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065-10-006 #98-2730
VANDERGRIFT, LUCIAN
MEADOW BROOK RANCH
MAGALIA
100 AMP POWER POLE
`i
i
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i
1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ax-1_1� �+ _m�_o
ASSESSOR PARCEL NUMBER 65-10-006
ZONING TH5W
BUILDING PERMIT
OWNER VANDERGRIFT, LUCIAN
TE V/J-1S0
SQ. FT. OCC. BUILDING VALUATION
OWNERS MPG,NMRS AYr 0 PuG.eA�LIA
CONTRA S =NATIO11 tai+ CTRIC
TELEPHONE
OONTRAOTgI4 GC=RVILLE RD. CHICO
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
MEADOW BROOK RD.
Energy Plan Checking Fee
$
$
MAGALIA '
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other WELT.
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 ❑ 1
MP
Describe Work: 100 AR POLE FOR WELL ELECT
i
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA OR ORLE:.
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 Prof3ssiohs Code,
and my license is in full force and effect. Q c
License Class � Lic. No. f �r��
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 200� TO I000A
46.00
NEW CONST. DW EWNG OCCUP.
OR ADONS. ( 8 ACC. BLDS.
SO
INJOFFEW REOSID. MULTI.OUTLET
@7.50
POWER APPARATUS
.1114.
SINGLE OUfLEr CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 100
'SAL. @ .50
Ex. Occup. OflxuTLEeDrsA a� oE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRR N
PERMIT FEE
i
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.)
Q!o'f 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 Spitriply with those provisions.
- / f �/
X _1- / i : �r Date �/ 4, - C!%
Signatures f Applicant - 'G- caner ❑ 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.
I D. FEES IMP
I FLOOD
I 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 _ �- -11
PER EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date �-
pate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
C,11
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER IT o.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 65-10-006
ZONINGTM5W
BUILDING PERMIT
OWNER VANDERGRIFT, LUCIAN
TE t5 / 3-15V E.
SO. FT. OCC. BUILDING VALUATION
OWNER'S T55 VMRgtYWAY, MAGALIA
cONTRAcTIILIMINATION ELECTRIC
TELEPHONE
CONTRAcTTP4454VtrMMRVILLE RD. CHICO
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS MEADOW BROOK RD.
Energy Plan Checking Fee $
MAGALIA
$
PERMIT FEE $
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other WELT,
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 100 AMP POWER POLE FOR WELL ELECT
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home TgTaT W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 000V OR LESS
OA 0".
R 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.�[[�,�t
License Class C'_11/6 Lic. No. "%t �c� rl
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
Main Service 200A TO 1000A
46,00
NEW CONST. DW LING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
SO
3.50FT.
CONS
NEW RES DT MULTI.OU C,
@7.50
POWER APPARATUS
8 SINGLE OURET CIR.
Ex. Occup. CUTLET OR FIXTURES
20 @''00
BAL Q .SO
Ex. Occup. OUTtEDA'jRaIp,GEp 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00
PE INSPECTION
9'1 i
-
PERMIT FEE $
nn
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed 4 the permit is for work of a valuation
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 c ly with se provisions.
-
_ Date -J �% P
f 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.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
CDF
pARC0.
PD
HD
ISS.JE
This permit is hereby issued under the applicable provision3
of the Butte County Code and/or Resolutions to do wort
indicated above for which fees have been paid.
By .,, J�� _ Date nn �6
PE EXPIRES ON `7��'t7
Date
ReceiptNo.�
WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT - q9"D-
ASSESSOR PARCEL NUMBER /
po „ O�
z Nat'l �'
BUILDING PERMIT
OW R ) ��
E ONE
SO. FT. OCC. BUILDING VALUATION
OWs MyuNo o ss ��
�ONT RVTOLR�S NAME � � �
TELEPHONE
CONTRAC S MAILING ORE88 _
CONSTRUCTION LENDER
Fire lace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee 5
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MASJNG ADDRESS
Plan CheckingFee b
��/"�,�///� a/�1
BUILDING ADDRESS / [L.ip(� 134,1 /A-G�
b� f p
Energy Plan Checking Fee $
PERMIT FEE $ S
LOT No.
SUBDIVISION'S WINE
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
j
SF ❑ Duplex ❑ Mobilehome ❑ Other w�/�`
SPECIFY
Each Trn
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:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
C?20.00
PERMIT FEE i
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service = oa Liss
23.00- 3
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 I II f rce and effect. /'y�
License Class _ Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.hP1
❑ 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 permitis 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.)
C,certify that in the performance of the work for which this permit is Issued, I shall
!V not employ any person in any manner so as to become subject to workers'�.
compensation laws of California, and agree that N I should become subject to the
Zworkers' c (npensation provisions of section 3700 of the Labor Code, I shall
rthwRh mply wit ose provisions.
/ G7
(• -" Date 4��::,,7C7 _ / _
glgmduref of Applicant -__0 Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0° deep and demolition or construction
of structures over 3 stories in height.
Main Service 1081E TO 1000A 46.00
NEW CONST. D11W OCCUP. s0
OR ADONIS. a ACC. eLns. 3.5¢Ft:
LION-RERIO. 1. MULTI OUTLET
@7,50
POWER APPAMTLJS
swGLE oLmEr ari
Ex. Occup. CUTLET OR FORUREs Bw ®' o
Ex. Occup. oM, °�R, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
2_3
IPERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
o �6 IMP
FLooD
cDF
PARCEL
Po
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.
'
Receipt No.
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTro
~9
'e; -
;h' COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING; DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: L U cop 1�2� �yb� ASSESSOR PARCEL NUMBER: 65-- /C> - 0('Z>
Proposed Building Use: e Icy_ L r - wC'-/ ullding Inspector: Date: ( /? gJ * -
At time of permit application, I was advised t e following data must be submitted prior to permit p ceasing a:nd/or issuance:
Date Rzceived By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116.
-----------------
❑6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------•
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
Ell 3.
--------------------------------------------------------
❑13. Flood elevation certificate. -------------------------------- -------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
1115. City of Chico plumbing permit. ---------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ---
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9 Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
Pre -inspection for G, le (/-,'c 4 required. Request to Building Inspector on (Date)
❑21. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. --------------------------
023. Owner -Builder
------------= ------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑ 26. Letter of intent on building use. -------------------------- --------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. --------------------------------------- ==----------------------------
❑29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
--------------
030.
❑30. Other: -------
When you issue the permit, process as follows ❑ Mail to owner, ail to contractor.
❑Telephone and hold for pickup at off'ic . with inspector.
/Deliver
App
' ;, Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po ution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: / Date: By:
L' -.Index permit application for the above items numbered:
❑ Plan Check List
2.'Additional items required:
-
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by-
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by.-
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by._
Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ 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.
j 65-10-06 3253-89P,E(MH) '
i VANDEGRIFT,_L,B, I
�2/%ctMb Ia
—"-,5Wy
(utiSl, MH) _ --'jyjo�a//4
PI
' PtcRMIT-EXPIRES- -
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
t
I cr
x c5
`� p SOA y �g Lf.xPlRjc,0
�R Or
TO
Temp. Power
Called PG
Temp. Elec. Si
Called PG
Temp. Gas Sei
Called PG
JOB FINALED (Date)
Signature
= UN
= NotOK
RESIDENTIAL (Single and Duplex)
= Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
_
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protecticn
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -B1 Date
67. Stairs &Rails
Card -81
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I.
75In
. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light=Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -131
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -81
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
92• Roofing Certificate
Card -131
Date Card -B1 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -131 Date
39. Sills, Proper Material & Anchors
Card -B1
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing .
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
= OK
0 _ Not OK
Not = Not Readyiable
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support-Sketch
3. Sewer; Location-Test-Fall-C/O-Concrete
4. Water; Location-Test-Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete
6. Gas; Location-Test-Wrap: / PV ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card-61 Date Card-131 Date
Card-81 Date Card-131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
6. Water; MH Test-Regulator-Connector
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card-81 Date Card-131 Date
Card-131 Date Card-131 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -61 Date
Card -81 Date Card -B1 Date
S�-Ir1-IU �
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N�
7 County Center Drive - Oroville, Cd!iibrniay5965 - Telephone: 916/538-7541 �3
APPLICATION AND PERMIT
,4
ASSESSOR PARCEL NUMBER
51,x,
ZONING
_�
BUILDING PERMIT
OWNER
Lr
TELEPHONE
3`/SFsO
SQ. FT. OCC, BUILDING VALUA ION
OWNER'S MAILING ADD ESS
i� a s
CONTRACTOR'S NAM -En^
W`
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
,$ c++
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
u�f�
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❑ MobilehomeR Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home SJ/'G YWJ 1
110-00ea3().Do
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities X Inst Ilation❑ Other ❑
Describe work: JJN RLQ jae..AiltYcsvtil_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROOV OR LESS10.00
Main service EA. ADD'L 100 AMP
_/0-60
2.50 19.�j�
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
1--,
��yVl 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.trd
OR ACDNS. ACG. BLDGS.
,h¢sg ft
NEW CONST R. UTLET
NON -RE SID BRRAANCNCHHCIRC ITS
a
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu po UTLETS OR FIXTURES
200505
eAL030
FIXED APPLNS, OR
EX. Occup. OUTLETS IRESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 $-;pv
Misc. Wiring
9
15.00
Permit Fee
$ 3-7.5-6
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.
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
3
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, judg ents, costs, and expenses which may in any way accrue
against sa' in consequence of the granting of this permit.
�� Date ZZ
r4o',re of Applicant — er Contractor ❑ Agent ❑
An OSHA permit is requi d 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 $ �
HAZ
/
CLIA
PARK
sc L
FLD
PA
PD
Jyo
I s E
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
C OR PUBLIC
BY le
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
4�^4�
Receipt No. - Sd
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPE OR. GOLDENROD -APPLICANT
• COUNTY OF BUTTE - Depatment 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.
1. I personally plan to.provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) &i4e— 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 Contractors License No.
4. J 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
Sign
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.
COUNTY OF BUTTE - DEPARTMENT .OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.�_
OWNER A. P. No. _
Proposed Building Use �"QSpa.4Building Inspector 0. � Date (:?,,;2 -74cf
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
j,,—All items have been submitted . .................................... _
2. Plot plans in duplicate riplica signed by preparer of plans ........
3. Complete plans in dupllca (plicate, 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) _
Mobilehome installation data including manufacturer's installation
instructions....................................................... _
10. Fees of $ ........................ _
11. Chico Urban Area fees paid ....................................... _
12. Park fees paid .................................................... _
—1D�13. School District fees paid .............. _
t-4. Sanitation approval from A0A01.9:'.4 Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements) ,�
7. Planning approval for (A) Usei
: �(B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
0. Pre -Inspection for required Pre-inspec. request to
Buildinginspe to(Date)
21. Contractor's license information (No., Name Style, Classifications - �_._
22. Certificate of Workmans Compensation Insurance ..................
ItYk 23. Owner -Builder Verification (Given to owner 0-,`Iail to owner ❑)
4. Recorded copy of Agricultural Acknowledgment Statement ......... 6t
Jac) IJ7-1
5. Letter of signature authorization ....................................
27. e 4 5 eO 2 i ►-d SA
When you issue the permit, process as follows: Mail to owner._Ta Mail to contractor. 0Yov.
Telephone and hold for pickup at office. Deliver w/inspector. Gs�76S
Other
Applicant Date Z
Copy of plans sent Health Dept., Fireept., 0th Date
The following data must be submitted prior to pe it issu ce: (' cle new item not checked above).
1. Index permit for above items No.
2. Additional items required: f
Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by .date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by. date
Plans checked by C>7<�:- Date Plans approved by d/ Date.
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-� GU
Owner Loc
ati AP#
Plan Approved for: Sewage Disposal ✓ Water Supply
Hold final for:
Final clearance O..K. for:
Clearance for -J bedroom mobile home.
Water Supply
Water Supply
ia rn�i t a r i an �
Date
Noe.
is set of plans an
kept on the job at all timesanf ict -Ons
make an MUST be
y changes or alterationsonUnlawful to
out Written permission ro same I
Public fm the Department County of Butte. e partment of
Materials & Workmanship Shgl1 Be in
Ac ordance with Recognized Good Practices and
f e quality prescribed for the Speci£ieA J.,,, _i�
Building, Plumbing & Mechanical Codes and
al Eectvical Code.
oto {rom the ck °{
A sibs . and a getba
ProPe 1i the road o{
50 it. tro a shad be cl ent excePt
ce es Of I
Smockot
gaveov®
tat a
ATE Gout
C)JNG ®�PASTAfl���
BUIL
APP
FOr ED
lx
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code NOT COMPARED WITH
requires this acknowledgement be recorded ORIGINAL DOCUMENT
prior to issuance of a building permit.
The property described herein is adjacent
to.land or included within an area zoned SEP 2 81N9
Cor agricultural purposes, and residents
of this property may be subject to incon-
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides, FS9-03145
and fertilizers; and from the pursuit - --
of agricultural operations including,
but not limited to cultivation, plowing,
occasionally generate dust, smoke, h noise, and od
allyor. - Butte County has established residents
tural zones which have as a priority use for productive agricultural purposes,
andwithin said zones and on adjacent property should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
f of lows: // . R 0 (os'—/00 - 004 - OOU D)- .
1911 Ad J-7 71",0�1
It e� 771 C4,14,27 -
AMP
Date: o /
I�' /`�iLYa dllyo r/�h /Trf'�i "/
PROPERTY ERS:
/ v
I I
On this the aa day ofT�rY..�ie� 19 �% , before me,
State of (I 7nt�) --
'L ) SS. the undersigned Notary Public, personally appeared
County of
°�°reasa°woa°oao�m®®e�awonew erM
TARA J. HOSHALL Personally known to me. � Proved to me on the basis
U NOTARY PUBLIC-CAUFORNIA ® of satisfactory evidence.
Butte County a
a ►�tyconvnitsionExplrwMwcheIMW be the person(s) whose name(s) IS
oaaoo�
° bscribed to the within instrument and acknowledged that J-,2
� v°aa■oOlm°am®a®°ovea
executed the same for the purposes therein contained. IN WITNESS
Present A.P. No.
WHEREOF, I hereunto set my hand and official seal.
NotAry Public
-Complaint Date
M•
C( Other Date
BUTTE COUNTY COMPLAINT FORM
OWNER � a /(A-, d "L G � c� } ... ('- L-" ' q Ys
Address. ISY0 % J
Complaint Location
VIOLATION TYPE BUILDING Q HEALTH PLANNING
A.P.# &4'— / ®— 6
Zoning—eT/yl.S- L -J
Taken By:_
D OTHER-
COMPLAINT:
THER
COMPLAINT: /� A -S Ca t. r (-P cl .A �- A �-� ,� -�. s ��. //. �. G J l v 0-, , _
—�
J7`
PERMIT HISTORY ON FILE Q NONE L2�j AS FOLLOWS
/Z1,sA.��Gvy
FIELD INFORMATION pjQ,
&404 TENANT: Name L Vak✓ V,&lb 1124 Q C f -Address �kYw.4 y41/�' cu y
Description of Violation (CPAjSreU(-t/tea-/ c9 �. lW J [PO
W,P,,� S),4(-)rL Kvizvts S/Z/vo
OTHER COMMENTS:
Approx. Bldg./MH Size Approx. Bldg./MH Age
Under Construction Built By./For-[= Present Owner = Previous Owner = Occupied
(� Has Power Hai Gas Q Has Sanitation Facilities
Q Written Notice Given & Attached Person
Describe Action Taken:
ACTION RECOMMENDED:
Information only, file
Letter
r% I -
BY:
ri
tacted
02W -
a
-le Mr,
ef or
/O Da
DATE �'��
COMPLAINANT
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
f ��PnalM d�
eL C7-
�o�E��3- az3s yam a�
FA) L 0
(U A c,(t E/ 01,o�) LE AvvA,� ��2 Jam/ i�I)NJ' AzhV\.rG FlOC
c,j6AAA/\_q L I V\/- G U\-)�y Cc
w��l
PG4-.E
Fjl��Ga1 yvG Gv � Go0��C
c -F t.vC-C ��-S - Ql GG i nl � O�E� , S✓a�iJ CvL �/
AAJO
�i2CGa�-� C9GS D7U
40G* F,� - 0 1-), 5 - O l
Z uC / �q ni (//aAfA5 G2 iF7--- 0657-0/0 -Oi O
S--
to o -ooh
i
v
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same with-
out written permission from the Department of I
Public Works, County of Butte.
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices *d
f a quality prescribed for the Specified use in the
'form Building, Plumbing & Mechanical Codes and
The Tonal Electrical Code.
10
A setback A ft. from the
property lines and a setback of
�j ft. from the road
_5o
centerline shall be clear of
r js/ structures or equipment except
for a 2 ft. owe overhang. 'P' -F�
pF A&- �56vf6+ \ L.1tJ
t
-
t
BUTTE COUNTY
EUIU)JNG DEPARTMENT
APPROVED
/-)A/ oil'76
s
File No.
BUTTE COUNTY (Fjor,%ct.io'r `1 2 3)
Public Works Dept. (For Informaticn t/
Director
I
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
I
Mapping
Transp.
Land Dev.
Drng. /S.I.
I ,
Sub. & Pcl. Maps A
4
Permits
Addr.
Remy & Thomas
901 F Street, Suite 20
Sacramento, CA 95814
Attn: Jim Moore
June 27, 1990
RE: Vandegr:ift Property
A. P. f#6� 1 10 & 65-10-06
With reference to the above subject and our telephone conversation on
June 26, 1990, we have issued two (2) mobilehome utility permits to
Mr. Vandegrift as follows:
1) A.P. #65-01-10-6269 Hupp Coutolenc Road, Permit #32.54-89 for
mobilehome to be located near the Skyway side of the parcel. (See copy
of plot plan attached)
2) A.P. #65-10-06--6215 Rambling Way, Permit #3253-89 for mobile -
home to be- located at the intersection of Skyway and Rambling Way.
(See copy of plot plan attached)
These permits were issued on February 21, 1990 and can be used prior
to the expiration dates on each permit of February 21, 1991.
The authorization to use these permits is based upon normal grading
operations used in creation of level mobilehome pads.
Should you have any questions concerning this matter, please contact
this office.
JFG:ds
cc: County Counsel
Attachments (plot plans)
Yours very truly,
William Cheff
Director of Public Works
I F. G6andcr
J.F. Glander
Chief Building Inspector
-. -.2 . .R
y ^•F1
POR TION OF' SEC TION //, T23N. 11?3E
T.A.C. 93- 25
(LOAD
F
454.50 - 620.00 215.44 208.00
22
° 4
crow e. a OJAC 130 c2.691
5.0 c i 2.3 �
5
208.00 to
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1.58 of
PM 59-9� 20a.o�n -
0 150
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PM 55-5 1 as 0.87Ac s
150 1 150.52 1 154.52 1 PIH 77-37/38+ 421.52
O?30.5 92.5 9T.5 92.5 92.5 1 90.00 65.
` 34.5AC 450.00
°
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PMC 0.61740
I0 130.1 130.11 240.17
200no 1 336.6 210 210 '245.65
41
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0.96AC • - - - - - - - - - - - -
1 ry D, 't-
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6 210 iZP 210 4411 .368.03 �
c CENTER SECTION
Assessors Mop No. 65-10
n
County ` G
� •- of Butte �� •' h
' � 1
rrnrrAi�r - I.
_ a
65 • '='
` -
J +�'
i 6
r,
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NE CNR. OF SE
OTR. OF NO //4. is
1.z
,.
.
0
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Sec. 65-06-06-3
r1"T
Zoo�:-
c CENTER SECTION
Assessors Mop No. 65-10
n
County ` G
� •- of Butte �� •' h
' � 1
rrnrrAi�r - I.