HomeMy WebLinkAbout065-100-0021 65-10-02
a
EVALYN McKEEN
Across from 15353 Humbig �Rd- Maga,lia
F I
Contr: Illumination Ele 'e
Permit#1948-85E(ele ser for well)
65-10-02
EVE E McKEEN
15353Hu ug Rd, DeSabla
Contr: 0- yashi Corp ti
Permit#2791— ,c(util', MH) cons of i
#1
ELEC.
GAS
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ. a ��
65'`..0-0
Permit#2792-89P,E il, MH) Unit 2
ELEC.
GAS `
SUPPOR TRUCTURE REQ.
COMBACTION TEST REQ. ,
B07-0250 065-100-002
MISCELLANEOUS Electrical
ELEC SERVICE TO EX CABIN
15353 HUMBUG RD
MCKEEN, EVALYN I LIVING TRU
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FEB -15-2008 12:44 PM SKYLINE.FLUID.POWER.INC 509 382 4750
Burr( COUNTV
1.)1:l'.AR'i'MENT oF' I)EVI:.IaO1'Mli'N'1' SI%,f4't Id�k 4
f311:ILI)ING
OFPIC'E ll' 15.10► s 8-7541 hAX 1? {51U1 ::ilt-..I .ui
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.�� `dVebsitc: www.buttecounty.netAlds
PLEASE PRINT (.'LEARI.V
"' hen 11led, this appllcutiuu unto all .upporlin¢ nmferisl heennles eubjeet to the ( aliforirin Public ftocurcls Aef. All pu
rafted W fhi% npplictullun i. subjeel h, piihlie inspertiun unto %Fill he Iulsled nn the ('nnnlr'w %it:11 lt.- for elt•ett'onle flceac�.
OWNER INFORMATION
i.u� �ymr Lst Nome �—
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CONTRACTOR
Name-'—�—'-
AVAYYvn)
Lip
City _
Pnone
State Tip
Fax —
Fit x
E-mail
Talc; l.iMmse NumGor�
Class ...
�~ APPLICANT INFORMATION
Y
ARCHITECT/ENGINEER
Addreis
AVAYYvn)
Lip
Phont
Fa :5 6 L 4 %7
Fit x
E-mail
Talc; l.iMmse NumGor�
�~ APPLICANT INFORMATION
Y
Name kO
_ i3F...�P?
Addreis
AVAYYvn)
Phone SC)� :382"
Fa :5 6 L 4 %7
E -mall j AA/ V 7.56) /y SRI. Com
APPLICANT SIGNATURE
X / --
__..__.._._.PROJEC TT LOCATION
Property odd/p$:'City /5-3(56 U)"46U4 el;)jQD._-�...._.-
P. 01
PERM1'1'
NO.
£rc8-oO8
lily N
Puliry Nt,mbrr
Carrier
Ltthiring onyone other than license contmetors, a clrrri0icste of wordir's
omponestlon must he shnwn .vt (hit time of permit issuanco.
1..1.ENDiNG AGENCY
Namo ....-..-_-_._..
Address
DESCRIP, 1oN ORS O E OPWORK
-1() (_.A&Aj 1
it�CF''�` T �//C.. -.: • `_T'✓IGF` f=0�; U/iF'..
E4-6efT KL, _ -L:? vK f_ y"o C-��l
SE'w�rz GJ�;nli: /%v' 7�
Sy FT., Living Garagc__. Open
0 Structure Built without Permits
i� Proposed Change of i)rcupw icy
� (Note previous
For office use nn1Yy_-
Zoning 2r/Z Flexxi %roe SRA icy No
occ. Type Const.
t
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
FEE INFORMATION
DBE Single Phase Service-Resid $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 02/08/2007
Contractor's Signature
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permitis for one hundred dollars ($100) or
I1 I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
[�[ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers' '
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions. _
X
02/08/2007
Signature v r Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
City State Zip
1 otal charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1787
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
�
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
IX -1 L02/08/2007
0
Owner's ignature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the abovmentioned property for inspection purposes. I hereby certify that I am the
pr a ow r r a au or
izedized to act on the property owner's behalf.
L5h J r A.— l0 02/08/2007
❑ Owner ❑ Contractor OR. 4/ Agent for Owner Agent for Contractor I
FILE COMP .IY
PROJECT INFORMATION
Site Address:
15353 HUMBUG RD
Owner:
Permit NO: B07-0250
APN:
065-100-002
MCKEEN, EVALYN I LIVING T
Permit type:
MISCELLANEOUS
143 LOWER WEINHARD RD
Issued Date: 02/08/2007 By KCG
Subtype:
Electrical
DAYTON, WA 99328
Expiration Date: 02/08/2008
Description:
ELEC SERVICE TO EX CABIN
(509) 382-2148
Occupancy: Zoning: ARMH
Contractor
Applicant:
Square Footage:
MCKEEN, EVALYN I LIVING
Building Garage Remdl/Addn
143 LOWER WEINHARD RD
DAYTON, WA 99328
Other Porch/Patio Total
(509)382-2148
FEE INFORMATION
DBE Single Phase Service-Resid $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 02/08/2007
Contractor's Signature
Date
I WORKERS' COMPENSATION DECLARATION I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: Policy Number: Exp. Date:
(This section need not be completed if the permitis for one hundred dollars ($100) or
I1 I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
[�[ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers' '
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions. _
X
02/08/2007
Signature v r Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lenders Address
City State Zip
1 otal charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1787
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
�
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
IX -1 L02/08/2007
0
Owner's ignature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the abovmentioned property for inspection purposes. I hereby certify that I am the
pr a ow r r a au or
izedized to act on the property owner's behalf.
L5h J r A.— l0 02/08/2007
❑ Owner ❑ Contractor OR. 4/ Agent for Owner Agent for Contractor I
FILE COMP .IY
FEB -08-2007 04:42 PM SKYLINE.FLUID.POWER.INC
r' e k' Oil 0' (1S; 2 S p
509 382 4750 P.01
Butte County Departinent, of Dev,,-11opment Sery Ices
.1M il; LLNUS. D11d('TDX I PETI:. t'r:iti.A1;CO3 ASSISIANT.Jilo-CiCk
Cow1"IA, Cvaci Drive
Oh-1Uir, CA 7 `96;
(510) E18.760) '. relcphonc
(510) 98-7786 1 --ft\
ww-A.b1I114aOU!I-,v lwlidds
OWNER-BULDER INFORMATION
All it tholline pi -mit )I.:! Ilrc.. suh11I,!jr4 In ):nIjr!iw'w II L:113 Yc-u:wIftr Tx buildv- pI;IZ*I'-'- 1!:
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Iry pr.-pily ow.ldrs Ny are f4twully Imirlirin-ligbeli, .:W) vmjK,
pnhibir hebibn- iri'wt PCf%'):l 1117P60 III[ (Ilt JV')jWI rOTIlit in 1111 OT litr I- ' ZME.
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tj.\ !aderaj j. cutiry j4y.es %.-jrkem Imiw%rcc, 1111,1`1111C:cm wrw);ip ",nivAtimm-avi .-uftm
:?stip may h. tmumai OA:1 tz.vttt- If\ im 111 net sus lhcic ookjplioni, tIN thea ::,IQS oft cirl"611". xc, NJ% 1%%.h tvspv;f t:` wriftni.,
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Fa: more ititc6fi. in,',!movon
- -1i6dcrith.
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prov.4ing his '11. INI O"A lak."r "Id 016*4 mi I.m! imitil!", 7tA'j-.1 ; .Wtm: $.Vk; AkA IC411.tca C 1j.- i:pej r, r'.1pell-Y vr4 IN! Vt rmforriti-IJ; dieu uwT, work
h, ahw!Ix'11 by vonitiOlm "": 6.,mrmt3rO* Smic i.;vej at 1 -,04
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w.ription: iisc SE wi, 10, To Ex c AvN
Reference ri'wber- 907-0254)
Appliaw. NaLmo! ?Wckj:,IF,.J. I! vA1..v',N TAL
Owrer's Name; MCKEEIN, N .1 LIVING TRLj
Sijvlium ll'Propti,w ()wur,
....... ...
F3 . 2 . 2oo7
02/01/2007 15: 29 530-872-6312 BUTTE CUUNTY PDSE OF
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r I =-7-1
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PAGE 02
BUTTE COUNTY RESIDENTIAL PROMTY RECORD
fvf PCOPRTY LOC-ATAON:
XEVD
l;ZORH0Qft 8 517E DESCRIPTION rRANSACT10H RECORD VSE TYPE LAND VAU)f COMPUTATION
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CA
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534
OFFICE 9: (530) 538-7541
A FEE IVILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"'
OWNER INFORMATION
Last Name
First Na e
, A
1 �_eV 1
® V
Address
Lew et 60A, cl 17
City
State
Zi
Ph o o 3$2' tt e5
F 0• ^ 3 �2 -1{-7
E-mail
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
Flood Zone
Address
SRA
City
N C4
State
Zip
Phone
Zi 5 5- 4
Fax
E-mail
Fax
Lic. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
SRA
City
N C4
State
Zip
Phone
Zi 5 5- 4
Fax
E-mail
Fax
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name
Flood Zone
Cross Street
SRA
Address
N C4
CityAA A
� I
SC_ VA
Zi 5 5- 4
Phone,,
a- S o — 3SC> t
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Pa6_ej
Lot #
Planner
Date Approved:
PERMIT
NO.
BP O�
BIN 9
PROJECT LOCATION.
AP# _ - 00E
Property Address
City
Cross Street
WORKER'S COMPENSATION -
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Dt ri S h
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I I Received by: 6 Amount: Bldg I I
Receipt #:
Date: 2 r �, 07
� 00
SMTP
Other
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew .action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be -made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
AS LESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
i
Permit Fee
$
ARCHITECT OR ENGINEER
�a
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
J, / ,,,
Permit fee
$
LDING ADDRESS
-
PLUMBING PERMIT
Filing Fee 10.00
r
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeQ�Other / r I r
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q
Describe work: T "' -'f � ' !� � L —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ( ACC. BLDGS.
2thQsgft
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.
`� � / 'r /I
License No. t � Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occu zAL@30
P�o OR FIXTURES .20@50 Q
IXEDTS
Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $ - t%
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
/I - ),
X"' ' Date f - '
'—
Signature of Applicant Owger ❑ Contra`ctor ❑ 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,
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
f
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-Date
-
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE y,
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico-- Phone: 891-2751
7 County Center Drive, Oroville -- Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
el
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.
el" D. A,, 7-/' 4 _F Z11"Ifi
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Inspector— G'f�/ Daie U - --
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATAON ARID PERMIT
i
PERMIT O�
ASSESSOR PALEL NUMBER
ZONING,
BUILDING PERMIT
OWNER �-
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
z,AG
CONTRAC 'S NAME
G iQ`
TELEPHONE
(J /
CONTRAC DR•S MAILING ADDRESS
�V C�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING AD gss
PLUMBING PERMIT
Filing Fee 10.00
r�
SK �5
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other ale -a-_
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other P'
Describe work: ��ii�1G _Ie?eVice FOR- • _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100°o AMP ORSLESS
10.00 1*
Main service EA. ADD'L 100 AMP
V -
2.50 2—.V -
NEW
NEW CONST. DWELLING OCCUP.&
OR ADDNS, ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
I decl re under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Code and my license is in ful force and effect.
U O
License N Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR ULTI-OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
20@e0a
Ex. Occup(o OR FIXTURES 13AL0300
FIXED A
Ex. OCCUp. OUTLETS P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
�::d
Permit Fee $ Z 41. 37 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.
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to ve, indemnify and keep harmless the County of Butte against
all liabilities, j dgments, c ts, and expenses which may in any way accrue
ag u ty in con quenee o he granting of this permit.
X Date
Signature of App cant — Owner 0 ContractorAgent ❑
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 $
.fes
TOTAL PERMIT FEE $ �—
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TO F PUBLIC
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�
D e %
Receipt No. _S/ `�f 3
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
,,_r"Y .- APPLICATION AND PERMIT
C0/7
RMI NO.
—0
ASSESSOR PARCELNUMBE
Z NTNG
/�
BUILDING PERMIT
OWNER—
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A RESS
CONTRA T 'S NAME
TELE NONE
CO Pir WFPA�CILA,MAILING ADDR S ^
/�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$ /
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS/ teb
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G ny
0.00ea
190
TYPE OF WORK
New Addition Remodel❑ qtilities� I t ion❑ Other[—]
Describe work: r
i
1
Fee
$
Contractor
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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 Cod and my license is in ffu_11 force and effect.
License No. Classification ✓JIiV44 L-
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.m` ,
OR ADDNS. ACC. BLDGS. / h¢sgft
NEW CONSTR. U TI.OUTLET 2,50 ea
NON.R E SID .BRANCH CIRC ITS
POWER APPARATUS a
(SINGLE OUTLET CIR.
/ e0@ 0
EX. Occup\OUTLETS OR FIXTURES 20-03 t
FIXED PR
Ex. Occup. OUTLETS (RESID.IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declar der penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
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 s Cou n consequence of the granting of this permiitt.- t�,p
%� Date Z3l/�t��J/
Signature of Ipplicant — Owner ❑ ContractorAgent ❑
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 $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPC
JSC;oKJF;JPZ74.HO
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. ���.�%
WHITE-D.P.W.. 7ELLO�eCSSOK. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
OWNER
Proposed Build
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION~ DATA SHEET
Permit No.
A. %P. No. �
&4i�z OFE7ZS !P_d-ye, Building Inspector
Date
At time of permit application, I was advised the following data must be submitted priorto 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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
c 11. Parkf es paid .....................................................
12. School District fees paid ............
13. Sanitation approval from 24 Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of JD
(see City for other requirements) d
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. q Pre -inspection for required .. , ,. Pre-Inspec. request to
IMABuilding
20. Contractor's license information (No., Name Style, Classification) ....Inspec or (Date).. .
1. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authonz tion .
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone Z�n=? and hold for pickup at office. Deliver w/,inspector.
Other
Applicant —�' Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issu nce (Circle new item not checked above).
1. Index permit for above items No. i _G 1 a S
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by a'�'O Date 4e:QS
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
Ohbayashi Corp.
P.O. Box 2397
.Paradise, CA 95967
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
OTHER
PHONE: 916-538-7541
RE: Permit Applications #2792-89 & 2791-8
for 2 construction office mobiles
A.P. # 65-10-02 for McKeen
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
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 Please submit plans and permits for decks and ramps go thni- .Tp r-np
issue the mobile home utilities permits.
expire August 23, 1990 and cannot hp iss„Art after,
Mat a?e 6a��en P Q
Should you have any questions concerning the above, please contact
of this office.
JFG/aj
Linda Sexton
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Chief Building Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
• APPLICATION AND PERMIT
�i°PE7M.09
ASSESSOR PARCEL NUMBER
_gyp -dZ
Z ING
A
BUILDING PERMIT
OWNER - TELEP ON
S0. FT. OCC. BUILDING
VALUATION
ll
a� �� a��
OWNER'S MAILIN AD RESS
/Ji �� 17 v ��z8 99328
CONTRACTOR'S NAME TELEPHONE
am—MMS-6
CONTRACTOR'S MAILING ADDRESS �1
P,a ; �� � , �/,,7
Fireplace
CONSTRUCT LENDER UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$
/11#
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
4u/AEnergy
Plan Checking Fee
,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Plan Checking Fee
$
IV14
Penalty
$
BUIL6DIIINGG0ADD ESS n
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
5��ff
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
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duplex[:] MobilehomeX Other
Building sewer
5.00
SPECIFY
Mobile Home S G
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities,] Inn I t' El Other ❑
Permit Fee
$ Q
r
Describe work: �N I V e
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 100 AMP LESS
100
10.00 190
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP.ad)
AODNS. /
+/zQsgft
I declare un penalty of perjury (check one):
OR ACC. BLDGS.
NEW CONSTR U TI.OUTLET
2.50 ea
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON.R ESID .BRA CH CIRC ITS
(POWER
/POWER APPARATUS tr
and Professions Code and my license is in full force and effect.
OUTLET CIR.
?,�// /.'�'
License No. �7h Classification '+FW�
Ex. Occup(OUTLETS OR FIXTURES
20050C
eAL930
El 1, as the owner, or my employees with wages as their sole compen-
Ex. Occup. OUTLETS (RESID.)REA./
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00 /
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
9
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declar der penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
[,The permit is for $100.00 (valuation) or less.
Heating
�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.
. Cooling
g
❑ I shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$ UQ,
I also agree to save, indemnify and keep harmless the County of Butte against
DCCUP. CONST.TYPEJ SCHOOL FLo
PARCE P No ISSUE
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count i consequence of the granting of this permit.
%� Dated f � ®%
This permit is hereby issued under
the applicable provi-
sions of the Butte County Code and/or resolutions to do
Signature of A plicant — Owner ❑ Contractor �Agent ❑
'work indicated above for which
fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
DJRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. �� �7
By
Date
WNITE-O.P.W., YELLOW-A3e[330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
(PERMIT EXPIRES Date
- COUITTY O BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER,R_RIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
4: A
PERMIT APPLICATION DATA SHEET
/� Permit No.
/ �
OWNER A�� [ " (16eQ A. P. No.
Proposed Bui'�g;ese,�.�_, , icn Building Inspector Date _ q
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
School District fees paid ................. —
1VY e15 Z
3. anitation approval from Health Department ...
14. City of Chico plumbing permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:Q/
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... B.ilding Inspector tort t° (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurancer,
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ....... .
23. Recorded copy of Agricultural Acknowledgment Statement ........... .
24. Letter of sign ure authorization ............• ........................ .
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_
Telephone �7 7 -�{��7and hold for pickup at O2Z) office. Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other - Date
The following data must be submitted prior to permit iss a��nc: (Circle new item not checked above).
1. Index permit for above items No. -
2.
o. 2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_lnaiI—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date Plans approved by r_2<� Date ��as
Sets of plans on hold in File cabinet AP folder
Copy—DPW
-
TO-: Building Department
FROM: Environmental Health �
SUBJECT: SANITATION CLEARANCE
Plans approved for:
Hold final for:
Sewage Disposal Water Supply
Water Supply
Final Clearance O.K. for: Water Supply
,
`
Clearance for
Cleurooce for odditiou o �w
� .
—.^�1 r~
SANATARIAN
�..� -.,. .. .w �. - ^ r .. w.- ✓ ,.. ....,� .�. .. �._._ .... til. �""4Y'-....�^✓..`.vn .�... �... w• • .. ti .
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number ���Q �-� Building Department No.
School District City = County ® Jurisdiction
Property Owner%� T,�/�' /,4CI46(511
Project Location/Address `/53 � yy 2r.�x G'6 A 6 SAM�
Subdivision Lot Number
Residential Development:
oprl;!< C_ Sq. Footage /3.20
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
.1A WV, 12.? __ 3 A;
``+- Building Department ger pt s*6ntative C /bate'
(Floor Plans reviewed by School District Personnel)
District Id No.
,j/, &4W, �,1 School District certifies that
V_ ) r�
(,pplicant Name) (Phone Number")
/(S)treet' Address)
(City) (State)
has complied with the requirements of Resolution No.
b�e ayment of $ ^P�y�/�Q.t' representing
of District Representative
PAID BY CHECK NO.C- /14— REMARKS
-*A
BANK NO `� /� I /
PAID BY CASH AUJ
i96
(Zip Code)
asquare feet.
O Alamo
Dfate"
r.
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
P7 .
Returr-to DPIJ _,,; AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
z
FOR RESIDENTIAL DEVELOPMENT
Section 26-8. 1. of the Butte County. Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
89-34562
The property described herein is adjacent
i 89-034562
iCash
R e c Fee 7.00
to land or included within an area zoned
Recorded '
7.00
for agricultural purposes, and residers.
Official Records
of this property oper y may be subject to incon-
ences
� County of
�A ��•�
ve in or discomfort arising from the
Butte ;
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
Candace J . Grubbs
and fertilizers; and from the pursuit
i1
Recorder ;
of agricultural operations including,
: 54pm 11 -Sep -89 �
RB 2
but not limited to cultivation, plowing,
--- --
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has
estab..1 J shed ;Igr i cu I -
tural. zones which have as a priority use for
productive agricultural purposes,
and res i dow .;
within said zones and on adjacent property
should be prepared to accept such i nc-�mve•u i cnc o
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of: California, dcsc•ribed ;is
follows: h5sess6i/pS P#ReeL .Al0
/,.5'35 3 AIVI" U v Aov,
Date:J .�3U _ ( � PROPERTY OWNERS:
Trustee of eylii-`7,j / IGK�f�% LIUi^-<�2vS
Evalyn McKeen Living Trust 6�1�_
� /1 c�-
State Of Washington) On this the 30th day of August 1989 before mcg,
) SS. the undersigned Notary Public, personally appeared
County of Columbia )
Present A.P. No.
El Personally known to me. 1:1 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that.
executed the same for the purposes therein contained. .,.I.•N W LTN_VSS .
WHEREOF, I hereunto set my hand and official. sea]
Notary Public
00-345G2
The Soutirrcut quarter of the Northwest quarter of Suction
11, Tormshi.p 23 North, Range 3 East, 'i.i).B. lc it.,
. " Exccptiny therefron all minerals]
' Furthez• oxceptinp, therefron the following described part
of land
(1) Bc;¢nning 350 feet from the Southeast cornor of the
3outhrost quarter of Nortivest quarter of Section 11,
Township 23 tlor,h, Range 3 East, 1sf.n.A. & 19, and running
North .96.8 feat; thence Vast and parallel trith the South
line of said Southwest quarter of Northwest quarter a
distance of 1150 feet to a point; thence South and parallel
trith the East line of SoutIvost quarter of Northwest.
quarter a distance of 96.8 feet to a point; thence East
and parallel with the .South line of Soutln•rost quarter
of Northrcat qucirter to the point of bccinninc, mntaining
1 acre, more or less.
(2) Beginning'300 feet from the Southeast cornor of the
Southwest quarter of the 1Jorthroat quarter of Section 11,
Tovmship 23 North, Rance 3 East, M.D.B. L• M. and running
North 50.0 fact; thence Tiost and parallel with the South
line of said SoutIvreat quarter of the 1'lorthweat quarter a
distance of 450 foot to a point; thence South andpara�lnl
with the East line of South;rest'quartor of the "orvhrest
quarter/a distance of 50.0 foot to a point; thence Fast
and parallel with the South lino 'of Southvroat quarter of
Northroab quarter to 'the point of boginning containing
1/2•acre noro or lose. The•abovo described tract adjoins
parcel sold by Deed from Frank T. Burch' to William Spaugy
on November 26, '19116, recorded November 30, 1946 in Book
11416rr, pago 83, rocordo of Autto County, California.
(3) Comnencing at the tlorthwost corner of Southeast
quarter of llorthvost quarter of Section 11, Tovmship 23
North, Range 3 East and running thence Soutt, to a point
in the Nimaharr Road; thence l'loatorly along the Nimehow
Road a distance of 209 foot to a point] thence North to
the North botuxia►7 of the above mentioned tract to a
point; tlionce East. a distance of 209 foot, mare or loss.
(4) Beginning at the ilorthoast comer of the South west
quarter of the 140rtin•rost quarter of Si -`-',)n 11, Tormahip
23 North, Ranco 3 Fast, 11.D.8. I. 1.1j' the, along the
Northorly lino of said SoutIrmst'quartor of the 1lorthvrout
quarter of Section 11, 1'lostorly for 620 foot to the true '
point of boginning for the Aircol of lnnd heroi,l convoyod;
thence from the truo point of baCinning contintti.ng along
the tlortharly lino Of said Southwest quartor of the North-
west quarter of Section 11, Tloatorly for 454.50 foot] thonco
making a right anclo andcoina Southerly for 319.33 footj
thence makinc a right angle, And runninc Easterly parallel
to tho Northerly lino of said Soutivioat quarter of the
Northriout qunrtor of said Section 11 for 362.67 foot to
a point in the center lino'of Mnaha<r-Stirling City Road
and thonco 1lorthouotorly for 332.27, foot to a point in
tiio llorthrrly lino �o t} M 'tout�n'roa ° i ' I•r•' '�
f 1 t glartor of, then'%'�s',:;;
llorth•rost'quartor of iloction' 11 and the truo point of
bocinninc, containing 3.00 acres,, more or lose, EXC61'f'; , .,.
TlUsli[7MI1 that portion lying within the houndnriaa 'of ;';'-
'hthoe d1:li'mahow.-Stirli.n,g City Road And tho P.0 Q E.'Poti•rarhilso•
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33-34562
g F- � /'C) 0 � 0 4:�:DJ_
The Souticrest quarter of the liortlnroat quarter of Section
11, Tovmship 23 ?forth, Range 3 East, '.f.D.8. Q If.,
Excepting therehvn all minerals]
Furthet•excepting, therefron the following described part
of land f .
(1) Bo;¢nning 350 feet from the Southeast corner of the
Southrest quarter of North -test quarter of Section 11,
Township 23 llor:h, Range 3 East, M.D.R. & 11. and running
North .96.8 feet; thence Vest and parallel with the South
lino of said Soutlrvest quarter of Northwest quarter a
distance of 1150 feet to a points thence South and parallel
with the East line of Soutl7v est quarter of Northwest .
quarter a distance of 96.8 feet to a point; thence East
and parallel with the .South line of Soutlnrest quarter
of Northt-cat quarter to the point of beginning, containing
1 acro, more or lesse
(2) Beginning •300 feet from the Southeast corm, of the
South' -test quarter of the Northwest quarter of Section u,
Tormship 23 Ilorth, Range 3 East, M.D.H. lr• It. and running,
North 50.0 Sect; thence West and parallel •situ the South
line of said Soutlnroat quarter of the 1•lorthvreat quarter a
distance of 450 feat to a pointj thence South " parallnl
with the East line of Southrreot•quartor of the Morthrost
quarter /a distance of 50.0 Scot to a points thence Fast
and parallel with the South line 'of Southmat quarter of
NorthreA quarter to 'the point of bonimi.ng containing
1/2,acre noro or loss. The-abovo described tract adjoins
parcel Bold by Dead f rom Frank T. Durch ' to William Spaugy
on Novonbor 26,19116, recorded Tovember 30 1946 in Book
"41.6", page 83, records of Butto county, California.
(3) Commencing at the Morthrioat corner of Southeast
quarter of North -lost quarter of Section 11, Tovmship 23
North, Range 3 East and running thence Sout1, to a point
in, the Nimaharr Road; thence 17oatorly along the Nimaholt
Road a di.otanco of 209 foot to a point] thence North to
the North bowxlary of the above nontionod tract to a
-pointj thonco East, a distance of 209 foot, moro or loss.
(4) Bogiruiing at the Northeast corner of the Southvrast
quarter of the 110rtln'roaL quarter of Si -",)n 11, Tormship
23 North, Range 3 Fast, 11.0.8. 1:'1.1;' thai along the ;
Morthorly lino of said South',;'oat'quartar of the Nor•tlnrout
quarter of Section 11, Wastorly for 620 foot to the true
point 'of baginnirRI for the 1mrcol of lnnd heroin convu;yod;
thence from the true point or boginnin3 continmi•ng along
the lfortharly lino of said Soutlrvreat quarter of the North-
noat quarter of Section 11, Tlestarly for 454.50 foot; thence
making a right anglo andgoi.ng "wuthorly for 319.33 toot;
thence making a right anglo,and running Eactorly parallel
to the ltorthorly lino of said Soutln'ront q%mrtor of the ' I
Nort1mout qunrtar of said Suction 11 for 362.67 root to '
a point in the center lino'of Nirnahm-r-Stirling City Road
and thence lforthouatort i
•• , , ,,,, ,• , " • � � yfor 33?..2� foot to a point n •`%'�►�'r
Ilio liortharlyi ]iso of thN 3outmvot�»artorrofth•'J� r;;'i;"1'?'�
ilortlnroat' rtor of flection 11 and the true point at °� ;� : „r; •`
beginnina' containing 3.00 acres, mono or less, tXCF:1'P,;'';,�.'+, •M1, ��'"'
TIU;11Ei 1U1G that porLion lying within tho houndnrioe bt';:
tlia Jlimahar_ irling City Read and the P.09
RO¢Q:' -A '+,• r t ' '.`•o, •,.T; • . 4'E. Powerhouse', ,