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HomeMy WebLinkAbout064-670-01664-67-16 R. GRANT CLINE,,, P Skyway at Woodward, Paradise Contr: Illumination Ele, Magalia s Permit x#384 -79E (ele ser ch) SF 1 64-67-16 i Permit #101-81B(new pri.det.carport� ° € 064-670-016 PERMIT#98-0721 CLI' , R. Grant lo3S Hien Lake Ln., Magalia MH Util-2n Dwelling � '%/l /imj _ i I 064-670-01� PERMIT#98-0722 CLINE, R., Grant 090 Hid/den Lake Ln., Magalia MHI/2nd Dwelling i ! 064-670-016 PERMIT#98-1506 CLINE, Grant 6380 Hidden Lake Ln., Magalia Re -Install Awnin /MH ` 064-670-016 #98-1675 `CLINE, GRANT 14623 SKYWAY MAGALIA i> DECKS FIA) -46 /-z/- rf� 064-670-016 04-2118 KALLIGAS, BONGSOO 14623 SKYWAY, MAGALIA Cont: OWNER 2 NEW ELEC SERV "A I I I t March 9, 2001 R. Grant Cline P.O. Box 310 Magalia, CA 95954 Re: Use Permit UP 01-12, AP 064-670-016, Dear Mr. Cline: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Enclosed is your validated Use Permit No. UP 01-12 to change an existing temporary mobile home to a permanent second dwelling unit located at on the west side of Skyway, across from Woodward Avenue, at 14623 Skyway and 6380 Hidden Lake Lane, Paradise Pines.. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, r Donna Mealhow Office Assistant I Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\temp\up7 LAND OF NATURAL W E A L T H AND BEAUTY t March 9, 2001 R. Grant Cline P.O. Box 310 Magalia, CA 95954 Re: Use Permit UP 01-12, AP 064-670-016, Dear Mr. Cline: PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Enclosed is your validated Use Permit No. UP 01-12 to change an existing temporary mobile home to a permanent second dwelling unit located at on the west side of Skyway, across from Woodward Avenue, at 14623 Skyway and 6380 Hidden Lake Lane, Paradise Pines.. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, r Donna Mealhow Office Assistant I Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\temp\up7 USE PERMIT MAR 1 2 BUTTE COUNTY PLANNING COMMISSION DATE: (Certified Mail Rec.) PERMIT NO. 064 -67 016 ASSESSOR'S PARCEL NO. tions Pursuant to the provisions of the Zoning Ordinance ofthe County of Butte andse Permit n accordance with applicationlfiled set forth below: R. Grant Cline is he granted a U Use Permit to convert- a temporary manufactured home to.. aper anent second dwelling unit. 1, Failure to comply with the conditions specified herein as the basis for approval of applicadanceti th tion and issuance of Permit, constitutes cause for the revocation of said permit the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this use of permit, he all c useditions st be completed prior to or concurrently with the establishment granted by this permit must be established within 24 months of the delivery of the countersigned permit to the Permittee. 3. Minor changes may approved administratively by the Directors of Developmenteupon onrece pt of Services, Environmental Health, or Public Works, or their respective g p substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. of the 4. If any use for which a use permit has been granted is not established shall be othin two mee ars null and date of receipt of the countersigned permit by the Permittee, the permit void and reapplication and a new permit shall be required to establish the use. 5. The terms and conditions of this permit shall run with the land andshall assi b s of the Permitng upon tee. be to the benefit of the heirs, legal representatives, successors, an g Conditions of Approval: Plan_ nine Division: 1�nit. The Two (2) off-street parking spaces shall be provided for the Seco udrDments forJthe main spaces shall be in addition to the existing off-street parkin req dwelling unit. in BUTTE COUNTY PLANNING COMMISSION AGENDA REPORT e PAGE 1 ■ 2. The project site shall be developed in accordance with the approved project site plan and the conditions contained herein. Said site plan is on file in the Planning Division, is identified as "Exhibit E" and date stamped December 8, 2000, and is incorporated herein by this reference. Environmental Health Division 3. -Prior to issuance of the Use Permit, under County permits, repair/abandon/upgrade or otherwise alter the existing septic system to meet Butte County Environmental Health Division requirements for sewage disposal. 4. Prior to the issuance of the Use Permit, the proposed second dwelling unit must connect to the Del Oro Water Company. 5. Applicant must also comply with all other applicable State and local statutes, ordinances and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated:�� tippncaun NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Division permits before starting construction or does it waive any other requirements. Butte County Planning Commission Chairman CC: Land Development Division Building Division Environmental Health Department Butte County Fire Department/CDF Assessor's Office ■ BUTTE COUNTY PLANNING COMMISSION AGENDA REPORT ■ PAGE 2 ■ FROM :LINTRONICS ELECTRICAL FAX NO. :5308773092 Aug. 10 2004 02:27PM P1 08; 06'04 09:17 0419 075 0207 PaR. FLEET RER_V_I_ 0-00.11002 PAI - e 670 August 6 -2004-- To: Bob Lindstrom — Lintronlcs Electrical From,- Soyoung Y-amast�lta Re: 14623 Skyway: 6380 Hidden Lake Lane Attached is the paperwork provided to me by the county, Currently there is a tenant-Iiv' in-the-4-fraTre shed, We -ars -c; rrently-ire-the-pro_.,a&_ evicting them. It was not our inter;t to have anyone living i.. the A frame Oad. They apparently- .ware 1 -i -fin there-Candor-an-agroemm t-wWthe-proviowowner. This - was not brought. to qur attention until -atter the purchase was_cormplate. COUNTY OF. BUTTE BUILDING DIVISION Q`EPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538_-7541 4. CORRECTION NOTICE VjL ti sug) A I I" ( U11"IL IIio 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, nloncQ rnntad Ihic nffira immarliataly � % / _ tt. lve G,l 4 __ /�-7/�do O/j oil -z-4-^ W.A,/V,- .iyl�dZ 2n r 2�0 Date 1 /� �Inspector. REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP042118 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/16/2004 APN: 064-670-016-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Site Address: 14623 SKYWAY MAG License Class : Ci— I d License Number: S_ % Map Index: Date: 7-(6- oX Contractor: I (,, r CSS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I y affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and p6licy number are: Carrier: Policy # l&/I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply/ tho/s�e provisions. Date: ` / , — L Applicant: /Kln✓l / / �_�(�si(. WARNING: Failure two secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Description: 2 NEW ELECTRIC SERVICE Owner: KALLIGAS BONGSOO C. 6198 FIRETHORN CIRCLE MAGALIA CA 95954 Applicant: KALLIGAS BONGSOO C. Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: r �a CONSTRUCTION LENDING AGENCY This permit is hereby issued under the able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to ork indicated abo a for hich fees have been paid. / performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY: Date: Address: PERMIT EXPIRES ON: _ ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby authorize representatives o!,Butt�OCounty to enter upor}jhe abbe m9tioned property for inspection purppWs. /J A Print Name: ( !tl, d-_� 1 . / Signature: Date: D ❑ OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last NameFi t Nam 124 Address Cityol I Stat Zi Phone Ss- Fax E-mail Phon _ APPLICANT NAME CONTRACTOR Name , ^ Ad re s Zip City �C', r "�� !�t Stat Zip Phon _ Page Fa� D E-mail C Lic # CI ss APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone g 7 Fax E-mail Subdivision Name Map APPLICANT SIGNATUgE X ' For office use only: Zoning?,1 Flood Zone City SRA W No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. BIN # LOCATION AP# / C/ /j ­ % � L— Property Add es City F;ss­S­treet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: -- —Bldg // SRA Receipt #:.C1 C.�`�y, ,s '(161 Sheriff SMIP Other 11 Date: r7—/6 7f^ / ` `" Total REV 6-16-04 RESIDENTIAL 064-670-016 PERMIT#98-1506 PERMIT NO. _ CLINE, Grant 6380 Hidden Lake Ln., Magalia PERMIT EXPIR Re -Install Awning/MH OWNER CONTR_ ASSESSOR PARCEL LOCATION _CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) G' Signature V=OK O = Not OK , =Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 1. Zoning Requirements - Setbacks - Easements 9. Siding; Nailing -Veneer -Stucco -Mesh 2. Soils; Special MH Support Sketch 10. Roof; Shthg-Roofing 3. Sewer; Location -Test -Fall -Q0 -Concrete 11. Ext.; Steps -Doors -Landings 4. Water; Location -Test -Easement Needed (Sketch) 12. Braced Wall Panels 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ / L'ft./ /LPG Card B- Date Card B-1 7. Well Clearance & Disconnect Card B- Date Card B-1 8. Utility Clearance POOLS lana excet #'s 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except#'s 5. Elec.; Pool Lighting; 15 Volts-GFI 1. Zoning Requirements- Setbacks Easements 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line 7. Elec.; Bonding; Metal w/6-Circulatlng Equip. -Heater 3. Gas; MH Test -Demand -Valve -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L ghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. Health Department Approval 5. Drain; MH Test -Fall -Flex Connector 10. Plumb.; Cir. Test -Water Supply Test 6. Water; MH Test -Regulator -Connector 11. Light Niche 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC VERS, CARPORTS, GARAGES lana OK except #'s . Zonilr g.A�quirements-Setbacks-Easements tings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shth .- --Bracing5 m. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: 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 12. Braced Wall Panels Date Card B- Date Card B-1 Dat Card B- Date Card B-1 Date POOLS lana excet #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6-Circulatlng Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L ghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o - No OK RESIDENTIAL (Single & Duplex) - N to 1' bl o pp ica e Not Ready Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth Cling. Joist-Rf r. Ties-Purlin-roll Brac.-Truss-Shting.-Rfng. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6a. Hold Downs and Special Anchors Garage Fire Protection Framing 7. Slab, Steel -Wrapped Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test Siding -Nailing Veneer 12. Electric Underground Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Pienums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Shear Walls; Nailing -Bolts 15. Access & Ventilation 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 69. Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date . FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation-JJa lls-Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- n Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CI 10 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Otroville, California 95965 -®Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .e �^ A (0 Ig0 16 ZONING BUILDING PERMIT OWNER/-� (�/J\a• TELEPHO (07'1' 3-//60 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADESS �/ . 11S3io CONTRACTOR'S NAME TELEPHONE - .. CONTRACTOR'S MAIU� ADDRESS CONSTRUCTION LENDER Fireplace - LENDER'S MAILING ADDRESS Total Valuation $ ��1*a • 00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ A3100 BUILDING ADDRESS �A g Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex k Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heathy 1 23.00 Water piping 15.00 Each gas water heater or ve t 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1 stallation ❑ Otheri� Buildin Describe Work: IF Gas piping system 1- 5 outlets 15.00 sewer 15.00 Mobile Home I S G I W 920.00 PERMIT FEE $ 1 1PERMIT "�_ �/� O ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service ( 2000A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 1C 46.00 NEW CONST. DWELLING OCCUP. ,3.5aS0. OR ADDNS. ( & Acc. BLDS. FT. NEWCOS.9 NON-RESNDT BgANCTH CIRCUTS @7.50 & SINGLE OUTLET CIR.R APPARATUS 20 @Loo Ex. Occup. OUTLET OR FUTURES BAL @ .50 FIXEDOR Ex. Occup. OUTLETS IRESID.JEA5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /J X ______ Date %__ Sign lure of Applicant - Owner ❑ Contractor ❑ Agen, An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oo3 �4N TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF' PARCEL PD HD; I .0 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. By Date__ PERMIT EXPIRES ON (9// Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..' �w- ;.:•„t,.r' , ',i •lx' :.::% 'L.•�^.rYr, ':^•" 'ei.-..j�+Mv�'i....-m.. �..=wti✓++ tw.): '" . ,, h �.� ^h, „'. �. -T i+� C. �..�,- t ,� M COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION "` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 0 &J A ASSESSOR PARCEL ER: Proposed Building Use: , { } Building Inspector: U Date: '% 9 -.f* At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submi'tted -------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1:113, Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: E3 18. 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- 0 20. Pre-irtspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 6 ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). E124. Letter Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ----------------------------------------------- El 27. Manufactured Home utility clearance. --------------------------------------- 0 28. Existing violations and/or expired permits. --------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ %2�. Other: ,�i�-�1 OP �h'/i `/ 0 zOXeX (Date) When you issue the permit, process as follows 9,Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. ' 49-Applicant./0;7,e4' Date: Copy -of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution . Datd: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bufildi Divisi�o count ,r, by • Date: _ Plans reviewed by: Date: Plans approved by: i� � = Dater 7 7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: (/ Date: Yellow Copy - Department of Development Services, Building Division. 4VILDER y � ... /.r: .. ..:.. .....1.....Ki�W.�.M�..� Mv.. S :S rrr.. MY rr .. r ... r ... ...i.. ���. ' \\'•.. .. .. �.:.. .Wtr.r _ r V/ / Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ 1. , 2. I HAVE[',>�] HAVE NOT[ 1 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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 SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and, returned to our office before we are permitted to issue the permit. Mav 191) i 2.26 Apple Tree Mobile Home Park 1400 Kilcrease Circle Paradise, CA 95969 (916) 877-8901 July 8, 1998 County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Re: Sale of Mobile Home Dear Sir or Madam: Mr. R. Grant Cline asked me to write this letter confirming that he purchased a 1977 Skyline Mobile Home, Serial Number 03740289L, HUD Label/Insignia CAL056369 that had been owned by a Mr. John Hirsch and installed here in Apple Tree Village Mobile Home Park. This mobile home was equipped with aluminum awnings, a redwood deck and stairs as well as a metal storage shed. This was located at 6844 Jon Lane, Paradise. When Mr. Cline relocated the mobile home to his residence in Magalia, he took all the awnings, the redwood deck, stairs, the metal storage shed and all other attach- ments along with the mobile home. MP:srf Very truly yours, MELISSA PEMBERTON Manager MOTIE�Adl Materials A Accordance with Recogni of a quality prescribed fo. Uniform Building, Plumbing AD at cif pk"I at Wo co We jog 0§ 0h ti rook® my changes or alt =on fro�t 1 wto 6 r ii A.L. STRUCTURES 3& OVERHANGS SHRLL,(3E A SET WK OF Vii 220 FT. FROM THE C C FT. F9CR4 TA& F CLEAR OF ST RUCTWE air FOR A 2 FT. EAVE 09EF krnan6l' p ,^ ,Good Pro SDeclfled in thl ifficavlom W;' and if is unlav$, i! ons on some wit to,-! ep opit of lisV H in r, GUl1'l=iT Pah; k9 CF ALL E,AS . '',''.'_e�e�, A THS v i PROP� �RW Lli GENTERLINE E ID EQUIPMENT 0 ,n AIND AND ring ).941 _ 064-670-016 98-1675 RESIDENTIAL CLINE, GRANT g 14623 SKYWAY MAGAL A DECKS PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) / Signature V=OK 0 = Not OK j =Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s in uirements-Setbacks-Easements 1. Zoning Requirements - Setbacks - Easements ooting2;-Soils-Size-Dep"pacing-Connectors-Steel 2: Soils; Special MH Support Sketch ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /'L ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; S oofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s /; .,ard B' Date Card B-1 Card -i Date Card B-1 1. Zoning Requirements- Setbacks Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line 1. Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 9. Tie Downs -Type -Installation Cert. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 10. Exits; Insp.-Sketch 9. Health Department Approval 11. Cert of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES lana OK except #'s in uirements-Setbacks-Easements ooting2;-Soils-Size-Dep"pacing-Connectors-Steel ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; S oofing 1 xt.; Steps -Doors -Lendings 12. Braced Wall Panels Date / Date /; .,ard B' Date Card B-1 Card -i Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card 3-1 Date Card B-1 Date Card B-1 O = Not o OK RESIDENTIAL (Single & Duplex) - NA 1' of W pp ica e Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B -T Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes Q NoAA/alks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: rI 0 ', ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive v Oroville, California 95965 • Telephone (530) 538-7541 + ERMIT�I O. (Rev. 12/96) APPLICATION AND PERMIT � ` 6��-S ASSESSORPARCEL UMBER 064-670--16 ZONING BUILDINGPERMIT OWNER GRANT CLINE TELEPHONE 00 SO. FT. OCC. BUILDING VALUATION GVffSjtIIG Jl�SB MAGALIA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 112n n ARCHRECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14623 SKYWAYEnergy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Illng Fie 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome LH] Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Ei Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK ON M/H 8 X 20 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 9801506 AWNTING FOR MH ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLES's 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( 8 ACC. BLD S. SO 3.SQFr. gESIDT' MULTI -OUTLET 11, @7 50 APPARATUS a SINGLE ourLET cIR. Ex. Occup. OUTLET OR FO(TURES 20 Q 1.00 BAL @ .so Ex. Occup. ouxE s .=-.)ERA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) eX11I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. - X Date nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP — FLOOD .-- CDF PARCEL PD - HD00 _ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. p O� Date D Date ReceiptNo. 214 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 o Telephone (530) 538-754�`t r PER T NC ,Rev. 1-1/96) APPLICATION AND PERMIT I lD ASSESSOR PARCEL NUMB �6 ^0I (o ZONING- BUILDING PERMIT I OWNER - 15I!WO SO. FT. j OCC. BUILDING VALUATION OWNERS MAIUNGI`.O,Q(i �S dX 1 Vim- t-YLS.�.—L. {(v\rytf// (�' I CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 29160 ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2,�3 UC7 BUILOING ADDRESS `-[ j� r / ` ,-,)3 J�j GL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT No. SUSDNISIONSNAME P^RCFL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other aPEc�r Solar or heat pump water heater 3.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ �Installation ❑ Other ❑ Describe Work: / ,1S1�-ice p xC� V --I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z"ow oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service Yow TO IOOOA 46.00 NEW CONST. DWELLING OCCUR OR ADONS. 8 ACC. BLDS. SO 3.5¢Fr. EW INpµRESip MULTI -OUTLET @7.50 PoER 8 SING OUTLET CIR.R APPARATUS Ex. Occup. REsFU(ED o`IXEDAP NS. APPLNS. ORI Ex. Occu . OUTLETS RESID. EALaw Tem orar Service Mobile Home Facilities I Misc. Wirin PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3 `� TOTAL FEE $ (�) rQ 0 HA2. D. FEES IMP FLOOD COF PARCELPD HD 6SUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date _ Oe/rl Receipt No. �q�52�( WHITE D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET 1 OWNER: ASSESSOR PARCEL ER: 10(ei — (3 % V —016 Proposed Building Use: Building Inspector: Date: 7 `a E- 9T At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ©1"A l items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9: Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $ ---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------------- ❑ 13. Flood elevation certificate.------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------- ❑ 22. Workers' Compensation carrier and policy number. ------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------- ❑24. Letter of signature authorization. ---------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------- ❑26. Letter of intent on building use.------------------------------------------------------------------------ ❑ 27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------------------------------ P 29. 1:1433 A, El Grant Deed, ❑ M.H. Title, ❑ eck to H.C. $ 0. Other: (Date) r10 en you issue the permit, ocess as follo ElMail to owner,^❑ ail tocontractor. elephone �?3- P DU and hold for pickup at.c _ office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items r Contractor, design own , was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy Department of Development Services, Building Division. ❑ Plan Check List kA Vi FA SKV WAY Ole, E �� °I10-��J-h� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCELNUMBER: Proposed Building Use: , i+ Building Inspector: /— Date: 7 — -ye At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ❑ 1. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. Ell 3. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ❑20. Pre -inspection for required. ❑21. Contractor's license information. (Number, Name Style, Classification). F-1 22. Workers' Compensation carrier and policy number. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. 1:127. Manufactured Home utility clearance. ❑28. Existing violations and/or expired permits. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: When you issue the permit, process as followsxMail to owner, ❑Mail to contractor. z ys� X❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Q Date: EXPIRATION OF AP LIGATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �l tom' I 2 P (Orr I'mr- S I(v WA Y 7,40. Z P Apple Tree Mobile Home Park 1400 Kilcrease Circle Paradise, CA 95969 (916) 877-8901 July 8, 1998 County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Re: Sale of Mobile Home Dear Sir or Madam: Mr. R. Grant Cline asked me to write this letter confirming that he purchased a 1977 Skyline Mobile Home, Serial Number 03740289L, HUD Label/Insignia CAL056369 that had been owned by a Mr. John Hirsch and installed here in Apple Tree Village Mobile Home Park. This mobile home was equipped with aluminum awnings, a redwood deck and stairs as well as a metal storage shed. This was located at 6844 Jon Lane, Paradise. When Mr. Cline relocated the mobile home to his residence in Magalia, he took all the awnings, the redwood deck, stairs, the metal storage shed and all other attach- ments along with the mobile home. Very truly yours, MELISSA PEMBERTON Manager MP: srf Apple Tree Mobile Home Park 1400 Kilcrease Circle Paradise, CA 95969 (916) 877-8901 July 8, 1998 County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 Re: Sale of Mobile Home Dear Sir or Madam: Mr. R. Grant Cline asked me to write this letter confirming that he purchased a 1977 Skyline Mobile Home, Serial Number 03740289L, HUD Label/Insignia CAL056369 that had been owned by a Mr. John Hirsch and installed here in Apple Tree Village Mobile Home Park. This mobile home was equipped with aluminum awnings, a redwood deck and stairs as well as a metal storage shed. This was located at 6844 Jon Lane, Paradise. When Mr. Cline relocated the mobile home to his residence in Magalia, he took all the awnings, the redwood deck, stairs, the metal storage shed and all other attach- ments along with the mobile home. Very truly yours, MELISSA PEMBERTON Manager MP:srf c 4ti� P *g -r- - S I ,V WA Y.7" i "Ov I li'll'..._-J-- J. _l_'V 1L" lJ- STATE OF CALIFORNIA • BU81MLSS, 'I KANtiFUK IA I IUN ANU MUUaINU AGLNGY DEPARTMENT OF HOL Dlvisiorl of codon and Standards COMMUNITY DEVELOPMENT PETE WILSON - Gavarnor Title Search Date Printed: 03/20/98 Decal #: AAR9065 Use Code: SFD Manufacturer: SKYLINE Original Price Code: ACC Tradenarne: HOMETTE Rating Year: 1977 Model: Tax Type: ILT Manufactured Date: 00/00n7 Last ILT Amount: $27.00 Registration Exp: 09/30/98 Date ILT Fee Paid: 09/19/97 First Sold On: 09/04/77 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 03740289L CAL056369 52' 12' Registered Owner: JOHN A HIRSCH CAROL J HIRSCH TI'RS 300 ENTERPRISPS DR SP 139 ROHNERT PARK, CA 94928 Last Title Date: 03/30/87 Last Reg Card: 09/24/97 Sale/Transfer Info: Price $10,000.00 Transferred on 03/14/87 Situs Address: 6844 JON LN PARADISE, CA 95969-2712 Situs County: SUITE Inactive Decal/DMV: DMV SF8786 * * * END OF TITLE SEARCH TOTAL P.©1 9s- �2ZL RESIDENTIAL 064-670-016 PERMIT#98-0721 PERMIT NO; CLINE, R. Grant Hidden Lake Ln., Magalia PERMIT EXF MH Util-2nd Dwelling - OWNER - - CONTR. ASSESSOR PARCEL LOCATION OFFICE FFICJE COPY Address _ I GAS n / A Meter By Date i ELECTRIC Meter By Date Temp. Powe Called Temp. Elec Called Temp. Gas Called JOB FINAL Signatt cv 40 s Uc)'-)�a HECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY V=OK O = Not OK •=Not t Ready ble NoMOBILE HOMES Date MOBILE'HOME UTILITIES(Plans) OK except #'s . Zoning Requirements - Setbacks - Easements Soils; Special MH Support Sketch 3 ewer; Location -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) ectricity; Location -Clearances d -#d /Amp -Concrete 6. Gas; Location-TestaNrap; iL'ft. ,00 Clearance & Disconnect t/Utility Clearance Date ;2 l Zf2_/Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE INSTALLATION (Plans) OK except #'s oning R uirements- Setbacks Easements tings; Size -Spacing -Marriage Line H T - errand Valve -Connector icity; M Test -Crossovers -Breakers -Clearances in; - all -Flex Connector MH Test -Regulator -Connector Water aN Sewer Connected -C/O to Grade -HD Approval 814ig-sland Electricity Tagged P.,j*.BewTTCpe-Installation Cert. 1 s-; Insp.-Sketch it—Cert of Occupancy r--12—Permanent Foundation Only: License Decal Date 7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2 �J'� . k� El M MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water.Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = NotOK - = Not Applicable * = Not Ready RESIDENTIAL (Single & Duplex) Date- UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo s & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Wails -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: CERTIFICATE OF ANCHOR INSTALLATION Title 25 CCR Mobiiehome Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. Tiedown System: Manufacturer: A op �P_._ '®� Model: Installed. by: Contr IOwA r. License No.: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE , OROVILLE, CA 95965 ---PHONE (916) 538-7541 APN: C) co I-[ --6170 .-0 t 6 PERMIT NO.: e Owner's: r t �� Name: Owner's: Address: Mobilehome `T Year of �5 ✓ Manufacturer Manufacture: Serial number Insignia or L 6 S L-� i t or V.I.N. —/2J HUD number: j Official approving installation ( Dale: ..L;fl 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. 5136 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor' 5 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965-TelepYhone (916) 538-7541 �PEER�M1IT NO. (Rev. 12/96) APPLICATION AND PERM91 ��� ASSESSOR PARCEL NUMBER 064-67'0-016 ZONING ARMH-3 BUILDING PERMIT OWNER R GRANT CLINE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE - - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEERLICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1-.A.NEnergy 30 r, Plan Checking Fee $ - LITDDEN L -A -KE $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome & Other SPECIFY Each Trap 7.00 ` Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X#stallation ❑ Other ❑ Describe Work: MH UTILITIES 2ND DWELLING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G w 920.00 PERMIT FEE $ SO ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2. '0 23.00 -3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( & A.C. BUDS. SO 3.50FT: NEW CONST. MULTI -OUTLET NON-RESID. BgANCH CI CUIT. @7.50 OWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFUCTURES ' ��4 ".50 FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 20.00 PERMIT FEE $ 53.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall ' not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �i� Ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction116hr of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF ARCEL P D SSUE 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. By Date _ PERMIT EXPIRES ON &/ '///7M / Dale ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -77— 1. .�. . 4..y ..�„ _-l„•4�S-,�Y �,.., L.,�+ .,1''. -.t ...; .fY4. t S_.� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN1,A:95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: Lo�I - Go Proposed Bui�Use: Buildin Ins ector: p g �� � g p Date: U I Ci At time'of permit application, I w s advised the Mowing data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- Plot plans, Ce46ts, signed by the preparer of plans.------------------------------------------------------------ 03. -----------------------------------------------------------❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- (] 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --- �� ----- flVCalifornia Department of Forestry plan approval/ees.'v3.lood elevation certificate. ------------------------- --------------• Sanitation and plot plan approval �A I ( Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. -lot plan and business license approval from the City of Biggs. ---------------------- a. Planning approval.for (A) Use: ) Parking: -- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). 1120. Pre -inspection Pre -inspection for required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- E123. Owner-Budder ----------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. ------------------------------ C, . Recorded copy of Agricultural Acknowledgment Statement. 1:126. Letter of intent on building use. ------------ ❑27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows C3 Mail to owner, ❑Mail to contractor. DTelephone 13 ' oo and hold for pickup at DMI/ 1 office. ❑ Deliver with inspector. Applicant: 0� •�e Date Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: ZBy: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: / By: Index pemlit application for the above items numbered: 1% N % ❑ Plan Check List 2. Additional items required: ( '/ ' f Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildinZ_ Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 0 Building Division counter, by Date: Plans reviewed by: _ Date: 5- Plans approved,by: Date: Sets of plans on ho an CabinetXA.P. folder. Note transfer by: 22 Date: �= (- Yellow Copy - Department of Development Services, Building Division. r E.H. USE ONLY Plot Plan Attached Yi:S Floor Plan Attached ` + Sent to B.D. - r%- 9H /_-d TO: Building Department / FROM: Environmental Health SUBJECT: Sanitation Clearance 'awe., 23 6i 64-- 67- 016 Owner Lo ation AP# Plan Approved for: Sewage Disposal X Water Supply: Public X Private Well Clearance for Wig. Other 'Temwrr-Arl_s&-cas d A.,aieta lie.) Hold final for: Final clearance O.K. for: NOTE: I.L e-L� E14,5 Environmental Health Specialist (-9- g8 Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction:.:. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 6U 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 SIGNED: �t - PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: - - NOTE: -Thu Owner -Builder Verification is required bySection I9931-Fuff79 J2 of?he. California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply / If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License. Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely,. Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder In is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF,MEVE'LOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AIV® PERMIT' ��`'�? *1 ;-;2 �a/ ASSESSOR PARCEL NUMBER ZONING MH - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS / ?�Q� 1 UU HIDPFN T AI E Energy Plan Checking Fee $ $ ,A- PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat,pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation] Other ❑ Describe Work: MHI/2ND DWELLING Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 000V OR LESS Main Service ( 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A J 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. SO 3.5QFT. NON -I ESND? BggNCH CITCUITS @7.50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FVrURES BAL20 Q 1.00 @ .50 EX. Occup. OUITLETS ED PRESI6O .EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with 1pose provisions. Date X � `Z O `7� �G-- ignatureo-T Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" 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 $ 143.00 HAZ. H.- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte Cou y Code and/or Indic ve f which fees have in By /'^' — PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Det Receipt No. WHITE-D.D.S.-B.D. CANARY -A PINK -INSPECTOR GOLDENROD -APPLICANT Ipw 216 SwHO3 SS3Nisna swvav 51 L LL6 pau6ls 'a�essaW ® noA aas of slueM ® Ile 0 ,ino)\ pauanlaa ® u!e6y 11e(] IIIM ® noA aoS o1 awe(] ® Ile(] aseald ® pauoydalal NOISN31X3 H3sym 3000 V3HV auoud 10 w awll ale(] tf� a mss, n and °^ "'` Lit ..,. ,. �'"..a '# ry ,i ,sir •'t.e. _-r� fy, .-]ai' .1 - o�, � � ., - • .. COUNTY OF BUTTE DEPARTMENT OF QE;ZLOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIi/c.95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER:( ASSESSOR PARCEL NUMBER: 0 ('(24- -- (n "'70 — 01 l n Proposed Buil ' g se: �/1+4 -/ „�� ��,L�Q, Building Inspector:Date: l/ /'):5 At time of permit application', iwas advised the i°ollowing data must be submitted prior to permit! processmi g and/or issuance: Date Red By El 1. All items have been submitted .---------------------------------- --------------------------------------------------- ceive 02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ 1 ❑3. Complete plans; 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ----------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------------------ Material Form. ------------------------------------------------------------------------------------------ Wazardous anufactured Home data and installation instructions including Tie Down Specifications.------------------ / ---------------------------------------------- -------------------------------------- ❑ 10. Fees of $ `-' �1 Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑' 2. California Department of Forestry plan approval/fees. ------------------------ ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: I-------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage; ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required. Request to Building Inspector on - (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑2 !Letter of intent on building use. ----------------------------------------------------------------------------------- Manufactured Home utility clearance.--------------------------------------------------------------------------- b 28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ------- When you issue th�e permit, process as follows EJ Mail to owner, ❑Mail to contractor. E?Telephone 0'7 f 10 0 and hold for pickup at DYnV i office. ❑ Deliver with inspector. Apphcartte-�,-::�iC �— Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: f Date: By: Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division c6unter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi on unter, by Date: Plans reviewed by: (a Date: _ Plans approved by: Date. Sets of plans on holll-inf ❑ Plan Cabinet ,'U/ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Ser4ices, Building Division. `} ::'v,� �,,.- vi(S,':• is .nsP. b"�." -'.- .reit: :1�='.:io K".v^�'ik,. til, � v or COUNT' OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (9,16) 538-.7541 SCHEDULE OF FEES DUE OWNER 1 �.fiyLA A.P. #f -V,4, &I()— PROPOSED I()—PROPOSED BUILDING USE _ DATE REC # DATE REG 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ......... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) / fleeSHERIFF FEES (paid at Building Division) Residential ........ x $360.00 Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) :. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 0,,-7_. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division)(,{ .1 1 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE �/.-� �.� � �_,� ��,-.. p }� Original -Owner Copy -Building Div. (Rev. 12/96) ��. `�., ��.,, ^,�.t..° �,y �,�.:.!'f"'�'{�c;—s;S,',d•pstc.,k�"1�v ;rr`c�'r"'sTy .�' Y ,. � : nyY..c.i"�stsv*ti+uy.-�..,.-,",.,.,.....�t.:� • BUTTE COUNTY SCHOOLS IMPACY FEE CERTIFICATION FORM (One form per Building) School District. Pa ; Building Department No. A.P. Number (0'7Q - (Ot,7 Jurisdiction: City IV I County Property Owner. Property Location/Address Subdivision Lot No. i Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial New Addition ng Department Representative U ((Floor Plans reviewed by School District Personnel) Sq. Footage &c;)q U,,P MR ) R Sq. Footage Roofed Areas) Date District Identification No. School District certifies that - - - (Applicant) ., (City) (State) (Zip Code) t has complied with the requirements of Resolution No. �\ by payment of $ representing square feet.B 2926 $ ULL MITIGATION $ School District`Representative Date / r ' Paid by Check # Remarks: �rrfsr�riwns� �(l,l Notice: You;may protest the imposition ofthe fees identified above by i Government °Code Section 66020(a), -within 90'days-from the date fees you from challenging the imposition of the fees in any court action. ;. If, subsequent to the School District Representative signing this Butte`C( notified by the applicable Local Planning Agency that this project is beim this project may be subject to additional school fees to fully mitigatelts� White (applicant), Yellow (building department), Pink (school distr omitting a written`protest to the District,. in compliance�with;3;r -. paid°'Faihire'to submit -a -timely written' protest will'prohibit' %-Schools Impact Fee Certification Form, the School District is eviewred under the California Environmental Quality Act (CEQA), pactron,ithers-chool district's schools. t) / feeformAs (2/97)dmm i' OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES NO ❑ CZv I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed W6& 3. I have contracted with the following person (firm) to provide the proposed construction::.. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide.the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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 SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: -Thu Owner -Builder Verification is required by Section I98.3I_iw__dZ983e— California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be _licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out theseobligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contracprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you . are aware of these matters. The building permit will not be issued until the verification is returned. w i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder In is required by Section 19830 of the California Health and Safety Coda OVER ELECTRICAL, MECHANICAL, AND PLUMBING ONSTRUCTION ( NOT PLAN CHECKED ) SHALLCOM1 1PLY WITH CURRENT EDITION OF NEC, UIVC AND UPC. ii-o.,n: All Materials & Workmanship Shall Be In Accordance vuith Recognized Good Practices and of a Quality Prescribed for the Specified use in the Uniform Building, Plumbing & Mechaaiica Codes and the National Electrical Code. 1 and specific: all times and 3 or alter: ,ti7T a ons MUST b is unlawful" a on same vvitr in -it artment of R iblic w Z 1 51 �_ 2 -A r -t AT Butte a.:, Environmental Health The attaci4d R-6-. sf� Date requirernen• .-mus ;b2.corr pmEv as specifie, ... d BLIP ie'd by C.D:.♦=, af Signura OGS -�"or -- - - - - `.: 6I �o Lau COUNTY 6EVTNT �® 9 $ _()121 nnti 1 -o �z2 PY s ®� �`�c j pl1 V1 WI ° 0 < i° LQ k b � , r rany re anvis H L" �- - - -, '. n 14y tA LJ ki to -) r J. `z e RIJ' Ayty��• r 7�'.H 1 q lo C►. Cn 1 and specific: all times and 3 or alter: ,ti7T a ons MUST b is unlawful" a on same vvitr in -it artment of R iblic w Z 1 51 �_ 2 -A r -t AT Butte a.:, Environmental Health The attaci4d R-6-. sf� Date requirernen• .-mus ;b2.corr pmEv as specifie, ... d BLIP ie'd by C.D:.♦=, af Signura OGS -�"or -- - - - - `.: 6I �o Lau COUNTY 6EVTNT �® 9 $ _()121 nnti 1 -o �z2 PY A AP# CDF FIRE SAFE REQUIREMENTS Q NAME 91-0 -)z1 PERMIT # Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards V1 1273.02 Surface. All driveway surfaces and structures (bridges, \\ 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [Xj 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius �] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clf'eara ice o8 �15v feet along its entire length. Liv n vow A k�I By Page 1 of 3, FP AP # PERMIT # NAME [� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [y] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre acid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [�] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [y.] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction jr f i_ial inspection of a building permit. Page 2 of 3 ;`���3 d b 1 7 L( -7 � AP # qj,�, D ?z PERMIT # Other Recruirements 110 If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 lJ ; rr ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Grant Cline FROM: Thomas A. Parilo, Director of Development Services DATE: May 13, 1998 FILE: 98-18 PURPOSE: Administrative Permit on AP# 064-670-016 for a temporary second dwelling to be located at 14623 Skyway, Magalia, in the AR -3 (Agricultural Residential, 3 acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Paul S. Lipham. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile -home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. c Permittee Signature Date Craig Sand s, Principal Planner Date W V m �" N W CL ui v ov ow . E Q LLZ � VO Z W LU w a W �I )ycd I F O it �d R ..i Eutte, Co, L A N D O F NATURAL WEALTH A N D BEAUTY PLANNING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 June 2, 1998 R. Grant Cline P.O. Box 310 Magalia, CA 95954 Re: Administrative Permit, AP 064-670-016 Dear Mr. Cline: Enclosed is your validated Administrative Permit No. 98-18 to allow a temporary second dwelling to be located at 14623 Skyway, Magalia. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\temp\up7 f�- AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 I{I I��I I� I� I�II0111�011 � 0111001101 Recorded I REC FEE 19.00 OfficialRecordsI CONFORM .00 Count ButteOf I CANDACE J. GRUBBS I I Fay 10:29AM 28 -Apr -1998 I Page i of 5 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such J-= enience or discomfort from normal, necessary farm operations. 'All that real property situate in the County of Butte, State of California, described as follows: ql ? Y OWNERS: Date: PROPERTY State of California ) County of -Z XA IlQ`n) On O before me personally appeared ra (�T 1 \ l I ` personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(*) ,whose name(s) i9/ice subscribed to the within instrument and acknowledged to me that he/ffieaw executed the same in his/lOrLtlffiff authorized capacity(iMQ, and that by his/hO-n signature*j on the instrument, the person( js or the entity upon behalf of which the personiM acted, –executed -the- instrument— WITNESS nstrument. WITNESS my hand a d official sealr r F h GORDON WAYNE STOUT "D f Comm. # 1032970 3 V m® o NOTARY PUBLIC • CALIFORNIA e r Butte County Signatu /' Seal:0. cqQ FoSN,P W Comm. Expires Jury 24,1998 -+ AP.# n(,r 6 —& 10-0l 5 �I NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space Is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) f • r} DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• BEING A PORTION OF THE NORTHEAST QUARTER OF THE'NORTHEAST QUARTER OF SECTION 23, AND A PORTION OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 24, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SECTION 23, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE SOUTH 00 DEG. 22' 12" EAST ALONG THE EASTERLY BOUNDARY LINE OF SAID SECTION 23, 1177.47 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 89 DEG. 31' 02" WEST 427.06 FEET; THENCE SOUTH 0 DEG. 22! 12" EAST, 145.0 FEET TO A POINT ON THE SOUTH'BOUNDARY LINE OF,THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAIO. SECTION " 23; THENCE SOUTH 89 DEG. 31' 02 EAST ALONG SAID SOUTH BOUNDARY LINE 507.42 FEET'TO A POINT ON THE, CENTERLINE OF THE SKYWAY' HIGHWAY;, THENCE NORTH 14 DEG. 22' 20" EAST, ALONG SAID CENTERLINE 13.97 FEET; THENCE NORTH 6 DEG. 28' 40" WEST ALONG SAID CENTERLINE 135.77 FEET.TO A POINT THAT BEARS SOUTH 89 DEG. 31' 02" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 89' DEG. 31' 02" WEST 69.35 FEET TO THE TRUE' POINT -OF BEGINNING. SAVING. AND EXCEPTING THEREFROM ALL MINERALS, METALS, AND MINING RIGHTS AS RESERVED IN DEED FROM LOIS LAVINE,CRABBE, ET AL, TO NORMAN LOGAN, DATED JUNE 7, 1923 AND RECORDED JULY 19, 1923;".IN BOOK 202'OP DEEDS, PAGE 318', BUTTE COUNTY RECORDS. ALSO EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL:. MINING OPERATIONS THE SURFACE OF SAID LAND 'WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL.BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. ALSO EXCEPTING THEREFROM THAT PORTION THEREOF CONVEYED TO THE COUNTY OF, BUTTE BY DEED RECORDED ON JANUARY 13, 1971, IN BOOK 1653, PAGE 661, OFFICIAL RECORDS. 'ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CONTINUED PAGE • 1 4�/� k 1 4 1 r I f • r} DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• BEING A PORTION OF THE NORTHEAST QUARTER OF THE'NORTHEAST QUARTER OF SECTION 23, AND A PORTION OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 24, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHEAST CORNER OF SECTION 23, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE SOUTH 00 DEG. 22' 12" EAST ALONG THE EASTERLY BOUNDARY LINE OF SAID SECTION 23, 1177.47 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 89 DEG. 31' 02" WEST 427.06 FEET; THENCE SOUTH 0 DEG. 22! 12" EAST, 145.0 FEET TO A POINT ON THE SOUTH'BOUNDARY LINE OF,THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAIO. SECTION " 23; THENCE SOUTH 89 DEG. 31' 02 EAST ALONG SAID SOUTH BOUNDARY LINE 507.42 FEET'TO A POINT ON THE, CENTERLINE OF THE SKYWAY' HIGHWAY;, THENCE NORTH 14 DEG. 22' 20" EAST, ALONG SAID CENTERLINE 13.97 FEET; THENCE NORTH 6 DEG. 28' 40" WEST ALONG SAID CENTERLINE 135.77 FEET.TO A POINT THAT BEARS SOUTH 89 DEG. 31' 02" EAST, FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 89' DEG. 31' 02" WEST 69.35 FEET TO THE TRUE' POINT -OF BEGINNING. SAVING. AND EXCEPTING THEREFROM ALL MINERALS, METALS, AND MINING RIGHTS AS RESERVED IN DEED FROM LOIS LAVINE,CRABBE, ET AL, TO NORMAN LOGAN, DATED JUNE 7, 1923 AND RECORDED JULY 19, 1923;".IN BOOK 202'OP DEEDS, PAGE 318', BUTTE COUNTY RECORDS. ALSO EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL:. MINING OPERATIONS THE SURFACE OF SAID LAND 'WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL.BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. ALSO EXCEPTING THEREFROM THAT PORTION THEREOF CONVEYED TO THE COUNTY OF, BUTTE BY DEED RECORDED ON JANUARY 13, 1971, IN BOOK 1653, PAGE 661, OFFICIAL RECORDS. 'ALSO EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: CONTINUED PAGE • 1 4�/� d.. PARCEL I: CONTINUED COMMENCING AT THE NORTHEAST CORNER OF SECTION 231 TOWNSHIP 23 NORTH, RANGE 3 EAST, M. D. B: & M. ; THENCE SOUTH 00 DEG. 22' 1211 EAST ALONG THE EASTERLY BOUNDARY,LINE OF SAID SECTION 23, 1177.47 -FEET. TO A POINT IN THE NORTH LINE OF A PARCEL OF LAND DEEDED TO R. GRANT CLINE AND BENNIE M. CLINE, RECORDED, IN BOOK 1635,' PAGE 700, OFFICIAL RECORDS; THENCE NORTH 89 DEG. 31' 02" WEST AND ALONG SAID NORTH LINE, 292.06 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUING NORTH 89 DEG. 31' 0211 WEST ALONG SAID NORTH LINE, 135.00 FEET TO THE NORTHWEST CORNER OF SAID CLINE PARCEL; THENCE SOUTH 0 DEG. 22' 1201 EAST, AND ALONG THE WEST LINE OF SAID CLINE PARCEL, 145.00 FEET TO THE SOUTHWEST CORNER THEREOF; THENCE SOUTH 89 DEG. 31' 02" EAST AND ALONG THE SOUTH LINE OF SAID CLINE PARCEL, 135.00 FEET; THENCE NORTH 00 DEG. 22' 1211 EAST, 145.00 FEET TO THE TRUE POINT OF BEGINNING. PARCEL II: A 35 FOOT ROADWAY EASEMENT FOR ROADWAY PURPOSES OVER PARCEL ONE, AS DESCRIBED IN THAT DEED RECORDED'NOVEMBER 10, 1980, IN BOOK 2568, PAGE 27 OFFICIAL RECORDS.: PARCEL III: RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF. LAND 30 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHEAST CORNER OF SECTION 23, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B: & M.; THENCE ALONG SAID SECTION LINE, SOUTH 00 DEG. 22' 1211 EAST, A DISTANCE OF 1177.47 FEET; THENCE SOUTH 89 DEG. 31' 0211 EAST TO A POINT ON THE WESTERLY BOUNDARY LINE OF THE SKYWAY HIGHWAY AND THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; THENCE NORTH 89 DEG. 31' 0211 WEST, -A DISTANCE OF 496.41 FEET AND THE END OF SAID LINE. PARCEL IV: RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE: SOUTHERLY,30 FEET OF THE FOLLOWING DESCRIBED PARCEL OF LAND: BEING A PORTION OF THE NORTHEAST,QUARTER OF THE NORTHEAST QUARTER OF SECTION 23 AND A PORTION OF THE WEST HALF. _OF THE NORTHWEST QUARTER OF SECTION 24, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS: BEGINNING AT 'THE NORTHEAST 'CORNER OF SAID SECTION 23; THENCE FOLLOWING ALONG SAID SECTION LINE, SOUTH 00 DEG. 22' 1211 EAST FOR A DISTANCE OF 961.85 FEET TO THE SOUTHEAST CORNER OF LAND DESCRIBED CONTINUED _ PAGE 2 PARCEL IV: CONTINUED IN DEED FROM LEONA E. COOPER, ET AL,, TO BERT ADKINS, ET UX, DATED AUGUST 20, 1963 AND RECORDED SEPTEMBER 11, 1963, IN BOOK 1269, PAGE 340, OFFICIAL RECORDS AND THE TRUE POINT OF BEGINNING FOR' THE PARCEL 'OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING; NORTH 89 DEG. 32' 53" WEST ALONG SOUTH LINE OF SAID ADKINS PARCEL AND PARALLEL WITH THE SOUTH LINE OF THE NORTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF . THE NORTHEAST QUARTER OF SAID SECTION' 23, FOR A DISTANCE OF 175.43 FEET; THENCE SOUTH 00 DEG. 22' 12" EAST AND PARALLEL WITH THE EAST LINE OF SAID SECTION FOR A DISTANCE OF 185.53 FEET; THENCE SOUTH 89 DEG. 31'. 02" EAST AND PARALLEL WITH THE SOUTH' LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE. NORTHEAST QUARTER OF SAID SECTION FOR A'DISTANCE OF, 241.57 FEET TO A POINT IN THE CENTERLINE OF THE SKYWAY COUNTY ROAD; THENCE FOLLOWING ALONG SAID CENTERLINE NORTH 6 DEG. 28' 40" WEST FOR A DISTANCE OF 187.01 FEET TO A POINT THAT BEARS SOUTH 89 DEG. '32" 53", EAST FROM THE TRUE POINT OF BEGINNING; THENCE NORTH 89 DEG. 32' 531.' WEST A DISTANCE OF 46.23 FEET TO THE TRUE POINT OF BEGINNING. t PARCEL V: RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING NORTHERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: COMMENCING AT THE NORTHEAST' CORNER. OF SECTION' 23, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M.; THENCE ALONG SAID SECTION LINE, SOUTH 00 DEG. 22' 12" EAST,, A DISTANCE OF 1177.47 FEET; THENCE SOUTH 89 DEG. 31' 02" EAST TO A POINT ON THE WESTERLY BOUNDARY LINE OF THE SKYWAY HIGHWAY• THENCE NORTH 89 DEG 31' 02" WES T 175.3 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; l THENCE CONTINUING NORTH 89 DEG. 31' 02" WEST, A DISTANCE OF 251.76 FEET AND THE END OF SAID LINE. { r EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDS OF THE FOLLOWING.DESCRIBED PARCEL'OF LAND;.,, BEING A PORTION OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SECTION 23 AND A PORTION OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 24, TOWNSHIP 23 NORTH, RANGE , -3 EAST, M.D.B. & M., DESCRIBED AS FOLLOWS:, BEGINNING AT ,THE NORTHEAST CORNER OF ,SAID SECTION 23; THENCE FOLLOWING ALONG SAID SECTION LINE; SOUTH 00 DEG. 22' 12" EAST FOR A DISTANCE OF 961.85 FEET TO THE SOUTHEAST CORNER .OF LAND_ DESCRIBED IN DEED FROM LEONA E. COOPER, ET AL, TO BERT ADKINS, ET UX, DATED AUGUST 20, 1963 AND RECORDED SEPTEMBER 11, 1963, IN BOOK 1269, PAGE 340, OFFICIAL RECORDS AND THE TRUE POINT OF BEGINNING FOR THE CONTINUED PAGE 3 e,. gig, e PARCEL V: CONTINUED � ' {PARCEL OF LAND•HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF.`' BEGINNING, NORTH 89 DEG. 32' 53" WEST ALONG SOUTH LINE OF SAID: ADKINS PARCEL. AND PARALLEL WITH THE SOUTH LINE OF THE NORTH HALF OF: THE SOUTH HALF OF THE NORT . EAST QUARTER OF THE NORTHEAST QUARTER OF,, SAID SECTION 23, FOR• A D STANCE OF. 175.43 FEET; THENCE SOUTH 00 DEG. 22.' 12!' EAST AND P LLEL WITH THE EAST LINE OF SAID SECTION 'I '• FOR A DISTANCE OF 185.53�FEET; THENCE SOUTH 89,DEG. 31' 02" EAST AND PARALLEL WITH THE SOUTH LINE OF THE SOUTH HALF OF THE SOUTH „''•;~.' HALF OF THE NORTHEAST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION FOR A DISTANCE OF 241.57 FEET TO A POINT IN THE•CENTERLINE` OF THE SKYWAY COUNTY ROAD; THENCE FOLLOWING ALONG SAID CENTERLINE +' NORTH 6 DEG. 28' 40" WEST FOR A DISTANCE OF 187.01 FEET TO A POINT. THAT BEARS SOUTH 89 DEG. "'32' 53" EAST FROM THE TRUE. POINT OF BEGINNING; THENCE NORTH 89 DEG. 32' 53". WEST A DISTANCE OF 46.23 FEET TO THE TRUE POINT OF BEGINNING. t.1 .. a PAGE 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N / T ASSESSOR PARCEL NU ER - ZO G' %— I H BUILDING PERMIT OWN i TELEPON SQ. FT. OCC. BUILDING VALUATION 76 D OER'S MAILING ADDRESS _ t J CONTRACTORS NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER h e. LICENSE NO. Plan Checking Fee $ 101 Penalty $ C),0 ARCHITECT.OR ENGINEER'S MAILING ADDRESS Permit feepp' $ r BUILDIN ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �S Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUC�TURR rLawn SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer sprinkler system 1 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service .eoov OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y) OR ADDNS, ACC. BLDGS. 2�sgft - CONTRACTORS LICENSE LAW _ I declare under penalty of perjury p y p f y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- 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 CONRESSTR I.OUTLET 2,50 ea NON.CONS BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR, 50@250 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 (.FIXED APPLNS, OR Ex. OCCup.UTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County. of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ( I shall not employ any person in any manner so as to beccme subject +" to the W. C. laws of California: Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above in 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 said.County in cons ence of the granting of this per it. X / Date l / $ Signature of Applicant — Owner Contractor E] Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures stories in height. Mobile Home Installation Fee $ 'TOTAL PERMIT FEE $ t OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND 'ISSUE This permit is hereby issued under ,sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC �+ By PER .EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 'over •73 Receipt No. `7 /� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT.OF,PIJBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916534-4541 V PERMIT APPLICATION DATA SHEET QPermit No. // �`f'// / OWNER �' .�Ul A A. P. No. 4 _'6s7 Iles Proposed Building Use Permit Fee Based Upon: Complete Contract Price /DPW Valuation .1-+ i(��OQtfher (Explain) I Building Inspector. ( B 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. . . . . . . . . . 0. Sanitation approval from N- *;4 Health Dept. dG 11. Planning approval for (A) Use:. (B) Parking: 12. Certificate of Workmen's Compensation Insurance. .1 . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner E])' 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . Pre-Insp17. Pre -Inspection for Required- Building request to (Date) p q Building Inspector „ 18. Other When you issue the permit, process as follows: "s' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican t,y'�.Y-�-�%' �kffi,.� r P 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 application, circle item.) 1. Index permit for above Items No. k4� 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by- Plans y_Plans approved by Other Copy -DPW Telephone Mail Other Date Date _ Date ' 1 To: Building Department f From: Environmental Health Subject: Sanitation Clearance C u a-,f'F- Owner Plans approved for: Hold final. for: s �_ `1 P,,+7 c�- P telvra � Location AP# Sewage Disposal Water Supply' Water Supply Final Clearance O.K. for: Water Supply - Clearance for bedroom mobile home. Other Clearance for addition of Note** Da t� A Sanitarian COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.' Please complete and return this information in the envelope provided at your,, earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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. 3. I have col racted with the following person (firm) to provide the proposed constructi0 Name Address City Phone Contracto License No. 4. I plan to provide po ions of this ork, but I have hired the following person to coordinate, ervise, nd provide the major work: Name Address City Phone ntractors License No. 5. I will provide some oftb work b I have contracted (hired) the following persons to provide the//work indicate Name Ad ¢ess Phone Type of Work Signed: Property Owner. Social SecuritF number Date ZI- NOTE: This Owner -Builder Verification 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 permitted to issue the permit. .i 63 tie LAND OF NATURAL W E A L T H AND [i�AUTY OFFICE OF THE COUNTY COUNSEL ADMINISTRATION CENTER 25 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 534-4621 JAMES R. GRIFFITH DANIEL V. BLACKSTOCK DELBERT M. SIEMSEN COUNTY COUNSEL January 6, 1981 -LEO A. BATTLE DEPUTIES mr. R. Grant Cline P. 0. Box 310 Magalia, California 95954 Pear Mr. Cline: Our office has been informed by Mr_. Glander, Chief Building inspector for the County of Butte, that you constructed a carport on your property at Skyway and [Woodward in the Magal.ia area in 1579 without obtaining, the required building permits from. the Butte Countv Building Department. Section 2.6-1 of -the Butte County Code states that the County has adopted the 1976 Edition of the'Uniform Building. Code. The Uniform Building; Code requires that_ all persons constructing buildings within the County of Butte, except for agricultural buildings, are required to obtain a permit from the County Building Department. Section 26-6 of the Butte County Code states that: "It shall be unlawful for any person, fire),, or corporation to erect, construct, alter., repair move, remove, improve, convert, demolish or equip any building or structure in the unincorporated areas of the County or to cause the same to be clone contrary to or in violation of any of the provisions of this chapter. "The use or occupancy of any building in violation of any of the or_ovisions of this chapter is hereby declared to be a public nuisance and may be abated in a manner provided by law." Section 1-7 of the Butte County Code provides that any violationof any provision of the Code constitutes a misdemeanor. or in the discretion of the District Attorney, be char?ed as an infraction. The penalty for a misdemeanor is punishm.nen.t by a fine not exceeeing. S500.en or imprisonment. The punishment `or an infrac- tion shall be a fire not to exceed the sum of $500.(]0. Mr. R.. Grant Cline January 6, 1981 Page Two Therefore, you are to immediately cease. occupying and using said carport until such time as you have obtained the reauired permits, inspections and have paid all appropriate fees, including penalties, from the County Building Department. Very truly yours, DANIEL V. BLACKSTOCK Butte County Counsel By F 11SEf4 Deputy DMS/ st cc: Jim Glander, Chief Building Inspector County Counsel Department of Public Works Building Permit - AP 64-67-16 December 23, 1980 With reference to the above subject, attached are copies of correspondence sent to R. Grant Cline about a carport he constructed without permits, inspections, and approvals from this office. To date, we have had no reply. Would you please send him the normal letter about obtaining permits,. Should you have any questions concerning this, please contact me. Clay Castleberry Director of Public Works J.F. Glander JFG:dd Chief Building Inspector Attachments File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ✓) ' Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg, Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Perm its MTED STATES POSTAL SEdIiiCE ' \ 1 OFFICIAL BUSINESS P O 1 SENDER INSTRUCTIONS IVU'< j ` —USE- a I O--POSMOE,- Print your name, address, and ZIP Code in the space below. "" —: �' -T-M- u complete items t, 2, and 3 on the rcverre.. -, ,. . .'*`�G ® I p —..L' 4 _ + Attach to front of article if space permits, y ,�.�= otherwise affix to back of article.G • Endorse arde{e ."Return Receipt Requested" �( L�^ A�p%N adjacent to number. �'3 /0��G� RETURN# 10 TO 11 County of Butte (Nam ofSchder) Dept. of Public Works 7 County Center Drive Oroville, California "(Sgeeta.rP.o.Bcoc) 95965 (City, State, and ZW Code) ATTN: Bldg. Dept. 0 4-4— i uj V. a ca /� I u Lr) 2: ca ;,3 -- , 'a a 4 0 r4 �! Lr) _ !L P -,n r' K. c (30 cn 0 7. Oo o tr > 4-J Q- uj o o 0 0 x: 3 3 >• 0 0 Cd cur > 71 co Ca U Z) a cc PCI -�4 r -i 0) w Q .2 Z =0 b trry cd bo WLU cn U) cd u cc w w m Ln W Ll 0 0 PS Fami 3RII'lin 1470 ANDCLFITIFIED MAIL l� 1� MAIL 64-67-16 RECEIPT FOR CERTIFIED IFIED MAIL POSTMARK SENT TO OR DATE R. Grant Cline STREETswim ANP 00 . BOX 310 NAMM P.O., STATE AND ZIP CODE 11/7/80 Magalia, CA. 95954 OPTIONAL SERVICES FOR ADDITIONAL FEES 1. Shows to whom and date delivered RETURN With restricted delivery ----------------- ------- RH r, RECEIPT y, Shows to whom, date and where delivered �¢ SERVICES With restricted delivery ---- - ----- Ell 0 ® SPECIAL DELIVERY (extra fee required) PS Form 3800 NO INSURANCE COVERAGE PROVIDED (See ot,. side) Jan. 1976 NOT FOR INTERNATIONAL MAIL GPO: 1975-0-591-452 Fnnbu! allew not 11 }! ;uasaid pue ;d!am s!q; aneS •S ui sHoolq a}eudojdde a p�e3 1dla3al uwnlaj ay; 10 1 wall y; H3a40 alo!1Je ay; ;o ;ua1 ay} uo A83A1130 0310181S38 asiopua 'aassaippe. a'yj 40 lua2e pamoy}ne ue q jo 'aassaippg 041.01 p910111SW kjamlap 1ueM noA -= '031S3nD38 1d13038 N811138 013!l1e 10 luo4 asJopu3 spua pawwna ay} ;o sueaw Aq aPille ay} 10 poeq ay} of l! Pelle pue '118E wjoj 'pie3 1d!a39J uwnlaj e uo ssaippe pue aweu inoA pue iagwnu i!ew-pay!1�a0 ay} al!�M '1d!93aJ wn;ai a ;ueM nog( 11 E a10i1�e ay} view pue 'ldiam ay} u!e;a, pue 43L -,49P 'a;ep '8131lie ay; 10 ap!s ssaippe ay; 10 uo!liod 11al ay} uo gnls pawwnV ay} dolls 'pa�liew}sod 1d!a3a1 s!y; ;ueM jou op no( 11 'Z (aajeyo eilxa ou) •jawe3.leini anon( o; }! pueq jo Mopu!M 031A19S 93!110 }sod a le alo!lie ay; luasaid pue 'pag3e;le jdlaoaJ aq; BulAeal 'al3!lie 04110 a' ssaippe aql 10 uo!liod llal a41 uo qn}s pawwn8 ay} Mops 'pa�iew}sod }d!a3a� s!y; ;ueM noR ! 'T 0!,1 aaS) 'S301A83S 1VNOI1dO 03133135 ANV 801 S398VHO ONV '33A 11VW 031111830 "ewne jo Ssel3 ;SJ111 39V1SOd 83AO3 01 313110V 01 SdWV1S 39V1SOd M311S JFG:dd cc: Building Inspector " Paradise Aosessor J.F. Glander Chief Building Inspector .... V,- aE a4g" n LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS ' a'`,a'3yj 7j �. b�`�Y7r7F�'SG"}i4rw. CLAY CASTLEBERRY:, Director a X. is a 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916).534-4541 H. W. McDONALD ... Deputy Director. . . November . 7, 1980 CERTIFIED MAIL i4. CxI'rant inline.' RE:. Building. Permit P.O. Box 310,A.P. # 64; G7 -X6 ma galia, CA. 95954 Dear Mr.. C1 ine With reference to the above subject, on Octdlber 23, 19800 we wrote you a letter .. requesting that you obtain the required permits..and inspections, from this office for the work you are doing as follows: On your property at Skyway and Woodward in Hagalia area, you had a carport constructed in early 1979. .(Penalty fees are due.) Since we.have not heard from you concerning this matter, unless you have obtained the required permits within ten (10) days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, Clay Castleberry Director.of Public Works JFG:dd cc: Building Inspector " Paradise Aosessor J.F. Glander Chief Building Inspector File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. B r. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S.I. Sub. & Pcl. Maps Perm its C J LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WOMS CLAY CASTLEDERRY, Director. 7 COUNTY CENTER DRIVE, OPOVILLE, CALIFORNIA 95965 Teloohono: (916) 534-4541 H. W. McDONALD October 2% 1980 Deputy Director R. Grant Clive RF: Building Permit P.O. Box //31p0 [y��y �+� A. P. # 64-67-16 MLILan CA. 95954 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: On your property at Skyway and Woodward in Magalia area, you had o carport constructed in oarly 1979. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate fees P i,,gtcAudt90"Altle d. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office, JFG:dd cc: Building Inspector - Paradise Assessor Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector File No. BUTTE COUNTY Public Works Dept. (For Action 1, 2,3) (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards f` Bldg. Insp. Admin. 4 D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev, Ref. Disp. Drng. / S. 1. Sub. & Pcl. Maps Perm its COUNTY DEPARTMENT OF _PUBLIC WORKS .' SPECIAL MSPECTI011 REPORT�_ Owner: P, 'a- Address: Tenant: Building Location: V Type of Inspection recuf'.Stc( A. P. 4t_— (41 -He -7 — Date of Inspection Inspector ` / . -Q'(w"4 • !�/ 2. Pinaricing 3. Change of Occupancy to i Presezit us#-- Cf b-.iildinz.: A.A. Sanitation� 1.. Vat( -.x cl,)Fet-.: Bathtub or shower: 4., Kitchen sink: `�_ . � Hot alta cold water 11-0 fixtures 6 7. 8. 9. l7, 12. 13. 14. He i a t in g 1 G. r 4 l i t le s_._--...._......,�..__��._._..._.,._....._.....-._..r.e._ Nat:: •al 1. f gfzt and Roc,i az d s ce requir'ementS Bedroa.•'n window or door for second exit ° Infeotat.?on o;. ..Seca; vermin, 7r rod -:nits Conne,ct'..or to tie%'rage disposal. Connec',.'.J.on V) m=iter supply -' -- Rubbish and garbage fac ilittes: B. Structural 1. Pl;:rs and fo,otinzs: Cons t:nic ti.on:�-- car st r'.1ct 101% Ce -lin anti .'oox constrrS4tT,lrt; 2. 3. 4. 5. 6. Floor Wall C. Electrical i icy: :,d 2 3. 4. Re c. o�7t:c.c ie : Fu --.i C r_t. -MLIL s : D. Pljrmb3i'f 2. 1,1: -d and 3. Cas hc.,t:irxL-- E. Other 1, Maintenance and repair: 2.' Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Cotments ; F. Connerci.al Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handi.c.apped: 4. Restroom floors and walls:_ r 5. Exits: 6. Improvements: 7. °oni.r. - 8. Cr7mlents. G. Field Probl ens or Violations 1. Problemor �-,Io-_ation (ei 2. What 3. What action recommend ipt ion) 77 A. inforuation only - fiii-. XB. Hold for ten. (10) days, then wrivu letter. C. Writ: letter. /% D. Other: Owner )° --G Mailing Address PC Contractor L I Mailing Address Building Address COUNTY OF BUTTE — [DEPARTMENT OF PUBLIC WORKS 9 CDunty Center Drive — Oroville. California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING _ SO. FT. 0 C k1JILOING VALUATION t,pce 1� Total Valuati I*-- lephone No. k 4 CA t. 1= , Permit Fee /-�J Ay iA 6 A. P. No. v 4 / _ `2oning & Planning f�Ee }dam Fire Dept. Fire Zone Use Permit Parking Parcel EOA Plans�Declaration Parcel Map 60' R/W Improvement Erl-Pfttts-f?�^=d Parcel Approval Plans Approval WNEW ❑ wADDITION ❑ UTILITIES ❑ OTHER X_ rt COI<B 1 A TORS am licen d C, pter 9 iv. Stat Of rnla us �es�CorI s nder stvi ot: /1 a r .� icense No -�YU ;/ CIPsification (.— 6<✓ I am exempt from the Contract LI ense Laws of the State of Cali mia. WORKMEN'S COMP TIOid I SURANCE I em are of the provisions ecti n3 „California L bor Code ich requires every ernp y otbe i su�666��SSgainst Iia lity for Work )n's Compensation. J I have aced on�file with t Coun of Butte a eertific to of Workmen Compensation Insurance. ❑I certify t1t in' the performance of the work for Ich this permit is issu shall not employ any person It ny manner ao as to became subj to the Workman's Comp anon Laws of Galifornia. I �.:ertify that i have read this application and state that the above t' Information I ar,ct. I agree to comply to all County Ordinances ;! and State L v relating to building construction, and hereby authorize rep esentatives of the County of Butte to enter upon the above-mentio ed propert for pecrate/ as. Signottio or Permitee or Agent Receipt No. White-D.P.W. _Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant PlanCheckin_gf`e &/or Penalty Pennit Fev , R. „Ur MBING _ No. @ PEE 1. PERM) FI G FEE $3.00 Each 1.50 Rep�a' inage or vent piping 1.50 M Watet iping 1.50 �L&Pgaj water heater or vent 1.50 - Ga \pili. q system 1 - 5 outlets 150 ac additional outlet .30 B i I ng sewer 5.00 _ LEn sprinkler system 2.00 kermit Fee a _ ELECTRICAL •, No.1 @ . FEE I. 1 ; PE MIT FILING FEE Main service 7008aMa Idr ears 5.00 Main service FA. AOO•L 100 AMP Main service tv w eaov 25.()0, oo AMP OR LESS _ Main service EA. ADD -L-1100 AMP 1.00 OCCUP. S 2¢S q tt NEW CONST. (ACC, LUGS. OR ADDN3. `ACC. -'d NEw CONSTR /• ULTI-OUTLET NON-RESID \ BRANCH CIRCUITS 2.50ea NEw CONS'tR POWER APP.C,XT,TUS 0 NON-RESID. SNGLE OUTLIS CDR. Ex. OCcuo(OUTLETS OR FIXTIIPES !SOBALf+1 A`0 ! Ex. Occup. (OUTY ETS FIXED I(RESID.)REA) 2•00 " Temporary service 10.00 $ Mobile Horne Facilities 15.00 Misc. Wiring 6.25 0• Permit Fee $ _ MECHANICALI No. @ FEE $ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ ! ' ,Land Development Fes77 TOTAL PERMIT ,FEE I S . Is. This permit Is hereby issued under the appjtcabl'e'pruvfsloiln pf ":' the Butte County Code and/or resolutions'to do work in -,d 4 above for which fees have been paid :.j t c. 3 i l � DIRECTOR OF PUBLfd WORK5 y , By Date _ Building permit expires Date } r � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi I le, California 95965 Tel ephc*::1 534-4541 APPLICATION ANO PERMIT Owner Mailing Address C--. Contractor Mailing Address Building Address �Y� �►C>1�` r — Telephone No.�9 u Telephone No. �i � ✓ �! �•f i� A. P. No. "(y ✓/ m'0� AA "Z`AIii n9& Planning Fees WaC'. Saniotation.,, Fire Dept. Fi.reZone Use Permit EQA Parking Parcel Parcel Map 60' R/W Improvements Plans Declaration Bldg"P+an's-Rec'd Parcel Approval Plans Approval NEW ❑ ADDITION'❑- UT1'LI7IES ❑ OTHER '® Single Family ®I Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: l i r t n f ,� i t7 si ' Z<ILC • Cu License No. :�_ a (27 Classification 6 A—) ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 'BUILDING SQ. FT. OCC, I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE V OR Main service 100 AMP ORSLESS Main service EA. AOD'L too AMP OVER 800V Main service 100 AMP OR LESS Main service EA. AOD'L 900 AMP NEW CONST, l ACC. LOG OCCUP. 41 OR ADDNS. / NEWCONSTR. MULTI -OUTLET NON . RES ID. BRANCH CIRCUITS NEW CONST R. /POWER APPARATUS fi, NON.RESID. \SINGLE OUTLET CIR. Ex. OCcun(OUTLETS OR FIXTURES FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA� Temporary service Mobile Home Facilities Misc. Wiring 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 fobinspection purposes. X ._ . _� Date l Signature of Pee�rmitee or Agent Receipt No. / °� e 0 6 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant PERMIT FILING FEE Heating Cooling $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE FEE 00 '00 el Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE 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 �"� is�~�%7Date 1-2-6-7f Building permit expires Date /" a &—C) (-qec COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephc.'.Ne, 5�4 4541 �7 APPLICATION AND PERMIT AA/ BUILDING Owner11 II-LE I11 CLIV SQ. FT. OCC. BUILDING VALUATION Mailing Address C) t �� X O CRt e neN O" V Contractor LL � �/ �� ' Mailing Address ? Fireplace Total Valuation Clephone No. Permit Fee Building Address Z Y Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. "� `�� /W 1� oning & Planning Water piping 1.50 $ Each gas water heater or vent 1.50 �� Fomes 1 161<1 FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BItIV. F•t=m-Rvc­'d =Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Cy ELECTRICAL No. @ FEE F —PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP OR LESS 5•00 ,0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 a, Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING 0 4') 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �� t Im j A41 0,&! 6653C.- co, CONSTCCUP. NEW.NONRESID, MULTI-OUTLET \ SIBRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, `SINGLE OUTLET CIR. Ex. OCCUID(OUTLETS OR FIXTURES) a X251 Ex. Occup. FIXED APP LNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Classification C /O Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ /� $ MECHANICAL No. @ FE_ E WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. (� I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation F r2O Hood Permit Fee $ 1 certify that I have read this application and state that the above information iscorrect. I agree to comply to all County Ordinances and State L vas relating to building construction, and hereby authorize rep esentatives of the County of Butte to enter upon the above-mentio ed propert for pecWurposes. - ` �, Datel-gql 7 Si nat a of Permitee or A ent g J 7Z D 4 Receipt No. / 13 White-D.P.W. — Yellow-Assessor — Pink-Inspector — Goldenrod-Applicant Land Development Fee $ TOTAL PERMIT FEE$ //, 22 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. DIRECTO F UBLIC WORKS /� By Date %" �� "7E B ilding permit expires Date I-—�� > tz Z C4 3' mC -n 4 z 4,4 ---------------- qlleGH IeIUGWUOAIAUg A4unoD G44n8 CIDAON-ddV V3,001LIO .0 0 AN ,rlj7ag jgjUatUUOJIAU3 A IVIA), U(I 7�f 1. Owner's Name. 2. Assessor's Parcel Number: 65'6 3. Installer's Name: ow n 61►'' 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5.. Is the site an existing site? Yes[XJ No[ J (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?,Zpe2� Amperes. 7. What is the mobilehome site circuit breaker rating? /a,4 Amperes: 8. What is the electrical rating of the mobilehome site?,�212_Amperes. 9. Is the main service remote from the mobilehome site? Yes[Kj No['-.,] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- /d d Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropxnepQ None[ ] 12. Size of. gas pipe at the mobilehome site from the meter or tank: -,' inches. i 13. What is the gas pipe length from the meter or tank to the mobilehome?10—r(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas 'or less than 50 feet on propane). THE OTHER SIDE OF TMS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERNIIT APPLICATION N. BUILDING DF -F APPROVE May 1995 G/ E.5 Mobilehome Manufacturer: SK V (i� h e Manufacture Year: / 9 If other ftn single wide, fiwnisb Setup Model Number: Width: /P (ft.) Length: ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[*(' Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLEWIDE MULTI -WIDE► Line I e l Ling 2 Line 2 ................................................................................................ Main Eeams ................................ e 2 Line 2 Line 3 Line 1 Line 2 ............................... Main deems - Line 2 ......................................................................................... Line 1 ......:..... ine S Tag or Triple *4 . el Line 1 Piers: Line 1 Openings Size minimum: r 1 x Size minimum: [ ] x [ I Spacing maximum: Each side of openings From ends -maximum: with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: at x [ Q . Size minimum: x Spacing maximum: �` ` Spacing maximum: ` From ends -maximum] From ends -maximum: ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads:?,,,' Size minimum Location (fro4t1'frorit)� OVER 1-REAH T � � r's lr r.l rn'E (SUR.DIII.E 410) W OR 10* LENGTH 1/2, MIN EXTENSION �i !SPAR 1 AIT .1'.L. PIFIL �l�L!IC!it5t � 2 A 3/4' ANCHOR RODS. 4 EACH WHFN rON111TIiIIA Rr.0111FF. Yi IJ MAY pkl- IIRIII. 0 -IU IN rOR AnC111UR RODS ARIL! SIM NOTI N L or N � i I I 1_rl MA SINGLE WIDE HOBILE COACH Scale: f — 10' H9TI, STANDARD FIE R k FOOTING SPACING PER mopiLt 11014E MANUFACTURER'S 111STAU.A7I9N )MANUAL. CONnoUMnon SRIoWN IS THE MINIIIuH Numan or PAD@ RIgUIRED. OIITumr. MO111LR COACH PLAN DOUBLE WiDE MOBILE COACH Scale: I" - 10' NQIV: rOR NORE TITAN TRPLE WiVE UNITS. SUMMIT LAYOUT TO 711ARP & ASSOC. FOR APPROVAL. STANDARD TIER k r00TING SPACING PIM MODII,E COACH NANUrACTURER'D INSTAI.I..ATION MANUAL. TIM TOUNDATiON Sy"F,'T4 la MATT; FOR INIIPAT1AT10N IN FIDOD PLAINS UPON REVIEW k APPROVAL NY THARP 4k ASSOC. �. x f 4 ►�It�a PN M9. 14"1"M n1M�'MM • CR ANCI]HR PlEN -)CALL: 1" = lU" VARIES SEE NOTE 9' x Y PLAT[ smv PIPE LtM PIPE COACH 1 KAN `4 - 3/r SOL11 L.6' 1IAN. SOWCAME 40 PIPE Ir OR Ir LENGTH 7/IL' >• i.S' ELM► 4 MULES 3. Till DFRION IDAM SHAJL D1 C(1NAI lVff WiTH ROOT UVR LOAA Wi M LOAD, AND S1IUMIC ZON1 AS IISTANLJIHIW rM M"HNT NMDING Wffg[ 4 A SFI"M RACAL M" FLAT US S. ALLPoMp M AR110 n 1LV"TIID NY MM, UNRAnWIA UNDI171,M) ID COHl111VR /OIL OR ARTHAi x. POU11NO1 ARM D11IQ11 I FOR 1000 W TOTAL UMD 1011. FRIOLU AND SHALL a COWATIL.S WiTTi LOCAL 1' PIPE So1Lf)ONDiTi10NS . [AGN t► 9 L 4. 11 RUCTUI AIL In -Tl IL SHAULCONTORM TV AMM AM F -3f KRI MINIMUM. k 111A I L /1 FA30- AM AC61� TO AUC STSCiTICATIONL M!w A -4 -24 ' x /HAIL NSVT I%L&ff" A�CCORL'iN0 TO AWS SFN(uiCAT10NS: L 111=10m: 110 3/4 RDli N. PLATES: ASTM A34 PITCH DIAKIER µl, ANCHOR MOLTS: AiTU A307 W. VOLTS: SAI OU -MTM A449 -•ASTM A933 NIZK CONDITIONS REIUIRE, VMJ PAV v. THR[ADEDROU: COI D MAWN If)W CAILWM VDA]91Z r PRE -PILL 4-10 INCH[! 10R AWA4M RODS. 41. Al-LMITALCOMPONLNTI INCLUDING NAi A A SCREWS LTG AR1 TO NS MOTICTiVE COATID. S. 'HIE TVJL AND RTM iAIAM MRPORT ARSE►11L1ES IIHAi J.1ii COATED WITH SHERMAN WD 1JAMS 1<1.10 OR ATTROVED FQUIVAIZ NT AND IiIALL SE 1.11TILD AND LANZ= NY CIRTRIID T11TIN0 AND CONSULTING SIRViCES (Cjq FOR Till rOLJOWiNG LOADS: U, F, ANCHOR PIER L LATERAL: 16671w MAX SCALES 1' 10' k VUTICAL 1135 M. MAX rMENrRAL NOTLS: RIFIRINCI: CALWoRM A CODE OF 1JIGULATIONS, TTiLS 35 AND U.B.C. 1"41913MON. 1. DR" LOADS: i--!' min -4 S. THIS FOUNDATION u FOR n.WINO MANUFACTURED WJILDINO CONSTRUCTED WITH LONGITUDINAL OR CROSS JOiN'RS. !!qt - 3/t' >< 1' T S 7. THIS TOUNDAIJON 11 ANIS D01UNEDTO BF CONS1Ri1CMD ON A FAIRLY LEVEL SLR WiTH NO EXiSTINO SOIL FIELD DRILL 1 UL T S FROILJ W IfF 11TT1.EMIINT 00MR11 DUl TO POOR SOIL, 111 NMI P. OF T I ON or S. FOUNDATION"CHMRIJ DRAM SUPPORTS SHALT. BE LOCATED AND SIZED FOR THE LOAD As SI [OWN iN THE 4 - 414 TEX STS COACH C MONIES HOME INSTALLATION INSTRUCTIONS. OR J LEAH 3, >< 3, !. IN AREAS WHERE DIFrIRUMAL SITTIIME NT (D.J.)CAN OCCUR, MANUFACTURED HOMES SHA1J. RE 1/4'1`2'x4' IUII PLATE READM WIMN D.I. !EXCEEDS 1/4", OR WHEN iT WILL ADVERSELY AFFECT TILE USE OF THS ANGLE 3' W 1 DE MANUFAC LRILID HOML COACH LEIYiGTH NO"I'ES: 4 - 1/2' SEISMIC ![)LiS PIER 1. FOR TEQLZ'WIDE COACHES, USE 4 C.F. ANCHORS AND FOLLOW SAME PLACEMENT PATTERN AS SHOWN ON THE 11 rE1T' NY"FEET DOUBLE WiDE MOSILE COACH. T. FOR ANY COIACiI IIZI OTHER 1IIAN AS MOWN ON Ti111 PLAN OR RPFERENCED MOVE, THE PIER AND PAD LAYOUT SHAJJ, RX REVIEWED AND APPROVED BY DONALD M. THART R ASSOCIAT 7. TYPICAL BEAM BEAM SIZE INO'TEs: CONNECTIONS 1. SPACING SHOWN ON TIIIS PLAN ARE FOR COACHES WITH 10" AND 11" SEAMS. 3. ANY S" SEAM IS NOT TO CANTILEVER MORE THAN f.0' ON EACH END OF UNiT AND SPACING OF SEISMIC PIERS CAN NOT EXCEED MAY. 3. ANY 4" SEAM 1S NOT TO CANTILEVER MORE THAN !.0 ON EACH END OF UNiT AND SPACING OF SEISMIC PIERS•CAN NOT EXCEED 14.0. J�ii�i�•rG�O 7%to�� J'rYnr.+►� - _. _ .- _ ,� Q_,P�..�...�'►,�, A P P R O Y 1 D. oi�QF ESS/ /� .�• �►pl� p M T�; rtiN, TI tAd to CMWT*m Mot* car` -6• T /� c�iy �; '+ Il.q.il�.... . M}IL.►b saw b.. •,.1 EXp. .....► Come a CAI Ii OF CAUL SPA No.�.�.�,� FARES SEE NOTE PLAN -- DOUBLE WIDE MOBILE COACH see]*: 1" = 10' NOTE_: "It }LORE THAN TRIPLE WIDE UNiTS, SUMMIT LAYOUT TO IIIARP & ASSOC. FOR APPROVAL. 'STANDARD PIER k FOOTING SPACING PER MOBILE COACTI 11ANUTACTURER'S INSTALLATION MANUAL 711E FOUNDATION SYSM4 IS 'SAFE MR INSTALLATION IN rLOOD PLAINS UPON REVIEW 4t APPROVAL BY TIIARP R ASSOC. "---i I - 11 36" MAX ELEVATION NOT TO SCALE PATENT PENDING I qw.wma Novi C CJEl Hd C� C C IV , lr M S. THIS FOUNDATION u FOR n.WINO MANUFACTURED WJILDINO CONSTRUCTED WITH LONGITUDINAL OR CROSS JOiN'RS. !!qt - 3/t' >< 1' T S 7. THIS TOUNDAIJON 11 ANIS D01UNEDTO BF CONS1Ri1CMD ON A FAIRLY LEVEL SLR WiTH NO EXiSTINO SOIL FIELD DRILL 1 UL T S FROILJ W IfF 11TT1.EMIINT 00MR11 DUl TO POOR SOIL, 111 NMI P. OF T I ON or S. FOUNDATION"CHMRIJ DRAM SUPPORTS SHALT. BE LOCATED AND SIZED FOR THE LOAD As SI [OWN iN THE 4 - 414 TEX STS COACH C MONIES HOME INSTALLATION INSTRUCTIONS. OR J LEAH 3, >< 3, !. IN AREAS WHERE DIFrIRUMAL SITTIIME NT (D.J.)CAN OCCUR, MANUFACTURED HOMES SHA1J. RE 1/4'1`2'x4' IUII PLATE READM WIMN D.I. !EXCEEDS 1/4", OR WHEN iT WILL ADVERSELY AFFECT TILE USE OF THS ANGLE 3' W 1 DE MANUFAC LRILID HOML COACH LEIYiGTH NO"I'ES: 4 - 1/2' SEISMIC ![)LiS PIER 1. FOR TEQLZ'WIDE COACHES, USE 4 C.F. ANCHORS AND FOLLOW SAME PLACEMENT PATTERN AS SHOWN ON THE 11 rE1T' NY"FEET DOUBLE WiDE MOSILE COACH. T. FOR ANY COIACiI IIZI OTHER 1IIAN AS MOWN ON Ti111 PLAN OR RPFERENCED MOVE, THE PIER AND PAD LAYOUT SHAJJ, RX REVIEWED AND APPROVED BY DONALD M. THART R ASSOCIAT 7. TYPICAL BEAM BEAM SIZE INO'TEs: CONNECTIONS 1. SPACING SHOWN ON TIIIS PLAN ARE FOR COACHES WITH 10" AND 11" SEAMS. 3. ANY S" SEAM IS NOT TO CANTILEVER MORE THAN f.0' ON EACH END OF UNiT AND SPACING OF SEISMIC PIERS CAN NOT EXCEED MAY. 3. ANY 4" SEAM 1S NOT TO CANTILEVER MORE THAN !.0 ON EACH END OF UNiT AND SPACING OF SEISMIC PIERS•CAN NOT EXCEED 14.0. J�ii�i�•rG�O 7%to�� J'rYnr.+►� - _. _ .- _ ,� Q_,P�..�...�'►,�, A P P R O Y 1 D. oi�QF ESS/ /� .�• �►pl� p M T�; rtiN, TI tAd to CMWT*m Mot* car` -6• T /� c�iy �; '+ Il.q.il�.... . M}IL.►b saw b.. •,.1 EXp. .....► Come a CAI Ii OF CAUL SPA No.�.�.�,� FARES SEE NOTE PLAN -- DOUBLE WIDE MOBILE COACH see]*: 1" = 10' NOTE_: "It }LORE THAN TRIPLE WIDE UNiTS, SUMMIT LAYOUT TO IIIARP & ASSOC. FOR APPROVAL. 'STANDARD PIER k FOOTING SPACING PER MOBILE COACTI 11ANUTACTURER'S INSTALLATION MANUAL 711E FOUNDATION SYSM4 IS 'SAFE MR INSTALLATION IN rLOOD PLAINS UPON REVIEW 4t APPROVAL BY TIIARP R ASSOC. "---i I - 11 36" MAX ELEVATION NOT TO SCALE PATENT PENDING I / M - .. { s .. i. .. 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