HomeMy WebLinkAbout064-620-029j 64-62-W,29
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64=62229`'
Certificate of Compliance
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LAND OF NATURAL W E A L T H AND BEAUTY
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DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
- Y Telephone: (916)���NAZD
D. McELROY
Deputy Director
February 21, 1989
Homer Rombeau RE: AP 64-62-29
238 Princeton Circle Certificate of Compliance
Paradise, CA 95969
Dear'Mr. Rombeau
Enclosed please find the Certificate of Compliance which was recorded
by the Butte County Department of Public Works in the office of the
.Butte County Recorder on February 3, 1989. The Recorder's Serial
Number is: 89-003751.
If you have any.questions regarding this matter, please contact this
office.
Very truly yours,
William Cheff
Director of Public Works
Jo Mendonsa
As -stant Director
JM/ds i <
attachment
cc: Building Department
Environmental Health Department
Sierra West Surveying
RETURN TO:
Public" Works
Land Development
e9-003751 y; Rec Feel .00
Total .00
Recorded ;
Official Records ;
County of ; �'L13�_IC �NORttS
Butte
Candace J. Grubbs
Recorder
Section 11:47am 3 -Feb -89 ; RB 2
CERTIFICATE OF COMPLIANCE
Issued to: Homer Rombeau
238 Princeton Circle
Paradise, CA 95969
This Certificate of Compliance is hereby issued by the County of Butte to
certify that the land division which created the parcel of property
identified below complies with the applicable provisions of the Subdivision
Map Act and of Chapter 20 of the Butte County Code.
1. Property location: on the east side of Nimshew Ridge
Road across from Paschal Way.
Paradise Pines area.
2. Assessor's Parcel Number: AP 64-62-29
Description : All that certain property located in the County of Butte, State
of California, more particularly described as follows:
Being a portion of the Southeast quarter of Section 22, Township. 23 North,
Range 3 East, M.D.B. & M. and being more particularly described as follows:
COMMENCING at the Northwest corner of the Northeast quarter of the Southeast
quarter of said Section 22; thence South 0° 51' 18" East along the Westerly
boundary line of the Northeast quarter of the Southeast quarter of said
Section 22 for 985.00 feet to the Northwest corner of that certain parcel of
land described in Deed to Keith L. Babcock, et ux, recorded May 31, 1981, in
Book 2608 of the Official Records of Butte County, California at page 618;
thence North 89° 08' 42" East along the Northerly boundary line of said
Babcock parcel for 30.00 feet to a point on a line located 30:00 feet Easterly
of and parallel to the Westerly boundary line of said Northeast quarter of the
Southeast quarter of Section 22; thence South 0° 51' 18" East, parallel to
said Westerly boundary line for 247.71 feet to the true point of beginning for
the parcel of land herein described; thence from said true point of beginning,
North 89° 32' 13" East for 602.60 feet; thence South 0° 27' 47" East for
247.51 feet to a point located in the Southerly boundary line of said Babcock
parcel; thence following along said Southerly boundary line, South 89° 32'
13" West for 601.00 feet to a point located in the easterly boundary line of
Nimshew Ridge Road, said point being located on a line 30.00 feet Easterly of
and parallel to the Westerly boundary line of the Southeast quarter of the
Southeast quarter of said Section 22; thence North 0° 49' 25" West, parallel
to said Westerly boundary line for 369.70 feet; thence North 0° 51' 18" West,
parallel to and 30.00 feet Easterly of said Westerly boundary line of the
Northeast quarter of the Southeast quarter of Section 22 for 77.62 feet to the
true point of beginning.
RESERVING THEREFROM a non-exclusive easement for road and public utility
purposes over the Northerly 30.00 feet of the above described parcel of land.
Said easement is to include a 20.00 foot radius return curve at the
intersection with Nimshew Ridge Road.
TOGETHER WITH a non-exclusive easement for road and public utillity purposes
over a strip of land 30.00 feet in width lying Northerly of and coincident
to the Northerly boundary line of the parcel of land described above.
CERTIFICATE OF COMPLIANCE
Homer Rombeau
AP 64-62-29
89-03751
PAGE TWO
Issuance of this Certificate is conditional upon the following conditions
which have been imposed pursuant to the Butte County Code Chapter 20-166 and
Government Code, Section 66499.35 (b), to protect the public health and public
safety:
NONE
County of Butte
Subdivision Violation Committee
n/
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C ..... .....butte Co
LAND OF NATURAL WEALTH AND BEAUTY-
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE • OROVILLE CALIFORNIA 95965
Telephone: (916) 538-7265
RONALD D. McELROY.
January 18, 1989 Deputy Director
Homer Rombeau RE: AP 64-62-28 & 29
238 Princeton .Circle App, for Determination
Paradise, CA 95969
Dear Mr. Rombeau:
At the regular meeting of the Butte County Subdivision Violation
Committee meeting held on January 18, 1989, the committee granted
conditional Certificates of Compliance for the above -referenced
property. The conditions are:
1. .Provide satisfactory evidence that the parcels comply with
Appendix VII of Chapter 20 of the code of Butte County for sewage
disposal.
2. Provide satisfactory evidence that adequate quantities of domestic
water are available to each parcel for a single family residence..
There is a.fifteen-day appeal period before these Certificates can be
{, recorded unless you sign and return the enclosed waiver waiving your
right to appeal the committee's decision.
If you have any questions.regarding this matter, please contact this
office.
.Very truly yours,
William Cheff
Director of Public Works
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XAJ n Mendonsa
istant Director
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Environmental Health Department
Building Department
Sierra West Surveying
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DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teieohone: (916) 534-4541
H. W. McDONALD
Deputy Director
July 26, 1982
Keith Babcock RE: Mobilehome utility permits
P.O. Box 998 #4359-81 & 4490-81)
11agalia, CA 95954 (AP 64-62-'1
Dear Mr. Babcock: 2-9 --=W L=
P ,
With reference to the above subject and the two mobile home utility permits you
applied for late last year on your property on the east side of Nimshew Ridge
Road, we have received'claim forms for refunding of fees for these permits which
were not issued.
An inspection check of the property on July 22, 1982 revealed a temporary pole and
mobilehome pedestal essentially completed at one site and a temporary pole and
mobilehome pedistal partially completed at the other site.
Since unauthorized work was done without permit issuance, I suggest you immediately.
contact this office to determine what must be done to issue you the permits necessary
for the work you have done.
As a result of the work which you have done, permit refunds are not possible a.t
this time.
JFG:ds
cc: Paradise'Office
712-4 �� z
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
Chief Building -Inspector
0
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Report No. 3319
TABLE NO. I
(BUILT-IN FIREPLACES)
'Hearth extension is a listed component supplied with the unit.
*Nlav be 131h feet with Duravent.
TABLE NO. I -A
(FIREPLACE STOVES)
MODEL
NO.
OVERALL SIZE
CLEARANCE TO COMBUSTIBLES
HEARTH EXTENSION
DOORS
INSTALLED
EXTERNAL
HEATSHIELDS
(Inches)
(Minimum in Inches)'
FIREBOX
HEARTH
HEIGHT—
OVERALL SIZE
OPENING SIZE
EXTENSION SIZE'.
CHIMNEY
FIREPLACE &
Height
Sidewall-Backwall
Corner
(Inches)
(Inches)
(Inches)
SIZE—I.D.
CHIMNEY(Feet)
Bottom
(Inches)
Width
Depth
Height
Width x Height
Width x Depth
Min.
Max.
NO.
MODEL
REMARKS
I
Fuego IVA
50
24
45
321/4 x 23
50 x 18
10
15*
55
Duravent or Metalbestos
?
Fuego IVU
42
24
45
27 x 23
42 x 16
8
IS*
55
listed low -heat appliance
chimney required from top
0
7
Duravent or Metaibestos
2
Fuego IVB
Rectangular
42
24
of unit.
'Hearth extension is a listed component supplied with the unit.
*Nlav be 131h feet with Duravent.
TABLE NO. I -A
(FIREPLACE STOVES)
'Clearances are from the outside surface of the chimney connector pipes. See Figures Nos. I and 2. A
'-Hearth extension is defined as the noncombustible surfacing applied to the Floor area beneath. extending beyond
the front. back and sides of the fireplace stove as noted in Figures Nos. I and 2. Hearth extension shall be of
materials specified in Section 3707 (1) of the Uniform Building Code. B
'Chimney connectors unless otherwise noted shall be of materials specified in Section 915 (b) of the Uniform
Mechanical Code and of the same diameter as the chimne; s. O
4M ay be installed on combustible floor with only hearth extension protected as shown.
FRON
HEARTH EXTENSION
FIGURE NO. 1
N
TABLE NO. II
(DESCRIPTIVE INFORMATION)
I
X
HEARTH
EXTENSION
FIGURE NO.2 .
NO.
MODEL
NO.
OVERALL SIZE
CLEARANCE TO COMBUSTIBLES
HEARTH EXTENSION
DOORS
FIREBOX
LINING
EXTERNAL
HEATSHIELDS
(Inches)
(Minimum in Inches)'
(Minimum Projection
cicarance
beyond unit-inches)z
CHIMNEY
AND MATERIAL
Width
Depth
Height
Sidewall-Backwall
Corner
Number
Type
Minimum
diameter
Sides
Bottom
Width
Depth
Height
Installation
Installation
Front
Sides
Back
(lnches)a
Side (A)
Back (B)
Dimension -X"
N0.
MODEL
45
—
—
2
Glass
steel
No
REMARKS
I
Fuego V`t
39
21 X
25'/4
29
9
23
.16
0
0
7
Duravent or Metaibestos
2
Fuego IVB
Rectangular
42
24
45
—
—
2
Glass
listed low -heat appliance
No
No
No
Steel
chimney required from top of
3
Fuego V
Rectangular
39
21%1
25'/
Pedc-
Pede-
unit.
2
Fuego 11
28
21'/4
30'/
401,_
19
Not permitted
16
8
8
7
If connector is horizontal,
`
4
Fuego II
Rectangular
28
21'/4
30%
maintain 24 -inch clearance
8
2
Glass
Refractory
No
No
No
Steel
from combustible ceiling.
'Clearances are from the outside surface of the chimney connector pipes. See Figures Nos. I and 2. A
'-Hearth extension is defined as the noncombustible surfacing applied to the Floor area beneath. extending beyond
the front. back and sides of the fireplace stove as noted in Figures Nos. I and 2. Hearth extension shall be of
materials specified in Section 3707 (1) of the Uniform Building Code. B
'Chimney connectors unless otherwise noted shall be of materials specified in Section 915 (b) of the Uniform
Mechanical Code and of the same diameter as the chimne; s. O
4M ay be installed on combustible floor with only hearth extension protected as shown.
FRON
HEARTH EXTENSION
FIGURE NO. 1
N
TABLE NO. II
(DESCRIPTIVE INFORMATION)
I
X
HEARTH
EXTENSION
FIGURE NO.2 .
NO.
MODEL
NO.
GENERAL
SHAPE
(Plan View)
OVERALL SIZE
(Inches)
LEGS
DOORS
FIREBOX
LINING
EXTERNAL
HEATSHIELDS
cicarance
AND MATERIAL
Width
Depth
Height
Number
Fboae
Number
Type
Back
Sides
Bottom
(Inches)
I
Fuego IVA
Rectangular
50
24
45
—
—
2
Glass
steel
No
No
No
Steel
2
Fuego IVB
Rectangular
42
24
45
—
—
2
Glass
Steel
No
No
No
Steel
3
Fuego V
Rectangular
39
21%1
25'/
Pedc-
Pede-
2
Glass
Steel
No
No
No
Steel
sial
stal
`
4
Fuego II
Rectangular
28
21'/4
30%
4
8
2
Glass
Refractory
No
No
No
Steel
Cement -bottom
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County of Butte
DEPARTMENT OF PUBLIC WORKS
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.
Date.............................. Inspector..........................................................
Do Not Remove This Tog
I t
ouwof i But& ,
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: L%��/"!t 7! 5 co !�
ADDRESS: 7*20. (� -L e
CITY & STATE: - L4. A- e:, 4 L! A / L IMPORTANT:
��� g' 7J SEE INSTRUCTIONS
DATE OF CLAIM: _� ON REVERSE SIDE
.SUBMIT _CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
TOTAL
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this ........ ........... day of .... 19 atCalif. ... . .. .. .. ..................• `...--..f .................
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a, Budget Appropriation E] or Specific Board Approver (Check one) for the same.
Dated this .................................... day of.. 19, at , Calif. ....................................................................
Department Head or Authorized Deputy
D ept. Exp.
Code ............................................ Code ................................................PAYABLE FROM...............................:.......................:...................................: FUND
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD.
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
g e
INSTRUCTIONS to CLAIMANTS
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and, unit prices of articles furnished or delivered.
Claims must be certified by the claimant and submitted to the De-
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for payment procedure.. Do.
not file with the County Auditor first.
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: ) C- r w eco c -`C
ADDRESS: ./�req
T�//`r/-/�
CITY & STATE: `� L I 9= I IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM T DEPARTMENT RECEIVING GOODS OR SERVICES
- DATE j DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT —
I, the undersigned, declare under penalty
claim is true and correct as stated.
Dated this day of
of perjury that the services or article
19�4-a t ............................
s claimed have been performed or delivered, and that this
Calif. ••.••
.. .�1.i
.........................gnature of C _
1, the undersigned, hereby certify t at, to th best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation Q or Specific Board Approval o (Checkone) for the same.
Dated this .................................... day of .............................• 19......, at .............................. , Calif.
Department Head or Authorized Deputy
Dept. .................................... Exp.
Code ,,,,,,,, Code ,,, PAYABLE FROM
................................................................................. .... FUND
.....................
DO NOT WRITE BELOW THIS. LINE - AUDITOR'S USE ONLY
VENDOR
CODE
I -
I
-
CLAIM
NO.
I
I
GROSS
AMOUNT
f
I
I�
i
I
I{ ,
I --
•
TOTAL
I, the undersigned, declare under penalty
claim is true and correct as stated.
Dated this day of
of perjury that the services or article
19�4-a t ............................
s claimed have been performed or delivered, and that this
Calif. ••.••
.. .�1.i
.........................gnature of C _
1, the undersigned, hereby certify t at, to th best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation Q or Specific Board Approval o (Checkone) for the same.
Dated this .................................... day of .............................• 19......, at .............................. , Calif.
Department Head or Authorized Deputy
Dept. .................................... Exp.
Code ,,,,,,,, Code ,,, PAYABLE FROM
................................................................................. .... FUND
.....................
DO NOT WRITE BELOW THIS. LINE - AUDITOR'S USE ONLY
VENDOR
CODE
I DEPT.
& SUB.
PROD•
SUB.
OBJ.
CLAIM
NO.
INVOICE. I INVOICE
NO. I DATE DISC.
GROSS
AMOUNT
ENCUMB. I SUB—DIST.
c
I I
�
-T
----
t <
0
All claims against the county must be itemized, giving dates and
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished or delivered.
Claims must be certified by the claim,aab -and submitted to the De-
partment head for approval. Upon appToval the Department head
will forward claim to County Auditod for payment procedure. Do
not file with the County Auditor first.
Claims should be presented to officiatl , for approval immediately
upon completion of services requested or materiel ordered.
Claims are paid every 'Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
r
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DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleohone: (916) 534-4541 '
H. W. McDONALD
Deputy Director
July 26, 1982
Keith Babcock RE Mobilehome utility permits
P.O. Box 998 #4359-81 & 4490-81)
Magalia, CA 95954 ._(A-{2--ttr)-
Dear Mr. Babcock:
.With reference to the above subject and the two mobile home utility permits you.
applied for late last.year on your property on the.east side of Nimshew Ridge
Road, we have received claim forms for refunding of fees for these permits which
were.not issued.
An-inspection,check of the property on July 22, 1982 revealed a temporary pole and
mobilehome pedestal essentially completed at site and a temporary pole and
mobilehome pedistal partially -comp leted at the other site.
Since unauthorized work was done without permit issuance; I'suggest you immediately.
contact this office to determine what must be done to issue you the permits necessary,
for the work you have done. .
As a result of the work which you have done, permit refunds are not possible at
this time.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
JFG:ds Chief Building -Inspector,
cc: Paradise Office
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICA' ION AND PERMIT
PERMIT N0.
..
ASSESWR P RC L NUMB R
�p�2—�
ZONING
et"14-1 ,
BUILDING PERMIT
OWNER '-
�/ %(,4 0/4-4' C 0 c,I�
TELEPHONE_,
�_ J,
SO. FT. OCC. BUILDING VALUATION
OWNERA'S MAILING ADDRESS
CONTRACTOR'SNAME
�s rL
TELEPHONE
,
CON RAC OR'S MAILING ADDRESS
CO STRUCTION LENDER UNKNOWN
F i replace
Total Valuation $
Filing Fee
$
LENDER'S AILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0
BUILDING ADDRESS
2
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeiz' Other
SPECIFY
Building sewer
Lawn sprinkler system
E[5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litiex Installation ❑ Other ❑
Describe work:
Permit Fee
3 —
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50 �i—
NEW CONST. ( DWELLING OCCUP.y`
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. OUTLET 2.50 ea
NO N.R ESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS 5
NON-RESID. (SINGLE OUTLET CIR.
SO a 250
Ex. OCCUp OUTLETS OR FIXTURES gpL�i
FIXED APPLNS. OR \
Ex. Occup..TL.TS (RESID•) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
f1 I shall not employ any person in any manner so as to become subject
Jul to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Xaid County in conseq nce of the grant'ng of this permit.
I
XZ4_ Date I
Signature of Applicant — Owner ❑ Contractor Agent YN
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �SO
OCCUP. GROUP
I TYPE OF CONST.
PARC L
P
MD
1550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
,•inheight.
Receipt No. _ta2,1- `/!P-
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - bEPAkTMENT;G'f PUBLIC WORKS - BUILDING DIVISION
' 7 COUNTY CENTER DRIVE - OROVILLL, CALjFORNIA 95965 - TELEPHONE: 916/534-4541
w�
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER KLrt r1-1 2413 L t L4* A. P. No. / �G't
Proposed Building Use ,/1.C��f�
Permit Fee Based Upon: Complete Contract Price _DPW Valuation
Other (Explain)
Building Inspector 'W� 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
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif,)
14. Owner -Builder Verification (Given to owner, Mail to owner`&a
r 15. Improvements may be required. , . . . . . . . . . . _
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Required. Pre-Inspec. request to )
/ _zuil
din g7ns ector (Date
Other A kXAA 0& AX -CA- � %
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
Applica
Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of p li tion, circle ite .)
1. Index permit for above Items No. --
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone k vMail Other
//-z3 -&
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
COUNTY OF BUTTE - DEP)�6TNi&NT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
�. APPLICATION AND PERMIT
PERMIT NO. I
ASSESSOR PA C 11UMY R%
r
NTNG
BUILDING PERMIT
0 E
1
b
TELEPHONE
_ r
SQ. FT. OCC.1 BUILDING VALUATION
R'S LING ADD ESS
CONTRACTOR• NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRES
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation Is
Filing Fee
$ t4e-e&—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINGAD RESS
err I�r
PLUMBING PERMIT
Filing Fee 10.00
11
Each Trap
2.00
Repair drainage or vent piping
5.00
aea I
Water piping
/Ot
LOT NO.
SUBDIVISION NAME
PA EL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
M,DO
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome2�Other
SPECIFY
Building sewer
4onio
Lawn sprinkler system
5.00
TYPE OF WORK,,,/
New ❑ Addition [:1Remodel ❑ U? Utilities Installation❑ Other ❑
Describe work:
Permit Fee
$ 00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DOOV OR LESS
100 AMP OR LESS
Loon 1000
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.py\
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
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
fcr this reason
NEW CONST
ID R. BRANCH C•IRCTITS 2.50 ea
NEw CONSTR. POWER APPARATUS e\\
NON.RESID. SINGLE OUTLET CIR. 1
Ex. Occup OUTLETS OR FIXTURES a ��
and
FIXED APPLNS. OR
EX. OCCup.(OUTLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
V V Vh �v
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.
-f�tl I shall not employ any person in any manner so as to become subject
f� 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
Hood
3.00
Ventilation
permit Fee
S
Contractor.
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t said Count A�onsequiqme 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 over3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
PAR
PD HD esuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
'to
Receipt No. _ A ( I
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT417 013BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ,2�2 V 1 V_, Q�' q C'A Ck- - A. P. No.
i 1 ► t
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector
Other (Explain)
1 /
Date 1 0) R-- C;��
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.
Complete plans in ./triplicate. • FV(.
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�9. Letter of signature authorizatit . . . . . . .
V10. Sanitation approval from. Y Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.) `
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required.-. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp,17. Pre -Ins ction for Required.
In request to (Dote)
�j q Building Inspector
c/ 18 Other I� CA A Q A ck e /2'I 4 S - n� >fi J-fe c
W en you issue the permit, process as follows: MaiI to owner. Mail to contractor.
Telephone �31�-09� and hold for pickup atgly;, office. Deliver w/inspector.
Other
J � s• r
Applicant &dDatq42 ` -gy
PP
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.14
2. Additional items required:
(Contractor, Designer, Owner) was advised of Above required data by Telephone Mail
By
Date
Plans checked by � Date 1-2-1-
Plans approved by Date
Other:
Copy—DPW
Other
Kenneth Babcock V'+-oz-la port.
SIS Perrier,- app.100'E.of Nimshew Rd.,�
Magalia
Permit #4490-81P,E (ut--,j1. ,MH)
ELEC .
GAS
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
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