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Home My WebLink About065-380-012I I 1 1 4 i \ 65-38-12 DOROIY COTY 14723 Br' rwood, Magalia COritR: "McDo. d�Const Permit#3306-88P, til, MH) ELEC. GAS �..� SUPPORT STRUCTURE REQ.f COMPACTION TEST REQ. /7 65-38-12 ContR Philson Iermedt-89MHIl h \ ko a /12. } Gfll Lt's M C� dwA16- - 490MAv Cofy ;' �/1)01 Oda 13� F - /A10144/14 01 Loc - / f �a3 /•3� l� a��®� M4 14N- ,?4 . /v /'ole- the A setback of 5 ft. from the % `f property lines and a setba of 50ft. from the road centerline shall be cle of structures or egui ent xcept for a 2 ft. eave o rhog. t��y nections shall be within NQ 4 ft o{}moilehome, either \ directy b¢�ind o�iithin the rear of the half �CIA obilehome. N / d -k r ��• �,-� A NOTE -.--All Materials �c rr Accordance with Recognized of a qurali;y I-rescribeJ for the S Uniform wilding, Plumbing & Mec the National Electrical Code. qua►,.+•• LadV� 500 SQ' vQR M, Shall epi icfice3 eind use in the bodes' end chis set of plans and specifications MUST be kept on the job at all timos and it is unlawful to make any charges or alterations on same without written permisson from the Department of Publir Works, county of Butte. 1 J"Y i OUTTE COUNTY BUILDING DEPARTMENT APPROVED. 330(9-99 A PERMIT NO. 3306-88P,E(MH) PERMIT EXPIRES ��/ �� ✓ �� OWNER DOROTHY COTY CONTR. McDonald Const ASSESSOR PARCEL 65-38-12 LOCATION 14723 Briarwood, Magalia Temp. Power P f Called PGI j Tvrrp: Elec. Se `r Called PGI 14mp. Gas Ser Called PGI JOB FINALED Signature 0 = OK 0 = 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. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' 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 Protection 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- Mated al -Su pprt-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-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 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 Card -81 Date Card -131 Date Card -81 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) =-OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . oning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements .eSoils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ,Y'Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Electricity; Location-Clearances-Grnd.-,�3VAmp-Concrete Shthg.-Rfg.-Bracing &-6es;-t-ocation-Test-Wrap: / PU'ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors . Utility Clearance 1 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 (:7� Date JQ.?h,3&Card-B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date tfIF-6otings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ain; MH Test -Fall -Flex Connector 1. Setbacks -Easements Water MH Test ator Connector 2. Soils; Compaction -Structure Stability er nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining as and Electricity Tagged zits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI ! 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Dat .-$ Card -B1 Ga Date i%8i Card -131 Date - Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -131 Date Card -131 Date MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome `1 " Owner's name Owner's address Insignia or hud number_ Manufacturer's name_ Serial number of V.I.N.- Official Approving Instolla Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. L513 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE y DEPARTMENT OF PUBLIC WORKS % 196 Memorial Way, Chico — Phone: 891-2751 *' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE coTy Ig -8g OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mal, or need additional explanation, please contact this office immediately. 45TA%A (rIn!- l APP -S- t N sT-A« [� Pr 26Qqt, (vmD (',«ti Elonnr WA T-r,/Z C z)�j-J,-,Lc-r)o-J. LcI-C L�CIN A r (ZAtiGq Ari P2ooI�C 023�-intnbl lIA14 LAJbi4R SIJK At GATY alISHR,- L tiM 9 l -/G L� A k- (AN't30 JZ le f T, S I IV 1< _ Inspector ��,(�-�.7 Date J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE SOR PA NU R ZONI BUILDING PERMI O'a'r TE EPHON SO. FT. OCC. BUILDING VALUATION O 10 4 WNE ', S ILI AgFDRESS 9 C A TOR'S NAM TELEPHONE cT 1 7'j/Yo3 N ACTOR'S M1A Ir G A RES (� '6 Fireplace CONSTRUCTION LE ER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS r' r o Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FVRCIEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W M.00 ea TYPE OF WORK New ❑ Addition ❑ mod I ❑tili ies ❑ In a ti nX Other ❑ Describe work: `tl n Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 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., 3,-L/4 7 / Classification t"7- — -;/7 ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP" OR ADDNS. ACC. BLDGS. ,/z�SQ ft NEW CONSTF TI.OUTLET NON -REBID BRANCH CIRC., TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 20050t e ALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. also a ree to save, indemnify and keep harmless the County of Butte against all ' i I 'es, judgments, costs, and expenses which may in any way accrue a inst sa Cou ty in consequence of the granting of this permit. Date,/ - �Z 3 S nature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CON ST.TYPC IScNoo FLOOD PARCCL PD ND 9 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for h'ch fees DIRE LIC -.By PERMIT EXPIRE Date the applicable provi- resolutions to do have been paid. WORKS 2 Date �t✓ Receipt No. WHITE-D.P.W., YELLOW-ASOCSSOK. PINK -INSPECTOR, GOLDENROD -APPLICANT i.. 'r, i�,�.i �'—.`Y 4S.''`-.'7y*..ri�.._1T71''./'R,.w.r�+i` : ��rSa't��Ci.';6iti.R+.ri i�.(�„rr^+'Y.+'r��Yz:7ir,%��"r� � fySrSe� `..�'71aR"""'1'}�i. °j�`..'�:.v}.5,� ti7,�^r'^,w "� t a. r s.. „ � f ,, � 's��•' , _ . s COU N d OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION W� r- v ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET J Permit No. OWNER AD rot �O� A o. Proposed Bu/i(ding Use // ( Bui (ding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on 'plans. PI fis wit �E ergy Design Compliance Statement. 'f^G(C I?School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 1 Improvements may be required. _t. Mobi lehome Installation Data. . , . • . , . • . • . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, probe s as follows: Mailt owner, Mail to contractor. Telephone 3 - and hold for pickup aoffice, Deliver w/inspector. Other AppIianti -t &gf Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by, Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date — date Date • .1 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. %a^ -_4G Year Width_(ft.) Box Length . (ft.) Tagalong or Expando Size ft, x-; ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check o.ne)E� Wood -pressure treated or foundation grade. 2. Other (specify) 1. Concrete block Other (specify) SUPPORTS (check one) F-1 Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE — — Main Beams '.iiin ------ ------ ns 2 r_Line -- Li.. 2 — — — — — Main Beams — — — — ,� Line 2 Line 1 --- — — — — — -- — —Line Tag or Triple Line 1 Piers: Line I Openings: Size -Min. ------------ 'k Size! -kin . ------------------ Spacing-Max - ----------------- Spacing-Max. - ------- Each Side of Openings From Ends -Max. ------- With Width Over --------- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ Size -Min ------------------- Spacing-Max - --------- ----_- -__Spacing-Max.--------- Spacing -Max ---------------- From Ends -Max.------- '_ From Ends -Max -------------- Line 3 Roof Loads: Size -Min. ------------ ..x ..x x x ..x Location (From Front) Line 4Piers: Line 5 Piers: (Under Bearing Walls only) Size -Min.------------ .k .. Size -Min ------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- „ Spacing -Max .--------------- .. From Ends -Max.------ From Ends -Max -------------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) ..x ..x .,x "I ..x ..x ..x eC "x "x l � � PROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 0X --e / /7 C::�da� 2. Installer's Name: I-4 �11J?611C r 3. Is the site currently under permit? Yes a No (If yes, furnish permit number 3-g ) OR Is the site an existing site? Yes F-1 No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes El No 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z O C---) Amps 6. What is the mobilehome site service rating? ------------- / SCD Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes r No [2 (If -yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas., -pipe size? -------------- (in.) 10. What is the type of gas service? ------------- ---- Natural El LPG a 11. What is the gas pipe length from meter or tank mobilehome?-------------------- -------------- ------ 12. What is the mobilehome gas demand? --- ------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) � r � (BTU) v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT SRMITNO. � Uj( ASSESSOR PARCEL NUMBER 4,$— 3 — /'Z ZONINGogle ` ; f BUILDING PERMIT OWNS bro-t-14 T 73 OHONE SO. FT. OCC. BUILDING VALUATION O NER'S MAILING DRESS .D. x I3�g a6, Ce 9,G9 5 y CONTRACT R'S NAME MZ, e •v a /aL Co ti f TELEPHONE X73 � 3 q7 C TRACTOR'S MAILING ADDRESS ti I&S X 3 eA.w i r^_ 1120. 9 SS 5 Fireplace CONSTRUCTION LENDER Q UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 8-0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee a—v PLUMBING PERMIT Filing Fee 10.00 /s IV -7 a 13ra f —L, B o of Each Trap 2.00 %))� ; fti Solar or heat pump water heater 20.00 LOT NO. ?--L- -3 SUBDIVISION NAME PARCEL MA�PI �-0 D � 7 - T/ / Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFE] Duplex❑ MobilehomeQ�ther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G LW L2 5.00 0.00ea t).� TYPE OF WORK New E] Addition❑ Remodel❑ Utilities Installation[:] Other ❑ Describe work:%Z- 42 J! (, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): Fr—I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de a d my license is in full force and effect. License NO. Classification _� ❑, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 j_:j Z NEW CONST, � ACC. BLDGS. DWELLING OCCUP.si , lz2Sq ft OR ADONS. NEWCONSTR TI -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS &) `SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES .220 0 00990 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 $.c -4D Misc. Wiring 15.00 Permit Fee $ % D WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FE�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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi ' ies judgmen -,) costs, and expenses which may in any way accrue against id C my in�o `sequence of the granting of this permit. 1p Q Signature of Applicant - Owner ❑ Contractor d Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ $ l TOTAL PERMIT FEE !� OCCUP. CONST.TYPE SCHOOL F PARCE PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C FI PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�� Receipt No. .9 �. 2 '7 � WHITE-D.P.W.. TELLOW-ASeEeeOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �� .. , .. ,i . .. . .. , .. ti �+'s -.rte y; .,s.^'+ •—' - .-a•- Kx.,.. �. �y`-' 3':.`�ii iN'%. ... i1.. ,,. - =.Y. s. « . ..'iy"� - i t - COUNTY OF BUTTE - DEPARTMENT OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -.OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIGATIONibATA SHEET Permit No. OWNER�br-6-+ O '� A. P. No. �5 ` -35? _ 2— Proposed Building Use /' Building Inspector /�� Date 16~ %— At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED 1 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. Plans with Energy Design Compliance Statement. . . 6. 13v-c�Me- School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorizatio Sanitation approval from et-, a d,� s'eHealth Dept, 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) .. 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _15. Improvements may be required. . , , , , , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Re uired, Pre-Inspec. request to (Date) q Building In, /)eel 8. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. Wh n ou issue the perrrmjt, Process as follows: Mail o owner, a. to�co fraefor�_ Telephone S-7 "3and hold for pickup aG�U�obfQce, Deliver w/inspector. Other Applicant %�v�G�/`rfe O�r'O Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above),, 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by, Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder _ date date Date W, PJ 10 'T0, Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved fosr: �22 yrll � LOCATION /�AP # Sewage Disposal l� 6te�l `'r pPy Hold final for: Water Supply ,'Final Clearance O.K. for: Water Supply ,Clearance for -2--1 bedroom mobile home. Other Clearance for addition of Note kp ` SANJ ARIAN q ad dao DATE TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance o her f locution AP # Driveway permit �� 3 — has been issued for the above property. si ature date ACCEPTED FOUR R V a R91M AT 8:01 A.M. iD-1)-99 Return to DPW AGRICULTURAL STATEMENT OF -ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this'acknowledgement be recorded prior to issuance of a building permit. 0 The property described herein is adjacent to land. or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, bue not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but -not limited to cultivation, plowipg, spraying,'pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established.agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on-" adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate` in the County, of Butte, State of California, described as follows: 8 27 6p2 EXHIBIT "A" DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 223, as shown on that certain Map entitled, "SIERRA DEL ORO ESTATES UNIT NO. 3", which Map was filed in the office of the Recorder of the County of Butte, State of California, June 3, 1968 in Book 35 of. Maps, at pages 27, 28 and 29. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the right to mine and extract said minerals,.it being agrees] and understood that in all mining operatio'n's the surface of said lands will be protected' against damage, and that all such mining shall. be.carried on from tunnels, shafts or drifts having their or.if_ices outside of the surface area of the above described realty, all as excepted and reserved in that certain Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of. Butte County Official Records, at page 385. Date : �Q , k01 PROP TY OWNERS: ' State of ) On this the ^ day of t C-5-��I 19 �, before SS. me, the undersigned Notary Public, personally appeared County of ) Notary Public Present A. P. No. t0S 4% ti r ly / Personally known to me.� Proved to me on the basis _ of s/atisfacEory evidence. OFFICIAL SEAL CELESTE F. RINER to be the persons) whose name(s)' subscribed to NOIARY PUBLIC CALIFORNIA 'the within instrument and acknowledged that .JjA', ' BUTTE COUNTY executed the same for the purposes therein contained. m MYcommssoo0xpuesJan. 7.1991 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A. P. No. t0S 4% _ ' •ter '¢¢ NOT COMPARE®1NtN ORIG1NAl DOCUMENT ° 88-034492 R e c Fee 7.00 Check 7.00 Recorded i1 Official Records County of Butte C� Candace J. Grubbs Recorder VS 2 8:01am 10 -Oct -88 AGRICULTURAL STATEMENTF OACKNOWLEDGEMENT Return to DPW FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requiesthis acknowledgement be reco__ raed Prior to issuance of a building perm. The property described herein is adjacent toandnd.,or inclts uded this within an area zoned for agricultural p prom property may be subject to inconveniences or dbut notrlimrisintofherbicides, pesticides, the use of agricultural chemicals, including, orations including, but`_not limited and fertilizers; and from atra inrsult of runinagrandlLral harvesting which occasionally generate dust, to cultivation, plowing, p Y g,'p g'. smoke, noise, and odor. Butte County has a as thanded ygesidentsawithinssaidczones-haveand on priority use for productive agricultural purposes, re prepared -to accept such inconvenience or disconform from normal, adjacent propertyshould be p p 1 i necessary farm operations. situate in the County of Butte, State of California, described- All escribed All that real property as follows: ' 267.1 EXHIBIT "A" DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: 1 Lot 223, as shown on that certain Map entitled, 11 SIERRA DEL ORO ESTATES UNIT NO. 3", which Map was filed in the office) f the 1968 Recorder. of the County of Butte, State of and California, in Book 35 of Maps, at pages EXCEPTING AND RESERVING THEREFROM all of the valuable E minerals beneath the surface of the said lands, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said lands will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside othe surface reserved inarea of ethat above described realty,allasexcepted certain Deed from the Magalia mining company, 1a corporation, to E.D. Storts, et ux, recorded September of. Butte County official Records, at page 385. Date: 0—PA. �D Iq PROP TY OWNERS: State of ) On this the C-_K§t day of CDt, 19 C' Y, before SS. me, the undersigned Notary Public, personally appeared County of �, ) / Personal known to m . —Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL to be the person(s) whose rlame(s) � subscribed to CELESTE. F. RINER the within instrument and acknowledged that _ +� NOTARY PUBLIC, COUNCALIfORTY executed executed the same for the' -purposes therein coned. BUTTE COUNTY Mycomm,ssonmlleslan.7,1991 IN WITNESS WHEREOF, I hereunto set my hand and official seal. , Notary Public Present A. P. No. --* tDs - \'2— � � - per., � � t • � + 1 i ft. �o a O OG �Q 0 Jho eJ ', 8`8 3: 4 X 8 2 &.8. 77 67`2 EXHIBIT "A" ,i y DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Lot 223, as shown on that certain Ma.p entitled; "SIEVRA DEL Ono ESTAT^S JNiwo I'-�3", which Map was filed in the office of the Recorder of the County of Butte, State of California, June 3, 1968 in Rook 35 of. Maps, at pages 27, 28 and 29. EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the ,Aiaht to mine and extract said minerals, it being agreed and tt'nrjprctnn,a thati. r; =l1 i:i Din•^y Qin@ratii�ir� tele satface of Said Aands will be protected.against damage, and that all such mining shall. be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in.that certain Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947 in Book 423 of Butte County Official Records, at page 385. �N® ®F DOCUMENT. I� 88-3482 i - r 88-034482 ; R e c Fee 7.00 Check 7.00 Recorded Official Records ; County of Butte yr Candace J. Grubbs ; Recorder ; 8:01am 107Oct-88 ; VS 2-L Return to DPW AGRICULTURAL STATEMENT OF;ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land. or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning,. and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has stablished agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: i` Date: `p I State of ) i SS ounty of ) PROP TY OWNERS: On this the Q�)&SL day of �'�. ,�,� 19 'R%, before me, the undersigned Notary Public, personally appeared a / / Personally known to me. MProved to me on the basis OFFICIAL SEAL of satisfactory evidence. CELESTE F. S E A to be the persons ) whose names ) j� subscribed »�� NOTARY PUBLIC, CALIFORNIA the within instrument and acknowledged that �_� 0 BUTTE COUNTY executed the same for the purposes therein contained7 ex ues Jan 7 1991 to myCommrssroi a IN WITNESS WHEREOF, I hereunto set my hand and official seal. �Q it Q Notary Public Present A. P. No. --* (oS ='36- k-2-- On 2 AP # OWNER C . O'T y PERMIT # -s3 06 -% s MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re .' Service_ Size Other Load Type Pipe Size Length YES NO YES1 NO 0o �, r7r BUTTE COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION. FORM t (OfteLt'E'brm 'per .Su l,ding ) •� ` A.P. Number .3 "' Building Department No. L i School District a LQ t City Q County LXJ Jurisdiction Property Owner Q ^ 1' Project Location/Address % 4� Ala 41 Subdivision ; Lot Number -Residential Development: Sq. Footage # of Living MHI Addition (Group R) r , Units - Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) - -> ate District d No. 'F?- - o�-o School District certifies that (A p icant Names (,Phone Number) f %3 ,a J) /,/ Laoa r_� " (Street Address) d✓ `` /j /_ l i� p (State) ( Zip Code) has complied with the �rCSguilY+ements"of"Resolution" No.' by the pay ent of $b %, v representing square feet. School Distric .Representative Date PAID BY CHECK NO. BANK NO �� J PAID BY CASH REMARKS: t white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)