Compliance will be required for this parcel. Should you have any questions concerning this matter, please contact Rod Taylor of this office at (916)538-7541. RT:dms cc: Land Development Department Yours very truly, William Cheff Director of Public Works Z/�' David Purvis Supervisor, Building Inspection 41 Don Doerschlag P. 0. Box 127 Forest Ranch, CA .95942 Dear Mr. Doerschlag: suite C \ D 0 F N A T O RA E VV '-A L T H A N D B _A U T`! DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 June 3, 1992 RE: AP 63-04-47 APP. FOR DETERMINATION RONALD D. McELROY Deputy Director At the regular meeting of the Butte County Subdivision Violation Committee meeting held on June 3, 1992, the committee granted a conditional Certificate of Compliance for the above -referenced property. The conditions are: 1. Provide satisfactory evidence that a suitable site for the installation and replacement -of ' eplacement of, a sewage disposal system for a single family residence exists on the property. 2. Provide satisfactory evidence that adequate quantities of potable water for a single family residence is available to the property. 3. Provide two-way traversable access to the property from a publicly maintained road. There is a fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If the conditions are cleared prior to the end of the appeal period, a "clean" certificate with no conditions will be issued. If you have any questions regarding this matter, please contact this office at 538-7266. Very truly yours, William Cheff Director of Public Works J,iz� � W. Stuart Edell Assistant Director SE/ds attachment cc: Planning Department Environmental Health Department Building Department