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HomeMy WebLinkAbout065-010-066MOBIL .J r/ q/ al PERMITS/ 8/91 65-01-66 VICTOR.BELLER >W/S Billups•Rd;--4/10-mi-,S-of`c-orner, —j 800'W Doe Mill Rd, DeSabla, 'PerEft"#697-86P,E(util, MH) ELEC- too -e- GAS g-GAS L PG 3& 14 _ 0 ' COMPACTION TEST REO (JO SUPPORT STRUCTURE REQ At 0 �Q FG65-010-066- - •PERMIT#98-0011 LER, •Vi.ctor ' ,e 15721 Billups Rd., DeSabla .Completew as Line for BP#697-86/MH, 065-010=066, PERMIT#98-0015 -BELLER,-Victor 15721 Billups—'Rd,.,— DeSabla `M�HIReplac4/ess, (BP#91-1881 065=010-066 Y PERMIT#98-0016`"- BELLER, Victor ' . 15721 Billups Rd.;`'DeSabla Decks Replace`s"BP #' 91-1880 r ki ICS' SCJ' 1 `i f M r 65-01-66 VICTOR.BELLER >W/S Billups•Rd;--4/10-mi-,S-of`c-orner, —j 800'W Doe Mill Rd, DeSabla, 'PerEft"#697-86P,E(util, MH) ELEC- too -e- GAS g-GAS L PG 3& 14 _ 0 ' COMPACTION TEST REO (JO SUPPORT STRUCTURE REQ At 0 �Q FG65-010-066- - •PERMIT#98-0011 LER, •Vi.ctor ' ,e 15721 Billups Rd., DeSabla .Completew as Line for BP#697-86/MH, 065-010=066, PERMIT#98-0015 -BELLER,-Victor 15721 Billups—'Rd,.,— DeSabla `M�HIReplac4/ess, (BP#91-1881 065=010-066 Y PERMIT#98-0016`"- BELLER, Victor ' . 15721 Billups Rd.;`'DeSabla Decks Replace`s"BP #' 91-1880 r ki ICS' SCJ' s f A r- w t. .r,vr.; y.M-a, _ r. r. vw' Ez-�r: i:,r+al�.r. .r+ti ., •.7+-.'ri :.'i s: r`a�.3',q�•.F,+F *�.'f��' t4..`._...r,}� ,i .err , .. x+ •gra. n,-.-.« R 065-010-066 PERMIT#98-0011 r BELLER, Victor , 15721 Billups Rd., DeSa.bla Complete Gas Line for BP#697-86/MH r1 6P « ; VLSI OU, { f, ,f r k. • M 1 t ,f t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT /98-0011 ASSESSOR PARCEL NUMBER 065-010-066 ZONING BUIL NG PERMIT OWNER VICTOR BELJM TELEPHONE 877--1948 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 17991 PARADISE, CA 95967 CONTRACTOR'S NAME 0W: CT'R TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 BILL.UPS RD. 1)ESABLA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: C014PLETE BP0697-86 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S .i W @20.00 2Q�00 PERMIT FEE $ 4O.OQ I l ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR 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, ( 9 ) and my license is in full force and effect.I License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra ors 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. i ❑ 1 am exempt under Sec. Business and Professions 1 de for this reason Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BLOB. sD 3.5¢Fr. NEW CONST. MULTI -OUTLET NON-RESID. I @7.50 OWER APPARATUS b PSINGLE 011rLET CR. Ex. Occup.OUTLET OR FOcruREs 20 @'�O0 BAL @ .50 Ex. Occup. G ,Et°TSA ES o_°E RA 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 coTply with those provisions. /�` � / X / - / �_- _Date -^ Signature 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 40.00 =.A. EES IMP FLooD COF PARCEL PD I HD I ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which tees have I �y -E .� ' !1� �L / PERMIT EXPIRES ON 'l / the applicable provisions beentp i to do work been aid. Date 1 _ Dafe ReceiptNo. WHITE-D.D.S.-B.D. CANA Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI ' 7 County Center Drive - Oroville, Cdlifornia 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 98-0011 ASSESSOR PARCEL NUMBER 065-010-066 ZONING BUI NGPERMIT OWNER VICTOR BELLER TELEPHONE 877-1948 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 1799 PARADISE, CA 95967 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER U:NDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS BILLUPS RD., DESABLA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IY Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CA Installation ❑ Other ❑ Describe Work: __ COMPT,FTF BP#697-86 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 1351 W I @20.00 20.00 PERMIT FEE $ 40.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service Toon oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 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 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. ❑ I 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.) a I certify that in the performance of the work for which this permit is issued, 1 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 forthj' h co7ply with those provisio s. X � / ,.�.ii� Date � Signature of Applicant ❑ caner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. BLOS. 3.5QFT: NO_VVN•RESNDT BMaicl c�cuTs @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 0 1'00 BAL .50 Ex. Occup. oUTlFf3 RoE ES aA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 40.00 HAZ. I D. FEES IMP I FLOOD [ZUFT;ZCq PO HD ISSU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolute to do work in indicated above for which fees have been aid. / _ y D e L _ V Ir PERMIT EXPIRES ON pe Receipt No. 23 WHITE•D.D.S.•B D. 'CANARY -,ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �/ .-. ^ ZONING BUILDING PERMIT OWNER<� Y -?-� "i q SO. FT. OCC. BUILDING VALUATION OW � ADDRESS ^ (_�IlI CONTRACTOP,'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS l , Energy Pian Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 01 -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 ❑ Work: _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home W @20.00Describe (� PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoaESS 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. 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. ❑ 1, 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 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 K 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 Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWEwNCi OCCSO OR ADDNS. ( 8 ACC. BLOS.UP. 3.5¢FT, NON-RESIDT ANCHOIRLET RCUmI @7,50 POWER APPARATUS 8 SINGLEOURET CI0. Ex. OCCU OUTLET OR FUTURES B20 @ 1.000 Ex. Occup.OUTL�EaTs AE ,6.) LNS E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE a L In HA2. I D. FEES IMP I FLOOD I CDF PARCEL I PD IIHD ISSUE 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. Date Date No. D.S.-B. . CANARY -ASS SSOR PINK -INSPECTOR GOLOENROO-APPLICANT M (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT Nb. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDEA [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNISIOMS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 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. 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt un ' der 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 200A TO 1000A 46.00NEW CONST. OWELUNG OCCUP. OR ADDNS. ( 6 ACC. BLDS. so 3.5¢Fr. NEW CONS. NON -RES DT muLT' O,'Tg ET @7,50 ER APPARATUS POWGLE OUTLET CR. 8 SIN Ex. Occup. OUTLET OR FURES OR BAS p';50 Ex. Occup. oinTs E�s,D,GFRw a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring H::: !!� PERMIT FEE i 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 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 Signature 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. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FL000 CDF PARCEL PO HD ssUE 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. Date DB1e r,ReceiptNo. HITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 property improvement : YES NO ❑ 1 I HAVE HAVE NOT 13 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: PROPERTYOWNER: SOCIAL SECURITY DATE: / - 9 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. OVER Y r t S RESIDENTIAL 065-010-066 �� PERMIT#98-0016 i BELLER, Victor t 15721 Billups Rd., DeSabla ' Decks Replaces BP#91-1880 PERMIT NO. ( PERMIT EXPIRES 00 0 qg — Oo OWNER CONTR. i `ASSESSOR PARCEL i LOCATION , 4 t ' C eY i Temp. Power Pole Called PG&E i Temp. Elec. Servic 1 r Called PG&E t t Temp. Gas Service t Called PG&E .JOB FINALED (Date) Signature Y � A V=OK 0 = Not OK _NottReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Teat -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; LocatiorrClearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'LIL / /Nat. or/ A--fL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Data DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbaoks-Easements ' 2: Footings; Soils•Sia--DepthSpadng ConrrecOors-Steel ' 3. Decks;.Ghlersand/o<Joists�Dedcing Bracing -Stairs -Rails ' A. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing S. Alum: Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; WirK ows Doors 7. Electric 8. Frmg.; Sils-Anctwrs-Studs-Rttrs-Trusses Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test Demand -Valve-Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 8. Elec.; Grounding; Equip. w/5 Circulating Equip.43ool LBhtg. Boxes-Ernclosures-Panelboards4ns. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Data DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbaoks-Easements ' 2: Footings; Soils•Sia--DepthSpadng ConrrecOors-Steel ' 3. Decks;.Ghlersand/o<Joists�Dedcing Bracing -Stairs -Rails ' A. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing S. Alum: Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; WirK ows Doors 7. Electric 8. Frmg.; Sils-Anctwrs-Studs-Rttrs-Trusses 9. Siding; NailingAfeneerStucco-Mesh 10. Root, ShWoofing 11. Ext; Steps -1 d•andings. 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 #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elect; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip.+leater 8. Elec.; Grounding; Equip. w/5 Circulating Equip.43ool LBhtg. Boxes-Ernclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except ft 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsANrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftlq.Steel 9. D.W.V.; Fall -Ring -Test -2 Way C/0 -Sewer Test 10. UP 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 ft 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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 AI 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumanxe-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 ft 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 RESIDENTIAL (Single & Duplex) P Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. 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 a -Check Garage 3rd Story, 2 Exits 54. Stairs; Widih-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-Underfir. 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 Xs 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. 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 -Meeh. 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 NoNJalks 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev'. 12/96) APPLICATION AND PERMIT 8_ O T -- ASSESSOR PARCEL NUMBER 065-01-0-066 ' ZONING BUILDING PERMIT OWNER VICTOR BELLER TELEPHONE 877-1948 SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 1779 PARADISE 95967 624 0 3 8 CONTRACTOR'S NAME TELEPHONE ' CO IUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ on LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing ee .00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)] Describe Work: OPEN DECKS REPLACE 91-1880—BUILT W/O PERMITS Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 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 Llc. 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 I000A 46.00NEW CONST. DWEG OUP. LLINCC OR ADONS. ( 8 ACC. B.S. So 3.50FT. NEW CONST. MULTI -OUTLET NON-RESID. ANC cI cTS@7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup, OUTLET OR FIXTURESens @':50 UNS Ex. Occup. ouii�rs RES D.OEA 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.) ° 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 forthwi comp with those provisions. X �_�� Date _� �gnat_u/r/,Ve�Appricant - Owrier O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and de option 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 $ 138.80 HAZ. D. FEES IMP _ FLOOD CDF PARCEL ,,,_ PD HD _ ISSUE This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indic e b e fo which fees have been paid. �. B Date n PERMIT EXPIRES ON Dafe Receipt No. 231494 ,-VOA 19-3 y /0 WHITE-D.D.S.-B.C. CANARY -ASSES OR PINI -INSPECTOR/ GOLDENROD -APPLICANT .r. ' COUNTY OF BUTTE- DEPARTS l OF DEVELOPMENT SERVICES - BUILDING. 7 :.COUNT. -Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER:. 5j — (I/ Proposed Building Use: Building Inspector: Date: At time of permit applicati n, I was advis d the following data must be submitted prior to permit p cess g and/or issuance: ------------- Date Received By 1. All items have been submitted ----------------------------------------------------------------------- - ❑2. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ ❑ 3 . 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! ------------------ 0 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 07. 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. ------------------ Fees of $ ------ 1 �,•� ❑ 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. --------------------------------------------- -------------------------------------- El 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 (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 0 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------=------------= ❑26. Letter of intent on building use. ------------------------------------------------------ ------------ E127. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- C-130. -------------- ❑30. Other: ------- When you issue the permit, process as follows Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at o oe. Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Dep e , ❑ Other: Date: By: 1. Index permit application for the above items numbered: .SS i w -OD ❑Plan Check List 2. Additional items r Contractor, design owner as advised of the above required data by ❑ phone Xmail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 13'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. (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O ZONING BUILDING PERMIT OWNER a U t C r' TELEPHONE ���� 87. SO. FT. OCC. BUILDING VALUATION OWN S MAhmss D CONTRACTOR'S NAME TELEPHONE I' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ p_, Plan Checkin Fee $ BUILDING ADDRESSt_A Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE t�,� SF ❑ Duplex ❑ Mobilehome 6 , Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other escribe ork:�Q(k t4 0 ' ae Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V OR LESS 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR AD( a ACC. BUDS. s0 3.5¢FT: coNrrS. NON•'ESID. MUL,_cjgLu @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES BAL @ 1.000 Ex. Occup. our,EETTS REESID.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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.) ❑ 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 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 Signature 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 Fling 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 HD ISSUE 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. Date Date Receipt No. WHITE-D.D.S.-.3.D. ANAR •A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERV[CES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 • PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service s. n 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.POWER 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 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5QFT. =N.RENDT' MULTI.OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES BAS O ':50 Ex. Occup. DUTLEEOrsA(RE .) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 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 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 Signature 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OUR .-- 1 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 HAVEHAVE NOT ❑ si ned 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: PROPERTYOWNER: 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. OVER esbac!; of fit. from the Sia �, �� m 2Ekt�. P.c property lines and a smtbacc of 50ft. from the road centerline shall be clear of structures or equipment except for e 2 ft. eave overhang.' &(,M q a,f'f ea v n fs N10J e T.:. .vi -icn lE`.f.-rnissioi5 f; en -t P.:�fC1. i, fepcar•i�ti�`T� n"i� T"�f��`•� i` til -:—AIT pglaterials & Workmanship Shall ge, in Arrcr dance A/Ith RscminizOd Good PracticeS .ndJ ; quality presicribed for the Snecii ied use in Uniform BA ng, PIUM- bing S: Melchanical Codes and the National Electrical Cotte. SEIr f�TT�CNO� STJtNC�ft2-O V6T-Nt� r-ce Pic CONSMUC'nclu �S -001(, C # /880-qi DEEPARi'Ms".MMAw FILE COPY F,� �� 12 (Y T Y F 4 .— (TUARPR -lAIL I" , FOC,1-106 GIRDER 4"X9" POST 0i FPMM G. KS 20 2°x I2" Sfkik S RIWGEIZ. -TDF \JIEW HALOVAIL NOT SHDW14 FbF, CLARITY. BOLT 2"x4" MOBILE' HbVll:r�� ov, DELIC LLJ WAG IDEVJ-v'VEW MAX. MTL. FRMI,J CLIP (ER.. SIDE) 4',x4` PO ST - 2"X # 2 D F (2) 3/g D 0 LT.S LLJ WAG IDEVJ-v'VEW 065-010-066 PERMIT #98-0015" BELLER, Victor 15,721 Billups Rd., DeSabla MHI Replaces BP#91--1881,. 12(6 � 10 () I. i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ' PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �?�� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER f O O V �2 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P00 R 4F' Q 7 CONTRACTOR'SNAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER E,NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESJ 5721 STUM>S ROAD, DESAM A 1 Energy Plan Checking Fee $ $ PERMIT FEE S (,1A LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE } SF ❑ Duplex ❑ Mobilehome 0 Other t SPECIFv-- Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each 8S water heater Or vent 1 5.00 TYPE OF WORK t :1' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: �PEPLACT 91--1881 ' a A Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 1 ELECTRICAL PERMIT Filing Fee 20.00 T1 000V OR LESS Main Service zoo, 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. License Class Lic. No. 7 OWNER -BUILDER DECLARATION T 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 ( 20 EA To ,000A 46.00so NEW CONST. DWELLING OCCUP. 2 oN.T. ( 3,5QSD. FT. MU IC-OU.S. NON-RESID. qC",C IT @7.50 POWER APPARATUS d SINGLE OUTLET CIR. EX. OCCU OUTLET OR FORURES p 20 Q 1.00 BAL @ .50 ISIS EX. Occup. OUTELETSO APR (PL.OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 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.) 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. / X ,i,.,r ,ir�...s //�_ Date �. � ---- — / -- L —� Signatu�of Applicant ❑-Owne-r `O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. P Mobile Home Installation Fee I $ #100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ X43 .00 HAZ. D. FEES IMP _ FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions in theButteCounty Code and/or Resolutions to do work indicated above for which fees have been paid. 1 /j� By- /" Date PERMIT EXPIRES ON Date ReceiptNo. ZJ14yC1 tg if d 3/ 1�1) kibl `.1:' WHITE-D.D.S.-B.D. CANARY -ASSESSOR `PINK -I SPECTOH GOLDENROD -APPLICANT PERMIT N0. 697-86P,E(MH) VF7 PERMIT EXPIRES OWNER VI TOR BELLER r CONTR. owner ASSESSOR PARCEL 65-01-66 i j C) D 4 LOCATION W/S Billups Rd, 800'W Doe Mill Rd. 00 X �, DeSabla 4 CO(Ak,b 1Joc L OeA r€ T6 MAke Sd B SrATL,.s . Lock ✓S GATE 0AJ CAMP �a 5�• � c,/� C.RN �- 5 = 3 - 8 8 Cr6 l- 0—w-�rl_ lit t.q�F,-- A , l /JCC25S t- sore. E Ov kom eoAPacaia.j dAf-a 0,4 07 � T ��t: � � _ /�¢.I �M'HI! "raw- ��•�r���od�e )C,►� Ca a PG&i' y Temp. Elec. Service Called PG&E 1 Temp. Gas Service Called`PG&E JO FINAL_ED ate) Signature �� I OK, 0 Not OR — = Not Applicable = Not Ready 1 MOBILECHOk1ES 1 I MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails !� Water; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing Electricity; Location—Clearances—Grnd.—/j-0/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6 Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG. 6. Carports; Windows—Doors 7. Utility Clearance . 7. Elec. Card -BI Date ���(ra$ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector i 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH .Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector j 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Electricity Tagged 9. Exits;`Insp.—Sketch 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy a 9. Health Department Approval { 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date ! i - I' --y t T V = OK 0 = Not OK - = Not Applicable - RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 51. 52. 53. 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s e 56. Ext. Steps -Door & Sidelight Protection -landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearange-Comb. Ait-Connector- In Garage; Above Floor- Ducts-Mech.,Protectiorj, _15. 16. D-W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting s - _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures:& Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes-Laber$ 19-. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext.. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap=Cooking' Clearance Card -81 Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter-.. Date ,z 'ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20 Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air- 'n In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex'Protec. -- 23. Romex Installed Close to Edge of Studs & C.J. - _ 24. Equip: Ground made up w/Mech. Fasteners -Bond Gas 3 Water 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ - --- Card B I Card B -I 2 77 28. 29. 30. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral _,Yes DNo Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Pane Is-Motors-Mech. Equip. Clothes Closet Light -Shower Light - --- - -- ---- -- ----- - ---- _- --- Date _ Card -BI _ Date - Date Card -BI Date 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass9rotection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Duccts_Insulation & Support - _ - Vent Fan; Exhaust above Insulation _ --- - Condensate Drain & Overflow; Size & Grade _ Furnace -Vent Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic - - --- _ Date Card -BI _ Date Date Card -BI Date 85.•' Wate;,A Sewer Connected -C/O to Grade -HD Approval 86. •En6ty Compliance Certificate -Other Certificates - Card -BI ',:Date Card -BI s' Date Card -BI 'Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. 37. 38. 39. 40. Sills; Proper Material & Ancho_rs _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) rM MOBIL EHOME INSTALLATION ACCEPTANCE -COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA95965--PHONE(916) 538-7541 APN: 0 PERMIT NO.: ena a Owners: Name: Owners: iAciclress: IMobilehome Year of -Manufactbrer Manufacture: '4 S l.'number ena- P -5s Insignia or 03 2. orV.I.N. H e r': Official approving installation: Date: 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 foundaflon system. 513B White -owner, Yellow -installer, Pink -Bldg., Gold -Assessor 4L fea K+� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 2 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 7,007 66 OWNER M PERMIT NO. ` A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,GSR �. • /11 'A/z 6 .ego J "O a GA C"VL- / 41 lie C eA.o%y "7 i Date J / Inspector J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 CountyCenter Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-01-0-066 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MALNG ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRE75721 BILLUPS ROAD, DESABLA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO.SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome V 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 XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑- Other ❑ Describe Work: REPLACE, 91-1881 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home IS G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LE Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9-W w ) with Section 7000 of Division 3 of the Business and Professions Code, (commencing and my license is in full force and effect. 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: X_ 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 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.) 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 forth% co Illy with those provisions. �/%of X ='���` yLv�=`.i _Date=�_� Signatu a of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and emolition or construction� of structures over 3 stories in heigh . Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. Bins. 3.5QFT; NN..-RESIDEW CONS.T. RANCHO CI CURCUTI B ANC @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu . OUTLET OR FIXTURES .00 BAL@':50 Ex. Occup. Ou7ELET3 REESSIp.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ 1100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ RAZ. D. FEES IMP �. FLOOD C PARCEL PD HD _ ._ ISSUE This permit is hereby issued under the utte Coun Code and/or ind' tb fwch fees have BW_ ` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /Z Date _ Y117111 Date ReceiptNo. 231494 (AM d-,31 .Il WHITE •D.D.S.•B.D. CANARY -ASS SOR PINK-INSPECTO GOLDENROD -APPLICANT v, W4 . `.,,� nr5ryi w . ip.ti. E. c rry WI rdl! key` ► n v r�Y i sig «r - ^ 4: 'i . a� COUNTY OF BUTTE- DEPARTMENT OfDE ,.LOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: WASSESSOR PARCEL ER: - 0- (P Proposed Building Use: Building Inspector: Date: 14 (46 At time of permit application, I was advised the following data must bee miffed prior to pe iio4ess ing and/or issuance: Date Received By 111. All 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. ----------------------------------------------------- 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! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ -.. ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Z. Feesof $ 2 QO _ m ------------ ------------------------------------------------------------------------- C� ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ------------------------------- =--------- =--------------- � r s ❑ 13. Flood elevation certificate. ------------------------------------------= ------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ----------------------- 0 15. City of Chico plumbing.peimit. ---------------------------------- ------------------------------- El 16. Plot plan and bu'smess license approval from the City of Biggs. ----------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ------------------======-'> ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------------------------- El -=---------------- --- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- 0 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 0) - -------------------------------------- �r ❑24. Letter of signature authorization. ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follows KMail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at 9$lice. Deliver with inspector. Applicant: 4 Copy of Haz-Mat form sent ❑ Health Department,,6-Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department,.P ft er;. Date: By: Date: By: (Date) 1. Index pemut application for the above items numbered: 8 - ❑ Plan Check List 2. Additional items required: Contractor, designer ow Mwas advised of the above required data by ❑ phone, Amail, ❑ Building Division counter, by Date:a -12_ 8 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 counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 1 -13 -ITS Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: _ � 4 9 Yellow Copy - Department of Development Services, Building Division. 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 ❑ I HAVE; HAVE NOT ❑ 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 PROPERTYOWNER: SOCIAL SECURITY 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. t (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L O ^ U ZONING BUILDING PERMIT OWNER ` TELEPHONE ad SO. FT. OCC. BUILDING VALUATION OWNER'S ADO SS QR CONTRACTOR'S NAME ^ `Id ' / Y T L ON ' COWrRACTOWS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS' Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ L{ IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation lk Other ❑ Describe Work: I Gas piping system 1 - 5 outlets 15.00 Buildina sewer 15.00 Mobile Home I S G W @20.00 i: PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OR LES9 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.POW 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 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 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. erns. s0 3.50FT. NEW CONST. MULTI.OUTLET NO RESIO. , @7.50 UTLET CER APPARATUS 8 SINGLE OIR. EX. OCCU OUTLET ORFDCTURES BAL®1.00 Ex. Occup. our rED s AE=.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling 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.) ❑ 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 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 Signature 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. Mobile Home Installation Fee $ I(� Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE•D.D.S.•B.D. CANARY/ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MMUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: Gas piping system 1 - 5 outlets 15.00 —Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AO,', 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.8 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 I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT, NEW CONST. NON -RES D. MULTI.OU CUITS T @7,50 PSINGLOWER APPARATUS E OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL ®I. 0 Ex. Occup. OUTELETS RESID.OEA, 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.) ❑ 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 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 Signature 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA2. ID. FEES IMP FLOOD CDF PARCEL PO HD ISSUE 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. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1. Owner's Name: 2. Installer's Nam BUTTE COUNTY DEPARTMENT OF ftth-I(; WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET a 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish.two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- ���� Amps 6. What is the mobilehome-,site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No 1 (If yes, identify the load and size:/ wl Al /"(Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ---=--------------- Natural LPG 11. What is the gas pipe length from meter or tank .to the mobilehome?------------------------------------------.,-- 1 12. What is the mobilehome gas demand? ---------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)i8p /* /69/-g/ RC wow FILE CSP Ru ff `;obilehome Mfr. f Width Ar -2 ) MOBILEROME SUPPORT DATA If other than single wide, furnish Setup Model No. Year Box Length_,,,v(ft.) Tagalong or Expando Size/'O," ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)-- "��_1. Concrete block. W2. Other (specify) �Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line Line 1 Line 2 r„ _ _ _ _ _ —, Main Beams Beams— Line 2 — — — � Main Beams — — — — — — — Tag or Triple Line 1 Riers: Line 1 Openings: Size -Min. ------------ Size-Min.------------------- Spacing-Max - ----------------- Spacing-Max. --------- „ Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min .------------ Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ „ „ x Spacing -Max ---------------- „ From Ends -Max -------------- Line 4 Pier -s: Size -Min. ------------ 4X �v $E19►17 r n�(i Spacing -Max.--------- W ,- n rnpx From Ends -Max.------- FIA CAC, 4 2 Line 5 Roof Wads: 1 Size -Min.------- ---- Location (From Front) e 5 Piers: (Under Bearing Walls Only Size -Min -------------------- Spacing-Max ---------------- From ----------------Spacing-Max.-------------- From Ends -Max .------------- "x.. "x "x "x "x "x "x "x ..... - f% In A setbeck,.oO ft. from the 5O' F20►^n eEF)1? P•L - property line .and a se adc of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. t- —� e/eAA OFax wsemenfs SF's 5�S Of lam' Cdvtd Spec, tcvtiCifS MUSiIA p 00 fka job 64 am i �� es and it is L o m any chor:g s c� t:.4raCOM an sCMe �ir�hor�► Y:�-'©n perrr<issiatt f�rrt � �eparfr�:rr# � P NOTV:—Alt Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use In the Uniform Building, Plumbing & Mechanical Coder and the National Electrical Code. YARI -1 1081- 91 gum OU1I''Y' UALDING IDEPARTMB 9w i COUNTY OF BUTTE - DEPARTNi_NT OF' PUBLIC WORKS �' PEII*IT N0. 7 County Center Drive - Oroville, Californi 95965 - Telephone 916/534-4541IF17' APPLIGAlION-ASID PERMIT A ESS RR PA CE NUMBER ((//fid f/(/- ZONING •f'/ ^0 BUILDING PERMIT , OWNER TELEPHONE 0 ,SQ. FT. DCC, BUILDING VALUATION OWNE G ADD CO RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ _ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILI G AD KESS Permit fee $ B I ING- ADDR S , (/}/' PLUMBING PERMIT Filing Fee 10.00 'N J Each Trap 2.00 Solar Water Heater 20.00 S Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 9 (�`j— / Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home 10.00e TYPE OF WORK New F-1Addition [:1Remodel [:]Utilities InstallatherrQffier ❑ Describe work: !!!!!! ��-��- _ Permit Fee $ �a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 10.00 An ev O C,/ d Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. BLOGS. 2hQ$gft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the"structure is not intended or offered for sale. (Sec. 7044) I, as the owner , am exclusively contracting with licensed contract- Y ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R BRANCH TLETITS 2.50 ea NEw CONSTR. (POWER APPARATUS &\ NON-RESID. SINGLE OUTLET CIR. / Ex. OCcu 20050a P�o OR FIXTURES BAL®30 FIXED A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 70 —' Misc. Wiring 15.00 ;6 eZ1 Permit Fee $ S 9, $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C.: -laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte.to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti ju gments, costs, and expenses which may in any way accrue against's d.0 in consequen f the granting of this permit. ��_�� X Date _ Signature of Applicant — Owner r Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I WIP71 PD HrJI This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OFtBLIC / BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. V96 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER ' r COUNTY OF BUTTE - DEPARTMENT OF 'PUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE _C,�LjfORNIA 95965 - TELEPHONE: 916/534-4541 -... r_i PERMIT APPLICATION DATA SHEET w Permit No. A. P. No. Z�S_©� Ox 2 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Expdayn) Building Inspector_ �C� 1�� �� Date J�%rz Sr 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. %IGC • Sanitation approval from �k�1' �. (�f Health Dept. J 7,art ' 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 1:3. Contractor's License Information (no., name style, classif.) o%C / 14. Owner -Builder Verification (Given to owner0 Mail to owner ❑ )� r77 ,V/� Aq 15. Improvements may be required. . . . . . . . . . . . w 16. Mobilehome Installation Data. . . . . . . . . . • :7. Pre -Inspection for Required. Building ec. re spect ruest to (Date) _8�" Recorded copy of Agricultural Acknowledgment Statement. r ' „9. Other When you issue the permit, process as follows: Mail >^ owner. Mail to contractor. Telephone �D and hold for pickup at���office. Deliver w/inspector. Other Applicant / .i ;C� � ,.�_//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 ti6eof-application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by L'C - Date T( -CA p Plans approved by Date Other: Copy—DPW TO.: Building Department, . _ FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: 9 4jx4z' LOCATION Sewage Disposal — K -" /-IV, ./V' P 46 Wate�` Stfpply� Water Supply Final Clearance O.K. for: Water Supply .'%. Clearance for e* droom mobile home. Other Clearance for addition of PN 14-0 Note 1 Y//4 ANITARIAN DATE TO:: Building Department FROM: Encroachment Permit Section , . ,. RE: Driveway Clearance owner -� location AP # Driveway permitmon e has been issued for the above property. (vim - elf, signatu date M COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA, 95965. Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 material 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 contracted with the following person (firm) to provide the proposed w construction: Name Address City Phone Contractors 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 Contractors License No�. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security n6mber Date_�- 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. J s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Victor Beller. Y 6220 Clx-.rk Rd. = k" ` r DATE .Tune 12, 1986 P^radise, CA 95969 RE: Permit application for mobile home Derr Mr'. Beller: utilities dated 3/27/86. A.P. # 65-01-66 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER v° We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete 'plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of.plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at 196 Memorial Way, Chico 7 County.Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. YXXX Drive Wry Permit X= OTHER The above items must be submitted before your mobile home utility permit can be issued. TIAnkyou. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT REICORDED ISI 0 FICIAL RECORDS FOR RESIDENTIA1,I -DEVELOPMENT 0" 5UTTE cGT),.VLIFO?NIA Section 26-8.1 of the Butte County Code requires this acknowledgement P/`R71 �=•'�±"!j:f �f � be recorded prior to issuance of a building permit.86®1894►� ig*6 JUN 16 PN a 07 `a The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thiLEANOR M.BECKER property may be subject to inconveniences or discomfort arising from LERK-RECORDER EEE 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!.,_„ -q to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust'x;s: smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. the foregoing is waived,Isign under protest & duress. All that real property situate in the County of Butte, State of California, described as follows: Date: t S 1/2, NE i/4 See.. 3 T. 23N R. 3E ,Assessors # 65--01-66 PROPERTY OWNERS State of ) On this the / day of 19 before SS. me, the undersigned Notary Public, personally appeared County of ) Personally known to me. L// Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public OFFICIAL SEAL o POLLY MACK. NOTARY PUBLIC -CALIFORNIA Principal Office in BUTTE County My Commission Expires May 27, 1989 r _ 65-01-66 `v permit#1881-91MHI�, (mh install) . _ _t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 CouJty Center Drive - OrwIIIe, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1881-91 ASSESSOR PARCEL NUMBER 65-01-66 ZONING TM20 BUILDING PERMIT OWNER ,,, Victor Beller TELEPHONE 72-8088 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6220 Clark Rd, Paradise 95969 CONTRACTOR'S NAME Owner 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 LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS BillupsPermit d fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [J Duplex[] Mobilehome6a Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation FX ]Other ❑ Describe work: MH1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 80ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. �I, as the owner, or my employees with wages as their sole compen-Ex. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.N OR ADDNS. ACC. BLOGS. , h2sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES OCCup. OUTETS FIXED PRESID )REA.) ESAL@ Temporary service Mobile Home Facilities 15.00 Misc. yyirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. �j I shall not employ any person in any manner so as to become subject jai to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 again7sa'Cou yin copse ence the granting of this permit.This X ' Date &"� Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAL CUA _ PARK _ SCHL FLO _ CDF A PD 1 HD. Issue, permit is hereby issued unoer the applicable provi- Bions of the Butte Count Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 88512 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ~k•In.��.t•^V%Y1� 'I'�y...,..�-.li��t�'-T,('I`� "�/�1I`/�•'� ..I`f '•vL�I.. Y. - r.. . .�.. �j COUNTY OF -BUTTE - DE,,PART,M�KT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,'CALEFORNIA 95965 -TELEPHONE: 916/538-7541 'PERMIT APPLICATION DATA SHEET V } / Permit No. /- OWNER C A P 65, Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) �`�S1Vlobilehome installation data including manufacturer's installation instructions........................................................ 13u� to ll 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... —,j .? -,Park fees paid .................................................... - School District fees paid .............. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractors license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25.--�Letter_of signature authorization......_ .............'...r. —.. --- - .� Telephone Other and hold for pickup at office. 1 Mail to contractor. _Deliver w./inspector.' to Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri o permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 26 Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plars checked byDate-.�4j31_Plans approved by ALJ Date S l Sets of plans on hold in File cabinet AP folder Copy—DP'N BUTTE COUNTY. -,SCHOOLS DEVELOPMENT, FEE CERTIFICATTIION-FORM (One Form per Building),' A.P. Numberf p�-' D 1p �O Building' Department No. School District VCity D County Q Jurisdiction Property Owner Project Location/Address Subdivision Residential Development: Commercial/Industrial: 0- 1 # of Living MHI Units , New M;�"'�'e� Lot Number aa Sq. ,.Footage 640 Addition (Group ) Sq. Footage Addition (Including Exterior Roofed Areas) t � Building Department Replesentative Date (Floor Plans reviewed by School District Personnel) District Id No. i School Pistrict certifies that (Ap/-pli/c�annt Name (S reet Address (city) (Phone Number) (State) (Zip Code) has complied with the requirements of Resolution No. .by the—payment of_$ representing square feet. ? Sghool District Representative' Date • • 1 �, /[� white applicant, yellow -building department „ pink -school district SCHOOL.FEE (8/88) 1 v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllg, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT . ASSESSOR PAR EL NUMBER/ ZONINGS^ BUILDING PERMIT OWNER ITELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SILI PRESS CONTR TOR'//S 1•I,AME IELERHONE CON CT7R'SMAAILLING ADDRESS Fireplace CONSTRUC—ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AIDDRESS / / (/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heatAer20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or ven5.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome� Other SPECIFY Gas piping system 1 - 5 outle5.00 Building sewer 5.00 Mobile Home S G W.00ea TYPEOF WORK New ❑ Addition0 Remodel ❑ Utilitie I,tall atio Other ❑ Describe wcrk: �'� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I aro exempt under Sec. , Business and Professions Code for .his reason NEW CONST./ DWELLING OCCUP.N) OR ACDNS. \ ACC. BLDGS. , �2QSgft NEW CONSTR. RANCH TLET NON•RESID BRANCH CIRC ITS CIRCUITS 2,50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES 200500 eALe3o FIXED \ Ex. OCCUp. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undar penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 hove placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FllingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ Qr� HAL CUA PARK I SCHL I FAD I C5F I PAR PD I HO. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1880-91B Permit#1880-91B (open deck/mh) COUNTY OF BUTTE - DEPARTMENT OF PUBLIO�WORKS 7 County Center Drive - Oroville, California 95965 - Telephone:(916/536-7541 4� " APPLICATION AND PERMIT PERMIT NO. 1880-91 ASSESSOR PARCEL NUMBER 65-01-66 ZONING BUILDING PERMIT OWNER r• Victor Beller TELEPHONE 872-8088 S0. FT. OCC. BUILDING VALUATION 516 0 30612 OWNER'S MAILING ADDRESS 6220 Clark Rd, Paradise 95969 CONTRACTOR'S NAME wner TELEPHONE CONTRACTCR'S MAILING ADDRESS • Fireplace CONSTRUCTION LENDER , UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Billups Rd DeSabla Permit fee $ 76-751 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 10.00 ea TYPE OF WORK New ❑ Addition ®X Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: open deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSines$ and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.61\ OR ACDNS. 1 ACC. BLDGS. / ,/2¢$Cj ft NEW CONSTR U TI.OUTLET NON•R ESID BRANCH CRC" RC ITS 2,50 ea POWER APPARATUS .&) ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200600 .SAL(? ao FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to'the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, judgments, costs, and expenses which may in any way accrue against s 'd Cou :n ;�ns�ence o the granting of this per it. X �✓ /r Date i" _/f _, Signature of Applicant — Ownerx Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 76.75 HAL J CUA PARK $CHL I FLD I CDF I PAR PD I H ; IssuE, This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WNITC-D.P.W., ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �*.-yi y.a✓r i�iiTNYI,�.-..-i:.Y�.r,.� }r- 1' ��..�f�r�,NTC.�.f�'�.'� .wryy. �.- :' a� �ri_}1i' _ COUNTY OF BUTTE - DEPARTMENT -t F -PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OPOVIL�EWALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use Building Inspector Date (� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ........... .... ......... .. .. ,. 2. Plot plans in duplicate/triplicate, signed by prep'arer of plans ........ 3. Complete plans in duplicate/triplicate, signed ,by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... Sch II Di rid fees paid .............. ---t4-Sanitation approval from 9C /"r Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of - (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) s 20. Pre -Inspection for required ... Pre-Inspec. request to ;- Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ............................... 26. 27. 1,, 10 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other � . AppIicant�// ���/2%�/ Date Copy of Haz-.Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ___Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date ' Contractor', -,designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by lbw Date �Z Plans approved by Date Z 6I Sets of plans on hold in File cabinet AP folder ti Copy—DPW TO Buildinq Department ;..:, -i ;)) m a FROM: Environmental Health SUBJECT: Sanitation Clearance rek //14 - Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold•final.for: --- Water Supply Final clearance O.K. for: WateSupply Clearance for bedroom riob' le home. Other �Ito� NOTE YC Sanitarian Date TO Buildina Department FROM Environmental Health SUBJECT: Sanitation Clearance 6'Q V owner Plan Approved for: Hold final for: Final clearance O.R. for: '00, r Loca ion AP# Sewage Disposal Clearance for bedroom mobile home. Other Water Supply Water .Supply Water Supply T NOTE x S. W: tariz:n Date COUNTY OF BUTTE -Department of Public Works '7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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. I personally plan to provide the major labor and materials for construction of the proposed property i ovement (yes or no) ' Z12. I (have/have not) signed an application for a building permit for the proposed w k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City _ Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work S igned : Property Owner Social Security Number Date 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 per- mitted to issue the permit. y Lam-/� A ; setback of1. and a setback _..lowism" ' of 50ft. from the road centerline shall be clear of . :, . .... rructures_ or equipment except fisc a v rh • ... fo a 2.ft.':e ve o e . ar1g�.�. ,. Skill q.. AN Mate ais sh .�. QTE:— nized .-Good P ctices anal. �q ccordance.: with ecog - ti A :.or O ..... : . �;. he: -for :t e �n the of:' an�cal. � 'bin &�.`1v(ach din , . '_ i.... • .. .� Nsftional.Electric U flit on do sh I e i in R���RCt: O 17' �= 4 t. f h m b o e' t ` 1::. -.....:.. ly i r . ' e t i h ear. .:.� obi homey tis tE;t7Ai� 019'am. 0 Z51 rife 0' Ak o • —All Materials &Workmanship Shall Be"in .0 ' nized Good Practices and 1 ycco once with Recog f -6 ality prescribed for the Specified use in the \ Uni#o� Building; Plumbing & Mechanical Codes and the. ati nal Electrical Code. l h This, set of plans and specificatio ` -K'VST bb ; W s I kL o th - 4 Q S . pt a job at all times and it is �aw'fvi to P A mfg an changes or alterations on same witi�oat writti4i per%ission from the Department of Oublie Works, qeui'rty of Butte. !DING RTMENT AOR V o E k L iL J-�. Z. ♦ y � `"' . S �' �,�. s�oe ®r a yAQ4 A setback of 2 O .G%?S� `. .prrap.{i°,�s and a setback ;.of 50ft, from the road centerlineshall be clear of structures or equipment except q� GMrft eave overhang., .i corkm pirac oo KC� 17�� Saecohe ' , - :. � . _ • f oT Gf0�0 E e C t ` Utility c nections sha� be within. k 4 ft of the , obil.ehome either- in ither a _ di ctly behind or within the rear " " f • ao.p� hel ) the � . \ _ mobi ehome. �`o° ca O Igrcw. O ZS,' fife X/ � oma• �� A \ .0. ` This's��pians dR►d spec �noMUS e a ��. 1'1'E C kept on the job at all fimes�� 'f-is ut�lvfa) +tUtkDING' ART make any changes or alte., 6Ai�s'�'t�same withow# o written permission from th e •Vment of Public \ wo.ks, County of Butte. �. :� A O R,. V E D,,. eaua*,q- xu& OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Victor Beller ADDRESS: 6220 Clark Rd. CITY & STATE: Paradise, 'QA 95969 IMPORTANT: ,Tune 12, 1991 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to expiration of permit. Permit #1628-90B,P, AP 65-01-66 Receipt #66129, dated 5/21/90, Total Permit Fees Paid ----------------------------------- $51.75 Retain Building Permit Filing Fee -------------=$10.00 ' Retain Plumbing Permit Filing Fee-------------- 10.00 Retain Plan Checking Fee----------------------- 7.25 I rotal Permi-t-7-e-es--Retained------------=-----------------27.25 - OTAL REFUND DUE ----------------- ------- --------- =-------$24.50 i TOTAL T $24 50 I, the undersigned• declare under penalty of perjury that the services or article claimed have been p o d or delivered, and that this claim is true and correct as stated. A � Dated thisde 1 ..... ............... Y of "f•• Calif. �%v�/--�J'• L.a • ."�. .......:......� ..................... Ar..... . ` Signature of Claim ant I, the undersigned, hereby cer y that. to the best of my knowledge• the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Hoard Approval E] (Check one) [or [h cam Dated this 17th da June 91 Oroville .......................... y of .................. ........... 19....... at .............................. . Calif. ..... .. ... tm.e..... ....o. uth. ..................... e rment Head or Authorized Dept. 440-002E:p' 4210500 Con . Permits Code ............................................ Code ................................................PAYABLE FROM ......................, ................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Driµe - OrwPe,�Cali fornia 95965 - Telephone: 916/538-7541 f /(E' z ®,.(�0 APPLICATION AND PERMIT �/ c� `I ASSESSOR PARCEL NUMBER & ZONING _ BUILDING PERMIT OWNS t TELEPHONE SO. FT. OCC. BUILDING VALUATION � OWNER'S MAILING ADDRESS Q Ir )f . Gl rad. s,c, S t 6 9 CONTRACTOR'S NAME 'w TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ —10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS U � Permit fee $ / PLUMBING PERMIT g ee 10.00 6 °l Each Trap 2,00 S CL Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S Al W 0.00e ° TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities❑ Instal lation❑ Other ❑ Describe work: In X/6 pt? GSL 617'-16) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L. too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP ACC, SLOGS ADONS. New ,h¢ft sg CCONSTR.� NON-RESID BRANCH CI ITS 2.50 ea (POWER APP ATUS e ISINGLE O LET CIR20@, / Ex. Occup\OUTLET OR FIXTURES 5AL@30 eALoao 0. FIXE APPLNS. OR Ex. Occup. 0 ETS (RESID.) EA.1 2.00 Temporary svice 10.00 Mobile H e Facilities 15.00 Misc. irin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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. j� I shall not employ any person in any manner so as to become subject YY''ll to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said ount in copse :;;ce of t e granting of this permit. X Date Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excava ns over 5'0" deep and demolition or construct- ion of structures over�33 stories in height. Mobil orae Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ cuA 13��F LD P D This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 66 /ot 7 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS" BUILDING DIVISION 7 COUNTY CENTER DRrI yE,,_�.6i I�LLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 A PERMIT APPLICATION DATA SHEET IPermit No. OWNER a42 � `e r -- A. P. No dor 01-6 6 Proposed Building Use Building Inspector ,Date 5�2�'917 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . . 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material.Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated 'and AC Buildings ............. . 8. Engineered truss details and layout in d6plicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required.. Contact Land Development Section DPW 19. Driveway permit (construction .approval .required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to 2T. Contractor's license information (No., Name Styles Classification�ld��9l�spe�tor (Date) 22. Certificate of Workmans Compensaiion Insurance .................. 23. Owner -Builder Verification (Given tQ owner 11, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature. authorization .................................. . 26. 27. When you issue the permit, process as follows: it to owner. Mail to contractor. )— Telephone4e72-3i )92 and hold for ' fice. Deliver w/inspector. Other . Applicant!27 h/ l Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent. Health Dept. Fire Dept. Other Date By, The following data must be submitted prior to permit issuance: (Circle newAlem+not checked above). 1. Index permit for above items No. /) - Q .. I 2, Additio al iter required: D'YL r � fi J J P% Contractor, designe, own `, was advised of above required data by_phone_lnall—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_counte by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet _�AP folder Copy—DPW To Puildinc Department FROM: Environmental Health h ; SUBJECT: Sanitation Clearance - Omar Loc ion APS Plan Approved gor: Sewage Disposal Water Supply Hold final for: Water Supply Water Sunni Final clearance O.R. for:% Clearance for bedroom'mobile home. Other NOTE. Date Sanitarian. �(/If.MIA Z:,-srsyq / A setback of (� Z" 2, 1.nss and a setback " of 50ft. from the road . centerline shall be clear of . � s'tructures or equipment. except. :.. av v r _ y � fo a'2 ft:"'e `e o e .harg�: "17� f' ^M .Mate aiship,'.Sk�il1 go t4l - 0.c;A� 50TE-- sized . Good P ctices anal. /�%�O/©O$Fp with ecog ... ..:..:: ::1 .:. ":..... Accordance. , � - �. .:the. �:'! .�#, th ........... e o .. aclia & fvl Untf arm. ,. -' Code.:. - Nsrtional.Electric U it c nn tins I e w t' in R6QtNtRED. O 1r' r✓ 4 f o ,e r dr ty e i it n �^ 1 ,- k� I he. NO; 019' 0 t 5' F i leAk � o \ " NOTE;- -All Materials' & WorkmanshipSh(A Be in lArarc* nce- with Recognized Good Practices and f oi'qud t�► pres)cribed for the Specified use In the ttlf® 8 idmg, Plumbing & Mecha 'cal Codes and !h Ni®Na Electrical Code.act 3� s%.......... - C��a . _. \o \ v � _ \ © Y �.\ k Th set of plans and spectficatio OjS 6b O kept or%the job at all times and it is ui�lawl to . �U (00- m an changes or alters" tions on same 4v"if+xmf \ _ writ+6 per%ission from the Department of Oublie sUILDJNG DEPART>VI'ENT Works, C,ecrO y of Butte. APPROVED OW 9--3) COD 7C1 ,t I -i -P' �1� X CP 6" FINJDRRIL [ILI GHT I MAX. 6• :z�. o� A C 1 I X n � o?I O ..� 2� I ® a COD 7C1 ,t I -i -P' �1� X CP 6" FINJDRRIL [ILI GHT I MAX. 6• :z�. o� A C 1 n � � 3 I o �I d 7Q II^ I II -i- _ C IN I DT" 71 4 3 X _--r.-.nTMENT OF PUBLIC iORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION ANI] PFRMIT . PERMIT NO. .S,.R PARCEL NeNEER — -- `'—� - - BUILDING PERMIT I12LE NONE .='3 N,I LING ACCRE53' - ?ACTOR'S N,ME SO. FT. OCC. BUILDING VALUATION TELEPHONE I =. AC T0R•3 MAILING .DDR Es _ - -RUCTION LENDER Fireplace ' - UNNN015'N Total Valuation S -5 MAILING ACDRE33 ' Filing Fee 5 10.00 Permit Fee $ 'ECT OR ENGINEER - LICENSE No. Plan Checking Fee -ECT OR E.NGINEER•S MAILING .OGRESS .Y: AccR Ess Penalty 5 Permit fee 5 PLUMBING PERMIT F.1,;Fee 10.00 Each Trap Solar Water Heater 2,00 20.00 _ • - Water piping 5.00 -. SL BCIvl510.Y NAME - P,ROEL M,P Each Gas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Duplexl_ Mobilehometo Other sPECIF- Building sewer = 5.00 Mobile Home I'S G 11 0.00e - - -TYPE OF 'WORK - - Addition_ Remodel;_ Utilities` InstallationZ Other lI .e work: Permit Fee 5 Contractor ELECTRICAL PERMIT Fili;Fee 10.00 Main service �_5`; °,p sass 10.00 - _ .,� �7. •:,`; Main service =_.. AGO—- rats AMP 2.50 - CONTRACTORS LICENSE LAW .:'e under penalty of perjury (check Gne): _ _ I am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my :(cense is In full force and effect. No. Classification as the owner, or my employees with •Aages as their sole compen- sation, will co the work,and the suuct_re is not intended dr offered Por sale. iSec. 70441Atisc. I, as •he �nher. am exclusively contracting with licensed contract- :rs. (Sec. 704x( am ezem:t ender Sec., Business and Professions Code this reason E'M C0.Y5T. d"A'ELL:NG OCC JP.S DR 4DCN3. ( ACC. SLC4 ) 1 Q=CSG fI ::Ew Re. srrt tel• . LD•J. Leg YON.REsIc. eP;Y _ :ec•'Irs j2S0eaj NEW CraT.-V —WER APP,R AT'-;$ ! 'NON.RESIC. -GLE CUTLET Ci. ) EX. OLCUQ(DL'TLETS DR FIXTURES !� le, e .!_c Ex. Oc cup. 'Ile° AF=LNsLicense OL.L_TS •RESI 2.001, Temporvice 10.00 Mobile Facilities 15,00 ; . ,- -cP PermitS`or ContraWORKMEN'S COMPENSATION INSURANCE pena,ty G1 perjury (cftecz onei: permi: is for 5100.00 (vafuationl or'ess. have placed on file with the Gunn :f Bette Bvilcirg Dedartment Certifica:e of 'Norkmen's Comcensat:on Insurance or a Certificate :f Consent toSelf-Insure. not employ any cerson in any manner so as to'-ecome subject :he W. C. laws Gf California. :oApplicant If after making this statement. should you =eccme subject C. provisans of ;he labor Coce. you must forttwim ccr..oly with such :ns or this peermlt snail be deemed revoxee. MNICAL PERMIT FilingFee I 10.00 HeatinThe Coolina Hoodshall Ventila:o PermitS Contrart I nave read :his application, and S:a:e tact the aDcve i-ldmtation _. i agree :d co ;olv to ail County Ordinances _na S;a•e Laws relating -.; ccnstruc:ien, anG herecy awncrize ;ecreseni-iives of -.he Counryol anter upon :ce areve-mentioned property ':r ins:ecticn ,urposes. -::ee to save. indemnify and keep harmless :he County of Sutte'against :les, yud;-en:s. costs, ano exeenses 'Which •-ay in any 'A8y accrue -aid County •n consequence of the ;ranting of Inns permit. ' 'ate Arnow„ - Dwn,r,_ Gen,c:m _ A;l-: _ fdobile Installation Fee S TOTAL PERMIT FEE S :: _ - ` oc<_o, 3 ,v!o..,.,T C _� ,vu This permit Is herecv issued under ::-,a applicable :rovi- sicns of the 2utte County C.ce and%dr resolutions to co work indicated above 'or Anich fees have :een ^aid. No: _K :,pl.—,e MOBILEHOMES PERMIT NO. 697-86P,E(1411) MUeILt HUME UTILITIES =1an51 CK e•ceo: e 5 ' ' /j 7 $-n,N P.ecvlreoents-Se:03cks-Easements I PERMIT EXPIRES - So s: Sx :al VH su000rt-Skean VICTOR BELLER j Seer. LOOa:, n-Tes =all -C C-Cx a:e OWNER Na:er: Lma:lerl-Tes:--ase.."nt Nee_•ea _ie,Cnl I j! E!ec:ric,:T: Lxa;ion-Clearances-G:nc.- j 4,—Co7' e CONTR. owner . a/ Ga S: ! J2;.Crr-- i e3: �,ff): • ..I ..,..: ... VEL Y "'! ' .`.. _?- 1 7. C:aamme ASSESSOR PARCEL 65-01-66 1 j LOCATION W/S Billups Rd, 800'51 Doe Kill Rd. C- •BI ` C Da:e O��t,=.? :aro-31 :a:e _ ' Care -91 Dare Carc-61 :a:e DeSabla Dare MOaILEHONE INSTALLATION (PlanSi CK e.Oto: e's f i. ZMing Rec,. re­S-s-:OaCkS--a5emen:5 2.=oa:iocs. SL . 3. G35: VH i?5:-Demdlti-1'dlVe-C OI1nECtp = ^:;; tC l:v; 4H 125:-�:I>,45G':NS-E:2dkC5-D!ea.2nCe5 j VH Tess -31!--1e, C.MC:or a. .•A- Pas:-- :=.a:::-Cccrec:c: ` COLkL�A N,;r L34 -A -IG l'•�.. !Yl; i.tC.��. J•) 8 7. Aa•er arc Sege- Connec:ee-C'0 :c Grace -D Aoxoval j a. Gas ax = r:• city TS;;ec f J Ti.Ss . WCk=A C.!! `!.. o� C':?11' `rr- 3. EA::s:'-. o. e:cn I. GC- - r3 aSo:;,a.n tea. _-31 _a:e Ca'e can: -31 :a:e t' � ..1 u e !c •- : Au v c% S / l \ / I i 11OAA W105 dL-0C- d y r , I 3- v,CK, e-�s W A6 L ✓d -,O O o W ../ f � F/(�?OM -04SfA f Temp. Power Pole 0�0 Called PG&E . ,SY a .J C q e' Mioq d" !, Temp. Elec. Service �/�� ��yG•(F`.Q- -^ Called PG&E L� okG,A Temp. Gas Service Called PG&E JOB FINALED Dat= V A / w -,:>•�� /� Signature 1 11 4 S Col®/e �NY b�+�'mti-'w'- \• Hc> 5 ni-e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Victor Beller 6220 Clark Rd. Paradise, CA 95969 With reference to the above subject: / / Attached is: DATE July 1, 1991 RE: Mobile Home Inatallation Permit A.P. # 65-01-66 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, . Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Gas Piping permit and clearance are reauired prior to issuing mobile home installation permit. A new school form will not be required because of exempt status (ie mobile moved from another site within the district). Should you have any questions concerning the above, please contact _ Rnrharn bptwPPn 3 & 5 of this office. P.M. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector ��� , � � S� WATER TENDER FEE: $ THERM DRAINAGE FEE $ IF BALANCE OF FEES OR ADDITION VALUATION: $ ADDITIONAL VAL: $ (Check One) COUNTY CITY OF BIG, (Check One) RESIDENTIAL COMMERCIA RECEIPT NUMBER: COUNTY OF BUTTE N 0 - CODE ENFORCEMENT CITATION 229 MOM Location Offense(s) Committed ate- n/� El Offense item nurrber(s) n r sence, tftified on information and belief. I certify under penalty of perjury th g t and correct. Executed on the date shown above Cali ornia X Signature of Code Enforcement Offic Name of Code Enforcernent Officer WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED CEJ! �� X Signature jM SEE REVERSE SIDE White, COURT COPY Yellow, VIOLATOR'S COPY Pink, FILE COPY February 12, 1998 Beller, Victor P.O. Box 1799 Paradise, CA. 95967 Assessor Parcel Number: 065-010-066 - Building Permit Number: 98-0015 & 98-0016 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Failure to obtain the required permits, inspections and approvals for the mobilehome installation and deck has resulted in the issuance of a citation. Therefore, penalties are now required. Balance of fees: $344.00. If you wish to discuss any of the above items, I can be reached at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Thursday. Sincerely, Glenn Gibbons Suite oun LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 February 12, 1998 Beller, Victor P.O. Box 1799 Paradise, CA. 95967 Assessor Parcel Number: 065-010-066 - Building Permit Number: 98-0015 & 98-0016 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Failure to obtain the required permits, inspections and approvals for the mobilehome installation and deck has resulted in the issuance of a citation. Therefore, penalties are now required. Balance of fees: $344.00. If you wish to discuss any of the above items, I can be reached at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Thursday. Sincerely, Glenn Gibbons r COUNTY OF •• •� •- • NOTICEITO Date n a3ir i rl,.Aq No le Phone City QK tatc Zip Occup�tion Social Security No. Butte County de Section DescriptiorvA Offense vonmrm- 02 i . Location5. . mitt-. it EA ► a, on information and belief. I certify under penalty of perjury th t and .. Executed on date shown• • "I'liril i... _Cal orni Name of Code Enforcement ceho . WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED E X Signature 1� Belo at: _ ated T— Form approved by the Judicial Council of California. 11/4/88 SEE REVERSE SIDE White, COURT COPY Yellow, VIOLATOR'S COPY Pink, FILE COPY Victor C. Beller 6220 Clark Road "Paradise, CA 95969 ;RE: Building Code Violations W/S Billups Road, Desabla L Dear Mr. Beller: March 24, 1992 A.P. #65-01-66 We sent you a warning letter dated January 28, 1991 notifying you that you are in violation of the Butte County Code at the above referenced loca- tion. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals for mobilehome installation and deck in violation of the Mobilehome Parks Act of Title 2.5, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Mobilehome Accessory Structure (b) 1048 -Inspections Required for any Mobilehome Accessory Structure (c) 1324 -Permits required for Mobilehome Installation (c) 1326 -Inspections Required for Mobilehome Installation Permit applications were made 6/1/91 but were not issued because items were not obtained in letter to you dated 7/1/91. The above violations shall be corrected or abated by you by obtaining the items listed in the letter dated 7/1/91 and paying the appropriate fees, including penalties within thirty (30) days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. Unless .the violation(s) is (are) so corrected or abated, a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Me ew� r, RT:dms cc: Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Manager, Building Inspection C Victor C. Beller 6220 Clark Road Paradise, CA 95969 RE Building Code Violations W/S Billups R, Desabla January 28, 1991 A.P. #: 65-01-66 Dear Mr. Beller: This is a warning letter to. notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits, inspections and approval for mobilehome installation and deck. An application was made for deck 5/21/90 but was not issued because of failure to get obtain final on mobilehome utilities and failure to make application to install mobilehome. Since permits ands*ecrions are required for the above work, please contact this, office withiT,. teof the date of this letter, submit two complete VEWOW sets'of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that. Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is notL obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of. a Notice of Violation. .i Your cooperation in resolving this matter would be appreciated. Should You have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. Yours very truly, X3 Ctl k- j ct '�/N ""`�• William Chef f Director of Public Works JFG:ds J.F. Glander • Chief Building Inspector cc: Assessor Building Inspector VIOLATION 'CHECK LIST A.PI. # 0&l -0/ -0 -OG 6 Address til /3 B,'/lct9 S Sq� Iq Owner ;c or (11, e er ' Owner's Address E•0� O J%�/ Ara iSe q Owner's Phone'No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. I no AZ2a Prro�i f 6a; hl Specific Plot Plan with C(/ /V Noted_yes no Penalties Required 1st. Notice Sent 2nd. Notice Sent )a ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) 1 2 3 4 5 8 11 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY 114IL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is Butte County Department of Public Works 47 County Center Drive California. Oroville, CA 95965 I served the foregoing 30 -Day Violation Letter by enclosing a true copy in a sealed envelope and depositing said envelope in the United States ;nail with postage fully prepaid on 24th. of March 19 92, and addressed as follows: Victor C. Beller 6220 Clark Road Paradise, CA 95969 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 3/24/92 at Oroville California. 0- sto-TuS ? ✓ts�" ovi -th,s v,olcLf ,d n bmf 0 G�� File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. IFifart,.12tion ✓ ) Director Dep. Dir. Sec. rLSh�p& B.MtceYards Bldg. Insp. Admin. I _ / JZ�� __j Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits s�i Addr. L)�OCv.KL•e.r—.GZ���ier.� TOrT_V.✓l_!'`_�� � 6_i?=�G - -97 -�- ve1-7-e" ---- -�- ve1-7-e" i .�- �. •. `j .i r. � � t -- __ A.P.# OWNER V(C q";>/ PERMIT # 00% ! C/ - G(/ 7 MH UTIL. CLEARANCE DATE 2 INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE YES NO YES NO SIZE LOAD TYPE SIZE LENGTH 77