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063-240-047
TWO ��OBILEHOMES AND CABANA W/O PERMITS 7/16/91 Qty' mJaWWA 63-24=47 3163190P DORNSEIF,.Rolf E. Doe Mill Ridge Rd, Forest anch (water piping) �aI3`:�o 63-24-17 ' Permit#3332=90E (elec for. ell) 63-24-47 -. 3074-91P,E SNOOK James 12616 Doe Mill Rd, Forest Ranch. (mh util)_- 63-24-47 - - 92=1864 P,E e PROVANCE, ,Frederick & Leanna /Z '12616 Doe Mill Rd, Forest=Ranc9 nh utilities �ELEC �D GAS-`� COMPACTION TEST REQ O SUPPORT'STRUCT REQ Q 063 24--0=04.7 --- 93=3680 MHT X12616 DOE MILL RD, FOREST RANC MHI �tl c� tr COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County C-enteT Drive - Oroville, California X5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 063-240-047 ZONING 'IM -10 BUILDING PERMIT OWNER Frederick & Leanna Provance TELEPHONE 895-1461 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 282 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 $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 43.00 12616 Doe Mill Rd., Forest Ranch PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME - PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ MobilehomeJ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑� Other ❑ / Describe Work: \2 ) ffla PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I 6OOV OR LESS ) 23.00 200A OR LESS Main Service ( 200A 70 1000A ) 46.00 /�` �� ` /" ✓ •• - NEW OCCUP. OR ADONS.7 ( D LLINBEACCG BLDS. ) 3.50 sT. CONTRACTORS Ll NSE LAW I declare un anally of perjury (chec ❑ 1 am a licen ed,under prO.visiorns of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 9 1, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAS @ 1.50 Ex. Occu FIXED OR p' ( OUTLETS (RESIDRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ® I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify, and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the gran�ting.of this permit_. Date �l`/T / j ��" Signature of Applicant - O Offer ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP, FLOOD CDF I PARCEL PPD SS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work , indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS > f By ' f' �1LG 1 ` ' Aate PERMIT EXPIRES ON (Date) Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 0 PERMIT NO. /a-3(a"?b Address or location of mobilehome Owner's name R'//fes (. Owner's address 1 737 7` t Insignia or hud number 1 96 oC Manufacturer's name Serial number of V.I.N. � Year of manufacture�rf�'•x- (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. Y% 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Cen'tefbrive - 0roville,•C0 k?ornja,95965 - Telephone (916) 538-7541 PERMIT NO. / APPLICATIOI!! AND PERMIT ASSESSOR PARCEL NUMBER 063-240-047 ZONING TM -10 BUILDI 1 OWNER Frederick & Leanna Provance TELEPHONE 895-1461 SQ. FT. OCC. BUILDING VALUATION OWNER'SMAILING ADDRESS P.O. Box 282 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 43.00 12616 Doe Mill Rd., Forest Ranch PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome L Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition 1:1Remodel ❑ Utilities ElInstallation CY Other ❑ Describe Work: (2 Bedroom) MHI PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( III OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 )/ nQ(/p �'/ �� �� i-• /" W V ✓ �•/ NEW OR ADDNS.T ( DWELLING ACCBLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 511 I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) AL.@00 1.50 Ex. Occup.UT ED (RESID OR (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. CR I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating V` Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X"zcr 11 /�/l/LI✓` Date S gnature of Applicant O ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ- I D. FEES IMP I FLOOD CDF PAR PD D This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date W, PERMIT EXPIRES ON f tel Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r BUTTE COUNTY DEPARTMENT OF PUBLIC.WORKS 7. County Center Drive, Oroville, CA PHONE: 538-7541• MOBILEHOME INSTALLATION SHEET. 1 Owner's Name:�- 2. Installer's Name: ��� • 3. Is the site currently under permit? Yes No " (If yes, furnish permit number ) OR c Is the site an existing site? Yes No a (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 a No a (If no, clarify -5: -What is the mobilehome electrical rating? --------------- 0 Amps 6. What is the mobilehome site service rating? --------:----- Amps 7. What is the mobilehome site circuit breaker --rating? ------ Amps 8. Is there any other e.lectric.load to be served by the mobilehome site -service? -------------------------------- Yes No (If yes, identify the load,and size: (Load) (Amps) 9. What is the-mobilehome site gas pipe size? ------------- .(in.) 10. What is the type of gas service? ------------------- Natural LPG 11.What is the gas pipe.length from'meter or•tank to the } - ---- --------------- mobilehome?---------------------=-- (ft.) 12. What is.the mobilehome gas-demand?-----------------� f°. ' (BTU-) ,_,�� fie. *(This information not required if; pipe length e than (Fft.on natural gas or less. than •50 ft. on. ,LPGj')4� ®V r l Im MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.,�/,a%i�/C�-Gi�� furnish Setup Model No. "' Year Width #7? _(ft.) Box Length�::Z4(ft.) Tagalong or Expando Size' J1 t. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one)IE1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)Concrete block.F 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE M Main Beams Line 2 Main Beams Tag or Triple 1 -ink Line 1 Line 1 Piers: Line 1 Openings: Size -Min. nx ------------ Size -Min- ------------------ u Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- '_ n With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof Loads: Size -Min .------------� Location (From Front) _ Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- „ Line 5 Roof Loads: Size -Min ------------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x „ Spacing -Max.--------------- From Ends -Max -------------- "x 5c I k "x Ix 1.1 k 'k e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing -Max.--------------- r_ „ From Ends -Max .------------- '- ,.x a .,x „ 1. .,x I. ,L_ O ,ix 1. ,l_ O „x 1. Location (From Front) - - - - - - '- t i )9l 'Abl 1 /OZL loot _ 108 "y 109 ,ob ,oZ .r Inc. RC). � = �S r� rpt t��: AA- - - - -- . - - ---. r - - �__�•=_-:-� - � :__� _.�:: _. __. � bo CL • l -� 20 - -•--- - _._.._...�_ /opt — I 09t MILDING BUTTE COUtVTY DEPARTMENT -08t A"`tR"NVFr _._ CpwbuL�IZ v3vL(,�s /OOZ ryZ ` I_ � -1 1y 4,:! A` COUNTY OF BUTTE - DEPARTMENTOF,[� .-VtLOPMENTSERVICES -BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVILLE, C. A?lRC NIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /'/� L P..g n/r�/.a- /djy�J /�.✓c A. P. No. b �� 2y_ D Proposed Building Use ,fir / 2a ti Building Inspector L- Date v At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED BY 1_ All items have been submitted. ....... *- * . .... . * A d ............ .. t2. Plot plans, 3/4 sets, signed by preparer of plans. a 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A." 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. .......... /.......... . Engineered truss details and layout in duplicate (required prior to plan check). .. . Mobilehome data and manufacturer's installation instructions, 2 set6. ...........� Fees of $ . ................... GN. ??!,. (? ... Z X, 1 Impact fees as shown on attached schedule. .....`... 12. California Department of Forestry plan approval/fees. ..... W Flood elevation letter (100 year flood) b California Engineer. ..'4. Sanitation and plot plan approval C/�c O Health Department. .... . ..... •�`Nr- 15. City of Chico plumbing permit . ............................ "t,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). ......... n �yu- 20. Pre -inspection for required. .. to Bu;;d;ng;nspedor �•.•-�oaie� 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... Owner -Builder Verification (Given to owner , Mail to owner _�. .......... . -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: i er. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation QQ Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted•o to 1. Index permit for above items No. 2. Additional items required: not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co t r b _ Date Plans checked by Date Plans approved by Date r2 Sets of plans on hold'in File cabinet AP folder f�C Copy - Department of Public Works R ENTIAL -— �_ 92-1864 P,E 63-24-47 t PROVANCE, Frederick & Leanna 12616 Doe Mill Rd, Forest Ranch mh utilities t 14 k p v A PPP-vuW STAT �-S ® L)I(zED x i� a -, OFFICE COPY Address GAS ate_— Meter By ELECTRIC Date Meter By 1-7�. J=OK , O = Not OKNot = Not Readyable Mg L E- HOMES Date MOBI ME UTILITIES Plans O ce t If's Card B-1 Date Card B-1 Zon ipgRequirements-S s -Easements MOBIL OME INSTALLATION (Plans) OK except #'s oils; Special M upport Sketch ono g Require ments-Setbac ksEjeements er; Location -Test -Fall -C Crete otings; Size - -Spacing- iage Line er; Lo tion -T nt Nr2ded,(eketch) 3. Goe 5 ncity; Location -Clea s -G p&Q mp-Concrete leckcity; MH Test -C;ossover reaker Clearance 6., - t. / G rain; MH Te -FI x Connector ell C arance & Disconnect 6e er; MH Te8 egulator-Connector slily Clearance 7 er and Sewer Connected -C/ o Grade -HD Approval c Date —'3 Card B-1 U Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION (Plans) OK except #'s ono g Require ments-Setbac ksEjeements otings; Size - -Spacing- iage Line 3. Goe leckcity; MH Test -C;ossover reaker Clearance rain; MH Te -FI x Connector 6e er; MH Te8 egulator-Connector 7 er and Sewer Connected -C/ o Grade -HD Approval t, -,—as and Electricity Tagged . Exits; Insp.-Sketch C413 10 Cert. of Occupancy U -6 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 / fPL am(;It 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.-Con nectors 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 tf'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 '4 _ 0* -to U = Not OK Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti'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-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -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 1E. 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 -t Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection - - ------------- ---------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - -------------- ------------- 24. ----- - ------ 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 Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------ --------------------- ---- ---------------------------- 29. Range Circ. ! r 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-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 ti's 34. A.C. Ducts Insulation & Support -------------- - 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. ---------------------------------------------------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 'ingie &- 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 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. Stags & R_ails 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 - - - --- i2. 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 7-,. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard -Rails & Deck -Co ristruction -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 -------------- ----------------------- P - 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under9 round 86. Ventilation Throughout House -------------- 87. - Glass Protection -------------- ------------------------------ 88. Corrections from Previous Inspections ------ ------------ -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------------------------------ 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- ----- --- DCard B-1 Date Card B-1 --ate----------- --------------------------------------- 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 WORKSpEgAI _ 7 County Center Drive - Orovtlle, California 96965 • Telephone: 916/538-7541 RA f APPLICATION AND PERMIT ASSIKSBOR PARCIIII.. NUMFOUR 063-240-047 ZONING TM -10 BUILDING PERMIT OWNER Frederick & Leanna Provance Y11LEPHONE 895-1461 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 282 Forest Ranch 95942" X847 CONTRACTOR'S NAME Owner TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 12616 Doe Mill Rd., Forest Ranch Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 2@ 15.00 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Instal lation ❑ Other ❑ Describe work: MHU Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 11 Main service SS 200AORL00V Oil ESS 18.50 18.50 Main service 200A TO IOOOAI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST. DWELLING OCCUP.E OR ADONS. ( ACC. BLDGS. 3.64 sq.ft. NEWCONSTR MULTI -OUTLET @ 5.00 NON -R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS (RESID )LNSREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 Permit Fee $4,03,50 — 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 FiIingFee 15.00 Heating Cooling 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 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 id County in co eq nce of the granting of this permit. �� Date G �F��j Signature of Applicant — Owner ® contractor ❑ Agent ❑ An OSHA ion of structures toverr3 Storiesoineheigvhtions over 5'0" deep and demolition or construct. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $113.50 HAz I DFEES I IMP _ I FLOOD •— CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- i sions of the Bu a County Code and/or resolutions to do work indica a for which fees have been paid. R OF PUBLIC WORKS By Date ? Z� PERMIf EXPIRES Date Z - Z! - 1-7 Receipt NO. 116251 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I ' ,t .0 YUfi1TY OF BUTTE - DEPARTMENT -OF PUBLrC:WORKS -BUILDING DIVISION � e 7 COUNTY CENTERDRIVE - OROViLLE "CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER LE/T wA -FeQV/ 1/�� A�p� Proposed Building Use Building Inspector 'Date At time of germit application, I was advised the following data must be submitted prior to permit processing and/or issuance: t r DATE RECEIVED BY II items have been submitted . ........................................ O 2. lot plans, 3/4 sets, signed by preparer of plans. . .......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... ) t 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. t 5. Hazardous Material Form. ' r, 6. Energy'Desigr Compliance and supporting documentation . .................. '. 7. Statement of I1 tent for Non -Heated and A/C Buildings . ..................... . r . 8.: Engineered ti ss details and layout in duplicate (required prior to plan check). .. p 9. Mobilehom data and manufacturer's installation instructions, 2 sets. ........... ° 10. Fees�of4$"il, . ......................................... 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 Engineer. . If 14. Sanitation and plot plan approval QdLoHealth Department. ....I. #-Q . City of Chico plumbing permit. ........ .... .................. . Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. tanning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. ...... . Driveway permit (construction approval required prior to occupancy). . : N4.pAtO Pre -Inspection req re -inspection for 16 IJG'ZJ� -7/2092- required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............. 22. Certificate of Workmans Compensation Insurance . .......................... •t Owner -Builder Verification (Given to owner , Mail to owner ............ p. 24. Recorded copy of Agricultural Acknowledgement Statement . ...................� : Letter of signature authorization . ................................. opy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27. Letter of intent on building use . .......................................... li 28. Mobilehome utility clearance . .............................. .I.......... . 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 Applicanf ��`�Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air. Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to nermit issuance: (Circle new item not checked above). �1. hx permit for bove terns No 2. 2�1dd•�n ' e -req it .: � I/kA 2Cf . lD Zf „Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _ Date Contractor, designer, wn ' was advised of above required data by �'"(5F',181" _ mail Counter by ►j Date 2G '92• Plans checked by i6LAZ Date Plans approved by }! Date - Sets of plans on hold in Ie cabin_t folder ,Q Copy - Department of Public Works _ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ' CORRECTION NOTICE k1 4J OWNER 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.lfyou have any questions pertaining to this matter, or need additional explanation, please ct this office immediately. _e Date/9-9-53 Inspector REV 10192 .; �n`th �4.it7'rfi'l�•�"C F"`l„N�1fhf�...��!"X+(. $°'`$�W^GiK- r it.hr'��w`rtic't'' ..�.i4,riii Ptw �cxr-r %(�t BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FOAM (One Form Per Building) School District C6)5 D Building Departme t No. A.P. Number(rj —61 ri diction City County Property OwnerC:`^—�/Y%✓/� �/�� 1'WyC Property Location/Address %p` (O Subdivison Lot No. Residential Development �� Sq. Footaga ge No. of Living MHI Addition (Group R) Units Commercial/Industrial t„ € n 0. Sq. Footage New" Addition (Including Exterior Roofed Areas) Building Department prese tative Date (Floor Plans reviewed by School District Personnel) ; District Identification No. C / I CgD School District certifies that . h 6L (Applicant) . (Street Address) v t A n' (City) >A (State) (Phone. Number). . (Zip Code) �.a has complied with the requirements of Resolution No. _ yC/�"by payment of $ representing square feet. School District Representative f'►U" Paid by Check Number Bank Number Paid by Cash 'Remarks: 0a 117 *5 Date 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 w 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. T White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) COUNTY .OF BUTTE - Department of Public Works 7, County,Center Drive, Oroville,'.CA 95965 Phone: 916-538-7541 OWNER-BUILDER'VERIFICATION Attention Property Owner: w An "owner-builder"'.building permit has been applied for in your name and bearing your signature. 3 .'Please. complete and return this information at your earliest opportunity to avoid - unnecessary delay in'processing and issuing your: building permit. .No building permit will be issued until .this' verification is received..• 1. I:personally plan,to-provide'the major -labor and materials for construction of.. - the proposed property improvement (yes or no) 2. I (have/have not signed an application for a building permit for the proposed work. 4 3.'*I have contracted.with-the-following person (firm) to.provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to'provide portions of this. work, but I have hired the followi`ng..person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will -provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ' Name Address Phone Type of Work M i S igned Property Owner Social .Secur t Number 16 - / Date NOTE: This Owner -Builder. Ver ification is -sent to you as required by.Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. IIWIW14y 0 > LN E ' S HOUA11SING CONCEPTS 1 - _ 2175 FEATHER RIVER BOULEVARD ' OroviHe, CA (918) 5-34-8236'ON . l j0 00 I!. ! I" !, I I! I i I j I It ;I - ���.-_L_l. I I II _.� _,.. i � I I ' �._I 1 i l .I ..1 — —i..... i 1- �. ! I 1... ; . • i I •I ). I I .i i_ � 1 1 I. I i 1 '— , 'I !' I I I , 'I' 1 I \T� it 4• ! .I ! I j , j I�'i • 1 ' I i ! N -!I I I L.; I I ,..I.I ! , I � � `. � I j•I i.: , 1 ! I ' � 1 '' I'1- - '_I� ... I I 1,Jt �.. I I 1 i j I , . I { I' r- ! I -1:- i. i - I i ! A�1 '" � :+'I_ ! :I:.l .I I i • i !: :;_ ( I- ! I j� I• � 1! �'� i i � ' -I I � � � i. l :I�. I � :��. _.•�- i :.i-. _ I — _ � _ i.. 1. I i I ) I I ! 1 I 'j• I� E i ! ; 1' i j I j !. j ! I IJ .I _ ll _i .. •I 1 I I! ... t 1 i l ' I i ! 1 . I I I.• I. I Y, I. I III : _1. ►.::I. -I -� .� _.. ! _j, )-j ,j ; )IIi'.s II!ij.I�i I IIS � I I I I i r I I .j I I ,! : i l I I I : i j' 'I 1 '• � ; 11 , 0 B.I.N. REQUEST FOR INSPECTION Location: I Z(g(G+ Vo �__ MILt V2C�h No. 'tel, btl H ! T_F_ AD YJ YLESS SE 6 •Owner.V0' VA"Ct = ContractororTenant: Complaint: * Of Uk)ITC (am 12�iece .:�� BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - Form Rough Rough. INSPECTION Frame/Underfloor Stucco Lath Stucco Brown Fireplace . Bond Beam Insulation Top Out . Gas Piping/Test Temp. Gas Sewer Piping Water Piping Shower Pan Temp. Service Service Underground Well Circuit Light Niche Corrections Final Housing Job Status Permit Renewal Verify Utilities OTHER Nailing Corrections Final Corrections Final Corrections FinalFINSPEC.-ON—f FOR �, ^ ealu A.M. IYUJ�. , 19_ P.M, Date: Time: Note: PRE -INSPECTION OWNER: P,2 O V A62e DATE . . Mil I92> LOCATION: ' ►2� I (� bni 61 If.L 9Zp. `�OIZC-gT �aV� )�1.` . A. P. # Q(o3 =Z�fl —64'7 CONTRACTOR : p (r /►11��L ' " ------------- ZONING TM- /0 PRE-INSPECTION FOR: DATE TO •INSPECTOR. PERMIT, HISTORNONE Com -4S FOLLOWS 4 i4 'V 0, �o Akajd 11as /q6 X30 74:q/ , 3163- q0`-klAtE 1i DTT;; 3332-`r0 e,&cL c fr lbN7J Cc��ilr��rhay � 7' ISs11�(D�, _ ^u�cll �•r rssy�o�;i • P� ���y �o�p•_ �u�Lu D�,c��y� . pU E:! n1fi(J # q 2. f86� �x � 6 mQbtZe p4tpy n SMOZ GE . TYPE OF OCCUPANCY w - FIELD - INFORMATION BUILDING USAGE: N f .TENNANT: E0 ,OCCUPIED .HAS ELECTRIC' Nd HAS GAS HAS SANITATION FACILITIES Y Nv HEATED -COOLED ivv PERSON CONTACTED OTHER COMMENTS - ,0( o-% A/p, /� �L ` G✓,c�(� • , �►• ;�C., li�c�Rr iyLt,ar�x.(� dGi�tc� ati b,�.�.� �.c,c_, ` �fM.Cn.t' p ��M�%1 �LJNLQ� • -ACTION RECOMMENDED: •ISSUE �0 HOLD FOR OTHER:- THER:BY BY DATE 7 -,-Cd 9a- -i L, t4, .o91 .014 .OZL .00L .08 .09 ,Oq ,OZ ,08 L ,OOZ NA PORTION SECT1-S l79 T;3lV, R.7E, M.D. 8. 8 ) 1.76 AC 33 i4 o.69Ac . 64 SUMMER PLACE ,S N 89017'!r 'E 1305. 87 - - - 503.87 � fir;- 3D5.8.7-_ - • - - -I - - 0 20 ,�J f 7 Q A.54 ACI �a CO 1333.62' r 1.� ^ 2. /' I 26.98 AC 2 r . 350.00 c, I CO b 1 3/ 32 v I �, 7 -� ,� 2 b� Oi o 630, 3. v: AC 0 r_.74AC lv.7v h 4L67AC X24 1333.23 AC`, 3F 3 vO p to c� Q $� 10.78aC � 1 //os- 10.014C � �1 3.03 A C. �'( c�,h� 6 PM 70-85 332.84 !o- 822.84 510.UU /133.96 _ r 666.42 I - 9 9 I 115 I r • - 38� - -- - r r6') I I L oe 13s3ej a 3� 15.78 AC J �o u5f. O � - � I I s • 28 I 00ac= 19.61AC= 21.52Ac 51 580J52 I I ��' - ' • 4e I 236 ?2/ I I I I 46.r5AC 52 2AC= 'y]_ 6013.66- .3457.05 r _ 2T i.89 � 12:_,_DAc 47 o h 9 :,i.O o h I 22 a _5AC- 5 `C�• 03 �45.OU 14.12AC AC= 5AC= 28 py�'I 4/ i or5.1JU I �2 igoos/ O I 25 .5AC-5�25�3 13.78AC rn �,�,� 2 r9.6rNC- 27 �D I 4 �SF6 45 I 2.5aC= 2.5A .5AC` 14% 44 l2 0 D O o i � '; 123.92.:C +C' 5AC- 24 23 gym; ,3 ni z I m PM79-4 1 I a - - - - - - PAPr4 - RDS ��.�� y _ St < C' PM 63-54 19 2.74 69133 WN IAC! 19 I 54C* 20.004C 61 /4 5AC- /5 ; 333.61 .4 C /� County Center Drive, Oroville C'l 95965 Phcne: 916-538-7541 RE: A.P. # 063-240-047 With reference to the above subject: Attached is:. Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 11-17-93 Mobilehome Utilities Installation Sheet- _Mobi 1 ehcme Instal lation Infortitiatioon Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance Permut application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. - Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. % Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. % Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City. of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for , Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workman Compensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/ expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes corked in red. r Vi ►11 ALI. BLDGSOR STRIMMIRES 9 THFTR- - Should you have any questions concerning the above, please contact TOM MAY of this office. DP:ahb Yours v David Purvis Manager, Building Inspection j L.SN, m)t PORTION SECTIONS /6 Sr /79.7 , IV, u. v. L, 32 oti•� 1 /?o,.S; fad X3-01 sst� ' /.76AC 33 34 0_69AC I SUMMER ACE 819 RD O�- ,. 7 8 N 01741 S 3.8 . Y"^BTS------ ---- -1305.87 ---I,' 16-465Q- i 621:e_- /frw32t 18 /7 / 0 206 PM 63-54 �[nI) .� e ! ra , O 1 71 63 . 60 SGN 077 '`�/ . . O a 10.23AC 8A b 10.88AC o 14.34 AC' m 2 C'1 r _ 2 ' f a 3 B 350.00 �. I 26.98 AC _ 618.01 1 . 17:600' s a Y j] 3/ O - - h 37 \?63 1 3r 399.23 0 0 2 ►j 3 o Z tt, o /3. AC' O 12.74AC 10.70 �O 'O °i 62 , 2 I!>. M "► A C N 36 m 41.67 A C v h Q 1333.23 O h I 58 ,p 10.36AC 61 10.78AC 0 ; /ipS3410.01AC �3esOr T 1a88AC In 3 o PM 73-18 13.03 AC �' . O 6 PM 70-83 OI 1332.84 'P 822.84 310.00 1/33.96 _ - - - - - - - 1----------- 5 9 �. -03 9 - j:. 666.42 1 / 1 3 /O.00AC. '� 9• \ S i S 1 9 i 38 Ot 6.46 A' .6S J' 6 (617 22.78 AC `.'.� 20.21AC 57 �3s3g�1 9p O 0� h 3 I5.-78ac I 9 39 1 9 e n21.52ACI9.6/ACs 5824f. C' 5 e I o 0 236. ?p I 16J5AC 1 ♦, 52 2AG ' r 3457.03 1 8- 12.loaC / h 9/11s9.1e 47` o" y yi soa T+'* -S 1/i QW 29 , 40 1 1o1215 % ov 7-rfomSE Sd° 6 7 SAC SAC- 645. O 14.I2AC- 3"l1 QQ ,} f 0 33, ,S�a �. �. 6,5.00 I 3Z ,9 SAC= SAC- 1� 28- 0 4/ 016) q 00 .✓ o j I�Q r -/►+S Vi QcJ tic./ / O SAC LI 5 25 �I 5AC- ; r 13 78AC v �#•' d3 - ZY 46 J9.58AC" 19.61 AC- 26 27 42 145 . 39. V.►etr7s 23AC- 2.5a SACS (411, Do 0 T2 0-5 5 .E (DO Q 23.92 AC m % .� TICer'lr� f 7 V'J, i� Vs SAC= 5AC= 24 23 m� 43 - PM 79-4`1 1 3 -?,3V0 Yrs^ - - - - -- -- - - - - PAPYd R 2SAC 23IJC� 5AC- PM63-54 19 2.74 s ZC+ -S 667.38 333.6 333.69 2/ 1 ea-�.,I V.�o.w, c.J-,� 5AC- 7 SAC a SAC' 19 i'z o SO• 20.00 AC M - - - 0/ 20.28 AC= 17 . 13 b 14 SAC- 5AC- SAC= 15 . Assessors Mop No. 63-24 RS 36-74 ��G wx& ' i ?' I8 I7667.22 333.6/ 333.6f SAC- COUn1y. Of Butte, C011f _ r ----, _ Februory, 1984 �7 it .I60 J _,P-ZS'4 0PrD7 �a.rr.. TJ.�O 7 ap )O 0nail O c o' a i Detoil A J ' Scale 1-:.00 0 Q `0 � cn c^Q � 141 f.(C^I t1 iNBWas Z31V ter' I ° I ^ _- Ian �• a J I • gl CaO� I O •g�3i�l' 4 •on;l•., I gl :0 *ona � I I N 87 44.3 1 1 I I C<aMeal;ne A•o;asod UM.25 t• SOO.00 714 There is na evidence "fiat dolxatie water is avoibb", • j .:� .. .. ra � �::•:3 `y fir. - _. - De-toiI B _.... ., "LEGcND= - .. . • _ _-"scoierriod;�rt ��. . . OSef.'t"coppad'r.b . LSSd*j �:��:q�.� - : • Fdird 'i4 sP- LS LEIS 43 PM 55 _ Per .'>:'• `' .�-'Xt'i' :•'x'�+C:; ._ _ ,:.=.}.--> ,, •--'-:'-:-;tea<:;.:,-.o>-. 3018 -21111.o9 s• e•20000 i t• no 00 •. e.o�s•as';' -PAR['FL h4A>'' ` " - ' O t• L AT I PAC O D BookbS of Maps at F=-S4•S &C.G. Bate `a.'ntY Records., 63/SV,b5b56r PARCEL 1 .7F P.MIN 63-u /n THE SEA OF SEC. 17 T23N°R3ENDBOA ' (jtc�0� sol S3. St/S8,721 BUTTE COUNTY CALIFORNIA - 791 79, iV Jaafin w mal by u z643 ., "LEGcND= - .. . • _ _-"scoierriod;�rt ��. . . OSef.'t"coppad'r.b . LSSd*j �:��:q�.� - : • Fdird 'i4 sP- LS LEIS 43 PM 55 _ Per .'>:'• `' .�-'Xt'i' :•'x'�+C:; ._ _ ,:.=.}.--> ,, •--'-:'-:-;tea<:;.:,-.o>-. BASIS OF BEARING -PAR['FL h4A>'' ` " - Et -west sine of sec, 17, sh*u % ' TAB scenter Ob cel) L7 Irw an The porc0 mops fled ;n L AT I PAC O D BookbS of Maps at F=-S4•S &C.G. Bate `a.'ntY Records., 63/SV,b5b56r PARCEL 1 .7F P.MIN 63-u /n THE SEA OF SEC. 17 T23N°R3ENDBOA ' (jtc�0� sol S3. St/S8,721 BUTTE COUNTY CALIFORNIA - 791 79, iV Jaafin w mal by u z643 �Q ro-1--y— C= 3�/oS do sf.eet t ar i J WHEN IiLCUI�D-J) I{I:i'UHN TO: f� ROLF nORNSk IF 600 Main Street #C° READ 8 APPROVED Chico, CA 95928 BY: --- --- A DECLARATION OF WATER EASEMENT AND MAINTENANCE AGREEMENT 6 This water agreement pertaines,to the well described in the water well drillers report #265152 dated 8/20/90 by Earl Watsdn Well Drilling, license #409780 (Exhibit B) and the appurtenant waterline and -well site easements as described in Exhibit A. THIS DECLARATION Made This 19th Day of September 1990. by, and " between Vernon McMath and Rolf Dornseif, tenants in common, (Hereinafter referred to as "Declarants") provides ao'followa:• 1• , Declarants are the ownero.of that certain real property located near Forest Ranch, butte, County, California, -described 6n that certain Parcel map entitled "Parcel Map 79-4" filed in the Official Records of Butte County, California on -.,September 18, 1980 -in Book. 79 of Parcel Maps at pages 3 and 4. 2. PROJECT The real property which is the subject of this Declaration is Lots of�the Subdivision Map` described above. 3. PURPOSE The real property described in Paragrapl2,.above, shall be benefited and burdened by thio Declaration a.nd_a-bra-1-1___b_e hetd_.,_a_o-ld-and-conveyed subject to the following easements, reatrictiono, covenants and conditions whicl%�re r. for the purpose of protecting the value and deo.1rability of such real '.;property. This Declaration shall attach to, and run .ri.th, the -real property, and—s.ha.1.T_tnu:r-e--t`o-the benefit of -each owner—thereof. Furthermore, it shall be binding upon all parties having any right, title or interest in such property, or tiny part thereol, hcira, assigns, and auccecooro •'n interest. 4. OWNER; For the purpose of this Declaration the term "Owner" shall mean and refer to the record -owner or owners (whether one or more persona- or entities) of a fee simple Litte to any of the pro.iect, described in Paragrnph 2, above, Including contract sellers, but excluding those partied having such an interest -merely,aa security for the performance of any 'obligation. Where one of -the lots is being sold on a long-term contract of'sale, it shall,bu pr,eaunied.that the "Owner" io the•oeller, unlcoa seller and -buyer have sped-fically agreed, In a document recorded in the Off!.ctal Records of ButCe County, Chat Che nitr.n I•Fhn n-linr For thf, n11Cn0n(!n nF thin Dnclarntion. �l 5.GUESTS: • ::.,:'; „ . For the purposes of this Declaration, the term''"Guests" shall mean '-and refer'to all-of those persons which an Owner has allowed to use his/her lot and/or allowed to use the common easements, described herein.. The term "Guests" dhall include, but not be limited to: family members, guests, tenants, sub-tenanto, invitees and* contract purchasers. 6. NUISANCES: No person shall engage in any activity within the project which unreasonably interferes with Khe peaceful use and'enjoyment of the project by any other person. In particular: A. No persor�'aha11`engage in any activity', or allow any condition which would have the affect of creating an unreasonable hazard to other persona or wiIhhnve the ef_f_ec_t_o-L i�.r-eo;ing f-ire- i-nsuranc-e--prem-f66i wi-Ehsin - �C h.e--p r o j.e e t ;—and` . B. No rubbiah,,trash, garbage or other'waste material shall be kept or permitted on any lot, except in sanitary containers. The sanitary containers shall have a capacity which is adequate to die pose of all of the ordinary and customary waste material from the dwelling unit located on that particular lot. All such sanitary containers shall. be maintained in such..a manner that no odors, flica, vermin or other unhealthy conditions become associated with the sanitary containers. 7. DECLARATION OF THE WELL SITE EASEMENT: Declarante h'rreby' declare the "well site easement",.-,as described Ln attached "Exhibit A" shall 'be used for the mutual use and enjoyment with all the Owners and their Cueoto of the project, subject .to the terms and conditions as described in Paragraph 81 below; 8- USE-AND ENJOYMENT' OF..TFIE EXISTINC..WELL. SITE LOCATION: The existing well site,-as described in Paragraph i abve, enall'be . used for the mutual use and enjoyment of the Owners and their Guests within the project, as follows: A. This existing well site shall be used for the extraction of home-s-tIc —w.a er and 1`r-r-i-g-a-t- o.n wa_Ler to be used upon the land contained within the project. l:n addition, the existing well location shell be used for the repair, maintenance, replacement and reconstruction of the existing well, along with the pump, pressure tank, utility connections, well casing, water ..: pipes and other related equipment associated with this existing well; B.T_h1s—exie ting—we, 1.1 o_1-t.e_o.hall be used-exclus:ly t i've=o-.provide cres'identhal--domeoCic water--and—ir-ri-gation wa_ter_f.or__the---r-ea.l;,pperty: — _ — ro_ ---t located within the project. In addition, this well shall .only �se.r-v-ic-e ones- --- - s-Ingle=Tfamily_. dw.e_t-li-n-g---for each of the four-(-4)-pa els`li,e_ted� in Paragraph 2 above. That is, in the event that any of these'patcele is further divided into sub -parcels, then this existing well, described in Paragraph 7, shall not be used to provide domeotic water for any additional dwellings which are established upon one of Che oub-parcels. The Owner.of that sub -parcel may establish a private well upon that cub -parcel; C. The normal and cue tomary consumption of� W.atex_ "f-or=d(omee'Eic=r-es_i:denCtal dwelling purposes shall have •a preference ower—the uee._of. _thi„s ua_te_r_f.or i.r-rlgat-ion--purpoe_e©_ox-_for_�r_e_c-r_e_a_tlo_n:n_1 _pu_r_posre (such as swimmin° `�- g' pools). In the event that there 10 a shortage of water, nq--p.ereon s:ha_la�unreae_onab-1-yam consume water in a manner which wia 1=unr_e,ne_onab,l-y_-i:n.te•r:f;ere Watbhe use and enjoyment of water by the other beneficial users of the community water system; D. The Owners of each of the four (4) parcels dhall'cooperate among themselves so that no person will unreasonably interfere with the reasonable needs of the other parcels to obtain water. In the event that there is an extreme shortage of -.water, then the Owners and their Guests shall'cooperate among themselves so that each of the four (4) parcels has'a reasonable amount of domestic water under the eircumstancee. 9• DECLARATION• OF WATERLINE -EASEMENT: Declarants hereby declare a waterline easement', as'ehown'on the attached Exhibit A. A. This waterline easement shall be used for the installation, rehair,replacement and maintenance of the underground water pipeline system(s) to transport water from the water well as described in "Exhibit All to the four (4) parcels contained within the 'project. The—wa_ter-_plpa-1-1-n"ea- for"Che mu,tuna�wa,te.r e_y_etem_ahal1 be i_nata_1.1,rdrw Chin th1-s easement; • and -i D. Furthermore, in the event r.hat the Owners of any'�Pa 1 elect to install their pri•va•te water .distribution syetem, then,these„individual ' Owners shall be entitled to utilize this easement to install their private Pipelines for their individual parcels. -3- y` -". 10. OWNERSHIP OF THE: COMMUNITY WATER SYSTEM: , The Owners of the four (4) parcels located within the project (as shown on the parcel map, described abo.ve) 'dh�ea.ch_have_an undi_` idd- d y j 'Zone-th-Cr/4),o-weer-s-h-ip=in-tereess_t'in the;c,ommunity sy_stem� rfft-luding-; dl ` but no.t-11m-i-ted_Lo_the_f.al-l-ow-ing-;.� A. The common well,.described in "Exhibit. A" - along with the utility connections, pumps, pressure tanks and other • equipment asoociat�d w1:dh that common•'we11; B. The main waterline extending from the common well and extending out to the individual parcels within the waterline easement. In particular, this includes the water shut-off valves and anti -siphon valves which are attached to the main waterline. Hgwe-v_e-r-; the=f-eed.e-r "l nes�;_which `extend 'tf-r o m --C h - ems oo'-of . v a l v e t o t h e I. n d I v I d u a I p a r -c e ls=s=h-a A=b-e�o wn=e d—, -rig e -pa i -r e d ��.. .' and .Lased-by-=the=L-.nal_L-v-iduaL--Owne-rsrus-L-ng--thos-er feeder -lines '•' 11. BENEFICIAL USERS OF THE COMTIUNITY' WATER SYSTEM: • =+ As described in Pnragrixph 8.above, the following Owners shall be'the .,: beneficial users of the community water -system; A. Initially, the Owners of all four(4) parcels, described in ;'. Paragraph 2 described above, shall be "beneficial usersof the community water syatem"; F. •^ E• B. t>towev_er,-the Owners of an.y Pa-r-ce-l- have=the=-r-i'ght-. to -w Ltlid raw..tfrom . th°ee_c_ommuni-t-y--wale-r-oy t-cm-by-r=ecox-d-i.ng,•.a;docum-ent^entitled "Statement of Withdrawal from the Community Water Syotem" in the Official Records of F Butte County. When and if one of these Owners has so withdrawn from the community water system, then that Owners) shall no -longer be a "beneficial til user of the community water oyatem"'; and C. Furthermore, in the event that any one.of.the four (4) parcels is' further subdivided, and in the event that an 'additional residentialT` structure is built upon one of these new subdivided parcels, the Owner of a that new realdential structure would not be entitled to the communtt ,use. ~:fin water sysaem:- Therefore, the Uwnet•of the additional residential structure would not be a beiVefici'al u©er of the community water syatem. REPAIR AND REPLACF,MENT OF THE: COMMUNITY WATER SYSTEM: The beneficial users of the community water•syatem, as described in Paragraph 11, above, shall ind-iv-ldually�,and_collective"ly be oobli.gT'�- ed�to, 3 r ' , repair! main�af n rep-lace-and_r-,econa-t-r-uc-t_thb.-commumi-ty-wa-ter�nye 05m r F. -4- 4- r as. follow©: ' A. —The—community water system shall be maintained-in--a•-Nafe---functt;ona-I -�"`• v and�re eonably�acti'vc cond-ia.i_on�Wh"i.c1.1 oes�no.t_re`present_an-unreasonable Chr;e:a-t to_any_peraun- o_ _L-hirEii� In particular, the well site, the electrical connections and the machinery ohn11 be maintained in a manner thut,:.euch facilities are �'re onabl-y:a.afc Erom�cnuciing-physinj.ur y o p ere one an m a'1 -s -o i---t_h-1-n-g-e� B. The community water system shall be maintained in a manner which is consistent with the health re;;ulations of the Butte County Department ` of Envirownentnl .Safety, nndthcoy� eha;Per_iodical-),-y be -drained and can Cl'ze:d:..in-awmnneer cons is tcn.t*�w'l,th.�thcyr-u-1`ee and regulation© pf, that '`'"".--1_ _,.w.�• moi. __.._ agency, so ns-torpr•o.vide_water which ie safe,:Potable �and•la not CLrgid or f -out ta.orti_n=g, e�-f_a`r ns=suc:h o tan_dar-de�are`rieaeon-ab-1,y-obtainab-1e, C. In the.event that it becomes apparent that. the well must be deepene.d.and/or 'the..capacity of the pump must be expanded so as to provide reasonable amounts of domestic drinking water for the residential dwelling units, then the beneficial user© shall col-l-e.ctive y'(a-t.their dol%lecLive oxp—ease)-expand the-o-aparityof-t-hcwe -1-1-and- pump-systetn- However, in the event that any Owner or Owners• desire to expand the system so as to provide increased capacity for irrigation_pur.-poses, then the other Owners shall not be required Co expend their funds in order to expand -the aye tem for irrigation purposes; , D. The conditon oL the well, the pump and the delivery'eystem shall be maintained in a good state of repair so as to provide reasonable amounts of water to the parcels on a';regular and uninterrupted basis. - E"'�The feeder=i'in" es which-d`letribute water -from -Che -maim -line -shall -. ---------------------------------------------------------- F. Each -parcel entitled to receive water under this agreement shall; prior to actual use of the water, [in to all=a_min.imum-1--,-000--ga`l`lon storage to kiwi-th�a--F1rc DeN.n.rtment connection and_the_Fi- re�De'()_Krtment s_hn-11-b ono-Gif-lcd�of the-i=oca-t,ioi�of c tn" k a d-w1l'-h- �42-Ot^ a more--gallon_pressur_ej t o n� k w` i t h`_a s_o_o-r t_e d -v a-1 v s. e-and=w a t e r l`i n s. o-on--th e -i r -i n d -i v i d u_a-1_ 13: • JOINT BANK ACCOUNTS: The Owners shall establish and maintainarjoinl'�`bhhk accost as follows: ..� A. They ehall'establis}i the bank account -in a commerical bank or savings. and loan which is licensed to do business in the -State of California and which maintains an office in Butte.County, California; B. The bank account described herein shall c.on-ta=in-the=names of-`a,h- of the beneficial Owners for that particular account. Furthermore, any withdrawal from a account shall require the signatures of a majority of the beneficial lntereuts for that account, as follows: Eac11_-beneficial p_a-r-cel shn11'be gi_venione '(1) ownereh-lp _interest'; t b. Any one of the Owners for a particular parcel shall be authorized to ac;t on behalf of that particular parcel. 14. ANNUAL MAINTENANCF COST FOR THr COMMUNITY WATER SYSTEM: Declaranta currently estimate that the total annual coat for the repair. maintenance, replacement and operating expenses for' the community water system is the approximate aum'of Five Hundred Seventy -Six Dollars ($576.00.)., t►pper r*, *,'d calculated as follows": Repair and Maintenance. . . . . . . $ 72.00 Utility Expense. . . . . . . 304 .00 Impound for.Replacementa. . . . . . . . . . . . 200.00 Total. . • . . . _$5;76.00- IMPOUND PAYMENTS FOR THE COMMUNITY WATER'SYSTEM: The The beneficial Owners of the community water system shall monVT1'y pay their pro rata share of the repair and maintenance costs of the community water system, as follows: A. The estimated annual coat of repair.and maintenance.(which initially is estimated *to be $576.00) shall be divided by twelve to establish the monthly impound necessary for the project; B. The number of "beneficial Owners of the community water system" .hall be divided into the monthly impound, as described ih Subparagraph A, above, es tabli©h the monthly pro r`dta `©fiats ofTthe--Ilbettefic ai- Own -e -r -s o -f- " t•he community water eystem.11 Initially, this sum -'is estimated to be Twelve D�o�11 are -(-$-1-2:00)-pe-r-_pn rc c 1 _tieing used for residential or agricultural purposes, per month, based upon the presence of four parcels. Any parcel being held as vacant land with no water use whatsoever, shall pay a discounted ,5M share) (estimated at.00 6- $ per month) of the regular pro rated 'share. —' Declarants shall be exempt form contributing to the water fund system, unless a residential use is established. C. (Delinquent-fees-shall_be 1.09'.-per-_moneh. D. Each beneficial owner shall pay his/her pro rata share of the monthly impound into the bank account described in Paragraph 13, above on a monthly basis in advance , due on or before the first day of a particular calendar month. This payment shall be delinquent and the Owner shall be in default of his/her obligations described herein in the event that such =. payment is not deposited into the bank account by the tenth (10th) day of ' that claendar month; and E. The obligation to pay the monthly impound in the amount of twelve dollars ($12.00) per month, per parcel, shall remain in effect until the . Il "beneficial Owners of the community water system"'h� aye`by majort,-y vo 1.- ag�eed_in_wr t ng; to change the=amount7of—the-re uired-monthl a However, in no event shall the amount of the required monthly payment be reduced in a manner which unreasonably interferes with the ability of the - beneficial owners to repair, maintain, replace and reconstruct thy,community water system in the manner described in Paragraph 12 above., 16. PAYMENT OF REPAIR AND MAINTENANCE COSTS: In the event that a majo'!'rit of the beneficial owners of the community '•', water system determine that these common facilities-are reasonably in need of repair, maintenance, replacement or reconstruction as descreibed in Paragraph 15 above, then these Owners shall accomplish such repair,-maintenance, replacement and reconstruction, as follows: r A. In the event that the work wi-1-1 cost=less=than=Five=Hundred=Dol=lars ($500.00), then the Owners shall obtain at least one(1-)=written-bid...- itemizing the services to be performed and specifying the dollar cost, prior to the time the work is performed; B. However, in the event Lhat the work will cost more than I e ii�dred Dollars ($500.00), then the Owners shall obtain at least-three-(=3)�wrt.ten bids itemizing the services to be performed and sp'ecifying-the dollar cost.. thereafter, the Owners shall select the lowest responsible bidder to perform the sevices; ' C. •In the event that the impounding bank account for the facilities t ^' to be repaired, replaced or improved contain-suf-fic ent--funds-to-acc mpl ash the repair, replacement, improvement and/or reconstruction, then those bank account funds shall be used to pay for these services. However,'in the event =' that the repair, replacement, improvement and/or reconstruction hosts-exceeds N . K the amount of such money held in the impound account, then the beneficial Owners of that facility shall, (Vr:r r to the commencement ofrtYie work"" —,_eeac_tS . . con tribute-t-he-ir pro-r_atassha _e of�s.uchycosts' - D. In the event that a particular, Owner fails or refuses to pay his/her ' pro rata share of the reasonable costs, in advance, be `entitled `to file-c-vihacton_aganst=the defaulting Owner Ir�aCoui�t ofs! ..,�. 7app or priate jurisdiction;_and�.� E. However, in the event there is an urgent need to obtain emergency repairs to the community water system, which are reasonably necessary to protect the health, safety and well being of the users fo that facility or in the event that such action is necessary to protect the facilities from ' further damage, t� any of the-bene-f-icia-l-Owners may advance-•the-costs necessar-y-to?-accomplish=such-reasonable--emergency repairs-and ma nten_an_ce, and then-subsequently-each of'the beneficial-users-shall,pay_ his/ ,her pro_rata share=ofsuch reasonable_costsyof repair,�replacement7,_Aiaintenance,�and • reconstruction* Should any beneficial user not pay his and or her pro rata lhgn-e--,F-withrn 1.Ozday-s.zof.:.-demand=,=then=tha-t=user--shal-1-=pay„int.eres:tmof at3the ' rate-of---1 . 8°I'a per annum on"theamount due ' Ft -7- 5••. 16'A w►;+All wateral►i en s and -ut hty- lines in the-mutua24!6dsemerit1to"tie undei round: g., 16AA. WATERLINE CONSTRUCTION Any water line construction within the water line easement to be done with minimal impact tot he surrounding vegetation. Waterline to be placed n -a pr-otec-tive-sl-eeve�iwithin_waterline-easement,-or--buried-to-a depth of-nc less th_ari ?-feet 16AAA. In the event of excessive use of water such as for irrigation by one parcel, water meters shall be installed at mutual cost to determine the pro rata share of electricity -to be paid by the individual lot owners. 17. ENFORCEMENT: Any Owner of land in the Project shall ahve the right ,power, and authority to enforce each and every provision of this Declaration. 18. ATTORNEYS' FEES AND COSTS OF SUIT: In the event that any Owner or the County of Butte files civil action to enforce all or part of the Declaration, then the prevailing party shall be entitled to reasonable attorneys' fees and costs of suit., 19. AMENDMENT: This Declaration may be amended at any time, in the following manner: In oreder for such amendment to be effective, the Owners of at least three (3) of the original four (4) parcels in this Project shall first have recorded a written ratification of the amendment in the Official Records of Butte County. 20. HEIRS AND ASSIGNS: This Declaration shall be binding upon the heirs, assigns, successors in interest and the legal representatives.of Declarants herein. IN WITNESS OF THE DECLARANTS AGREEMENT TO THE PROVISIONS CONTAINED HEREIN THE DECLARANTS HEREBY EXECUTE THEIR SIGNATURES BELOW. Vernon McMath Rolf Dornseif EXHIBIT A Well site and waterline easements for parcel map 79-4. 1. Being a portion of the.Southeast quarter of Section 1.7,'Township 23 North, Range 3 East, M.D.B. & M., more particularly described -as follows: Parcels 1, 2, 3 and 4, as shown on that certain Parcel Map filed'in the .office of the Recorder of the County of Butte, State of California, on September 18, 1980, in Book '79 of Parcel Maps, at pages 3 and -4. 2. Being an easement for water well site with the right of ingress and egress for the maintenance thereof, over a parcel of land described'as follows: 3. Encumbering a portion of lot 1 of the aforementioned parcel map, and being more particularly described as follows: Commencing at the Northwest corner of lot -1, thence 30.78 -feet easterly along the north boundary of lot 1 to the east edge of the road and public utility easement, marked by a surveyor's monument (3/4" IP. LS2843 per ' 63 PM 55), the true point of beginning; thence following the northerly boundary line of lot 1 easterly for 70 feet, thence due south for 40 a feet, thence due west approximately 70 feet to the aforementioned east V edge of the aforementioned road and public utility, thence,northerly along the aforementioned road and utility easement,to the true point of beginning. This easement is to the benefit of lots -2,3, and 4. The owners sof lots 3 and 4 have the option of drilling individual wells.in this easement. . 4. Together with a non-exclusive easement for water line, for ingress and, egress and for maintenance purposes over a strip of land-.20.00.feet An width, lying 10.00 feet on each side of the following described centerline: 5. Running parellel to and 40.00 feet easterly of the centerline of the road and utility easement of lots 1, 2 and 3 as shown on aforementioned parcel map. The strip of'land in this easement lies between.the east boundary of the aforementioned road easement and that line described as the building setback line of lots 1, 2, and on the aforementioned parcel map. This easement benefits lots 2, 3 and 4.' READ 8 APPROVED BY: By: 1 y� -oyaw 1.1 t O t . -TO 5;:� - Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance •` Owner Location AP# Plan' Approved for: Sewaqe Disposal Water Supply f Hold final for: Water Supply Final. clearance 0.K..for: Water Supply Clearance for bedroom mobile home. Other- _,lft y -% NOTE �* Date Sanitarian W -A}6-vcj cl*CtL> C-� ` "-=05 > U W U w 200' 180'.. - - - - --- ---j W. 20! - IIS nn 7th merit 20' 40' 60' 80' 100' 120' 140' 16 1091 10171 ,oZL ,OOL ,08 09 ,Ob ,OZ ILL LZ�. f f t r I :,j = `, I i • ' _...._� i. 1..�:_r I _ � ..r.._� 1 III 1 t .._.__.. { � t _ -^ _ : "� � ,- .. , _.. . _. _.. ._ . __. _'_--• . . f 7 - ' _ - -- IM, - - ;-- --. 1 1 I � ' 1 `T- _ ,__... _ -•- _...� - I I ._I - Y --1091 _.. .. ,m utt� County EnAranmenta6 Moalth-�:.. r ,006 j�•2 '�. �>2 S . � 2�� � • �`�' (yes-C-� - - - - --- - - - - _ _ - ---- r --- — - - --- - - - - -' - '--- - - A rn Butte Co6nty Environmental AP # • OWNER PERMIT -(o MH UTIL . CLEARANCE DATE INSPECTOR, } ELECTRIC GAS Support Compaction ervice Other Pipe, Struc. Test eq.. ize Load -Type Size Length YES. NO YES NO (o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT ASSES R PARCEL NUMBER 6 3 - a cl �-o ZONING BUILDING PERMIT OW ER T LEPH NE SO. FT.OCC. BUILDING VALUATION OWN 'S MAILING ADDRESS %� ,-c ;;->,� Y 'f c CONO C_ TO�i7'S E, ,, /ADDRESS TELEPHONE CONTRACTOR'S MAILING Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1.$ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODFIESS 2 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 Q TYPE OF WORK New7' Addition;_; Remodel (((1 Utilities Installation[ Other ❑ Describe work: Ay V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 r Main service 20rATO 10o0A, 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one )• 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and. Professions Code and my license is in full force and effect. License .Jo. Classification (_J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.g` OR ADDNS. ( ACC. BLOGS. f 3.66 sq.ft. NEW CONSTFL ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUSa (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES A20 76d IXED Ex. Occup. OUTLETS (LN S. R RES10 IE A.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 subjectpermit 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 Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date signature of Applicant — OWner❑ Contractor Agent ❑ ❑ An OSHA permit 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 FEES 3,. HAz 0FEES IMP I FLOOD COF I PAq EL PD I HD I 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. WRITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT N N' .OWNER'S NAME: /�/ �Q�. RECEIVED PERMIT NUMBER: �(�� 7 i A.P.#: (1�� _ ZLI—ZI! DATE10 RESIDENTIAL NON RESIDENTIAL RECEIVED BY TIME --------- 3,. REQUIRED PRIOR,TO PERMIT ISSUANCE —� LE FROM DA OTHER -•-ei 0 REQUESTED BY CORRECTION NOTICE [I YES NO,-- ITEM: 4 LOCATION IN BUILDING WHERE CHANGE.000URS: WHEN APP OVED, PROCESS AS FOLLOWS: --—-..—— — — — — -— =--=-- Mail to owner (Address). Mail to contractor 4o 7� Call Name and Address) land hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK -FEES PAID: $20.00 $40.00 ✓ Additional Fees Not Required 90-40489 90-040499 1 R e c F e e S Check Recordingg Requested By; Bidwell Title & E Recorded WH& RELOADED RETURN TO: Official Records County of • ROLF nORNSEIF Sutte 600 Main Street 16C Chico, CA 95928 Candace J. Grubbs S Recorder 8t00am 21 -Sep -90 DECLARATION OF WATER EASEMENT AND MAINTENANCE AGREEMENT. This water agreement pertaines•to the well described in the water well drillers report 16265152 dat3d 8/20/90 by Earl Watson Well Drilling, license 16409780 (Exhibit B) and the appurtenant waterline and well site easements as described in Exhibit A. THIS DECLARATION Made This 19th Day of September 1M by•and•" between Vernon McMatty}i Ef}t T:�%%jr§� tW2Tffign, (Hereinafter referred to as "Declarants") provides aa•follows:. Declarants are the owners of that certain real property located near Forest Ranch, Butte, County, California,•describod on that certain Parcel map entitled "Parcel Map 79-4" filed in the Official Records of Butte County, California on September 18, 1980 in Book -75 of Parcel Maps at pages 3 and 4. 2. PROJECT: The real property which is the subject of this Declaration is Lots 1 �;i2 , 3 , 4 , of the Subdivision Map described above. 25.00 25.0Q JJ r] r 3. PURPOSE: -40489 .A The real property described in Paragraph 2,.above, shall be benefited and burdened by this Declaration and shall be held, sold and conveyed subject to the following easements, restrictions, covenants and conditions which are 'for the purpose of protecting the value and desirability of such real property. This Declaration shall attach to, and run wXth, the real property, and shall inure to the benefit of tach owner thereof. Furthermore, it shall_ be binding upon all parties having any right, title or interest in such property, or any part thereof, plus shall be binding upon their heirs, .. assigns, and successors InInterest. 4. OWNER: For the purpose of this Declaration the term "Owner#' shall mean and refer to the record owner or owners (whether one or more persons or entities) of a fee simple title to any of the project, described in Paragraph 2, above, including contract sellers, but excluding those parties having such an interest merely •o security for the performance of any 'obligation. Where one of -the lots is being sold on a long -teem contract of sale, it shall be presumed that the "Owner" is the•eeller, unless seller and -buyer have spenifically agreed, in a document recorded in the Offl.cthl Records of But County, that the "buyer" shall act as.the Owner for the purposes of this Declaration. 3. PURPOSE: -40489 .A The real property described in Paragraph 2,.above, shall be benefited and burdened by this Declaration and shall be held, sold and conveyed subject to the following easements, restrictions, covenants and conditions which are 'for the purpose of protecting the value and desirability of such real property. This Declaration shall attach to, and run wXth, the real property, and shall inure to the benefit of tach owner thereof. Furthermore, it shall_ be binding upon all parties having any right, title or interest in such property, or any part thereof, plus shall be binding upon their heirs, .. assigns, and successors InInterest. 4. OWNER: For the purpose of this Declaration the term "Owner#' shall mean and refer to the record owner or owners (whether one or more persons or entities) of a fee simple title to any of the project, described in Paragraph 2, above, including contract sellers, but excluding those parties having such an interest merely •o security for the performance of any 'obligation. Where one of -the lots is being sold on a long -teem contract of sale, it shall be presumed that the "Owner" is the•eeller, unless seller and -buyer have spenifically agreed, in a document recorded in the Offl.cthl Records of But County, that the "buyer" shall act as.the Owner for the purposes of this Declaration. 90-4'04.89 IXIIIBIT- A i Wall uite and waterline,easomento for parcel map 79-4. .1. Being a portion of the Southeast quarter of Section 17, Township 23 North, Range 3 East, M.D.B. 6 M,, more particularly described as follows: Parcels 1, 2, 3 and 4, as shown on that certain Parcel Map filed in the office of the Recorder.of the County or Butte, State of California, on September 18, 1980,.in Book 79 of Parcel Maps, at pages 3 and 4. 2. Being an easement for water well site with the right of ingress and egress- for the maintenance thereof, over a parcel of land described as follows: 3. Encumbering a portion of lot 1 of the aforementioned parcel map, and being more particularly described as follows:: Commencing at the Northwest corner of lot-1, thence 30.78-feet easterly along the north boundary of lot.1 to the east edge of the road and public utility easement, marked by.a surveyor's monument (3/4" IP. LS2843 per 63 PM 55), the,true point of beginning; thence following the northerly boundary line of lot 1 easterly-for 70 feet, thence due south for 40 feet, thence due west approximately 70 feet to the aforementioned east_, edge of the aforementioned road and public utility, thence northerly along the aforementioned road and utility easement to the true point of beginning., This easement is to the.benefit of lots 2,3, and 4. .The owners of .lots 3 and 4 have the option of drilling individual wells in this easement. 4. Together with anon- exclusive easement for'water line, for ingress and egress and for maintenance purposes over a strip of land 20.,00 feet in width, lying 10.00 feet on each side of the following described centerline. 5• Running parellel to and 40.00 feet easterly of the centerline of the road and utility easement of lots:t, 2 and 3 as=shown on aforementioned . parcel map. The strip of land in this easement lies between the east ` boundary of the aforementioned road easement .and that line described as. the building setback line of lots_1, 2, and on the aforementioned parcel map. This easement benefits lots 2, 3 and 4. END OF DOCUMENT ` Complaint Date �a l� C1 Other Date --0- 1 0, t' UTTE COUNTY COMPLAINT FORM _ OWNER < `L ?'LL' L `e' i'� i .:� _� "r 1 A . P . # Address -� (j� C., F� ` �' Ll lr �L�y' Zoning I �� Complaint Location -Taken By: VIOLATION TYPE [v] BUILDING Q --HEALTH PLANNING [ErOTHER��.� . •COMPLAINT: -� k11.� L�-iL `�_t:, iti'`.'� ( f L� .�. �tic'� I u f�(`. •.h_.:�E r �^-•:_'`•-� I�i.L:: ��!<IYZ'�._.�'- �.� �C�� _ C" ` l�� • (---�• "L r Lam( X� Li '�.t i'�Q; L (1(CC,� PERMIT HISTORY ON FILE [ NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name :; m Cyili�Ii_ 'Yl��:` �``— ��. Address Description of Violation c I P X � li'Li.,y-=-� �'�:" r►�.� -J � �-� � C is � (�`�, 1tit'. •� � ti (.;.: <_�Q. - :_,��L'� T % OTHER'COMMENTS: Approx. Bldg./MH Size Approx'. Bldg./MH Age ' Under Construction Built By/For-= Present Owner a ,Previous owner' Occupied 0 Has Power,, Q Has Gas Q Has'Sanitation Facilities = Q Written Notice Given & Attached Person Contacted Describe Action Taken: ACTION RECOMMENDED 7 G c.��. Information only, file 10 Day Letter Letter. /j Hold for Days Other "BY:—i, DATE' "�"v�•t,F�',E,7�!T^,�f'rSr's•'-••rpt,,:,i►„a�:`ir±.;K��`S+.E�7�ii'"'yk�d'�i�''r`F�t�".�'z'Vi�7M:`S�i"'�w ,r -t _:'''�.°:raT�q��""�ft��`.'�.r •. h.i, 63-24-47 3332 OE z' DORNSEIF., Rolf' /afAf Doe Mill Rd, Forest Ranch -(elec for well) k_ t r .F .: :,:.--• yK:::ti:;.::r-�-.... ...�.--...�Y�-,.�.y,t-ter ._.�,�W`1�+.{:, ,.. ^'.:n-�"�'.."'w.,rt.:-..-a,-.�Sh.l,.�'f,roti+�w�%yr'?�K..r..�i•`•+, COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS . PERMIT NO. 7 County Center Drive - Oroville, Califol4nia,95965 - Telephone: 916/538-7541�---.> t^ .. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-24-47 ZONING TM -10 BUILDING PERMIT OWNERTELEPHONE Rolf *or self ' 343--7921...: SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS res+ 600 Main St. CHico 95928 CONTRACTOR'S NAME E TELEPHONE CONTRACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ — ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 P Mill Rd.. Forest Ranch Each Trap 2.00 Tthe Junction A Q O Doe Mlll I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP fEach Water piping 5.00 qas water heater or vent 5.00 USE OF STRUCTURE i SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑X Installation ❑ Other ❑ Describe work: Well Electric for Future Dev. _ RE: B.P. #3163-90 r i Iu�e� /V/;�t� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 1 10.00 10 00 . Main service EA, ADD'L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 oR ADDNSCONST. DDWEACCLLIN GOCCUP.&\ S.I 2y=xsgft NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 9 (SINGLE OUTLET CIR. Ep OUTLETS OR FIXTURES Occup( ccu L 5z0o 1501 Ex. Occup. our P ETS (RESI 0.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 1500 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an expenses which may in any way accrue agains a�id C u ity-'in consequence f the granting of this ermit. %I E` !�- X u �{ i �sz- Date —� A Signature of Applicant Ownere� Con-tractorI F]gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 37. 0 HAz CUA PARK SCI -11 FLD P PD HD IS su Th;s permit is nereby issued under the applicable provi- sions of the.Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p i _ DIRE TOR OF P BLIC WORKS By I I Date 1 D- y�0 I PERMIT EXPIRES ate �v — 4t � / I 73462 Receipt No. WNIT!-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,r r COUNTY OF BUTTE ' ' ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — PRne:x.891-2751 w ,' 7 County Center Drive,.OroviIle — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T V J J G -7 VNER PERMIT NI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. y /./LlwYf/ / / �. 1 On I mt, r Date_ � �i/ Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orbvi�le, California 95965 -,Telephone: 916/538-7541 a APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 7. 63-24-47'1. - ZONING TM -10 BUILDING PERMIT IVI OWNER Rolftornseif TELEPHONE 343-7921 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 600 Main St. C CHico 95928 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN ' Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap, 2.00 Solar or heat pump water heater 20.00 LOT N/O.SUBDIVISION ( NAME PARCEL MAP /, Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[M •Installation ❑ Other ❑ Describe work: Well Electric for Future Dev. _ RE: B.P. #3163-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 1 10.00 10.00 Main service EA. ADO'L too AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 Profess ions'Code for this reason NEW CONST. DWELLING OCCUP.N ORLC) DDNS. ATR. 2/22sgft ULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50Q 9AL®3o FIXED APLNS. \ Ex. OCCUp. OUTLETS 1PRESID.IREA.), 1 2.00 Temporary service' 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 1 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of.California.- Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation p 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, an expenses which may in any way accrue agaiwidt.nconsequence f the granting of thi ermit. X , —� Y-' �� ' Signature of Applicant — OwnerE Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep cnd demolition or construct- ion of structures over 3 stories in height. 1 Mobile Home Installation Fee $. Energy Inspection Fee $ occ CONST TYPE TOTALFEE $ 37. 0 HAZ CUA PARK scHL FLD PAR PD J.HD ISS - Th:s permit is Hereby issued under sions of the Butte County Code and/or work indicated ab a for which fees P E OR F BLIC By,Z-7,--C� PERMIT EXPIRES ate_ 10 ..r the applicable provi- resolutions to do have been paid. WORKS Dateb—y `D t Receipt No. 73462 . , WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �.�,3sr..` �;.r..:�.�..•+�:�yt`-�.3..�.,,i.G%- " '''ri' •fc''�r--s�Si'JY•7'tie+�i`�re+.awa�`F�r+f`�7'^"4..,�r-wY +.i �'� y �-.n..+v, t ��„-.-� � s - COUNTY OF BUTTE - DEPARNZ, OF PUBLIC WORKS - BUILDING DIVISION of 7 COUNTY CENTER DRIVE - OROVILE,ZCALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERM ITA P;PI"GITION DATA SHEET Permit No. _ OWNER A. P No. «.. Proposed Building UseA Building Inspector Date_, *--k " At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation .,...... 7. -Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in duplicate (required prior -to plan check) 9. Mobilehome installation data including man'ufacturer's installation instructions....................................................... 10. Fees of $ ` �r ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ...-f .............................................. 13. School District fees paid ........ii..,.�. � 14. Sanitation approval from Health DepAl ment 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City four other requirements) 17. Plan ning-approy'aI for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (const iction approval required prior to occupancy) Pre -Inspection for /, c ---required Pre-Inspec.request to ' ' Building Inspector (Date) 21. ,Contractor's license information (No., Name Style,`lassification) ... 22. Certificate of Workmans Compensation Insurance., ............. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24/Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. 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 Applicant/75�P/Iocg-e�� Date / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer,. owner, was advised of above required data by—phone __jn\il_counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mai\ counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT ASSESSOR_VRCEL NUMBER 66 ZONING ,O BUILDING PERMIT OWNS W-0 C Ic Dv rh Se. LEPHONE L SO. FT. OCC. BUILDING VALUATION OW NL( 5_F'tAi�,1jJG ADD R�SS_ _ �A^K. G� /�Tf / _3� C 06N T:jR/l/VILCZ) O,R`''SA�•)J AM/,', EJ� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER I , N UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER -6 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI ING ADDRESS h G Permit fee $ PLUMBING PERMIT` Filing Fee 10.00 r4�210 a -A , /V Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME A+Zr.Q ?9 — PARCEL MAP 17F— fl/ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New Addition Remodel[] Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 v �� Main service e001 OR LESS 100 AMP OR LESS 10.00 17, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I' am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner. *or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. yz¢sgft NEW CONSTRESID. RANCHUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20@90e 9ALO 300 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. tYirin g 15.00 i Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I decJ4 under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Count in consequ ce of the granting of this permit. X �G�+ _� ff1/T"" Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE �7 TOTAL FEE $ HAZ I CUA PARK I SCHL I rLD I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT -EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No �_�04!Z_— WHITE-D.P.W.. YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PRE—INSPECTION .z QVNl ER: �� ��/S iii P DATE LOCATION:— �(+ / L L / DG G A. P. n -7 CONTRACTOR;- <--�i �� P� S ZONING ' ---------------- PRE—INSPECTION FOR: DATE TO INSPECTOR )O Q PERMIT HISTORY: .NONE AS FOLLOWS :rjt/�-`�� y % P l iy TYPE OF OCCUPANCY FIELD — INFORMATION BUILDING USAGE:( ' TENNAlVT : OCCUPIED HAS ELECTRIC 'S GAS S SANITATIONFACILITIES PERSON CONTA [FATED—COOLED C'ID T OTHER COMMENTS:. 6 ACTION RECOMMENDED: ISSUE 0 HOLD FOR f- Ce3 www O!LI� 1lG/'1 01► Rs.44�vIV r rS r .�* 9� �''t�r.-+.r� yr'kLi.,, Rs: .w ,x:. � � >: •- _ ! ' .,,;� +� ., „f: r_. -. tt ty..y +y^?�i+' :-xs.r,.a-*''ct fi:... «*f . �s�.•r�_� : 6� j r� j�?;�;`�a`''� .. :.%!^ � �63-24-47 3163-90P DORNSEIF, Rolf E. Doe Mill Ridge -Rd, Forest Ranch ' (water piping) • w . , l �. .. tom. .• . � ' .... P UC••� 2:� �. �LQM-e-� ' 600 ' ... F .. •fir • ' . F . - 4[ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-24-47 ZONLAG 77,710 BUILDING PERMIT OWNER ROLF E. DORNSEIF TELEPHONE 345-4043 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS eto a CONTRACT 'SNA E C & M Enterprise28 TELEPHONE 894-1985 CONTRACTOR'S MAILING ADDRESS p c 042 Ranch 95 Fireplace CONSTRUCTION LEN ERbrct UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS doe Mill Ridge, Forest Ranch Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 4 5.00 20.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Water from comm Well SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work: Water piping _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.&) OR ADDNS. ACC. SLOGS. /zQsgft NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES AL930 .2z0@030 FIXED APPLN S' Ex. Occup. OUTLETS ((RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and Ifeep harmless the County of Butte against penses which may in any way accrue all Iia ties, jud nts, costs, aLfthe again i un in consequence granting of this permit. ` y_ 1/. ,7D X �'`►^ �^ Date Signature of Applicant — Owner ❑ V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 'occ $ CONST TYPE TOTAL FEE $ 30.00 HAz cuA PARK SCHL FLo PAR PD Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated abovg, for which fees DI ECj0R OF PUBLIC / // /'/,,, / BY �) yvDate PERT EXPIRES Date ///.' A/ the applicable provi- resolutions to do have been paid. WORKS /Date�U ' Receipt No. 73413 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT /J LO _-o., ;y. > oa rilvl Detail A -a.i P- LLI ;,r, PC 0 CCS1 No en'2 PW mos s ��ii�l I ' I�1 to 4 It 0 0.21 A 14 W. 16. THE SEY4 OF SEC. r7,'r23H-R3EM0B&M BUTTE COUNTY, e;�Ll F OPJ41A a, 79 st/ srl JOM w km by Ls L843 cp Lkensed Surtcyor fro ... C= Aww, 1979 y. 54,ect Z of L ve 7 LEGEND:,'- _t0i I a 0-')e+.. -copped obo, LS 2Af3 4. 3 scam: r.1d Fauna LS LEIS p, 63 PIA 55 17 Loc,�+;oft MOP PARCFf MAR OF BEARING Tim E?�t• .Vqot cetocr 5k%e of Sec 17 Sh*" os 1481) L7 IX W an -r" p*met op fike-d in for LATIPAC MOR12ME ML TQ' V�- &S L-579 Book. 6A of Mops at Pogo:% 54.55 a 66. , a PARCEL-* OF MG 54,65&56.IN W. 16. THE SEY4 OF SEC. r7,'r23H-R3EM0B&M BUTTE COUNTY, e;�Ll F OPJ41A a, 79 st/ srl JOM w km by Ls L843 cp Lkensed Surtcyor fro ... C= Aww, 1979 y. 54,ect Z of L ve 7 .s t}. PORTION SECTIONS 16 817, TZ.5N, KJt, IV). U. 0•tl1Y1• (0501 J,r' y w 32 oti.cQ ht-is� s�- r2a. S; � 1.76 AC 33 34 0.69AC 11 SUMMER PLACE 819 RD tiI7 8 N °174! - -1305.87 ---lip fi51L 62118-- .�.s.eT------- -- - -1; 16- � r If w �L � 1 5 3.8 roc , PM 63-54 42 / j' L 1817 p StrN 7 I •��''� I / 0 63 I O O r , O •a; 114.304 AC zos- J� I 0 10.23AC 8 p 10.88AC o '' A� S0 I N M COa ;a ! .6 2 / .26.98AC K 678.01 1"- 600' I m 0 2 Z a A 3/ O a 3 37 Z\ 26302 3r I 39i2s O /3�AC' ,Q0 12.74AC 10.70 41.67 AC v � 62 w 2 } a 1333.23 AC `�' 36 40 f 58 10.36AC 61 10.78AC 1 //ps IO.DIAC �3 9p� *"� 10.88AC M + 3 M hj A `► PM 73-18 13.03 AC �' c¢ih 6 PM 70-83 0� 1332.84 822.84 510.00 1133.96 --- 666.42 1 1 i sa 10.00AC. X1599 I \3s9 1 2 I �� (61 ! 1 5 9 x 1 38 1( 6.46 Ai 65 1 22.78 AC . , 20.21Ac�95408 /'96iejl 0 W 4 30 t 3 15:78AC I 39 j I I 29 pV(/ 41.00AV 19.61AC= 21.5ZAC 1 I 5/ 580152 X16 p �\ h 40 p t,O 236 ??/ • I I 1 2 4t�V' S2 2AC= ' 2p91_ 6 _ 1 46.13AC 3457.03 I 12.tOAC t APS 69-Zy-4� 47 h f 29 �; 40 910.00 1 „59.16 r �yr/@ori J Tr`N S J Vj QW -1I5V- O O SAC SAC- 645. I 22 14.12AC ' 33 ,S�a 3 � : lob' � � 615.00 3 � 1 SAC= SAC= 28 • 0 0. 1 �iDi 1 q Vi e j / O 0 SAC �f 5AC 13 78AC q /4Q 39/ 00 19 j� C 19.61 AC- 26 27 42 (4)1-4 asps a5 23AC' 2.5A 5AC= ���.s, s+ Q 123.92AC v q l_ l /`tr'Ir�SI (QcJ1� ;`y.•. VIQ„� I' C.d� 5AC: 5AC_ 24 23 m� 43• PM 79-4Z1 1 f 3� P G4-P 63, i Ly-SSS' yr MCAD � - - - _ - - _ - _ - _ - PAPYA - 2 SLJC Z5�7C� 5AC- PM 63-54 19 2.74 � Z4 66Z38 333.6 333.69 21 1 •e f c s 1 V4 sac-• !/ a 5AC1 5AC19 SAC-20.00 AC of 7 1� 20.28AC= /7 • 5AC- /3 . 14 - - - • sac � sac-• 15 • Assessors Mop No. 63-24 RS 56-74 - z1F w� 18 17 667.22 333.61 333.61 5AC- County of Butte, Calif _ _ r--, February, 1984 �. COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil,le;`C6lifornia 959E5 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER gip. ZO ING' . 63-24-47 tM10 BUILDING PERMIT OWNER TELEPHONE ROLF E. DORNSEIF 345-4043 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS SUite CON A 'S A E TELEPHONE C & M Enterprise 894-1985 CONTRACTOR'S MAILING ADDRESS 422 Fireplace CONSTRUG I N N EWOreS UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee E$. $ Penalty $ BUILDING AD�DRES (/(J, doe Mill Ridge, Forest Ranch Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 4 5.00 20.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other water from comm well Building sewer 5.00 SPECIFY Mobile Home S I G I W 1 110.00e TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Uti Cities ❑ Installation ❑ Other ❑ Permit Fee $ 30.00 Describe work:- water piping _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.& ( ) 2/z¢sgft I declare under penalty of perjury (check one): OR ADDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER NON•RESID BRANCH CIRC ITS APPARATUS & and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. ) License No. Classification Ex. OCCup(OUTLETS OR FIXTURES 20@30C eALO 90 I, as the owner, or my employees with wages as their sole compen- FIXED APLNS. EX. OCCUp. OUTLETS (RESIO.)REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with ontract contract- ors. ors.(Sec. 7044) Misc. Wiring g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 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 g ❑ I shall not employ any person in any manner so as to become subject Hood '3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. 'eep TOTAL FEE $ E 30.00 .00 I also agree to save, indemnify and harmless the County of Butte against all Iia ties, jud nts, costs, an expenses which may in any way accrue HAZ CUA PARK SCHL PAR PD HD again7 i n in consequence f the granting of this permit. X �� G�_ //, 90 This permit is hereby issued under the applicable provi- Date ! sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated abov for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DI C O PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. 734.13 By Date ✓7�� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERAWT EXPIRES ate COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'535-7541 APPLICATION kN..D PERMIT ASSESS R ARCE N MBE " �3—o?C� 'fes �(�o L� 1,7r% �(� BUILDING PERMIT /�/Qy�/� OWNER OLI I/V/�-,✓��I i1L%�HO :J`/ SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ,-J CONTRAJ� ,S E �•TELEPHOON CONT R/Av 'S M (LING AD ESS }� S 2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee - $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I�� / C/J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 S� �—C/� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 C7 Each qas water heater or vent 5.00 USE OF STRUCTURE �1 �i SF ❑ Duplex❑ Mobilehome❑ Other A 1 fi � w SPECIFY Gas piping system 1 - 5 outlets 5.00 wilding sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie Installation❑ Other E] Describe work: ra)Contractor Permit Fee $ Q d� r ELECTRICAL PERMIT Filing Fee 10.00 Main service eoo100vAMP OR LOESSR E55 L 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work, -and the structure is not intended or offered for sale. (Sec. 7944) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUR.& OR ACDNS. ( ACC. BLDGS. 2•�¢sgft NEW NON-RSID CONSTR. BRANCHH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 50¢ e AL(? 30 FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Z 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. r -1I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 r." 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 gree to save, indemnify and eep harmless the County of Butte against all li lilies, ju ents, costs, nd expenses which may in any way accrue agai s ou y n consequen a of the granting of this permit. X �--'% —��—%U Date Signature of Applicant — Ow r❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ .. occ CONST TYPE AL TOTAL FEE $ HAZ CUA PARK FLD PAR PD HD IssuE This permit is nereby issued under Bions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. JT� ,WHITE-O.P.W.. YELLOW-ASSiSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ..S COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMILAPPLICATION DATA SHEET �% �� Permit No. OWNER �`� +�' S �fr A. P No. t! _3 —� C7 Proposed Building Use W1175iff t-10 r Building Inspector p Date // ? L/ At time permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED APPROVED (� 1. All Items have been submitted . ........................ ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................ ................ . 26. 27. When issue the permit, pro ces as follows: Mail o o ner. Mail to contractor. Telephonew� / and hold for pickup a'fioffice. Deliver w. /inspector. Other �+� p Applicant(�q v Date i Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—_ —mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW Inter Departhie.n. al Re orandum TO: 104 FROM: SUBJECT: 7 DATE: 6L� 7-1 - t Inter -Departmental Memorandum !; TO: Rob McKenzie, Deputy District Attorney FROM: J.B. Turner, Code ENforcement Officer SUBJECT: 12616 Doe Mill Rd, Forest Ranch APN 063-024-047 DATE: July 31, 1991 On July 30, 1991, I went to the above location with Butte County Sheriffs Deputies .Wade and Smith to investigate a complaint referred to be by the Building Department (copy enclosed) for unauthorized travel hook ups, sanitation, building and zoning violations, with warnings of armed residents. On arrival a Cravetr,ai`le as located near the end of a long driveway. The travel trailer is approx. 8 x 20 and is not self contained. I observed what appeared and was"reported to be grey water emptying on the ground. A large.pile of black garbage bags (approx 15) were piled behind the TT. The occupant of the TT, later Identified as James Joseph Snook, WMA, DOB 4-18-54 advised that he and his partner had recently purchased the property and was in the process of clearing the property to build a house. He advised that he and his wife sleep in tents and the children sleep in the TT (two children were observed) . An out house was reportedly used for the toilet facilities which was observed approx. 30 yards away. Mr Snook reported that his partner, Neal Peterson, was not at home at this time and we could not go into his TT. ZT_s TT was parked approx. another 50 yards further down the driveway. Deputy Smith and I checked the second TT (CA lic DN 4791, 89 tag) which is approx 8 x 30 with an addition built onto it, size being approx 10 x 20. The deputy walked up to the front door which was open. He advised that he observed several spears, a loaded dart pistol type weapon with scope and a set of numchucks hanging on the wall. Subject Snook was issued citation no. 586 to appear in Chico Muni. Ct. on Aug 20, 1991 for violations of the Butte County Code Chapter 19, Sections 19-3 and 19-49(a) which require a authorized septic system (out houses not allowed), and sewage (out house and grey water) sewage overflowing any lands whatever. Other violation which were observed and no action taken are violation of the UBC as adopted by Butte County in Section 26-6, Section 24-38 the Camping Ordinance, Penal Code 12020 (a) for possession of unauthorized weapons. It is reported that Mr. p, - t Inter -Departmental Memorandum !; TO: Rob McKenzie, Deputy District Attorney FROM: J.B. Turner, Code ENforcement Officer SUBJECT: 12616 Doe Mill Rd, Forest Ranch APN 063-024-047 DATE: July 31, 1991 On July 30, 1991, I went to the above location with Butte County Sheriffs Deputies .Wade and Smith to investigate a complaint referred to be by the Building Department (copy enclosed) for unauthorized travel hook ups, sanitation, building and zoning violations, with warnings of armed residents. On arrival a Cravetr,ai`le as located near the end of a long driveway. The travel trailer is approx. 8 x 20 and is not self contained. I observed what appeared and was"reported to be grey water emptying on the ground. A large.pile of black garbage bags (approx 15) were piled behind the TT. The occupant of the TT, later Identified as James Joseph Snook, WMA, DOB 4-18-54 advised that he and his partner had recently purchased the property and was in the process of clearing the property to build a house. He advised that he and his wife sleep in tents and the children sleep in the TT (two children were observed) . An out house was reportedly used for the toilet facilities which was observed approx. 30 yards away. Mr Snook reported that his partner, Neal Peterson, was not at home at this time and we could not go into his TT. ZT_s TT was parked approx. another 50 yards further down the driveway. Deputy Smith and I checked the second TT (CA lic DN 4791, 89 tag) which is approx 8 x 30 with an addition built onto it, size being approx 10 x 20. The deputy walked up to the front door which was open. He advised that he observed several spears, a loaded dart pistol type weapon with scope and a set of numchucks hanging on the wall. Subject Snook was issued citation no. 586 to appear in Chico Muni. Ct. on Aug 20, 1991 for violations of the Butte County Code Chapter 19, Sections 19-3 and 19-49(a) which require a authorized septic system (out houses not allowed), and sewage (out house and grey water) sewage overflowing any lands whatever. Other violation which were observed and no action taken are violation of the UBC as adopted by Butte County in Section 26-6, Section 24-38 the Camping Ordinance, Penal Code 12020 (a) for possession of unauthorized weapons. It is reported that Mr. -continued - Peterson is proficient in the Martial Arts. and possibly an instructor. Provisions of this code would possibly allow him to possess these weapons under section (3) on the premises of a licensed school which is not the case.. Section 12029 P.C. allows for the confiscation -as a nuisance. Recommendation: (1) Amend the citation toy clude the Building"and Camping Code violations. (2)' Obtain a search warrant for the recovery of the unauthorized' weapons. (*) Sheriffs deputies issued a Officers Safety memo" on the, Peterson subject. Copy requested. JT:tma cc;. Building Department E.H. Department Sheriffs Department,.,Attn. Smith and Wade Y T ski COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS 7�potlRtr6enter Drive - Oroville, California 95965 - Telephq.ne: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. .ASSESSOR PARCEL NUMBER 63-24-047 ZONING _ - BUILDING PERMIT OWNER James Snook Etal Message TELEPHONE 345-1585 ,SQA FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 693 Forest Ranch 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 19616 Dne Mill Rd., Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 110.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utii s ❑ Ins lation[_1 Otber fir Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions -Code and my license Is In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.91\ I New CONSTR. A LDGS.US +/zQsgft ULTBI.OUTLET BRANCH CIRCUITS NON •RES'..ARAT 2.50 ea POWER APP tr (SINGLE OUTLET CIR. ) a Ex. Occup(OUTLETS OR FIXTURES 9A 0530 FIXED Ex. OCCUp. P OUTLETS (RESID )REA.1 2.00 1 Temporary service 10.00 Mobile Home Facilities 15.00 j Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate / of Consent to Self -Insure. LrY�J I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said Cou ty 1 conse r'ence of the granting of this permit. %� Date �� �� y� Sig tura of Ap icant — 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz. CUA- PARK SCHL FLD cDF PAR Po I HD. ISSUE. This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 97248 WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �—.i ,..•-.�-�—. — .--_,.-�y."f,*r.r*ysyt,!"r1t"',�,.'r'►.S.,M""k"'x.R'*+,f�•'i..r-�.d r.t..5.:e,>••.�`',r: .,. ti-� .•.i ., , v s. • COUNTY OF-�UTTE - DEPzAR"TMENT OF PUBLIC W, R_KS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 96965 - TELEPHONE: 916/538-7541 PERMIT �r PPhIC�TIONZATIk=SHEET I -,- OWNER �r ET - Permit No. OWNER ��Tl f!/(' U'�(J C/ bZ / C�.�A. P. 6 3 �OY' Proposed Building Use ��7�C/'!i p g Building Inspector Date At time of permit application, I was adviseAheAfdflbwing data must be submitted prior to permit processing and/or issuance: DATE�RECEIVED APPROVED 1- All items have been submitted . .................................... ,4Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) OMobilehome installation data including manufacturer's installation mstructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid�y--�............................................... School District fees paid . ... . X14 Sanitation approval from tf) Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see'City for other requirements , /� -- a, 2d- L, ice. 17 Planning approval for (A) Use: (B) Parking: ...... 18 Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... _ 22. 'Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... " and hold for pickup at i I to contractor. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. V -----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte p or to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 1 19 2 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by&A) It Date 91 •Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9596, Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PAR :L NU (� /� ZONING ' `' BUILDING PERMIT OW ER l CC? A e�a�I(n TELEPHONE 3yy_ i s - SO. FT. OCC., BUILDING VALUATION OWNER'S MAILING PDDR E55 �U.f,�S� 1 _o, `J 'y (n/ o 693 /Lr�i\ C NTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS _ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ LJ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS : � �C7G-CY Permit fee $ PLUMBING PERMIT Filing Fee 1..00 !� n ro r� 5+ 1�O-^ -"� Each Trap, "'.00 Solar or heat pump water heater ; 0.00 LOT 7. SUBDIVISION NAME PARCEL MAP Water piping .00 Each qas water heater or vent .00 USEF STRUCTURE Mol Other SF [I Duplex ❑bilehome SPECT FY Gas piping system 1 - 5 outlets •:00 Building sewer 00 Mobile Home S I G I W :00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ ELECTRICAL PERMIT Filing Fee 11 .00 Main service 600V OR LESS 100 AMP OR LESS 100 Main service EA. AOD'L 100 AMP J 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) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason GOCCUP.8d) S.;q oR ADDNST CONACCST ft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS lea POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES FIXED Ex. Occup. OUTLETS ( R RESID )EA.) -00 Temporary service � .00 Mobile Home Facilities _00 Misc. Wiring - Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. [9-4—ghall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 1_00 Heating Cooling g Hood '..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 B Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei 9t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE /J TOTAL FEE $ 0 ff/'^/ L/ HAL. I CUA I PARK SCHL I FLo I COF I MR [7T0. HD. ISSUE This permit is hereby issued unser the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-O.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive;'"O.rovile, CA i s - PHONE: . 538-7541 MOBILEHOME INSTALLATION SHEET 1.Owner's Name: O fejt - 2. Installer's Name: O. w h eAr 3. Is the site currently under permit? Yes No 1� (If yes., furnish -permit number _C�� � OR ) Is the site an existing site Yes" No' (I.f 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 L_I (If no, clarify f} f71i0 3 y� 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ----= ------ .20 ®. Amps 7. What is the mobilehome site circuit breaker rating?----- (� Amps 8. Is there any other electric load to be served by the mobilehome site service? ------=-----=--,-=------ -------- Yes I_ No I rl (If yes, .identify the load and size: (Load) (Amps.) .4:. 3/ 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service. - - - - - - - - ----------- Natural �� LPG + 11. What is the'gas pipe length from meter or tank to the % #, mobilehome?------------.----------------------------�---- 3� (ft.) i x,,12. What is the "mobilehome gas demand? -----------=--------- (BTU) Y ^'(Thin information.not required if pipe length less than 6 ft. on natural gas or less than 50 ft.,on_LPG.) a", ;51u�� a ��;� k� 1-73. MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 13 L4 -d q -e�1� furnish Setup Model No. Year �� a J ,� ., . Width 2- ) Box Length 5' (ft. ) Tagalong or Expando Size 00 2 ft. x '' ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one)1. Concrete block2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI-WIDE Line 1 1 Main Beams Line 2 Main Beams — — —. — — _ — — � — — _ _ ];_—_Un- 2 Tag or Triple r Line 4 r Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ „x. „ Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. --------- ,- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- L Line 2 Piers -Line 3 Piers: (Under Bearing :tali Only) NN^^ /"" ~tx Size -Min. ------------ a „x 2 0, � Size -Min ------------------- Spacing-Max - ------------------Spacing-Max.--------- S^,_ ('�„ £ X W n Spacing -Max ---------------- - From Ends -Max.------- '- Q From Ends -Max -------------- Line-3 ------------- Line3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min .------------ 'k ' Spacing -Max.--------- From Ends -Max .------- _ Line 5 Roof Loads: Size-Min.------------ Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ Spacing -Max.--------------- „ From Ends -Max .------------- " „x1.1 Location (From Front) _ - �a BNIPORTANT�MESSAGE FOR4 /�M A.M. DA TIME P.M. :OF L/ .PHONE" AREA CODE. . NUMBER: EXTENSIaW7 IIII TELE HONEN rZPL�EA3E CAMEyTO'SEE YOU 9� :a�xF ��WIWCAU AGAIN 4 WANTSsTO SEE YOU Rol,s � EDOUR _x RETURNYCA�LL�� "' §PEIA ATT�ENvTION - �1�111IIPO�YF��'�AN'i�M�ESS�AG,E� '"'�' FOR c , A.M. DATE' / L TIMEP M.- M _ F ' _OF PHONE AREA CODE - ' '- �.' NUMBER' EXTENSION TELEPHONED PL CALL t Emwxw, 'T CAMEsTO`SEE " '00911,MMI WILLCALL AGAIN TS O SEEYOt1 WAN RE�RND"S"Wdff IRON, aa' 0040,111,� x r _Nm MESSAGEl :✓-s SIGNED - _ `- t*- UTHOIN-.U.SA TOPS FOLRM.3002SA / - 14 Butte co, L PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROIVIL LE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 September 18, 1991 Ci James Snook, etal P.O. Box 693 Forest Ranch, CA 95942 Re: Use Permit, AP# 063-240-047 Dear Mr. Snook: We received your pre -application review request for the subject Use Permit, The Butte County Public Works and Environmental Health Departments have received the information you submitted. The Planning Department staff will also be. reviewing. the application for any special conditions or modifications that are appropriate. It is the applicants - responsibility to provide any additional information needed by Public Works or En.vifb=ental Health to, meet their requirements. Public Works may be contacted by telephone at 538-7266 and Environmental Health at 538-7281 for further information as to their evaluation of the proposal and their requirements. Should you have any questions about the pre -application review, please contact this officer (I Sincerely, B.A. KIRCHER Dire�cto'Plarim' r �Painter Planning'Technician BAK:L'P.jlo cc: Anita Domenichini, PO Box 999, Durham, CA 95938 4-� 4 \ N Butte co, L PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROIVIL LE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 September 18, 1991 Ci James Snook, etal P.O. Box 693 Forest Ranch, CA 95942 Re: Use Permit, AP# 063-240-047 Dear Mr. Snook: We received your pre -application review request for the subject Use Permit, The Butte County Public Works and Environmental Health Departments have received the information you submitted. The Planning Department staff will also be. reviewing. the application for any special conditions or modifications that are appropriate. It is the applicants - responsibility to provide any additional information needed by Public Works or En.vifb=ental Health to, meet their requirements. Public Works may be contacted by telephone at 538-7266 and Environmental Health at 538-7281 for further information as to their evaluation of the proposal and their requirements. Should you have any questions about the pre -application review, please contact this officer (I Sincerely, B.A. KIRCHER Dire�cto'Plarim' r �Painter Planning'Technician BAK:L'P.jlo cc: Anita Domenichini, PO Box 999, Durham, CA 95938 4-� 4 i" INSTRUCTIONS TO USE PERMIT APPLICANTS 1. If applicant is not the owner; ;written authorization by the owner or other proof of agency must be submitted in order for the applicant to legally sign the application. Application -shall be considered void if not signed by the owner or legal agent. 2. All items on application shall be'filled in as completely as possible. If an item is not appli- cable, please indicate by the term "NA". 3. It is important that the applicant supply an accurate description of the location of the proposed project, including the following: r a. Assessor's parcel;number(s) (from the tax bills or Assessor's maps). b. Street addresses (if available). c: Distances and directions to named streets, bodies of water or railroads. 4. Twentv-four (24) copies of a detailed plot plan of adequa:c scale to clearly s.how proposed build- ings and improvements, folded to 8�s x 11 inches, shall accompany and be made part of the "Application for Use Permit-. If the use permit is approved, .the plot plan becomes the ap- proved development plan for the property.The plot plan shall include the following information: a. A scaled drawing of the parcel(s) boundaries. b. Location and dimensions of all existing and proposed improvements on the property, including buildings, driveways, parking areas, wells, septic tanks and leach fields. c. Location and name of bordering streets, access roads, nearby- crossroads, streams, bodies of water and railroads. d. North arrow and scale of drawing. 5. The "Application for Use Permit" is subject to public hearings and approval by the Planning Commission. Any special conditions of approval shall be made a part of the approved "Use Permit" and shall be binding on the applicant. The procedures for County action on use per- mit applications are stated in Chapter 24 of the Butte County Code. 6. The Planning Commission, on the basis of the evidence submitted at thepublic hearing,may grant use permits when it finds that the proposed uses of the property will not impair the integrity and character of the zone in which the land lies and that the use would not be un- reasonably incompatible with or injurious to surrounding properties nor detrimental to the health and general welfare of the persons residing or working in the neighborhood, nor to the .general health, safety and welfare of the county. 4 In approving a use permit, the -Planning Commission may include" -such conditions as are deemed reasonable and necessary under the circumstances to preserve the integrity and character of the zone and to secure the general purposes of the Butte County General Plan and Chapter 24, of the Butte County Code. Such conditions may include, but are not limited to: time limitations, development plan approval, hours of operation, fencing, dedication of right-of-way, and street and drainage improvements. Conditions imposed upon issuance of a use permit must be reasonably related to the use for which the permit is requested. 'pZ7 8. Application fees as of__�t—��-9 (date)., are S O2� Fees may be paid in cash or by check made pa%able to "Treasurer of B tte County". 9. - Before submitting a use,permit application, applicant is requested to discuss with staff all questions about application requirements, County procedures, zoning provisions and possible conditions of approval. mraw��6L �u� LA�"C�2 .yam+ . Y ,. .s •' ' .. .. . .. Return to. DPW AGRICULTURAL STA M1 NT. OF..AC1,GTOWLEDG&%ffiIT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of 'the Butte „County ,Code , requires this acknowledgement be recorded prior to issuance of -a -building permit. I , Theproperty described herein is adjacent- to d 'acent 91-043462 i Rec Fee" 7. 00 to land or .included within an area' zoned STF 1.00 for agricultural • purposes,~ and residents Recorded I Check 8.00. of this property, may be subject to `incon_ Official Recorde 1 veniences or discomfort ' arising from the County of I use of *agricultural chemicals, , including, Butte but not limited to herbicides, pesticides, Candace J.- Grubbs I '. and fertilizers;; and from the pursuit 'Recorder of agricultural • operations. including, 11:12am- 14 -Oct -91 I F _ XX 2 but not limited to -.cultivation,, plowing, spraying, pruning, and harvesting ;which • occasionally -generate ,dust,.- I smoke, noise, and odor. Butte County has established agricul— tural zones which.have as a priority use for productive agricultural purposes,.Iand.residents ' within said zones and on adjacent property should be prepared to accept - such inconvenience or discomfort from normal, necessary farm operations. All' that real property situate in Ithe County of Butte, State of California, described as follows: ; (Attached ) t Date • _ C� PROP TY, OINERS : State of CA) On this the % day 'of S T 199 before me, the SS. undersigned'Notary Public,personally appeared County of v 7 ) J Personally known to me.Proved to me on the basis of satisfactory evidence. t6 be the person(s) whose name(s) subscribed to the within'instrument and acknowledged that executed the same fothe purposes thereinwcoritained. IN wIT:lESS r -��MREOF,'I hereunto•set my hand and official seal. ' "- TED 1. BRYSON } m NOTARY PUBLIC - CALWORNIA 1 BUTTE COUNTY Present A.P. NO. 3'_ My Comm. Eco'vesMa.26.1993 "Notary Public •-Bp1 A 38944/C-14002 JP DESCRIPTION certain real property situate in the County of Butce, California, described as follows,: 'Parcel 1, as shown on that certain Parcel Map of a portion of The ;Southeast quarter of,Section 17, Township 23 North, Range -3 East, D.B. & M., which Map was -filed in the office of the Recorder of the County of Butte, State of California, on September -18', 180, yin Book 79 of'Parcel Maps, at pages 3 and 4. '::`EXCEPTING THEREFROM all mineral rights and the right of ingress ' and egress, and the right to cut timber for use in mining, ,as '.reserved Jn a Deed from M. Schott, to E. Gage and E. W. Gage, .:dated -August 14, 1925 and recorded August 20, 1925 in Book 213 o at page 193, records of.Butte County, California. • PARCEL II: A non-exclusive easement for road and public utility purposes over Parcels 2, 3 and 4, as shown on that certain Parcel Map of a >wf-.::portion of The Southeast quarter of Section 17, Township 23 North, Range 3 East, M.D.B,. & M., which Map was filed in the Off -ice of Recorder of the County of Butte, State of California, on '```S:eptember , , in Book 79 of Parcel Maps,.at pages 3 and 4. 18 1980 , PARCEL III: A right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described liner :COMMENCING at the center of Section 17, Township 23 North, Range 3 East, M.D.B.'& M..; thence North 89 18' 23" East, along the East and West centerline of said Section 17, a distance of, 510 feet to a point in the centerline of Doe Mill Road and the point of beginning for said, centerline; thence North 26° 11'10" East, along the centerline of said Doe dill [toad, a distance of 730.54 feet to the end of the County :maintained road, and the end or sa" centerline. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callfornla 959e5 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. ASSE990R P RC L NU B 63-240=047' ZONING Tilyl ID BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION James Snook Etal Message 345-1585 OWNER'S MAILING ADDRESS P.O. Box 693 Forest Ranch 95942 CONTRACTOR'SNAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is None Filin Fee g $ �^'•"`� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 12616 Doe Mill Rd., Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 1 79— 3 & 4 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome® Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 3 0.00 ea 0.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [� Installation[] Other ❑ Permit Fee $ 40.00 Describe work: MHU Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 1000 AMP ORSLESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUPM ( , /20Sq It I declare under penalty of perjury (Check one): OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUSe CIR. and Professions Code and my license is in full force and effect. SINGLE OUTLET License No. Classification. EX. OCCUp\/ OR FIXTURES 20®SOSOUTLETS SAL030 El 1, as the owner, or my employees with wages as their sole compen- FIXED APLNS. i 'EX. OCCup. OUTLETS PR (RESID )EA.1 2.00 sation, will do the work,and the structure is not intended or offered j Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.0000 [� I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $37-50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ 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. I shall not employ any person in any manner so as to become subject Cooling g Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of :)Cc CONST TYPE - Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 92. 0 I also agree to save, indemnify and keep harmless the County of Butte against cuA all li bilities, Jud ments, costs, and expenses which may in any way accrue HAz. PARK SCHL I FLD COF , I AR PD ) HD. ISSUE, again t said Count in onsequ a of the granting of this permit. X � � " This permit is hereby issued under the applicable provi- Date sions of the Butte County. Code and/or resolutions to do Sistare of App ant — owner Contractor ElAgent F1 work indicated above for which fees have been paid. Ar OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS io of structures over 3 stories in height. Receipt No. 97248 By Date WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date OWNER .r ..+.o—ro .� i.v+✓srrvrw rr .rya}1 a �r-ti :y i.r :�tys it•'�i :.:,t{it i 'rf� i i-... ..ncu;,:n, COUNTY OF BUTT 4DEPARTMENTUF PUBLIC WORKS-= BUILDING DIVISION Proposed Building Use 7 COUNTY CENTER DRI -YE - Oi VILLE, CALIFORNIA 95965 - TEEEPHONE: 916/538-7541 PERMIT"APPLICATION DA' T '.`SHEET Permit No, 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 APPROVED 11 items have been submitted..........................lt-........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with -wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. gineered 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 .............. 1 .Sanitation approval froml /�1 L( �;, Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements 17. Planning approval for (A) Use: 1 Improvements may be required. Contact Land Development Section DPW 19 'Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ., Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ............. ....... 2wner-Builder Verification (Given to owner ❑, Mail to owner °) Recorded copy of Agricultural Acknowledgment Statement .. ... . ZQ— 25., Letter of signature author' ation ................... .�- %, - . -'C 9 cc --- When you issue the permi ,process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other / Q � a+AppIicant DateAT / Copy of ! laz-Mat form sent Health Dept. ire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior i i an rcle new item not checked above). 1. Index permit for above items No. 1 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by vo Date 911Zi9/ Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 e APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D _?- --2-y0-0�/ ZONINGBUILDING PERMIT OWNER // G. w. -e (.0o A. C;d TELEPHONE "'—Sb. FT. OCC.' BUILDING VALUATION OWNER'S 0" 6ADDRESS 93 FV r -CS+ 6Z�` ! ^ CJ/^ ( p��TELEPHONE COPPN(TRACTO/R`'S NAME LA- e� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIONg��� LENDER UNKNOWN Total Valuation Filing Fee 1 LENDER'S MAILIN ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 �oL h'1:/% ow Permit fee $ PLUMBING PERMIT Filing Fee 1 .00 Fv r e S 4- o J4 Each Trap 00 Solar or heat pump water heater 0.00 LOT NO. SUBDIVISION NAME PARC ECL7yP 3 d -y Water piping .00 Each Qas water heater or vent .00 US OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets .00 Building sewer 00 Mobile Home .00ea ,o TYPE OF WORK New❑ Addition[] Remodel ilitie Installation❑ Other ❑ Describe work: �� \\ Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 1000 Main service 1100 VAMP OR LE SLESS 3.00 Main service EA. AOD•L 100 AMP J r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation• will do the work,and the structure is not intended or offered �-, %f r sale. (Sec. 7044) U 1. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aI`` OR ADDNS. ( ACC. SLOGS. / soft NEWCONSTFL ULTI-OUTLET NON.RES10. BRANCH CIRCUITS) Sea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES iQ FIXED P Ex. Occup. OUTLETS (RESiR O )EA.) -00 Temporary service .00 Mobile Home Facilities .00 ,Q Misc. Wiring 9 J Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate o� 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: It after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1. .00 Heating Cooling g Hood .00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X pate Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE CC -- E TOTAL FEE p1),J HAZ. CUA I PARK scRL I FLo I PAR Po I lo. Issue This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHIT[-O.P.W.. YELLOW -^38&330R, PINK-INSPCCTOR. 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