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066-220-024
I -66-2.2-24 JACK FALCON '6341 Zuckermanln Ct, lot 141, CC4,MAgalia ContR:-, PMC Permit#3101789P., E(qti_i mH LEC - - - - 0-' . GAS SUPPORTSTRUCTUREREQ_. 410 o COMPACTION- TEST 'REQ..',. 66-22-24 c6-r'mit#3102-89MHI e r ,PP ISSI s -. 166=22-24 Per mit'#40'96'89Bf'(deck) q 0 0 a VY 'x RESIDENTIAL -66- 4096-89B -- v5-22-24�- 1 1, FALCON, Jack a 6341 Zuckerman, Magalia j, I (deck). ; 1' 1 i H JOB FINALE Signature J=OK O = Not OK Not = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / P'Nat. or/ P L" ft./ /"LPG 7. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricitv: 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANtOUS Date DE S, COVERS, CARPORTS, GARAGES, Plans OK except #'s Je i g Requirements -Setbacks -Easements F tings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing yoo&t.; Steps -Doors -Landings Date f i u, f, Card B-1 r``J Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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-PaneIboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single ' & Duplex) 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-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -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, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date _ Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made <.,...-..... ..r'..r....:z. r <,. _.. .r. -5Y �.`-+::.. :-Y��i�;-==•'a_. yr"'�.*�z,-Yt;: s .:, .=`�-«-��'zq'_l�.s �:.:: �. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phone: 891-2751 " .7 County Center Drive, Oroville — Phone: 538-7541 4` 747 Elliott Road, Paradise— Phone: 872-6307 ------------- CORRECTION NOTICE. o OWNER L/ 0 C16 - (-' 5 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. A& Y) 00A2 WQ IL L'i e L. (kms 1 ,1 0 /,4 ecAr W ld �t FO��w�S 1�L�11/►Ah�C - 11 a -.J 2 v Date_'' ���' Inspector GI" V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -brow , GaKforni'a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCEL NUMBER 2,_ a qBUILDING ZONING ERMIT OWNE ac% �c a TELEPHONE 4T73-?ob`7 SQ. FT. OCC. BUILDING VALUATION Z b OWNER'S MAILING ADDRESS /3 Z/ .57?- ZV10C 4 a CONTRACTOR'S NAME T PHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6 3 / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RC EL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other _T\�IO_(���' SPECIFY TYPE OF WORK New9 Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 SS AMP O1 OR R LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 Xfor 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 NEW CONST.OCCUP.d+ OR OR ADDNS. ( ACC. BLDGS. , /ssgft NEW CONSTR. ULT I* OUTLET NO N.RES'D BRANCH.CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50S 9AL®3o FIXED APPLS. OR EX. DCCUp. N OUTLETS IRESID.) 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. Not ce 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 Filirig 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 abov entioned property for inspection purposes. I al agree to sav indem i y and keep harmless the County of Butte against all I bilities, jud ent sts, and expenses which may in any way accrue again said Coun in seq nce of the granting of this permit. c %� Date — �O Signature f Applicant — Owner Contractor ❑ Agent ❑ An OSHA ermit is required For exca tions over 5'0" deep and demolition or construct- ion of stru ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE }� — TOTAL FEE $ / HAz CUA PARK SCHL FLD PD HD ISSU This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS /Z-7- RIC, Receipt No. a Ar jBy 6 YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i.6�42'Yys,4TriT`^�^^."L"Ygri.-y��rh"'�KiI�Y!+.`:`7"����i�n. f 1 •1�. � _-'""_�..- �...��.^ _.� _'" I, T �Y"^�'T"7�T'�41f""'+` `'1� . COUNTY OF BUTTE - DEPABTMEtIT�Q;f-PLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,;�P.ERMIT APPLICATION DATA SHEET f .. : •. �_ Permit No. OWNESj;fR A. P..No. 6 K� L S 2 Proposed Building Use a:iBuiliing Inspector Date %-2 At time of permit application, I was advised the following data must be submitted prior to permifprocessing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ..............�% Q14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... ! 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license. information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... t 25. Letter of signature authorization...................................� 26. 27 / When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _923-226 and hold for pickup at office. Deliver w/inspector. Other / k . AppI ica,nt Copy of plans sent Health Dept., Fire Dept.l) Other Date Date'..4),_6__U 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, desigrier;';owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designef,:owner, was advised of above required data by—phone—mall—counter by date Plans checked: by Date Plans approved by ��1� Date �a�7 Sets:gf�,p:lans on hold in . File cabinet AP folder 1 Copy—DPW TO ` Buirarh ' Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O..K. for: Water Supply Clearance for _,_ bedroom mobile home. Other /01)('14",* . Q .moi ZC-jA __-- S Aj NOTE** i Sanitarian Date S I etntavjul +C is u 01.tiros aid ii too on +be in- I "ll , or volm Ong' iss- ie� 0 4r,ition p . cook NOTE: --Al N6ateriats 84 Workmanship $ha 16 il Accordenre .will Recognized Good Practices card ai a qw,.;,,. / prescrll".J�,.', for the SpecifieJuse in the Bu:. J'ing, Plumbing & Mechanimal Cag6s OW Nationcil FJe4i* W FALCON, JACK �3 ql ZUCKERMANN CT. MAGALIA, CA. 94945 1000 GAL. SEPTIC TANK 100' LEACH FEILD 200 AMP. ELEC. SERVICE WATER LINE GAS LINE'. It o� ata S� ok ceQ e 0 pe t01 ok e -(N of 14 del\ 01 yetG \)�; � IV A, F� cl ag-a�q,AN000 C, rl A.P. # 66-22-24 P.P. LOT #CC4- 141 00 sa. Fr- mi'mmum FOR MOBILES 19tT 4 -;j &t L09 S e6 - RAP . ),rz OL BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 14 MOBILEHOME INSTALLATION SHEET 1. Owner's Name:MODMK ....:.�;UNL;tFjb� (Load) (Amps) 2. Installer's Name: 6633 SKYWAY k1 y mobilehome ste'gas pipe size? Ampe 3. Is the site currently . 959-r____1 underp09%i@?6) 877-KMQ No r Iu�' Amps 7. (If yes, furnish permit number d k q ) OR. Amps gas pipe length from meter or tank to the 8. Is the site an existing site? Yes No mobilehome? \N, (If yes, furnish.two plot plans.) i 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach * 12. fields and clear of all setbacks and easements? Yes No o (If no, clarify mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 5. What is the mobilehome electrical rating? --------------- k1 y mobilehome ste'gas pipe size? Ampe 6. What is the mobilehome site service rating? ------------- G 0 Amps 7. What is the mobilehome„s;iie circuit breaker rating? ----- � / G Amps gas pipe length from meter or tank to the 8. Is there any other electric load -to be served by the mobilehome site service? -------------------------------- Yes No ��� *(This information not required if pipe length less than 6 ft $� natural gas or less than 50 ft. on LPG.) '� (If yes, identify the load and size: (Load) (Amps) 9. What is the k1 y mobilehome ste'gas pipe size? - �' 10. What is the type of gas service? --= ---------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -------------=---=----------------- i * 12. What is the mobilehome gas demand? ------ ��� *(This information not required if pipe length less than 6 ft $� natural gas or less than 50 ft. on LPG.) '� I I I IU isx jW - Typical Support (in.) (in.) Footing Size (ft. (in.) (in.) (in.) i -- Max. Pier Spacing aX.3C7 (ft.)(in.) U -- Max. Overhang (ft. (in.) (in.) (in.) ' (ft.') (in.) , a 'Ie�X3 o N �� 66a -r *If center. pieri' are other than dr:. -n above, draw in locations, spacing, and : •znsions. If Yk other than single wide, Y62.3LMWO rn Nobileho,,��rne Mfr, furnish Setup Nadel Ho. Z Year 7� Nidth L� (ft.) Box Length (ft.) Tagalong or Exp ando Size ft. x 0 ft (SNOW SUPPORT DETAII.S BELOW) 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). All center supports measured from front of -- mobilehome unless otherwise speci ed. ' VbC_M Q , �_footings (check on . Single 2�01- Wood either AA pressure treated -- foundation grade (ft. (in:) ' (in.) (in.) E] 2. Other (specify) pq Z a Center s.pport Center support ' locat ons* footing sizes Supporta (check ont (�) �1. Concrete block. r)� V21 1 •2. Other. (specify) (f .)(in.) (in.) (in.) E -Tagalong or Bxp endo, show .support detaile (f .)(in.) (in.) (in.) I I I IU isx jW - Typical Support (in.) (in.) Footing Size (ft. (in.) (in.) (in.) i -- Max. Pier Spacing aX.3C7 (ft.)(in.) U -- Max. Overhang (ft. (in.) (in.) (in.) ' (ft.') (in.) , a 'Ie�X3 o N �� 66a -r *If center. pieri' are other than dr:. -n above, draw in locations, spacing, and : •znsions. co&s ond C4 wig V }9. +im 0 S is an an 0 no (C"anj froyn011e JACK A.P. # 66-22-24 ,Yrtifen pern, Zola% I.J `/I ZUCKERMANN CT. P.P. LOT #CC4- 141 MAGALIA, CA. 9494.5 1000 CAL. SEPTIC TANK 100' LEACH FEILD 200 AMP. ELEC. SERVIC, WATER LINE c; CAS LINE +c e, �ogdJ\- 01) cz, 60. 000 d, V4 Ac .coTdc:,l-,lc,o UrGs.- 17 oi t."cl4 uw" V-- 2� 1 4�- I 0 k) Cry °a 500 SQ. FT. MINIMUAA FOR MOBILES ............... 2- ma �3 0 Z, 2-- 7,7 GAG ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load/ Type Pipe Size Length YES NO YES NO G�� (Witness) SSATE OF CALIFORNIA COMMONWEALTH L ND® SS. NSURANCE COMPANY COUNTY OF Butte Oj September 18, 1989 before me, Debi Lucero , a Notary Public in and for said State, personally appeared Phil Youngdahl ** personally (known tome) for proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within Instru- lpent, as a Witness thereto, who being by me duly sworn, deposes and says: That he resides in Butte County , and thathe was present and saw Jack Falcon and Anna C. Falcon . , personally known to h; m to be the same person S described in and whose name G are subscribed to the within and annexed Instrument as t Parties thereto, execute and deliver ther' same, and - they acknowledged to said affiant that t-.:, they executed the same; and that said affiant subscribed OFFICIAL SEAL his name thereto as a Witness. OEBI LUCERO 'WITNESS hand d official ae 1. Notary sum COUNTYftttltIS Signature /L �/ w� ,� !__ a My Cmm, fjo, Dec. 26,1991 Form 3214 (CA 12-82) (This area for official notarial seal) END OF DOCUMENT 0 Rel urn I u DPW AGRICULTURAL STAT1•:MIa;T OF ACKNOWI r .1:MI:N'I POR RI:SIDI•:.N'TIAI, f)I:VI;1.01'MI:Nl' St•c•I ion 16-•K.I oil tale Ilulte CounLy Code rey:I i rc•s T h i s ac•knuwledgement be recorded prior to, issuance of a.bui (ding permit. Q::Q.:., 3,6744 A. .. ,B9-036744 . • ' R • F � • ;•�'�` .; ., ecw ee, , 5 00.. 'lite property described herein is ad jacent ." '~ , ' t ti x� r Check 5_00. I" land or included within an area zoned `: ,•Recorded f ' ' `''' �'` ��•'' -t' }' fur al;r is tt l lural purposes, and residenLs j Official Records ,� K:' ' ' •� = ``� Of this property may be subject Lo incon- _ •' .wn' • 'Count of � �?^ t vcnicnces or discomfort arising .from the Y H Butte:. ��, t +,, _ �' `_ a �''•,.,, use of ;Il;riculLural chemicals, including, ,<,Candace*.J "'Gr,ubbs htiL nol. limited to herbicides, pesticides, i " , (,Recorder' .,;r. �,.^U •,. N and I'crt. i.l i •rers; and from the pursuit. - - ,� ..•'��' � •" , ��•U" f of a �ricu.11ura] -operations p 8:25am,.25 -Sep-89 r•RB• <' ��': L p ions including, � �� ti', . "- .M-A.� '•:� ,,� ' •, i;�ti .- •� . r • r t,., ,. but not limited to cultivation, plowing, spraying;, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ isho•11 lura.] zones which have as a priority use for productive agr:ictill.Ural purposes, :Intl within said zones arid on ad jacenL properly should be prepared Lo acrepl surll int tnlvt „i,•,,, ,. or discttnform from normal; necessary .farm operations. 66&212 24 All. Lhut real property situate in the County of Butte, Stale of California olcscrilutl ;,,; follows: The land referred to herein is described as follows: ALL THAT CERTAIN REAL PROPERTY'SITUATE IN THE.COUNTY OF BUTTE STATE OF CALIFONRIA, DESCRIBED AS FOLLOWS: Lot 141 „ as shown on that certain map.entitled, "PARADISES PINES UNIT CC 4- Lot 141 recorded in the office of the Recorder o.f.'-.the 'c:ouity- of rBiu�tte, State of California on OCTOBER `22; 1979 in�Book `38 , of Maps, at pages 69,70,71,72,and 73. EXCEPTING THEREFROM ALL MINERALS, MIL, GAS, ASPHALTUM AND OTHER HY- DROCAROBON SUBSTANCES WITH PROVISION THAT ANY AND ALL MINING SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF LAND LAND. I),Le: PROPERTY OWNERS: 7,7 WITNESS /- (witnes8) - �►�` . STATE OF CALIFORNIA COMMONWFALTH LAND" , $.5. TITLE INSURANCE COMPANY , y C COUNTY OF A r v On , before me, _ a Notary Pu lic-in•an (or said State, personally appeared personally (known to mel F (or proved to me on the basie'o(-sa,68fac tory evidence) to be the person whose name is subscribed to the within Instru- ment, by as a witness thereto, who being me -duly sworn, deposes and says: That resides in , and that was present and saw personally known to r to be the same person described in and whose name subscribed to ,thin and annexed Instrument as Part'hergto, execute and deliver the same, and acknowledged to said affiant that t executed the same; and that said affiant subscribed e'' name thereto as a witness. WITNESS my hand and official seal. Signature Form 3214 (CA 1282) IT'hL .... 6,...m.:., ,.,....:. r ... u — • A 0 � N a E - e 0 c� ca COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, Oroville — Phone: 538-7541 *� 747 Elliott Road, Paradise —. Phone: 872-6307 .- ---t. CORRECTION NOTICE NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. If 141 A -L5' delr Inspector Al Date ..���"�+-�.y�.�e-!r-..n.rw••rv.�.`...cKrw..v.....�:-"°.a'v'�.�yy�''"'•,G,�„ry+.w...+�-.r._;... ,,:...�Jr*r'^�; ..�y-,.: m. COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 - CORRECTION NOTICE OWNER T NO. A routine inspection indicates that the following violations of County Ordinance exist at the ove address and should be corrected. Please notify this office when corre ion of work Is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. / x2 yr G 041�G S dJil% /G - Inspector Date t z I 66-22-24 3101-89P PERI . R i FALCON,Jack PERI 6341 Z uckermann Ct, lot 141, CC#4 ow Mag glia Coritr: PMC (util, MH) cop ASSESSOR PARCEL - LOCATI Z LOLA/V? SOHrN P+4 AC Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature I 66-22-24 3101-89P PERI . R i FALCON,Jack PERI 6341 Z uckermann Ct, lot 141, CC#4 ow Mag glia Coritr: PMC (util, MH) cop ASSESSOR PARCEL - LOCATI Z LOLA/V? SOHrN P+4 AC Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = Ox . 0=Not OK = Not Readyable MOBILE HOMES_ Date MOBj&E'HOME LlIkITIES (PI OK except #'s oning Re ements-Set cks-Easeawwfts' ewar; L ation-Taft— - Zon6ret4 h 2,4- / /"L"ft. /"Nat. or/,,v%/"L"ft./A LPG -A,4 tifffy Clearance Card -131 (049 Dat y Card -61 Date Card -131 AQ DaW„, i d - Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s ootin ; Size -Spacing -Marriage Line s; M"st-Demand-Valve-Connector e4. ri ,ity; MH Test -Crossovers -Breakers -Clearances am; MH Test -Fall -Flex Connector er; MH Test -Regulator -Connector 7. r and Sewer Connected -C/O to Grade -HD Appr4 Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -61 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 -B1 Date Card -131 Date Card -131 Date Card -81 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 I 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date 0 = Not Not Applicable RESIDENTIAL (Single and Duplex) - = = 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.-/ P' 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 3' -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-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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 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 -B1 Date Card -B1 Date 67. Stairs &Rails Card -B1 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 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors -Stapled A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75 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. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 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. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes El No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Si. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 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 911. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date Comments at Final: 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 (NOTE: An entry must be made each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.. 2 , 2 Address or location of mobilehome Owner's name Owner's address Insignia or hud number' Manufacturer's name Serial number of V.I.N Year of manufacture (Official Approving Installation) (Da4e) 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. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPAHTMENT OF PUBLIC WORKS ` • PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / U x / APPLICATION 9ID PERMIT 11 ASSES R ARCEL No ZONING BUILDING PERMIT OWNER n � TELEPHO E j''�/ � SQ. FT. OCC. BUILDING VALUATION OWNER'S.MAI LING ADDR SS 2 0 'SN LEPCOR' rNTTRACT AIING ADDRESS(,� div - 71yFireplace U ION LE ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 'S MAIL NG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ T Energy Plan Checking Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD`bRrLSS 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 USEOF ST SF [IDuplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation Other ❑ Describe work: �v o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 `�, yl/i D r'l Main service 600V OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): !. I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Profe C! and F y license is in fu e a) effect. License N ! Classification El 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.,/zQSgft OR ADDNS. ( N ACC. BLDGS. NEW CONSTR U TI -OUTLET NON-RESIC. .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I z00soe Ex. Occup(OUTLETS OR FIXTURES BAL030 FIXED APLNS Ex. Occup. OUTLETS P(RES(D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department L' 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 Icertify that I have read this application and state that the above information • correct. I agree to comply to all County Ordinances and State Laws relating to 'iding construction, and hereby authorize representatives of the Countyot Butte t enter upon the above-mentioned property for inspection purposes. I also agr a to save, • demnify and keep harmless the County of Butte against [all liabilit( s, jud men ,costs, and expenses which may i . any way accrue against sa' ount in c n . nce the granting of this IIi t. X Date 1, ! Signatur of Applicant — O Contractor Q Agent i An HA permit is required for excavations over 5'0" deep and demolition or construct- on of stru tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ — — OCCU P. CONST.TYPE JS7LJ FLOOD PARCEL PD HD 59U This permit is hereby issued under sions of the Butte County Code and/or work indicated ab for hi D OR BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I l Z2 S"9 .-l_ % ZsiFa /�� Receipt No:J 2, WNITE-O.P.W., YELLOW-A3eE3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT , :�,.. r .y.. ;{. ...•w.'•`+i�•r.'+r .i -n. ,,... f .,irw• ,nrn:�.��V v. ',,,, . - s••- ._ _ _.. , . _. r ... -. ��.. COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLFC IFl�I NIA 95965 - TELEPHONE: 916/538-7541 ' PE MIT APPLICATION DATA SHEET Permit No. OWNER Kr{ - A. P. No — Proposed Building Use Building Inspector Date t 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 ..................................................... 12.. School District. -fees paid ...............AoK�,. 13. Sanitation approval fromealth Department ... 14. City of Chico plumbing. permit ...........7 .i..y....................... 15. Plot plan and business license approval from City of (see City for other requirements) t\~` 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required . , , , ' Building IPre-Inspen request to Inrequest 20. Contractor's license information (No., Name Style, Classification) ....... 21. 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 authorization ..................................... 25. 26. When u Issue the/permit; process as follows: Telephone S and hold for pickup a Other - t Mail to contractor. f _Deliver w/inspector. Date Copy of plans sent Health Dept., Fire-'epf., Other Date The following data must be submitted prior to permit issuance: ircle new item not checked above). n _ . 1. Index permit for above items No. i 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---inall—counter by • date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW H.a�:r.. i�..t�.(fi•sY�+`.«-�""+Tf$"yyr�akr4"�y'/r"rcrgv'�`.w-F.�vaa�,�i'��'_�na`�f,._Yd"..�'n`j"fY4v�i�`1Y..,au,,fY`y,.,o.y-p(*4..ra..v*.d,yc�..,f„ y..r-a.r-ttc.,.+,...:+.,.,,j BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form `rper` Building) A.P. Number 66-22-24 Building Department No. School District PARADISE City �_ County Jurisdiction Property Owner FALCON, JACK AND'' -ANNA Project Location Address J / 6341 ZTICKF.RMANN CT_ � �. Subdivision P.O. •CC 4 LOT 141 Lot Number Tot r l Residential Development: gg.. r.. �.. a Sq. Footage # of,Living MHI Addition- (Group R) Units ;* Commercial/Industrial: O Sq. Footage New'. Addition (Including Exterior ` Roofed.,Areas ) y . 51 a, Bu6-nt Representative Date k (Floor Plans reviewed by School District Personnel) r.. PAID BY CHECK NO. 174 REMARKS: w. BANK NO gEg,'PAg, NAT. BNK, 40801 '• PAID BY CASH CHRCK ACCT: 44508021 white -applicant, yellow -building department, pink -school district ?- SCHOOL.FEE (8/88) COUNTY OF BUTTE - DE•PAF TMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, C�.-40rni_P5965 - Telephone: 916/538-7541. S f APPLICATION AND PERMIT AS 5 OR PARCEL N M ZONINGff BUILDING PERMIT OWNER `� � 'r PyNE ` 3 SO. FT. OCC. BUILDING V TION �N E� S �`I•NGG� D D� 23,46 ,D !� TO 'S NAND EO A LIN9 ADDRESS ETION;L� Fireplace DE UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENG EER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � U Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Solar or heat pump water heater 20.00 LOT NO.JSUBDI V SION NAME PARCEL MAP Q Water piping 5.00 Each qas water heater or vent 5,00 USE OF S TURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home dQGfW 1) 0.00ea0v TYPE OF WORK New E] Addition Remodel❑ Utilities Installation❑ Other i Describe work: ` �'o . Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SS 100 AMP OOR R LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Profe gde and my license is in ful e. effect. License No Classification ❑, as the owner, or my employees with wages as their sole compen- sation,LNS 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.a` , OR ACDNS. ACC. BLDGS. / h2sgft NEW CONSTR I.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e\ SINGLE OUTLET CIR. I EX. OCCUp(OUTLETS OR FIXTURES 20950! e AL9 30 FIXED Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. �ave 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. ❑ 1 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 I$also agree to upon vethe ndemnefm and k ep harmlessfor the Countyinspection of Butte against all liabilities, ju ments, cost , and expenses which may 'n any way accrue against said Cou in con equneof e r nting c tFIn r, an ' X "f Date nature of A Icanr - Owner ❑nrractor ❑ Agent An OjFIA permi 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.1 CONST.TYPEJ L — PLO PARCE PD — H 139 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date z- f' Receipt No. 2 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT;' 15BLIC•WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, Cd4C F©R1 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET t i Permit No. OWNER G�� A1C A7 — . k-----2, g, 1. P. No.4 a Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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 ..................................................... K14. hoot District fees paid ................. .. Sanitation approval from � � Health Department ... 15. City of Chico plumbing. permit......................................h Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17: Improvements may be required. Driveway permit (construction approval required prior to occupancy) .. ` _— 19. 20. Pre -Inspection for required ..... Pre-Insrequest to Buildingg Innspector Contractor's license information (No., Name Style, Classification) ....... 21. 22. 23. Certificate of Workmans Compensation Insurance.................... Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. j Recorded copy of Agricultural Acknowledgment Statement ............ qa2 "00q 24. Letter of signature authorization ..................................... 25. 26. `7C._µ) 0tr^ ,(Date)" 1 When u Issue the ermit„process as follows: Mq.i--to oMaiil to c ntract r 3 Telephone5 and hold for picku r aat ; %-./21 office. Other nt Copy of plans sent Health Dept., Fire Dept., The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: Other _Deliver w/inspector. Dateq) I �1 Date uanq�,/(Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date l Plans checked by Date Plans approved by�D� Date r Sets of plans on hold in Copy—DPW File cabinet AP folder 1? 11 TO Buildinv Department y �►�~ FROM: Environmental Health SUBJECT: Sanitation Clearance y! Owner Location r AP# Plan Approved for: Hold final for: Sewaqe Disposal Final clearance O.R. for: Clearance for -1- bedroom mobile home. Other NOTE *** Water Supply Water Supply Water Supply Saiat ar Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit J 3 /'� Z, C� e,- /,,[a.717 C location zz-zY AP # 99 3 3/ Z-- L _ has been issued for the above property. nu b i4a sign re date