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HomeMy WebLinkAbout063-240-066s i h ! e f ' 1 1I j ,i ! i I t. i 1 r{ I ANTHONY SAN 0.9 ��� E%S Dodi` 1 R. d,a ,pfo /2500'S of Nichols d o e Ranch' Permit#662 83 ,P,E,M(New single family) ;. 063=24-0=066 , E, LAROCCO; Phillip 126 T6 Doe Mill,Rd:, Forest Ranch t travel trailer u tlites - ELEC f _ A ^ GAS. ..y,� .m-._.,••--.r+�xx.� ... � . COMPACTION, TEST ,.RE. A SUPPORT.STRUCT REQ r r J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P ERIIALT N0. SSESSOR PARCEL NUMBER 063-240-066 ZONING TM -10 BUILDING PERMIT OWN JO� Pftla-IP&1-RJtLc TELEPHONE877 SQ. FT. OCC. BUILDING VALUATION M$I L '7t0.1�Ch 85942 O wnl�]lY CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 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 � / Doe Mill Rd. , Forest Ranch Each Trapi 1 1 5.00 Solar or At p# water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water pipi 7.00 Each qa ter heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome® Other SPECIFY Ga p g system 1 - 5 outlets 5.00 ui d g sewer 15.00 M bile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities U Installa ion❑ 0th r Describe work: MHU/TT Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200V OR LESS 00AOR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees With wages as their Sole compen- sation, will do the work,and the structure is not intended or offered' for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.81 OR ADDNS. l ACC. BLDGS. / 3.6d sq.ft. NEW CONSTF ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a1 SINGLE OUTLET CIR. Ex. OCcU p OUTLETS OR FIXTURES 20 760 JAL AR.4 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring '15.00 Permit Fee $ 48-50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate tpof 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 FilingFee 15.00 Heating Cooling Hood #_ 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XLA�k 4y�� "6 �— Date � Signature of Applicant — Owne Controctor ❑ Agenta An OSHA permit is required for excavations over S'0" deep and demolition or construct - on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE 413.50 HAz I DFEES IMP fL00D COF PARCEL PD HD ISSUE Thiiih s permit s hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS Date Receipt No. 122802 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER PERMIT APPLICATION DATA SHEET Proposed Building Use Building Inspecto 6Date % At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items a e been submitted. . Plot pla/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4., Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form ......... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ....... ............ . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 se s. .......... 10. Fees of$ . ........................... 11. Impact fees as shown on attached schedule. .............. 1 , California Department of Forestry plan approval/fees. .................. . Flood elevation letter (100 year fl by by C lifornia Enginger 0 Sanitation and plot plan approvaKi��G Health Depa ment. ............ 15. City of Chico plumbing permit. ........ ; . .... .. ;).. ..................... 16:, Plot plan and business license approval fro Cityof Bigggs/Gridley. ............. 17. Planning approval for (A) Use: (fP),Parking: ........ Contact Land Development aboutA(A) IniprovemdVs; (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for ` Pre- Inspection reclu-6 required. . to Building Inspector (Date' 21. Contractor's license information. (No., Name Style, Classification). . 22. Certificate of Workmans Compensation Insurance. ...... 3? r ...... . Owner -Builder Verification (Given to owner Mail to owne;�� . ciccp... . Recorded copy of Agricultural Acknowledgement Statement . ................. . ZAI 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. i When you issue the permit, process as follows: L�'r Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 1y� Date YZI"I"r— 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 it issuance: (Circ) new 1. Index permit for above-irems No. Z ) i i i Z3,2 2. Additional items required: above). Contractor, designer, owner, was advised of above required data by _ phone -Zzmail Counter _ e Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSV P RCEL NUMBER —,O ZON NG, _ ,^ l BUILDING PERMIT i/l/// TEL SO. FT. OCC. BUILDING VALUATION �6 �q y OWN�'S�IAILING ADORE '• CONT AAUTOR'S NAME TELEPHONE CO RACTOR'S MVnLING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS' fes– f 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[] Mobil, home Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S 9GrW @ 15.00 .3;0 e TYPE OF WORK New A��d%%tion Remodel❑ Utilities [I Installation❑ Other ❑ DeAn �d . Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee t 15.00 Main service R LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 0License No. Classification 1, as the owner, -'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ t, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) �l 1 am exempt under Sec. , Business and Professions Code for this reason NEW OR ADONS. CONST. ACC. SLOGS. ( DWELLING OCCUP.a) 3.6Qsq.ft. NEW CONSTR ULT' -OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 / o Misc. Wiring 15.00 Permit Fee $ t 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 shal I 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 County ot. 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 CoLLQ__ty \iin consequence of the granting of this permit. X W Lt-A'c�- Datec _ Signatuownb �dnf'ector E] 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 FEES .S HAz 1 0FEES I IMP 70D I COF PA CEL PD HO ISSUE This permit is hereby issued under the .:,:sions.of:the .Butte.County Code.and/or-resolutions Work Indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- to do have been paid. WORKS DatePERMIT Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT FINE WINES'&`WIN' GRAPES t ( ' r ) Certified'Organic 'Nb -Sulfites + 2, \ A 1, 1 Pd .) -! C i A. { • J 2 i 1 IJ ✓ ` V ' •` ,�. - r �. -+_ ;� �.1 \• Y `'t` ' Iii: / -•.r.'\ \\ ,/ . � .� -�. - />`, 1 .' It .-q .i � ,~ _i. ., . • La Rocca'Vineyards 53,47 La_Playa„Ct. '• Chico, CA•95928 916.. 899•WINE,•`916 • 891k8872 ` Re' y ted Paper E.H. USE. ONLY Ila 1'1:m Aluchcd ' 1:1,mr 1'I:m Aa❑chcd :. .• Sent w Is.D_ /®��"b—T 0��� TO: Building Department FROM: Environmental Health. SUBJECT: Sanitation Clearance Owner / Location AP# Plan -Approved for: Sewalge Disposal ✓ Water Supply: Public Private Well C/ Clearance for % bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 I 1 - --t ---�- - +- = +_ h - r-- ..._ _ + - --�-- - + —E , .} _ - J•_---� ---F--+� --�---}- ---. ---r- + -- -tom + _ _ -t� ; .� —. �^- + - - r - F- -� •-}--►ivy t -- i •+-+-----.+.. -, -+ T- - •+- - ice—-+-.�--� _ _} _ .. +. I - � I I CN ZI - t- + + __ _'-- «- - -� - -}— t• --moi- i-_ - ` -47 I I { _ • �_ - _ -t ' j - -APPROVED + - ; Butte Count Environrrien� • l Y o! �eotth COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ; OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 01 us�Tfas�csT,%' ;fJ I�o�� ter,: 07 ->A, 0 - 7- /1 a ; L/ 4,4) � —I- A'R "-, P- t - R �� /--- fA A ,d 8w a4 /`9w,, 7i, c t7 Inspector �`% 1%`F Date '�' /. J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -Phone: 534-4541 + Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is.,completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / /' � T S/„cl � / l���i-�yt /�y /�S,i /,✓r G.G. c i ' C_3% C;)n►, / a�� i/� /�? / i�r�U �fr� /cr'I X /� S l / fr T!! S 44C Inspector_ _ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 a y� as; 7 County Center Drive, Oroville — Phone: 5344541 .� Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 A' CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 111\kt 12 Vs Inspector— Date County of Butte DEPARTMENT OF PUBLIC WORKS =r 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE ...................................................................................................................... Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,�1.....' ........ ddcl .............,Sc,....... ........................................................................... -... ....�..........:..- Date.............................. Inspector.......................................................... Do Not Remove This Tog (400-4) %PERMIT NO. 662-83B P E M i PERMIT EXPIRES OWNER ANTHONY'SANTOS CONTR. owner ASSESSOR PARCEL 63-01-98 y' LOCATION E/S Doe Mill Road, approx 2-'S_ • r �/lals4lf /2�4 GCf of Nichols, Rd, Forest Ranch fAVIVIae� :I (t k, Temp. Power Pole "a Called PG&E Temp. Elec. Service ti Called PG&E s Temp. Gas Service Called PG&E �. JOB FINALED (Date) Signature 5 V = OK .I 0 = NOVOK - = Not Applicable fNot Ready a_J RESIDENTIAL (Sing.le and Du"plex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) o_ning requirements -Se ks- nts ,QA ings tg., M�ia!S -Steel-Ele rnd.- //V/" Ftg. Depth "�9iERt Doors-Q�,2'�(iPieek-9eral�e�8rd-story-exits - /"'Ftg. Depth 90. WaadNeem-Rise-Run-Landing-Fire Protection Perches $rBGCkS; Soils -Steel- /gyp /" Ftg. De J lywood on Roof Overhang-At6@-V-ents-Raftgers temwalls, Main; Steel -BI is-Wr -SId7a---- 52. aiding -Nailing -Veneer n. Vents-Underflr, Access -5 a Area-Gleae-Preteetton-SkpFic)frts-Pta5T1>✓ D.W.V.: F F" gs way C/O ewer 65. Sheei Wellai Nailing -Bolts _ a Water Pipe; ors=Regnta[or rvic es I! "ridergrearrd 1 - - upport-Ins. "13. - - "pples Card -BI Date Card -BI Date 5/�rLf f /C Zea %g�3lree[-o Card -BI Date_ Card -BI Date —� Card -BI IvDate Card -BI Date Card -BI Date �t Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date FZ-p3 Card-BIDates Date PLUMBING (Permit) OK except p's j,6t -' Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 1 ccess ustion Air ® Furnace; Vents -Clearance -Comb. Air -Connector - arage; Above Floor -Ducts -Meth. Protection _ C1 Water Pi & n or Nai ion 6 D. .; T�Pttd@e-CAd'ehbrs ail ec B Broom Exiting -� ower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access lec. Trim & Sub panel; Breaker Sizes -Labels 1 Tub Access _ rs 6Q--S:a irs'✓Ra i l s Fireplace o Stove; Clearances-Hear Outlets at Wood Panel; Int. & Ext. Card -BI Date Z J Card -BI Date 6 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI d Date (_ - Card -BI Date f, . Elec. Outlets & Receptacles at Kit. Counter Date t �� t ELECTRICAL Permit OK except q's 0.r& -h -Garage Fire Door; Swing -Landing -Closer -@B--*.6--0uct in Garage -Damper -- 20. Fi a &Tran . _ - tech n arc. Receptacles Spacing hts & Switch ADoo tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- . In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location _fie Boxes & No. of Conductors -St Receptacles in Garage; (G.F.I.)-Romex Protec. _ % --M5a-8nac9- ex Installed Close to Edge of Studs & C.J. ui round made up w ec a-7en B .& V�dTf3r . Insulation -Foam -Looked in Attic ❑Yes Mls & Deck Construction -Post Caps 2 Appliance Circuits in Itchen onductor Size: — __ ubtee rF41-A.C. Wire Size //d2 ga. oe-cMl ents & Crawl Hole Door -Drainage & Wood -Earth Clearance hooked under Floor El Yes Range Circ. /9-/ ga C r AI -Oven Circ. / / ga. Cu or At; Insulated Neutral ❑ es ❑No Following instld.: Drive&4f EJ No; Walks ✓Yes E]No; (- Planters []Yes TQ -No _ Service -Riser GwIluctors & G�Main onnect' C76­1r�: Brown -Finish _ - 2,a—E-quip. Clearances; Panels -Motors -Meth. Equip. Caj A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ) Clothes Closet Light -Shower Light _ 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. — -- --- .i§r-JXaKr Well; Disconnect, Electrical, Plumbing' ^_ —.— Exterior Elec. Trim; .F.I. Receptac Underground ar Cd B -I Datec�i Card -BI Date Ventilation throughout House Card B -I ate -U Card -BI Date0_ _942ss Protection Date MECHANICAL (Permit) OK except q's Corrections from Previous Inspections est -Meters Tagged; Gas -Electric — 3 lation & Support it) Water & Sewer Connected -C/O to Grade-HD•Approval 3iiTtaust above Insulation gg Energy Compliance Certificate-Other.,Certificates n_& Overilow; Size & Grade 34--9"uiaa ��� a.A,, Access -Comb. Air -Return Air Vent -115V outlet 319��s & Platform if Furnace in Attic Card -BI DateCard-BI — Date -�--- YY Card -BI Date Card -BI Date Card -B Date Card -BI Date Card&K Date Card -BI Date Card -BI Date Card -BI Date DateAMING(Plans) OK except #'sComments at Final, _ Is; Proper Material Its; SNa0jyg�Sp Bryy�=Plse�Souad. --_= `Raarina Walls over Girders &Floor in Walls (rat proof) T Furred Ceilin s -Stairs -Chases -Tube eader & Beam-Sizaring Z.7;t7gers-Pos:.6aps-Ar co ""ne" g�ars 43. Ing. Joist-Rf�yyl'es- D-R�rt3rac.-Tratcs�SF�r q fnq. Firepioee-46es Type lu Rir&&Ua Throat 3 �r Attic Access ize & rotech __ I"_Q&Wes drm. Windows or Exiting Doors -Si gt. & Dimensions --- — - - -- ing--- (NOTE: An entry must be made -each time.you visit job site) J OK O '- Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2: Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date t I COUNTY OF BUTTE -DEPARTMENT OF?UBLIC WORKS -' r.... .' rr7 County Center Driver OroviIle,* California 95995`- Telephone 916/534-4541 J,�4 ' •APPLICATION AND`,PERMIT - ' 4 'PERMIT NO. Jf, n ASSESS4R PARCEL NUMBE - •.+ . • - ZON N ^/ 4'�' �. BUILDING PERMIT t OWN E _ _ +•�" .. TE PHON- E , ASO. FT.'.» OCC: BUILDING VALUATI q O NER'S MAILI G A DRE55 CONTRA TO •S NAME- Z,'" .` r T TELEPHONE Y I • . �\ PL , CONTRACTOR'S MAILING ADDRESS .`Y •�, _ _ Fireplace Q 0"D CONSTRUCTION LENDER , - UNKNOWN+,L• Total Valuation: '$ . .Filing,Fee 10.00 LENDER'S MAILING_ ADDRESS"' _ , - - �. i ♦ - _ ,� -. Permit Fee J' $ ARCHITECT OR ENGINEER ., , '^' : LICENSE•NO. Plan Checking..Fee,.. $ Penalty ` .. $ I .,• -ARCHITECT OR ENGINEER'S MAILING ADDRESS - I �- " .'.. Permit fee BUILDIN ADD ESS + -1-! t. ♦ "-� �,• ,1 'PLUMBING PERMIT - �'FilingFee 10.00 S CJ6 A *Each Trap 2.00 Water Heater Pte' 20.00 a7 ' •• Water -piping _ 5.00 LOT, NO.SUBDIVISION NAME, s .. + - 'PARCEL MAP Each oaS Water heater UI vent 1 5.00 Gas piping system 1 -5 outlets 5.00 ., i .• , -USE OF STRUCTURE ' e , ' Building sewer ' 5.00 �' F SF Duplex ❑ Mobi le'home ❑-1Other ' Mobile'Home S G W 110-00 ea , - SPECIFY TYPE OF WORK - Permit Fee $ New Addition ❑ Remodel ❑ Utilities ❑ ; Installatioh[l .Other ❑ .Contractor }, ` Describe work: -` ELECTRICAL PERMIT ' Filing Fee 10.00 Main service 1000V OR AMP LESS 10.00 010C r Main service EA., ADO'L}100 AMP' 2.50 • - °- - NEW CONST.- / DWELLINGLQL`C}J & OR ADDNS. C ACC. BLDG / Z�IZQ3Qft , '• • ' CONTRACTORS LICENSE LAW �" ' I NEW CONST1 ULTI.OUTLET NON-RESID `BRANCH CIRCUITS ,. 2.50 ea) declare under penalty of perjury" (check one): ,I '. NEW ,CONSTR. ( POWER APPARATUS &I • r ❑ • I am licensed under provisions of Chapt. 9, Div. 3 , of the Business "effect. NON-RESID. SINGLE OUTLET CIR. Ex.'.Occu P(ouTLErs OR FIXTURES 20@500 egL�30Q and Professions Code and m license is in .full force and y • FIXED APp LNS, OR EX:'OCCUp. OUTLETS (RESID,) EA.� Z.00 • No. - Classification~ �ense s the owner, -or my employees with wages`6s:their sole compen- iMobile Home Facilities -1 15.00 sation, will do the work,and the',structure is not intended or offered for sale. (Sec. 7044) .•' ' , . � Misc.'bViring ' 15.00 , ❑'. I, as the owner, am exclusively•contracting with' li.ensed contract,. ors. (Sec. 7044) ` Permit Fee.. " _ $ ❑ I am exempt under Sea Business and Professions Code for this reason I Contractor MECHANICAL PERMIT FiIingFee ,10.00 ` • } WORKMEN'S COMPENSATION INSURANCE, , .Heating - ,0 I declare under penalty of perjury (check one): r', w. >. ❑: The permit is for $100.00 (valuation) or'less.T ' Cooling (� ❑ .'I have placed on file with the County of Butte Building Department a Cei •f'icate of Workmen's Compensation Insurance of a.Certificate Hood 3.00 ofr,,dnsent to Self -Insure: t 4, - Ventilation ` 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,•shouId-you become'subject' Fee. $ . S�;OZi to the W. C.,provisions of the Labor Code, you must forthwithPermit comply,with such, Contractor provisions or this permit shalI,be deemed revoked. �'�, `the I certify that I have read this application and state that above. information Mobile Home Installation Fee";, , $ } t. 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.,-, ,NOTAL PERMIT FEE $' I also'agree to save indemnify and keep harmless tlie'Countj of Butte against all.liabiliti ju ents, costand-e ' enses which may -in any way a rue: -OCCUP. GROUP _ TYPE OF CO T. PARCE' PD HD SSU 'd �V against s y i s-en g of -,this permit. (This permit is hereby issued under :he applicable provi- X Date _. ,,sions. of the Butte County Code and/or resolutions.to do ` Signature of Applica — Owner Contractor ❑ Agent ❑ •� f' ` y -work %indicated above • for which •fees have been � aid. P An, OSHA permit i required for excovations over 5'0 deep and demoLltlo or construct - 'i „ ' DIRE O OF PUBLIC WORKS ion.oF structures over 3 stories in height. :. t•• 'By L t Date 2- -3 '� Ste'•': n Receipt No. (% p' -P IT EXPIRES • Date 7'-24 =J� ` WHITE-D:P.W: YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -A PLICANT:� ' • s m. Return to DPW AGRICULTURAL STATEMENT OF. -ACKNOWLEDGEMENT s3- 8965 FOR RESIDENTIAL DEVELOPMENT l WFIOIAL` I'iEOCi F; ' Section 26-8.1 of the Butte County Code requires this acknowledgement 1; f�.�;,, be recorded prior to issuance of a building permit. WDVALLEYTITLE CO ft $9 WWI The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of ELAtllf� F�, FcC15EFt ` this property may be subject to inconveniences or discomfort arising CLERK -RECORDER e' from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occas sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A portion of Sections 16 and 17, in Township 23 North, Range 3 East, M.D.B. & M., more particularly described as follows: PARCEL 6, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California, on December 15, 1977, in -Book 63 of Parcel Maps, at pages 54, 55 and 56. EXCEPTING THEREFROM all mineral rights and the right of ingress and egress ant the right to cut timber for use in mining,. as reserved in a Deed from M. Schott to E. Gage and E. W. Gage, dated August 14, 1925 and recorded August 20, 1925, in Book 213 of Deeds, at page 193, records of .Butte bounty. Date: March 14, 1983 State of Val i fnrni n ) ) SS. County of BUTTE ) NOT•COMPARED WITH ORIGINAL DOCUi1AENt On this the 14th day of March , 19 83 before me, the undersigned Notary Public, personally appeared ANTHONY SANTOS and J. SANDRA SANTOS known to me to be the person(s) whose name(s) are subscribed to the within instrument and acknowledged i LIJCY C• S71BNUS that they executed the same for the purposes therein contained. tia's%bl NOTARY PUSLIGCALIFORNIA Bu110.County Coir.missiun Expire. Sept. 26, 1966 IN WITNESS WHEREOF, I hereunto set my hand and official seal. ^[ /� I l./.�� �yy Notary P lie OWNER • H4TMOIJY B. RESIDENTIAL PLAN CHECKING GUIDE. (S.F., DUPLEX, & MISC. ONLY) ow Bldg. Permit # %Z-001 A.P. # (03-01- r A. GENERAL JK Zoning requirements.(sideyards and parking). Valuation. .Signature by R.C.E. or Architect (if require s PLQZ PLAN /Complete parcel size and dimensions. Oetbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. C FLOOR PLAN. complete to scale plan with dimensions.'' Required windows for light and ventilation (Sec. 1405). 30.1 Required windows for second exit (Sec. 1404). gooOlilowable glazing.for energy requirements. (70% max.-per.State law). �,..,,Human impact glass (Sec. 5406). G.equired room sizes, ceiling heights (Sec. 1407)., F.C.I.'s-in baths and exterior outlets (Sec. 210-8).. Light fixtures., switches, receptacles, and exterior receptacles for maintenance of mechanical equip Locations of wat r4i a e , heating & cooling equipment,' other electrical. or gas equipment, and plumbing fixtures. tMarage firewall, door size, and closer (Sec. 503(d)(4)). 1 1 - 3'0" exterior- exit door (Sec. 3303d). Fireplace location. ! Smoke detectors (Sec. 1413).- D. ST CTURAL DETAILS oundation,plan complete enough to construct building. ��oor construction details complete enough to construct building. E-Tevations.and wall construction details complete.enough to construct building. Roof construction details complete enough to construct building. &replace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). - E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 4 -r -"Mr -plywood on exposed locations and overhangs. +2 -.-'St' WIrway details (Sec. 3305) . Jv­EI'a-rdrail details (Sec. 1716)'. T4ck or stone veneer (Chapter 30).' _erior plaster - weep screeds (Sec. 4706 & 4708). roper roof, pitch for roof covering (Chapter 32). W� Rafter ties or bearing ridge beam. age door or porch .header sizes. ` M. Adequate bracing. wwr0'. MIV~ing area"over garage - complete 1=hour separation -required including supporting walls and posts, etc: 4 exits on, three-story dwellings (Sec. 3302) . 3 INCIDENT TYPE IR ❑ FALSE ALARM T GO TO O 0 k rRef. RESPONSIBILITY .(AT ORIGIN) 46 'PRAT. RESP.(ro.P.R•) STATUTORY STATE ZONE RESPONSIBILITY j,.8CEOUDEARpPORR THREATENED STATE ❑ UNPROTECTED ❑DISTRICT �>❑ OTHER AGENCY D.P.R. E] CITY LOCAL ZONE -. ❑COUNTY U. SCHEDULE A M P.R. ❑ U.S.F.S. t)o❑ OTHER AGENCY D.P.R': (Unlncorp) ❑ B.L.M. FEDERAL ZONE ❑ B.I.A. 0 ❑ FEDERAL(except MIIItary) D.P.R. ' ❑ N.P.S. O❑ SCHEDULE A D.P.R. []OTHER FEDERAL t ® ❑ MISCJOTHERVZONEI ❑OTHER ��CAA TARTS IN 00 8 OROONLY) Y 2 6 or g ❑ SMOKING EQUIPMENT ❑ DEBRIB ❑ PLAY W/FIRE r ❑'ARSON ❑ OTHER/MISC. 6 LAND US J4T TS IN t 2 OROONLY) ❑ Old not siert >n0 2` 6 orO C] FOREST INDUSTRY ❑ DOMESTIC . ` RECREATION RANCH -FARM HER INDUSTRY- COMRCL. ❑ DUMP /�p� /L I/❑`YAND []ROAD (/" � 1N-WILO D� p [I UTILITY, RAILROAD fj5 PEO ❑ UTILITY, ELECTRIC 7 ❑ NO DAMAGE IN Nuoof (NearrestA 00 Y 2 8/or B 8 1 2 6 OR 8 Veh/Dwlg TIMBER A/OR FIRMN NUMBER-. `r 8TARTMO.' DATE YEAR COUNTY' R.U. NO. WILOLAND VEGETATION JINCIIEN+�T (Other than T & Y a) EFIRENUMBEk­' mm"ORT ) (Other then TBYGDWELLINGS thru � Aj - -Yt) (1/80). FC _ • _. "_" ., . _ •... � 8/OR CONTENTS ,Q -APO ORIGIN LOCATION. OTHER STRUCTURES . Pr�7 OWNSH N RANGE' E MILES IRECTIOIN FROM ❑IN NATIONAL FOREST 'FIRE D13T CITY d STREET NO., VEHICLE$ 8 CONTENTS .❑S v� Cl w' _ / PVYPst 1 myr ET .. a d � 14 ,.. — -. 3 INCIDENT TYPE IR ❑ FALSE ALARM T GO TO O 0 k rRef. RESPONSIBILITY .(AT ORIGIN) 46 'PRAT. RESP.(ro.P.R•) STATUTORY STATE ZONE RESPONSIBILITY j,.8CEOUDEARpPORR THREATENED STATE ❑ UNPROTECTED ❑DISTRICT �>❑ OTHER AGENCY D.P.R. E] CITY LOCAL ZONE -. ❑COUNTY U. SCHEDULE A M P.R. ❑ U.S.F.S. t)o❑ OTHER AGENCY D.P.R': (Unlncorp) ❑ B.L.M. FEDERAL ZONE ❑ B.I.A. 0 ❑ FEDERAL(except MIIItary) D.P.R. ' ❑ N.P.S. O❑ SCHEDULE A D.P.R. []OTHER FEDERAL t ® ❑ MISCJOTHERVZONEI ❑OTHER ��CAA TARTS IN 00 8 OROONLY) Y 2 6 or g ❑ SMOKING EQUIPMENT ❑ DEBRIB ❑ PLAY W/FIRE r ❑'ARSON ❑ OTHER/MISC. 6 LAND US J4T TS IN t 2 OROONLY) ❑ Old not siert >n0 2` 6 orO C] FOREST INDUSTRY ❑ DOMESTIC . ` RECREATION RANCH -FARM HER INDUSTRY- COMRCL. ❑ DUMP /�p� /L I/❑`YAND []ROAD (/" � 1N-WILO D� p [I UTILITY, RAILROAD fj5 PEO ❑ UTILITY, ELECTRIC 7 ❑ NO DAMAGE IN Nuoof (NearrestA 00 Y 2 8/or B 8 1 2 6 OR 8 Veh/Dwlg TIMBER A/OR YOUNG GROWTH WILOLAND VEGETATION (Other than T & Y a) . � ; AGRICULTURAL PROD ) (Other then TBYGDWELLINGS 8/OR CONTENTS OTHER STRUCTURES d/OR CONTENTS •'•• %' %`" :i ri% :•:•i.+•Fir<+•:•: •ii+:iii. .:.. i VEHICLE$ 8 CONTENTS ------------- OTHER fes; ;:';•.<: TOTAL $ ,... ffleE04TRRII�AL ATION FIRE _ ❑' OTHt R; •ta0 70 0 SIZE DISTANCE'(Or Igin to head) • ..,. a J ACRES' FEET L�AR(ESTIMATEATSCENOIRECTIONrFROM TEtiAPERATURE '~ ' } 00 M.P.H. 1 y�1 t 10 OVERz PLEASE CDF 7640-1,30-0/1E