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063-190-013
63-19-13 Harry Rhine NIS Schott Rd.,app.4/10 mi.off SW/S _t=r of Hwy 32, lot 4, Permit341-81P,E(TJrrA;A C. . A CTURE BEq. PACT TEST Q. / 63=19-13 �T Harry Rhine N/S Schott Rd.,pp.500'E.of Forest Ranch Rd., Forest Ranch Permit E,M(new single family)_ % y % 19-13 Permit #2456-81PE(util.,MH-temp.) ELEC. GAS_ SUPPORT STRUCTURE REQ, COMPACTION TEST REQ. 63-19-13 �238-83B(lstrenal19 00-81)t�Permi 63nwl/1Permits#3240-8B(2nreea00-81 SF) 063-190-013 06-0508 SANDHAM, JON 4807 SCHOTT RD, FOREST RANCH CONT: WAYNE ROBERTS ADD4DECK i vmm BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060508 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/20/2006 APN: 063-190-013-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�= License Class : License Number:A7�7 Site Address: 4807 SCHOTT RD FRN 1 .!� ,r�, �y II AID: ALA) Map Index: Date: Contractor: V' V Description: ADDITION TO SF (822), DECK OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the REPLACEMENT(288) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SANDHAM, JON & GAIL to its issuance, also requires the applicant for such permit to file a 4807 SCHOTT RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section FOREST RANCH, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95942 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 (530) 893-2810 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 Contractors' State License Law does not apply to an Applicant: SANDHAM, JON & GAIL owner of property who builds or improves thereon, and who does 4807 SCHOTT RD such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for FOREST RANCH, CA sale. If however, the building or improvements are sold within one 95942 year of completion, the owner -builder will have the burden of 893-2810 proving that he or she did not build or improve for the purpose of (530) sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: WAYNE ROBERTS CONST and who contracts for such projects with a contractor(s) licensed 45 ROBERTS COURT pursuant to the Contractors' State License Law.). CHICO, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95973 Date: Owner: (530) 345-7896 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 License #: 822277 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit t is issued. have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �<? (�; Policy #:_Z — 7 1�7� Total Square Ft: 1110 S.F. ❑ I certify that in the performance of the work for which this permit is Valuation: $56,310.00 issued, I shall not employ any person in any manner so as to Census Code: 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� c mply with those provisions. it / 1,� 16 Date: 1 10 PN/V Applicant:l' 'eIye 17 _W WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost ofj J� 1 uqz, `J compensation, damages as provided for in Section 3706 of the Labor 11 �O� code, interest, and attorney's fees. ,9 f \ CONSTRUCTION LENDING AGENCY This permit is here issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o d ork indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)O_ Name: BY Date: V - Address: PERMIT EXPIR N: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or documen of Butte County. I hereby authorize representatives tivves of Butte County tormenter upon the above mentioned property for inspection purposes. Print Name: 1/0 &F e V to r � U t Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 O N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 . CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: wwvv.buttecounty.net/dds x� SNtIP n f LEASE PRINT CLEARLY* � OWNER INFORMATION Last Names A A.) D N A irst Name O Address � � y�3 City State Z 9 ipS°]�Z Phone �9 3 o Fax E-mail B _SWC &49&44- oW&r CONTRACTOR Name/� yx/ L�_ ��3��� Address�--- City ' Ld State 4 04- Zi'�Y3 y�G Phone Phone .� Fax E-mail T5-/.9__': Li # 22 7 7 Class ARCHITECT/ENGINEER Name cXalc' _/) 4) Address Cityr� pCG State Zi'�Y3 y�G Phone -7 27 7 / Fax 773 — 2 37.7/ E-mail State License Number Ord or Ice use only: APPLICANT INFORMATION Name Zone Address SRA City No State Tip Phone Book Fax E-mail Planner Ord or Ice use only: Zoning I Ak-_�Tlood Zone Cross Street f SRA F. I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BI00050.` BIN 9 - PROJECT LOCATION AP# Or 1�_1�� _ O I� Property Address 7 sbilrr % A&I City A4eT7- K/ Cross Street f WORKER'S COMPENSATION Policy Number 'S +0' -� I Carrier 309 a)c� I If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: �0 5 - i`d22 - e b�erne C2� Sq FT- Living Garage OpengW Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. iL , n ('. -7— , t 'r-' '_ 161.612 ' Received by: Amount: Bldg 201 , q O SRA Receipt #'qq 46 3y QVjzc'v * Date: 3-(9 - D6 Sheriff SMTP Other UJly�l . 1 v Total /I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: San (1' harn ASSESSOR PARCEL NUMBER no- i 11 1w n i,J Proposed Building Use: AM ti M 1i) 4 Deck fi$10(ffl4i Permit Technician: .V • Date: 2)- In -nar) Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3� r 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. v1Z- 3. Engineered plans, 3 or 4 sets, with wet signature on plans ANDrsets of stamped and signed calculations. �! 4. Engineered truss details and layouts in duplicate. No faxesl O/ 5. Letter from Engineer or Architect for truss design review. `d 2j 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. 11. Hazardous Material Form VIN 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other mainin?ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) r14. ,sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable . Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. 2 . City of Chico Plumbing permit........................................................................ ❑/ 1. Site plan and business license approval from the Ci :y of Biggs .............................. 22. California Department of Forestry plan a paid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check:......... . !n 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑/ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... i� 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number ........................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization......................................................:............. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ..:.:............................ ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction............................:............................................................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone L530)315-1001 E53WSP-r" ' and hold for pickup. eonRrac+or I have been informed e above4te�t s andrequirements for obtaining a building permit. Applicant: .4 Date: _ / 1. Index p emit a, Kiication forte a eve items numbered: Plan Check Letter 2. Add" 6r' -ems required R055 0AS1 .J L t,nvlFf".ij N -r' c��sH2J�✓I. tracto signer, owner, was advised of the above data by (LVrnail, ❑ counter,_Ni- _ � _ Date: - ' 4' C R -A t- IA 06 Contractor, designer, owner, was advised of the above data by ❑ p one, ❑ mail, ❑ counter, b` y Date: �z Contractor, designer, owner, was advised of the above ata by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: Date: 3 �s o G Plans approved by:/ Date: Structural reviewed by: ��� Date: 311V54 54 _ Structural approved by: Date: Note transfer by: , it ,� Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 Cilia, N �� 1.Y Plot Plan Attached _--� Floor Plan Atfadied 1 �• Sent to BD/DS / TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance 3-/qo-OI; Owner Location AP# Plan Approved for: Sewage Disposal:�nWater Supply: P�uPblic Clearance for dwelling. Other RPAV-Mw� _Vi�� #cold final for: z i Final clearance O.K. for: NOTE: Ith Specialist Building Clearance 9/2005 0 ,q-5 Date Private Well BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 ` . I RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner SANDHAM Application Date 3/6/2006. APN No: 063-190-013 Permit No: BP 060508 Permit Type: ADDITION TO SF, OPEN DECK 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA Res Flood Elevation Review $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $1,154.79 $461.92 $692.87 Balance of Building Permit Fee 0 $95.00 $204.98 $109.98 $556.92 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $666.90 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $698.50 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling 10 Applications After 2/14/05 ,> SFD MFD x County 4096.87 3071.14 774 Lindo Channel Chico Urban Area 5372.09 3995.45 EI Medio Fire District 3128.31 2297.77 North Chico Specific Plan 0 SR -1, SR -3, SR-1/PD 7938.531 6757.08 R-1 o 8031.53 6850.08 R-2 7541.531 6360.08 R-3 6780.531 5599.08 Processing Fee is automatically added to impact fee total 0 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek 771 Comanche Creek New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 3117.43 4889.56 2326.36 7633.49 7726.49 6475.49 $100.00 $200.00 $8,069 $8,792 $6,596 $8,139 $6,975 $6,070 $8,603 a Kour y $692.87 $5.63 �L'J RECEIPT DATE Tech/Asst Kourtni � RECEIPT DATE Tech/Asst � 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum I� Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Chico Unified School District 062 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant:Dater Pursuant to Govyarten de Section 6602 ,you are hereby notified those Items followed by an ""may have been imposed on your project. You have 90 days from the date ofal of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Gov Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 04•P�"` o� Department of Public Works ° C o u n t y o f B u t t e 0 0 7 County Center Drive o Oroville, CA 95965 J. Michael Crump, Director (530)538-7681 a �i g (FAX) 538-7171 Shawn H. O'Brien, Assistant Director Assessors Parcel Number: 063--jV - ®1.3 Building permit # Owners Name: �s �G� � �r V Owners Mailing Address: Property Address: _�.►�►,� ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: ❑ Not a County maintained road ❑ Existing driveway conforms to County S-31 standard Other f'¢� Approved by Printed Name l oa� o Xi?Z elon Title // Date tfi(j CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. :� e a r p men- of Public Works iI u�?� j�' C o• u n t y o. f B u t-• t. e J,.A a J Michael Crump; Director LAND DEVELOPMENT DIVISION Storm Water Management Program Ac0 U Nay / 7 County Center Drive L2VC w f' OrowMe. CA 95965 (530) 538-7266 (FAX) 538-7171 National ' Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water P.i�llution Prevention Plan (SWPPP) Acknowledgement tLESS THANI ACRE] Project Description: Project Location and/or Parcel Number: By signing below, I, the project. ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit fron the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs 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 Control 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 a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department ofDevelop pent ServlCeS k3T r� 7 Couhty Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I a»i required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permitsklearances include, but are not .limited to, verification the parcel was legally created, adherence.to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). } Please print: Applicant Name: `S��A) ��� APN: 0 Building site address: q,3 U —7 52VOi�7— jZ�t) permit No.: (5&/ 0509 I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATU E OF APPLICANT DATE Copy to Applicant/EHM[e K Forms/Bid2PermitwithoutClearnces 020705 BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) 1r kh�� School District h 1\�� 5A-01 Ddri(I Building Depa ent No. A.P. Number -M-01 Jurisdiction: DC �County) Property Owner SanA ham , (Soon ... I I n o% O i i I, 1') t r'_ I r)__. L n A Property Location/Address Subdivision Lot No. Residential Development 0 Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # .(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach.a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q New Addition Department District Identification No. r Q 14 0-5j -VI School District certifies that (Street (City) (State) Sq. Footage (Including Exterior Roofed Areas) 4i-?>-or0 Date (Applicant) R (Phone Number) (Zip Code) has complied with the requirements of Resolution No. 9,I;? by payment of $0 on representing 00fA square feet. =B292-6 $ IGATION $ School District Representative Date — Paid by Check # Remarks: /�J I r Notice: You may protest the Imposition of the fees Identified above by submitting 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 prohibit you from challenging the Imposition of the fees In any court action. 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 fans to fully mitloate Its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xis (305W= SPECIAL INSPECTION PROGRAM ADDRESS OR LEGAL DESCRIPTION: w7 4 -w -mo fr RP, BEST Sgra PLAN CHECK NUMBER:(4'0_54 OWNER'S NAME: 1AFJDJ4Ar-/ I, as the owner, or agent of the owner (contractors may not employ the special, inspector), certify that I, or the architect/engineer of, record, will be responsible for employing the special inspector(s) as required by Unifo m Building Code (UBC) Section 1701.1 for the construction project located at the site listed Rove. UBC Section 106.3.5. Signed I, as the engineer/architect of record, certify that I have prepared the following special inspection program as required by UBC Section 106.3.5 for the construction project located at the site listed above. .2ngineees/An9titea's Seal b Signature Here Signed 1. List of work requiring special inspection: Soils Compliance Prior to Foundation Inspection ❑ Field Welding ❑ Structural Concrete Over 2500 PSI ❑ High Strength Bolting ❑ Prestressed Concrete . Expansion/Epoxy Anchors ❑ Structural Masonry ❑ Sprayed -On Fireproofing ❑ Designer Specified ❑ Other 2. Name(s) of individual(s) or firm(s) responsible for the special inspections listed above: . , E� ' • " • - -. E ,• W..w. COR. 6cC. 4'N'105 -r IN Hoc.' AVUIaO \ RCE '1129 PER H.S. 611/99 tr 87' 4J' 'Yr 090. CO 240.57 449.49 -"-'•" Z F p I. 1 Lot 2 O 2 y 8i W 0.00 Ac. m Lot I 5.83 A4 r / bLot 3 f.• pr R., _,. \ Lot 4 \\ ` 0 \ \\ 3 5.00 A... \ \ \ \ O \ \ 10 \ m \ \ 7i A• i' 09' 12• • R• 2470.00 ZN V 49.00 \ •P ' ij, a A• 16.19.45' N R. 470. 00 L• 133.95 \G 14.0000 / R• 530.00 A•se•H's s' L• 129.50 H•%0.00 � 40.96 �1a Jl• 'cos, aJ\ 3 Pte', 19i \ A,;3. 0336• R• 2970.00 L 598.94 3CALF: I' -;W LOCATION MAP PARCEL MAP -FOR- �r/ WAYNE ERICKSON LOT 12 OF FOREST RANCH SUBDIViS10N,FILEO �j IN BOOK 43 AT PAGES 83-86 IN SEC. 5, T. 23 i:., R. 3 E., Ni. D. 13.01A BUTTE COUNTY CALIFORNIA BY. - JOHN 'ri. HAMBY LS 2043 LICENSED LAND SURVEYOR PARADISE CALIFORNIA SURVEYOR'S CERTFICATE OWNER'S CERTIFICATE This map nas prepared by me or under my diraarion• and We Wayne Robert Erickson and David Henning Erickson is based upon a free surrey in eonfo•manee With the es owner] of rho !and os shown hereon and Oro,•;Ile Title requ;rements of the Subd;v;shin M,sp Act at tno regaest Company as trustees uMe, Deeds of Trust recorder {'Jayne Erickson on February 15, 1075. f he by March 10, 1975 ;n (3..* 1973 of Off,cia!Re"ords at Paye .,! :� `�• ``;d qLi ify tn.+r it conforms to the opp—d tentative map the there", 34 and Oecomber 8, 1975 in ,3wk 2033 of Otfictol condiHons ofap mval ` y Records at Paye 528, do hereby cerflfy AM we are the persons WIbCOn]ent is n rosary Olwho-f0 pass Clear title to said land and we hereby to .•. _:.,. - f--_. - - -.- %1q n rJ slemby LS 2843 consent the preparation and recordation of Said map as shown Ai thin the col—d border /;has. COUNTY SURVEYOR'S CERTIFICATE ?yam:e;�otiert E :cS]en " oe•"!d Henninj Enckso This crop con forms with the requirem,nfs of Sect,., 66445 of the ovtrnment .. ``• "' '+�'' f1 %l r,�^ r^ da. Oetc+:1:ie'T.ape y�' 8y� Clay Castleberry RCE W224 RECORDER'S CERTIFICATE Butte Ce—ty Sury �•or • ^---------- y ••-••-- Fi led this A ^ d -y . I _., 976, aIIOY B.m, in 800kof PTarcel MaF set Page-YQ-...a! the request Ol rG.O°er C/�AI<N•(14�.e 5TATT OF CALIFORNIA PQ,Lt-% Serial....._ ' COP N7Y OF UTTE B . On .(s,•c 4.<IT % ,1976 before me, the undersigned, ' 4 a Nptary Public ;n and for sc" CQQuhf end btata, c:-� �1—' '�•�'-•=--- Butte County Recorder persanalJ eopeared3�.4 mown to me In betheOCrdM who is elle cut inq then person bahaif of Ti t 1a Company, P ccrpoaf;on, and by Ar.-I,dg,d that -id 4vrpe,aEcn --ted Ih, -w... Deputy Aw- STATE OF CALIFORNIA •;"'"� COUNTY OF BUTTE .,•..'• On•_•i•r-:::. ,1976 before me, the untlersiyned, BASIS OF BEARING :.. ;. ',.; ':' ""'' ` "" a Nbroy Public in end for said County and S:ate, ' ••rCr The North line of Lot 12 of Forest Ranch Subdivision Personally appeared wayne Robert Erich son and David 'Henning Erickson known to me to he the persons whose shown as N 97. 43' 38" W on the moo thereof fil,d in names are subscribed to rho within tn,tram,rt end Book 43 of Maps et Pages 83-86. acknowledged :net the; executed the some. LEGEND _ C9..•r •.<. .c.• ♦ Found Point As Noted • round 44' I.P.LS 1843 PER Foest Ranch iubdi,;s.'w .,,•.>„v,::.,::.,•,:: ^•: a•:::: rr.:o O Set 1W ;.P LS 2843 NOTE: .. ..... ..>. t:c 4 r.. .....:....q........w.. GO' Non Exclusive Pub:;c Easement for' bs end egress and for Puhiic ufihlie, oral !o be re erred ;n 0radr. LOCATION MAP PARCEL MAP -FOR- �r/ WAYNE ERICKSON LOT 12 OF FOREST RANCH SUBDIViS10N,FILEO �j IN BOOK 43 AT PAGES 83-86 IN SEC. 5, T. 23 i:., R. 3 E., Ni. D. 13.01A BUTTE COUNTY CALIFORNIA BY. - JOHN 'ri. HAMBY LS 2043 LICENSED LAND SURVEYOR PARADISE CALIFORNIA Rpr 17 06 12:00p california design assoc (805) 773-2397 p.l 725 Shell Beach Road - Shell Beach, California 93449 • 805/773-2771 e. Facsimile 805/773-2397 DATE:.*, TO: -'J~#li:--+1 TRANSMITTAL: (530) X15- 789Co MEMO: SUBJECT: gfivltpep : 6NLe- jLl@i'1 = TRANSMITTED HEREWITH ARE: 2. r vrseP LALs. 3. -TM$-S LeTMIZ . 4. 5. 6. FOR YOUR REVIEW PER YOUR REQUEST PLEASE COMMENT FROM: 1L_ %' ■ / + �. � moi_ Residential - Commercial CALIFORNIA DESIGN ASSOCIATES 725 Shell Beach Road - Shell Beach, California 93449 • 805/773-2771 e. Facsimile 805/773-2397 DATE:.*, TO: -'J~#li:--+1 TRANSMITTAL: (530) X15- 789Co MEMO: SUBJECT: gfivltpep : 6NLe- jLl@i'1 = TRANSMITTED HEREWITH ARE: 2. r vrseP LALs. 3. -TM$-S LeTMIZ . 4. 5. 6. FOR YOUR REVIEW PER YOUR REQUEST PLEASE COMMENT FROM: 1L_ %' ■ / + �. � moi_ Residential - Commercial 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) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING March 8, 2006 Jon Sandham P.O. Box 443 Forest Ranch, Ca. 95942. Assessor Parcel Number: 063-190-013 Building Permit Number: 06-0508 Thank you for submitting the plans for your building project. The plans have been reviewed and comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re- check and approval of this project. COMMENTS: 1. Provide Mandatory Measures Summary (MF -1R) that shows compliance with 2005 Title 24 requirements. If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your. permit.) The counter staff will answer any questions concerning the Data Sheet. Bill Barron Philo Hunt, P.E. Plans Examiner PlanCheck Engineer It BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION �urrF 7 County Center Drive, Oroville CA 95965 C Phone (530)538-7541 Fax (530)538-2140 website www.buttecounty.net o ` ' o AFFIDAVIT REQUESTING DUPLICATE OF PLANS (California Health and Safety Code Section 19851) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner: I hereby request duplicate copies of the building plans on file with the Butte County Department of Development Services, Building Division for: r Assessor's Parcel Number: 06 % Permit Number(s):�� Located at: (-/0007 (address of building) I am aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3 . That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs and stamps plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to or uses of those plans, specifications, reports, or documents, where the subsequent changes or. uses, including changes or uses made by state or local governmental agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Current Building Owner: tN Design Professional of Record: Signature of person requesting c Printed or typed name of persor Date:. / 2 S Contact Phone Number: 0 76 Address: % S(,/-� (-7- rte/( -mss i A4-etl- 7 )J Y Z -- Reason for requesting duplicated set of plans: /&�M o D ��- For Building Division Use Only Owner Permission -Date sent: Date received: % .Z�6-6 ❑ Professional Permission -Date sent: Date received: Receipt Number: 4 `r - D - November 2005 California Health and Safety Code 19851. (a) The official copy of the plans maintained by the building department of the city or county provided for under Section 19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably Withheld as specified in subdivision (f), of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the association established to _manage the common interest development, or (2) by order of a proper court or upon the request of any state agency. (b) Any building department of a city. or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), if the building is part of a common interest development, from the board of directors or other governing body of the association established to manage the common interest development. (c) The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: (1) That the copy of the plans shall only be used for the maintenance, operation, and use of the building. (2) That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. (3) That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also a proximate cause of the damage. (d) The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. (e) The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. (f) The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following: (1) Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be appropriate to the individual circumstance, but not to exceed 60 days. (2) Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered letter specified in subdivisions (c) and (d). 19852. The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853. This chapter shall not apply to any building containing a bank, other financial institution, or public utility. November 2005 PERMIT NO.$—, , ,M ' PERMIT EXPIRES— XPIRES OWNER OWNER Harry Rhine CONTR. owner ` ASSESSOR PARCEL 63-19--13 . LOCATION N,,'S S!:hott Rd .app .500' E . of + Forest Ranch RdForest Ranch V = OK 0 = Not OK -'= Not Applicable MOBILEHOMES * = Not Ready x. �a w MISCELLANEOUS NA Date MOBILEHOME UTILITIES (Plans) OK except q's- 1. Zoning?Requirements-Setbacks-Easements' Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's - 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch v 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-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp=Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date• Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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 _ 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10• Cert. of Occupancy- 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test - - Y Card B -I Date Card -BI _Date Card -BI Date - Card -BI Date ` Card B -I Date Card -BI Date - Card -BI Date Card -BI Date J e OK -' 'O = Not OK -'= Not Applicable Xt•Ready I RESIDENTIAL tSin'gle and Duplex) 110vSE Date -� UND RFLOOR Plans OK except #'s i Date FRAMING (Continued) Zoning requirements-Setba - ents 48: ewall & Openings Fig., MArrSoils-S of le' Grnd. 0 /" Ftg. Depth 4 t. Doors -One 3'- eck Garage=3rtY4}ory-2-ex" *---Ftg., Garage; Soils -Steel- ' Ftg. Depth d- lairs; -H om-Rise=ft7tf--LarMirtg ire es & Decks; Soils -Ste / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers MaEr,Steel ello uts apped-Slab iding-N�' ng-aierteEP� StermPaiis, Gam; St�f b o esh-Drip Screed-Fdn: Vents-Underflr. Access UZ-F iers-Fireplace Ft .-Steel Glazing Area -Glass Protection -Skylights -Plastic 0�71D.W.V.: Fall-Fittings-Test(2 way C/ ewer Tes 65- Shear-Wa'IT5; Nailing -Bolts 1 . Water Pipe; TLstYAdehIIfs-Regulator` Service Test 11 Electric; Underground ts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat Card -BI Date —0s --t Card -BI DateCard-BI Date Card -BI Date �( 3 Card -BI Date Card -BI Date d -B Date,/_L Date AL (Plans) OK except N's Car Date!?-2fCa I Date D e PLUM ING (Permit) OK except q's 1' . Water Ht.; V,&M-Acca t ext. Steps -Door & Sidelight Protection -Landings �c 5� C�-�y Smoke Detector 5 - r- or- uc s- e ater Pipe; Anchors4qai£PffStect n V.; Fttngs & Anchors do 5 edroom Exiting 1 hower Pan; Test, First Floor- b:• . & Bath Fixtures & _qb & Shower, n Flo cc slal'� Anchors irs & Rails fireplace or Stove; CIqgLapees43&art1T Ue-C!-c. Outlets at Wood Panel; Int. & Ext. Card -BI G Dat Card -BI A> Dat Fixt. e- ApplianceGlsRd 4ir-*e Cooki arance Card -BI / Date Card -BI Date _ 66r�c. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 691. Be ser' ftzt r 20. Fixture & Transformer Clearance -Ins. Protection tr. Htr.; Vents-CIe6>Rff1!!"e_-Comb.-Air-Gemeutpf-P .- I n 2 lec. Receptacles Spacing -Lights & Switches at Doors 2 ie Boxes & No. of Conductors-Sfdpled' 7 „ Elec. & Mech. Equip. Listed for Location 7 tec / ' omex Installed Close to Edgept Studs & C.J. Equip. d made ech. s e & Mater • sulat ion-Faam-L^^sic--acs Guard Rails & Deck Cons ructiop-Poet-2 s ;. Appliance Circuits in Kitchen & Conductor Size _ ze / / ga. Cu or At 7 dn. Cra ole Door -Drains ood-EaVJq-61earance Looked under FloorU_yj�a• 27. Range Circ. /,p / ga C =2MR-Oven Circ. / / ga. Cu or At, Insulated Neutral . _' es El No 7��Fol.lowing instld.:' Drive ❑ Yes �1e!Walks E] Yes &Uo; Planters ❑Yes No ervice-Risen. uuctors & G -Main Dscow 617- 7 _ 2 quip. Clearances; Panels-Motors-Mech. Equip. isconnect-Clr. ces-Brkr. & Co d. Size -115V Outlet ' 30 G!94he^ 4os tom' h� `r Light i5 ents Above Roof; - Fi-Clearac&Eso Opngs. cy Water Well; rs ne Elect ' al i 8a_ -Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I +j Date�Card-BI _ Date � �p '/ :�� �-/- � 8 r anon throughout House Card B -I Date Card -BI Date 82..G+ass Protection Date MECHANICAL (Perrr,it) OK except N's _ i rom Previous Inspections t- e&ged; 6aS-E1 c natation ��apport a && Sewer Connected -C/0 a -HD Approval ent Fan; Exhaust su anon Energy Compliance Certificate -Other Certificates _ 3 rain Overflow; Size & Grade 3 ess-Comb. Air -Return Air Vent -115V outlet iform if Furnace in Attic -- Card -BI Da ✓ Card -BI Date Card -BI Date Card -BI Date � Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card-BI(�/� Date Card -BI ©ate Date FR ING Plans OK except N's Uomments at Final: S'lls; Proper Material & nc UMP W�?n Studs -Nailing, Spacing & Bracin P12te Sound Walls over Girders & Floor Nailing Lf/ _5';'5C,/w f �G�,/�/,�� We. 41 4 J 7G /yam �� G%a-1�top _g in Walls (rat proof) 17 ivG _ Fire Stops; Furred Ceilin -St 5/ - 4 ader & Beam -Si Bearing 7-Po a s- rs-Con ors ng. Joist It urlin oof Brac. -Trans Rfng. _ or pe a Firt04ecErTttfbat _ Mi"_ Access, Size & Rome tection-Dr top-iwr.-BattTSs Windows or Exiting Doors -Si Dimensions arage Fire Protection Framing t (NOTE: An entry must be made each time youvisit jobsite) 11 Owner: f Permit No..�Cp ENERGY C'E R',T� I'F ICAT 10 LOCATION DESCRIPTION OF INSULATION "FAV J — Z ,� A.P. No. ROOF y Material Brand �An/� �.� �oi G Brand Name Thickness(inches) ,v.rJ Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches) 2 /"- I CEILING 'MeA? .9,fw Batt or Blanket Type Pi�iG Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inc es) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) ip_lq Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name 4) 1_44e�.5 e?'e) �9 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. TI—GNATUR.t OF I1,0TALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OFfWWEt CONTRACTOR OWNiER VATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 / _ .COUNTY OF BUTTE - DEPARTOF PUBLIC WOR 00 NO 7 County Center Drive - Oroville,.Califorriia 95965 - Telephone 916/ 4-4541/,9 APPLICATION'AND PERMIT All ASSESS R PARCEL NUMBER N G BUILDING PERMIT 01 OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILINJO ADDRESS CONTRACTOR'S A ��/� (7� TELE ONE Cv�, -77 ?/ �? , 00 CONTRACTOR'S MAILIG ADDRESS Fireplace �' ' ()Q �D CONSTRUCTION LENDER UNKNOWN Total Valu on $ v Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ — BUIL, ADDRESS �� ®� i O ((��//,,// PLUMBING PERMIT Filin Fee 10.00 9 Each Trap F 2.00 pp Repair drainage or vent piping 5.00 G . Water piping , d 0 LOT O. SUBDIVISION NAME PARCEL MAP �j �%�� 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 .00 +�__ a ey. O 6 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 0 o Contractor Oc,tt ,ro<. ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING U .EI\ OR ADDNS. \ ACC. BL 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 a Professions Code -and my license is in full force and effect. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.I. UTLE 2.50 ea NON.RESID BRANCHCIRC ITS NEW CONSTR. POWER APPARATUS S NON.RESIO. SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 50@259 IXED APPLNS. OR Ex. Occup.(ouTLETs (R ESI D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities. 15.00 Misc. Wiring 7.50 Permit Fee $ U 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S , ov Contractor aUJ I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 any way accrue against s id County in equence of the granting of this permit. X Date s�'1% -�� Signature of App cant — Owner Pf 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 $ OCC . GROUP TYPE OF - NST. PARCE PO Ny V 15SOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC DIR77-Date RV�/Zy��� PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /yZ�N Receipt No. JD 7,_?J Y WHITE-D.P.W., YELLOW. -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r ` 7 County Center Drive - Oroville, California '9 5965 - Telephone 916/534-4541 APPLICATIOF AND PERMIT PERMIT,ISO. 9 ASS ES$O A=CJgNNU 5 ZONING BUILDING PERMIT OWN; TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILIVIG ADD E55 :3 .7 - _�L CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWNTotal Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ a,50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHIT T OR ENGINEER'S MAILING ADDRESS Permit fee $ 50 BUIL�D�IADDRESS N ��/ D. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r' Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP 9%'-/2— Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mebi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home, ISI G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 1Oo°o AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2thQsgft NTRACTORS LICENSE LAW I declare under penalty f perjury (Check One): El am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID•/ SINGLE OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES BA 500 300 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 MECHANICAL PERMIT FiIingFee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare under natty 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. 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 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[_ st said my in cons q rice of a granting of this permit. !,/ / Date /���"_� V...,ur.of Applica- Owner, ontractor 1-1Agent ❑ An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 91. v occuP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CTOR OF PUBLIC BYV P R�S Date the applicable provi- resolutions to do fees have been paid. WORKS Date /_ . Receipt No._ 7 y , 3 —_ WHITE-D.P.W., YELLOW -ASS F,SSO R, PINK-INSPECTO R, GOLDENROD -APPLICANT etxeoog y Ilia 0ao0 31 ons 0�N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California ?,5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESS R ARCEL NUMBER _ Z NI BUILDING PERMIT OWNER IT.5LEPHONE yrs SO. FT. OCC. BUILDING VALUA 0 OWNE '$ MAILIN AD RESS / 62 011 I� - CONTRACTOR'S NAME Llz TELE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee L $ ARCHITECT OR ENGINEER N� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permittee $ d (> BUILDING ff R SS / ,pv/ s00 PLUMBING PERMIT Filing Fee 10.00 /0 � 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 uplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ iReipodelEl Utilities [:j II tal lation ❑ Other Describe work: J' ��/���� /1 .(J� /' �9dd' Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2,/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. ense No. Classification Z,1s 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 CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. IPOWER APPARATUS &'1 NON.RESID. \SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES BA 50 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EAJ 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 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 e. of 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 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 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 sa'd ounty in co elce okMe granting of this permit. X l Date i—o Signatureof Applic t — Owner ontractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. MoNle IAome Insta1JatioqFeqj $ — /5,19 TOTAL P R IT FEE /66.S—O$ OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD I s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OVU By f RES PERMIT EXPIDate the applicable provi- resolutions to do fees have been paid. IC WORKS Date 1--3 AN _ Receipt No. J WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDENROD-APPLICAN I COUNTY OF BUTTE DEPARTMENT OF PUBLIC -WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 L/, APAO V P /h - �zyo- 0�1 NER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 1l • i .� � IS Inspector( , (Ji _ Date. Z —Z q —� � 0 Card -BI pate _ Card -BI rte FR ING(Plans) OK except p's _ Sills: Proper Material _& nc �IIs: Studs—Nailing, Spacing & /Q ming Walls over Girders &— FII " f�ra(I Stop in Walls (rat proof) Fiie Stops: Furred Ceiling —St (4 Header & Beam—Size 6, Bearing 4 ` angers—Post Ca s—Anc_hors_�t 4Ing. Joist fir. Purlin_( �•', _ _ 44Fireplace Ties or ype A Flue -1 45.1AttiC Access: Size &Rom— ex Prot 46y Bdym. Windows or Exiting Doors_ 4f,iGarage Fire Protection Frami A N ' . f 1,yno� t Fy 4 PERMIT NO., 2456-81•P,E PERMIT EXPIRES OWNER Harry Rhine owner CONTR. 63-1943 ASSESSOR PARCEL LOCATION NIS Thott Rd.,app.500'E.of Forest Ranch Rd., Forest Ranch 1' d� f i. Temp Teml Temp JOB Signature V OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Gas; LocatiorrTest-Wrap:,/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except it's 1 . Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card 6-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = Not OK�� = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N'S 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [:]No; Walks ❑ Yes ❑ No; Planters Dyes []No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card BI Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties -Purl in - Roof Brac.-Truss-Shthnq.-Rfnp. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF. BUTTE -DEPARTMENT OF PUBLIC WORKS AERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454APPLICATION AND PERMITA , ASSESSOR PARCEL NUMBER - `-" - ZO I G 6-3- _ I BUILDING PERMI 8 O WNE TELEPHONE SO. FT. OCC. BUILDING VALUATION OW R'S MAI ING DDRE _ CONTRACTOR'S AM ELEPHONE CONTRACTOR'S MAILrNG ADDRESS Fireplace CONSTRUCTION LENDER �T UNKNOWN Total Valuation Is Filing Fee $ - 4-9.90 LENDER'S MAILING ADQSlE SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $4a©0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping 14100 /0100 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 64100 10100 Lawn sprinkler system 5.00 TYPE OF WORKS New ❑ Addition [:1Remode1 [:1UUtilities - Installation❑ Other ❑ Describe work: M/'7% F— ? a®gle,,E5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� d � ���o I�-r! G</ .i�•a Main service EA. ADD•L 100 AMP 2.50 2 NEW CONST. (,DWELLING OCCUP,y) 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. �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 NEW CONSTR T' -OUT -OU LET 2.50 ea NON-RESID BRA CH CIRC ITS NEW CONSTR. / POWER APPARATUS 6 NON-RESID, \SINGLE OUTLET CIR. sG @ 250 Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. OCCU IXED APPLNS. OR p•�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 2,50 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I dec 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. Heating Cooling Hood 3.00' Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa'd County in 67quence of the granting of this permit. X11/ Date 2—/ Signature of App cant - Owner 1KContrcctor ❑ 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 $ o OCCUP. GROUP I TYPE OF CONST. JPA7LJ PD MD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIIREC OF PUBLIC �—� By �—� P M EXPIRES Date — the applicable provi- resolutions to do fees have been paid. WORKS Date—[ 7 �'4 '''�'-t-7—J9 � Receipt No. .7 ! 6� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT l_� ��.neCount LAND OF NA TU RAL VVEALTH AND B Er; I!Y PLANNING COMMISSION 7 COUNTY CkNTER DRIVE - OROVILLE, CALIFORNIA 45965 PHONE: 534-4601 July 8, 1981 Mr. Harry Rhine 5277 Winifred Drive Castro. Valley, Ca. 94546 Re: Mobile Home Permit on AP .63-19-13 Dear Mr. Rhine: Enclosed is -your permit to allow the installation of a temporary mobile home on the above referenced parcel. Please note that a mobile home utilities permit will be required and may be obtained from the Butte County Building Department. You or your agent should see,MikeVieira at.the Building Department,. 7 County Center Drive, regarding application for--this.utilities permit. If you have any questions regarding your temporary mobile permit, please don't hesitate to contact this office. Sincerely, David Bolland' Planner I DB/hd- Enc. 0 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 PHONE: 534-4601 July 8, 1981 Mr. Harry Rhine 5277 Winifred Drive Castro'Valley,,Ca. 94546 Re: AP 63-19-13 Dear Mr. Rhine: Please be advised that the Planning Director has approved your request for temporary use of a mobile home during the construction of your home located on Schott Road at the above referenced parcel number on property zoned "AR -5" -(Agricultural -Residential -5 acre parcels,. pursuant to Butte County.Code, Section 24-53, subject to the following conditions: 1. That the occupant has secured a building permit for a residence: Permit No. 1900-81, dated -April 21-2 1981 2. -That the occupant has .secured a sewerage disposal permit from the Butte County Health Department.- 3. epartment: 3. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have -completed the foundation, rough. plumbing, framing and the roof of the proposed residence: 4, That the hoiise must be completed within the one (1) -year period and the trailer dwelling'must he abandoned.- S. bandoned:5. That -a mob•ilehome utilities and installation permit be obtained from the Butte County Department of Public Works. Should you have any questions regarding this matter, please contact this office. Sincerely, Beta e Blair /lr Director of Planning cc: Public Works Dept. �) 7, aouue �. OROVILLE, CALIFORNIA GENERAL CLAIM : CLAIMANT: Harry Rhine ADDRESS: 5277 Winifred Dr. CITY & STATE: Castro Valley, CA. 94546. IMPORTANT: May 26, 1981 SEE INSTRUCTIONS DATE OF CLAIM: ON. REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES' DATE 1 DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner not going to put a mobilehome on his property. _ (Permit Appin. #1341-81P,E - Receipt #25429.- AT 63-19-13) �— i Total Permit Fee Paid --------$83.50 e ain plan cIec ing tee ----- Balance of.fees paid ---------$73.50 Plumbing permit fee paid -----$40..00 i Retain tiling fee ------------ J10.00 Amount of refund due -------------------$30.00 � Electrical permit..feepaid-__-$33.50 f Retain i ing tee - Amount of refund due ------------------- 23.50 -t— TOTAL REFUND DUE ----------------------- $53.50 $53:50 i TOTAL, 1 $53.150 i I, the undersigned, declare under penalty of perjury that the„services or articles claimed have been performed or d�eflv;e;r;�...,. and that this claim is true and corrrect as stated.Dated this (/�.A............ day of ...1 Y , 19 •��,/at , �T,Calif. ,••, / 1.L••• .��/••...••.••....•• / ....... ........ ... ... .. Signatur f Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval O (Check one) for the same. Dated this ........26tH ................ day of .....May............... 1981, at Oroville,Calif. ..........................................................................................._................... ' Department Head or Authorized Deputy Dept. Exp. CodeCode ................................................PAYABLE FROM............................................................................................ FUND DO_ NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR I CODE DEPT. & SUB. PROD' SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. S.UB-DIST. i ' i i Nh' Client's Full Name: Address: Telephone: Account Number: Social Security Number: Medi — Cal Number: U. M. D. A. P. BILL L ast Street C ity (Please secure a copy of the card) Y Eligible for Veterans Coverage: No ❑ Y Insurance Coverage: No ❑ `t Prior Short Doyle Treatment: Month / Year cou Referred by Dr. 4: +° Full Name Gross monthly household income: $ Number COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PER IT NQ, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSES R PARCEL NUMBERZO IN _S — I BUILDING PERMIT OWNER// OWNER - TELEPHON/E 7' F{� G� 1 SQ. FTOCC. BUILDING VALUATION T. OWNER'S MAILING/ADDRESS Pe CONTRACTOR' NAME ,/� TELE ONE CONTRACTOR'S M (LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee Permit Fee $ -�9Af3 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ 0 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD AD RESS �/ ,/J .f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 O / Repa r drainage or ven piping 5.00 Water piping QO LOT NO. SUB IVISION NA E PARCEL MAP Each qas water heater or vent 5.00 727,7212, 1 �-7—% Z Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome OtherLawn w Building sewer O sprinkler system 5.00 SPECIFY TYPE OF WORK Permit Fee $ New ❑ Addition ❑ Remodel ❑ Uti lities Installation ❑ Other ❑ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Describe work: Main service 600V OR LESS 100 AMP OR LESS 5.00 !V Main service EA. ADD'L 100 AMP 2:50 Z S-0 NEW CONST. /DWELLING OCCUP.5J) OR ADDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisionsof Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- NEW CON5TR OUTLET 2.50ea NO N•RESID BRANCH CIRC ITS NEw CONSTR POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. 50 @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@100 Ex. OCcup.(OUTLETS FIXED P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 U 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) Misc. Wiring r 7.50 OC3 Permit Fee $ (� ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT Filing Fee 10.00 •WORKMEN'S COMPENSATION INSURANCE Heating 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. Uil I shall not employ any person in any manner so as to become subject Cooling Hood 3.00 Ventilation 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. Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 1s 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. TOTAL PERMIT FEE $ I also agrewAo save, indemnify keep harmless the County of Butte against all liabiIV4es, j co , nd expenses which may in any way accrue OCCUP. GROUP I TYPE OF CONST. PARC L ISSUE against Co ns ue a of the granting of this permit. X Date '20 lic - Owner 4 A i p ❑ Contractor ❑ Agent 9 S nature /ermit An OSHA is required for excavations over 5'0" deep and kd.of tl or onstGruuc ion of structures over 3 stories in height. 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