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HomeMy WebLinkAbout069-290-016. 69-296-G15 PERMIT#97-0227 HOLMES, Bill & Mark 6519 Jack Hill Dr., Oroville Cont: Todd Hemstalk New Pri Det Garage�/9, @69=290=di'3 PIT#97-0384 HOLMES, Bill & Mark—/ 6519 Jack, lill•Dr., Oroville1 7 Cont: Todd"Hemstalk 6-1 9, Mobilehome Utilities S A M ELECTRIC -� w 600- ,� JQ GAS LINE a �} ' 3/y COMPACTION TEST REQ tip SUPPORT STRUCT REQ 069-290-(V1/(P PERMIT#97-0658 HOLMES, William- 6519 il.l.iam-6519 Jack Hill Dr., Oroville Cont: Integrity Homes MH on Perm Fnd7/y1-7 069-290-0�EF/�0 PERMIT#97-0889 HOLMES, Bill & Marge 6519 Jack'Hill 'Dr., Oroville Cont: Todd Hemstalk Open Deck/MH 9I91 069-29-0-016 98-1088 B HOLMES REVOCABLE TRUST 6519 Jack Hill Dr, Oroville'd ) (cover exist deck & ad� Contr:. Todd Hemstalk Y% qllj RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 97-022113 Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:08am 18 -Jun -97 I Rec Fe .00 Total .00 COMS XX 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HOLMES REVOCABLE INTERVIVOS TRUST POBOX 60 MAMINU ADDRESS FORBESTOWN, BUTTE, CA 95941 CITY COUNTY STATE zip 6519 JACK HILL DRIVE OROVILLE, BUTTE, CA 95966CITY COUNTY STATE ZIP - SAME UNI I OWNER (it also property owner, write BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 9 0658 (916) 538-7541 CM ER NO. .TELEPHONE NUMBER /- _P ./- 17/97 SIGN&TfftE OP LOCq4L AGENCYOFFICIAL DATE INT GRITY HOMES, INC. DEALER NAME (if not a dealer sale, write 'NONE') 92834 DEALER LICENSE NO. UNIT DESCRIPTION SILVERCREST 02/27/97 WESTWOOD 62 17305666A & B 56'X26' HWC 240687/240688 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. # 069-290-015 HCJ) FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #069-290-015 THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I -A: LOT 129, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. PARCEL I -B: AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FEET LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE WESTERLY BOUNDARY LINE OF LOTS 127 AND 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 413", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. PARCEL II -A: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. PARCEL II -B: AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FEET LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE WESTERLY BOUNDARY LINE OF LOTS 127, 128 AND 129, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. Address or location of unit: 4 Legal Description of Real Property: BUILDING PERMIT NUMBER: 97-0658 6519 JACK HILL DRIVE, OROVILLE A.P. #069-290-015 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: HOLMES REVOCABLE INTERVIVOS TRUST Owner's address: P O BOX 60, FORBESTOWN, CA 95941 INSIGNIA OR HUD NUMBER: HWC 240687/240688 SERIAL NUMBER OR V.I.N. 17305666A & B MANUFACTURER'S NAME: SILVERC 1997 �Uz) OFFICIAL APPROVING INSTALLATION: DATE: 6/17/97 PHONE: (916) 538-7541 H.C.D. 513C RESIDENTIAL 069-29-0-016` _ 98-1088 B _t HOLMES REVOCABLE TRUST 6519 Jack Hill Dr, Oroville (cover exist deck & add cov deck) > PERMIT NC Contr: Todd Hemstalk PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION l e CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Datet A) Signature V=OK O = Not OK INotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 1. Zoning Requirements - Setbacks - Easements 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch 6. Carports; Windows -Doors 3. Sewer, Location-Test-Fall-O"oncrete 7. Electric 4. Water, Location -Test -Easement Needed (Sketch) 8. Fong.; Sils-AnchorsStuds-Rftrs-Trusses 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 9. Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap; / /Vft. / /NaL or/ /'L'Yt./ /LPG 10. Roof; Shthg-Roofing 7. Well Clearance & Disconnect 11. Ext.; Steps -Doors -Landings 8. Utility Clearance 12. Braced Wall Panels Date Date Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test -Demand -Valve -Connector 5. Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip, w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. TesbWater Supply Test 9. Tie Downs -Type -Installation Cert. 11. Light Niche 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ELLANEOUS Requirements -Setbacks -Easements / 3. D s; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fong.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Date Card B-1 Date Card 8-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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. TesbWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 O = Not o OK RESIDENTIAL (Single & Duplex) - - Not Ap Ilcable p Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / /° Ftg. Depth Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 48. 4. Ftg. Porches & Decks; Soils -Steel-/ t' Ftg. Depth 49. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts- Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6a. Hold Downs and Special Anchors Garage Fire Protection Framing 7. Slab, Steel -Wrapped Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test Siding -Nailing Veneer 12. Electric Underground Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Pienums & Ducts; Clearance -Material -Support -Ins. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Shear Walls; Nailing -Bolts 15. Access & Ventilation 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle FINAL (Plans) OK except #'s 18. Water Pipe; Test & Anchor -Nail Protection 63. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 64. 20. Shower Pan; Test, First Floor -Tub Access 65. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Bedroom Exiting 67. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets at Wood Panel, Int. & Ext. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 25. Size Bo es & No. of Conductors Stapled Elec. Outlets & Recepticales at Kit. Counter 26. Romex kstalled Close to Edge of Studs & C.J. Garage Fire Door; Swing -Landing -Closure 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GA Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral p Yes Q No Elec. Receptacles in Garage (G.F.I.)-Romex Protection 31. Service -Riser Conductors & Ground -Main Disconect 32.Equip. Clearances Panels -Motors -Meth. Epuip. 33.Clothes Closet Light -Shower Light -Spa Light 82. 34. Smoke Detector 83. Stucco Brown -Finish Date A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive Q Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 �/ � pal 0. (Rev. 12'/96) APPLICATION AND PERMIT �.--.- ASSESSOR PARCEL NUMBER 069-290-016 RT1 ZONING BUILDING PERMIT ` OWNER HOLMES REVOCABLE TRUST TELEPHONE 589-3037 SO. FT. OCC. BUILDING VALUATION p 114 C 1402 OWNER'S MAILING ADDRESS P.O. BOX 60, FORBESTOWN, CA 95941 152 912 CONTRACTOR'S NAME TODD HEIMSTALL CONSTRUCTION I TELEPHONE 589-1689 -- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - - Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2394 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 35.10 BUILDING ADDRESS 6519 JACK HILL DRIVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 109.10 LOT NO. 129 SUBDIVISION'S NAME KELLY RIDGE UNIT 4B PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13� Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New [.Y Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVFR FXTSTTNG DFCK ANT) ADDITIONAL COVERED DECK Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W F 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service zoonoass 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing w with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 46. 00 CCU000A NEW CONST. DWELLING OCCUP. SO so OR ADDNS. ( a ACC. S.3.50FT: NEW CONST. MULTI.OUTLET NON-RESID. B=CI Cu @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20 Q 1.00 BAL .50 Ex. Occup. OUTEi TS RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date vliQ�1 _ Signature of Applicant - Qr 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. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST E VN Q 1 TOTAL FEHi HAZ. D. FEES IMP FLOOD e 0 5SU _ This permit is hereby issued under the applicable provisions of the tte County ode and/or Resolutions to do work Indic ed for ich fees have been paid. �. By Date _ PERMIT EXPIRES ON �� �7 Date Receipt No. 237039 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUf4TY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. (Rev. 12/96) _ _ e APPLICATION AND PERMIT � /ayy ASSESSOR PARCEL NUMBER i zx"G 7_l BUILDING PERMIT ' OWNER o We05f/oCa TELEPHONE SO. FT. OCC. BUIL DING VALUATION OWNERS MAIUNG ADDRESS r a912, CONT R'S n/� TELEPHONE ' CONTRACTORS MAILING AD SS CONSTRUCTION LENDER UENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCMRECT OR ENGINEER LICENSE NO. —FlingFee $ �. 20.00 ARCHRECT OR ENGINEERS MAIUNO ADDRESS Permit Fee E 0'o Plan Checking Fee $ /90 BUIU)INO ADDRESS 65,19 / laG�CWz& 42 Energy Plan Checking Fee $ era mel �`� S PERMIT FEE i ®' LOT NO. SUBDIVISION'S NAME / UNr PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE FSTRUC RE SF ❑ DuplexMobilehome Other SPECIFY Each Trap .:'7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel O Lttirities ❑ Installation ❑ Other ❑ Describe Work: eooe li e_x S lz L'G!_ V(fG/ ttA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 020.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600V OR LESS 20.OR USS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effectPO License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under ane of perjury that I em exempt from the Contractors License penalty P l rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation - provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. • X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO 1000A 46.00 NEW CONST. OWELIING O�Up, SO OR ADDNS. a ACC. RLn9. 3.50FT. No ESIp COST_ MULTI -OUTLET (x]7,50 APPARATUS 8 SX LE OVTLET CIR Ex. OCCU OUTLET OR FMRES ew ®L.� Ex. Occup. MD AP LM °R oLmE. ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ (� HAz. D FEES IMP FLOOD COF PARCEL PO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro ReceiptNo. CD WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f OF, BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING,.DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)538-7541 f ,. PERMIT APPLICATION DATA SHEET Proposed Building Use: At time of permit appli tion, I was �, ASSESSOR PARCEL NUMBER: Building Inspector: Date: the following data must be submitted prior to permit processing and/or issuance: Date Received By 1 items have been submitted.------------------------------- lot 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! ------------------ 06. Energy Design Compliance and supporting documentation. --------------------------- '------------------------ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- O 8. Hazardous Material Form.----------------------------------------------------------------=------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- O 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval�_v- pLL Health Department. ❑ 15. 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: 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---• 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------- 0 22. Workers' Compensation carrier and policy number. ------------------------------------- 1:123. Owner -Builder Verification (Given to owner ❑, Mailed to owner O). ---------------• 024. Letter of signature authorization. ---------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------------------- 026. Letter of intent on building use. ------------------------------------------------------------ ❑ 27. Manufactured Home utility clearance. ----------------------------------------------------- 028. Existing violations and/or expired permits. ----------------------------------------------- 029. 0433 A, ❑Grant Deed, O M.H. Title, O Check to H.C.D $ 030. Other: 6- 3 -9f Wh ou issue the ermit, process as follows ❑ Mail to owner, OMail to contractor. 'Telephone 5 $ 4 3 4) -3 � and hold for pickup at �V V f ( (A office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: -fib (YW► Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi&h counter, byDate: (6-10- 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, designowner of the above data by 13 phone, ❑ mail, ❑ Building Divi s' un , by Date Contractor, designko�Plans reviewed by: Date:• Plans approved by: Date: Sets of plans on hold 9 ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. (Date) 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 13 NO O 2. I HAVE 0- HAVE NOT 13 signed an application for a building permit for the proposed woilc. 3. I have contracted with the following person (firm) to provide the proposed construction:,,.:- .4i ADDRESS:��,tl,�� CITY: , PHONE: 5*7-? — Ib eq CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordttiata; supervise, and provide the major work: NAME: ADDRESS: Cly: - PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: :.. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER & �( DATE: NOTE: ---- - This -Owner -Builder Verification is required by Section 19831 and 19832 of Ae California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should r be aware of the following information for your benefit and protection: ' ♦ If you employ or otherwise engage any persons oilier than your immediate family, and the work (including ntaierials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contraciors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions.., ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially'sekous with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. :I It rely, el C. Vi ira, C.B.O.ger,'Building Inspection NOTE: This Owner-Builder.Info rmation is required by Section 19830 of the California Health and Safety Code OVER 98023 7-3-98 1 of 6 BILL & MARGE HOLMES DECK EXPANSION . STRUCTURAL DESIGN BUTTE COUNTY APN 69-290-015 GOVERNING CODE 1994 UBC _WIND 75 MPH . EXPOSURE 'C' CONCRETE - 2000 PSI REBAR #4 - GRADE 60 LUMBER - 2X- DF #2 6X - DF #1 �< e f 2.2 17l �Z�—G�i 1U N /Af Sao i f 2.2 17l �Z�—G�i 1U N /Af • 1 of ooa 000 �oo AAT 2tbs, 1 ss 42.381 50 SHEETS 5 SQUARE � <2.382 100 SHEETS 5 SQUARE 42.3.9 200 SHEETS SSOUARE RESIDENTIAL `A 069-290-015 PERMIT#97-0889 t HOLMES, Bill &,,Marge 6519 Jack Hill Dr., Oroville Cont: Todd Hemstalk ' Open Deck yMH 3 - %-� t Z- 3 3, 1� I 3 • i JOB FINALED (Date) 7_- Signature V=OK i 0 = Not OKNot = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 2. Soils.; Special MH Support Sketch 6. Carports; Windows -Doors 3. Sewer, Location -Test -Fall -C/0 -Concrete 7. Electric 4. Water, Location -Test -Easement Needed (Sketch) 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 9. Siding; Nailing -Veneer -Stucco -Mesh .6. Gas; Location-Test0rap; / tUft. / /Nat. or/ /Lt./ /LPG 10.Roo g -Roofing 7. Well Clearance & Disconnect Lit -Ext.; Steps -Doors -Landings 8. Utility Clearance z < Card B-1 Date Card B-1 r Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Size -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test -Demand -Valve -Connector. 5. Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/0 to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged t 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 t MISCELLANEOUS LS -Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.Roo g -Roofing Lit -Ext.; Steps -Doors -Landings Date < Card B-1 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-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 = 0 = O - = = OK NoNot OK RESIDENTIAL (: Not Applicable Not Ready Date Date UNDERFLOOR (Plans) OK except #s FRAMING (Continued) 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 49. 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel -Wrapped 54. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. Siding -Nailing Veneer 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance -Material -Support -Ins: Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purfin-roff Brac-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES 'BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541q/7-09 NO. (Rev. 12/96) APPLICATION AND PERMIT Ll �—�5� / ASSES �op eARC l9 u0 015 ' ZO ING BUILDING PERMIT OWNEBILL AND MARGE HOLMES TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6519 JACK HILL DRIVE, OROVILLE 1084 0 7588 CONTRACTOR'S NAME TODD HEMSTALK TELEPHONE 589-1689 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 64.35 BUILDING ADDRESS 6519 JACK HILL DR, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Each Trap.7.00 Solar or heaum water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CJX Describe Work: OPEN DECKS Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 Main Service =.A0".ss 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 fLLLI force and effect. �2 ^��� License Class Lic. No. `J�].lY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200AWEE To I000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( a ACC. BLDS. 3 5QS0. FT. NON•RESNDT CTI OC RCET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FDcruREs 20 �'�0° sA� p .so Ex. Occup. D galo,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under.penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �_ �tii� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Policy Number 3�gS4C:�> -fit n (The above sections need not be completed if the per it is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' comp nation laws of C Ufornia, and agree that if I should become subject to the worke s' com atkm provisions of section 3700 of the Labor Code, I shall rth I Qmply with t se provisions. _ gent pplicanY'❑ ner ❑ ContraYepp An OSHA per it is required for excavations over 5'0" dnd demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 183.35 HAZ. _ D. FEES IMP FLOOD �-- CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. By D�yte PERMIT EXPIRES ON / D e ReceiptNo. .221863 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t"`�•.�r';!¢'r`�7�."g'�!`'sf'�{}�;"�v"•g.'���ri' - _......... � .- A�f1i�''7iy,,,,.'ii�i�''9�"�1'-r�'1`-�""`�"�vi{�• .w�+ � . COUNTY.OF BUTTE DEPARTMENT OFDEYELOPMENT SERVICES -BUILDING DIVISION 1,COUNTY CENTER DRIVE - OROVILLE;ALIFORNIA•95965.- TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET V/ OWNER: YVI Q S ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was ad iced the following data must be submitted prior to permit p ssing and/or issuance: • Date Received By 3611 items have been submitted._: -:y: ------------------------------------------------------------------------------ 02. Plot plans, 3/4 sets, signed,by tfi p parer of plans. ------------------------------------------------------------ 13. 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. Engineerdtruss details and layout in duplicate r ' uired prior to plan review) No faxes! ---=-------------- s ❑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 ------------------ 010. ----------------❑10. Fees of $ '--------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- k ❑ 13. Flood elevation certificate.------------------------------------------=--------------------------------------------- 7 •❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------.. ❑ 15. 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. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on s i (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------------=,, 1122. Workers' Compensation carrier and policy number. ------------------------------------------------- `-------- ' 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- E124. ----------------------------- ---- ❑24. 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. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ;h!e,pjou issue the permit,,proocess as follows ❑ Mail to owner❑M9il t ntractor. Telephone S�% - �CQO and hold for pickup ari�'2�r �� offiFe. ❑ e iver with inspector. Applic t: 1@.u�i L_ (,lLt Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Po lution ate:_ ep By. Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: - Date By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List 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 Seryices, Building Division. Rr:SIDENTIAL 1, 69-290-015 PERMIT#97-0384 HOLMES, Bill & Mark 6519 Jack Hill Dr., Oroville Cont: Todd Hemstalk Mobilehome Utilities i„ 9 ? o,;2- z7 OFFICE COPY Address ELECTRIC 9 1 Meter By Dates J� JOB FINALED (Date) A _ Signature 1 t V=OK O = Not OK Not '=NotR6aldyble MOBILE HOMES 4.4- Zoning. Requirements - Setbacks - Easements j r, Location -Test -Fall -C/O -Concrete Water, Location -Test -Easement Needed (Sketch) + 5. Electricity; Location-Clearances-GmOF p -Concrete , 6. Gas; Location-Test-Wr/ /L,tL j / /Nat. or��L / , G 7. Well Clearance & Disconnect j ity Clearance I Date Card B-1 Date Card B-1 1 Date Card B-1 Date Card B-1 ' Date MOBILE HOME INSTALLATION (Plans) OK except #'s ;I 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line j 3. Gas; MH Test-DemandValve-Connector j 4. Electricity; MH Test -Crossovers -Breakers -Clearances J 5. Drain; MH Test -Fall -Flex Connector J 6. Water; MH Test -Regulator -Connector j 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged j 9. Tie Downs -Type -Installation Cert. I 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 0 o;4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectore Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓= OK 0 = Not No OK RESIDENTIAL(Single& Duplex) - = Not ApplirahlP Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-BlockoutsaNrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12. Electric Underground Brace Wall Panels 13. Pienums & Ducts; Clearance -Material -Support -Ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls- Windows 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Recepticales at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 23. Fixture & Transformer Clearance -Ins. Protection 75. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 25. Size Boxes & No. of Conductors Stapled 77. 26. Romex Installed Close to Edge of Studs & C.J. 78. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 79. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 80. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 81. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 82. 31. Service -Riser Conductors & Ground -Main Disconect 83. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 84. 33. Clothes Closet Light -Shower Light -Spa Light 85. 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date Ventilation Throught House Card B-1 Date Card B-1 Date Glass Protection MECHANICAL (Permit) OK except #'s 90. 35. A.C. Ducts Insulation & Support 91. 36. Vent Fan, Exhaust above insulation 92. 37. Condensate Drain & Overflow, Size & Grade 93. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Wails Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Ramex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls- Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-C lea ra nce to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J COUNTY OF BUTTE- DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 Telephone (916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT qq-Q�Wl ASSESSOR PARCEL NUMBER 069-290-015 ZART 1 TR BUILDING PERMIT 0 OWNER�� BILL & MARK HOLMES TELEPHONE 675-2627 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 60 FORBESTOWN, 95041 , CONTRACTOR'S NAME TODD HEMSTALK TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6519 JACK HILL DR Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CK Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 920.00 60.00 PERMIT FEE S 80/00 ELECTRICAL PERMIT Filing Fee 20.00 - Main Service eoovoA ORoR LEsLESsS 2o 23.00 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 P41 force and effect.(j License Class LIC. No. Ls�� �n OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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. bd 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' compensatigA insurance carrier and policy number are: Carrier J—CAT+✓ ybus') , Policy Number \� k CA I n (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers', compensation laws of California, and'agree that if I should become subject to the wo ers' comperlsation provisions of section 3700 of the Labor Code, I shall fort with y "th those provisions. _ - ignature f Applicant Owner ❑ ConVactorgent X __&end An OSHA permit is required for excavations over 5'0" d demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. 3.5Q FT. N OUTLET rOWR StIDT S.MULTI• IRCUITS 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU . OUTLET OR FDRURES 20 Q I.00 SAL @ .50 Ex. Occup. ouTLEEDTSA RSID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wirinci 23.00 • I PERMIT FEE = 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FAE $ H D. F S IM FLO�D C P EL H ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to indicated above for which fees have been paid. By Date r PERMIT EXPIRES ON �J I Date do work Q% / Receipt No. 210077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO: 4-97 Lake Oroville Area -'Public Utility District 1960 Erin Street OROVILLE, CALIFORNIA 95966 ' 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County -Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an'Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: Applicant: Applicant Address: February 10, 1997 Bill & Marge Holmes (Todd Hemstalk) PO BOX 60, Forbestown Ca Applicant Phone No.: 672-2627 (589-1689) Property Location (s): 6519 Jack Hill, Oroville,. CA 95966 A. P. No. (s): ii Kelly Ridge Estates Unit 4B Lot 4129 069-290-015-0 Fees due: ,$900,.00 SC -OR Regional Facility Charge Application for service apl PLl .MO. E AREA` =' ..#..... � ..�... . < DI RI V. spection(s) made aid successful'test(s) observed i" gj .a LocationDate: } it .y f ' � �,,�- }�y' .1z' sy}'�,.:'.. _ fit• �, •' i • By• iS' '5�:, ::GJy.S`.iC��, L ✓'. 'T}5... �'.'• µ.(l.'is S •._�.� •tel take Oroville Area Public Utility District release to close permit: Dater Cy t = rs k S''yF ':+ a �lq!,%A ►. � s..,: t1'' � �,. � lV COUNTY OF BUTTE DEPARTMENT OF DEP LOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAI:IFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET' i 4(A�s- OWNER: aI�Y�S ASSESSOR PARC -- Proposed Building Use: ER: a Building Inspector: Date: At time of permit application, I was advised the following data must be su muted prior to perm' pro essin and/or issuance: Date Received By ❑ 1. All items have been submitted .---------------------------------------------------------------------------- =--------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑13 Impact fees as shown on the attached schedule. California Department of Forestry plan approval/fees.6-Qk- ------------------------------- Flood elevation certificate.----------------------------------------------------------------------------------------- 4. Sanitation and plot plan approval Wealth Department. -------------------- ❑ 15. 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, El Drainage, ❑ Legal Parcel. ----------------------- �. ► Q0/1e_ �9. Encroachment Permit for driveway (construction approval prior to occupancy). 4X1� - � �----------- ► 3!: % El 20. Pre -inspection for required Request to Building Inspector on 1-12 1. Contractor's license information. (Number, Name Style, Classification). ---------- ------------------- ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- Letter of signature authorization. ------------------------------- Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. --------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. -------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ZE _ (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑OMail to ntractor. F Telephone — (p and hold for pickup at V YZM office. ❑ Deliver with inspector. Applic Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1?Index permit application for the kbkve items numbered: _ ❑ Plan Check List 2. Additional items required: trac designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin ivision counter, by Plans reviewed by: Date: Plans approved by: A6141 Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Date: 11— Date: Date: D te, i CQUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICESj. 1469 Humboldt Road, Chico, CA - (916) 891-2751 r,e5 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE :- :,. 7- 3 e OWNER PERMIT NO. _ ;vl A routine inspection indicates that the following violations of Butte County Ordinances exist at y ' the above address and should be corrected. Please notify this office when correction of work �i is co leted. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this immediately. /office n K� ±i r� ,Y fi Date Inspector =' h: REV 1o/ 2 ALL ffrRuarmo. AND EourmENT I OVERHMG9 SHALL B&E cipAR OF ALL EASEM .617 A SET BACK OF jAx-*. FROM THE SIDE 0FT. FROM THE REAR PROPERTY LINES AW� 60 Fr. FRC" THE ROAD CENTERLINE SMAJIL BE CLEAR OF STRUCTURES AND E0UrUW EXCW FOR A 2 Fr. EAVE OVERHANG -7-7' VJ P03- dev,*'Tons evil + VL C7 A-7 &1b %Yom -r 14 s;d (e 1/4 1, -= 5" 0 -�r I ee_ If 'O.:::r lb .. 0, 7- .L- )rTn 14 I Lo If 'O.:::r lb .. 0, fire 7- .L- 14 fire i peZp5 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 t�Y C0,00 -ED VAT M OR1C,Jt4AL D� MAR 5 X991 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-5 of the Butte County Code requires this acknowledgment to 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 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 established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessan. farm operations. All that real property situate in the County of Butte, State of California. described as follows: See complete legal description attached hereto and made a part hereof as Exhibit "A" Date: March 5, 1997 PROPERTY OWNERS: r William H. Holmes, Trustee Marjorie C. Holmes, Trustee State of California Countv of Butte On March 5, 1997 before me, Diane Matthews personally appeared William H. Holmes and Marjorie. C- Hnimac personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacitv(ics),"and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. _ �:__f�-tip �1• ,,o-;;; WITNESS my hand and official seal. l G(?N E MATTIHIEWC =- COMM. # 1001022 O -'�+� : NOTARY PUBLIC - CALIFORNIA Signature rO SONOMIA COUNTY �� }, ��,/� SCAT: My Carnnt. Expires Skp,. 14, 1_-7 � L ,.P.# -C9 (DI? - ago -o 1 �' kms. EXHIBIT "A" THE LAND REFERRED TO IN THIS POLICY IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL. I—A: LOT 129, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. PARCEL I—B: AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FEET LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE WESTERLY BOUNDARY LINE OF LOTS 127 AND 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B11, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OFA MAPS, AT PAGE(S) 73,74, 75, 76 AND 77. PARCEL II—A: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE_ OF THE RECORDER OF -THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGES) 73, 74, 75, 76 -AND 77. PARCEL II—B: AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FEET LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE WESTERLY BOUNDARY LINE OF LOTS -127, 128 AND 129, AS.SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B11, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. i t ;.--RE SIDENTIAL 069-290-015 PERMIT#97-0227 : HOLMES, Bill & Mark 6519 Jack Hill Dr., Oroville Cont: Todd Hemstalk New Pri Det Garage 015_1 I 1 i r seems a i JOB FINALED (Date) e% _ Signature V=OK K ` 0 = Not OK- Not '=tt able NoReadyMOBILE 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 Card B-1 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 5. Electricity; location-Clearances-Gmd-/ /Amp -Concrete Card B-1 6. Gas; Location-TestANrap; / /°L'ff. / /Nat. or/ PL"ft./ /LPG Card B-1 7. Well Clearance & Disconnect 8. Utility 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. 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS VERS; CARPORTS, GARAGES(Plans) OK except #'s on' equirements-Setbacks-Easements tings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4.• Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg -Rfg: Bracing 5. Alum. Awn. Columns -Connections -Splice -Decal -Enclosures 6. C r s; Windows -Doors 9. ; Shthg-Roofing Steps -Doors -Landings Trusses Date / Card B-1 Date Card B-1 Dat 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, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 Suoolv Test 3/��g� xg Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 3/��g� xg ✓ = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s r RESIDENTIAL (Siegle & Duplex) Date 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P Ftg. Depth 47. 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 48. 4. Ftg. Porches & Decks; Soils -Steel-/ r Ftg. Depth 49. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. 6a. Hold Downs and Special Anchors 52. 7. Slab, Steel -Wrapped 53. 8. Piers -Fireplace Ftg.-Steel 54. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 55. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. 11. Water Pipe; Test -Anchors -Regulator -Service Test 57. 12. Electric Underground 58. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 59. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. 15. Access & Ventilation 61. 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card E-1 Date Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. ELECTRICAL (Permit) OK except #'s 72. 23. Fixture & Transformer Clearance -Ins. Protection 73. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 74. 25. Size Boxes & No. of Conductors Stapled 75. 26. Romex Installed Close to Edge of Studs & C.J. 76. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 77. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 78. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 79. 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 80. 31. Service -Riser Conductors & Ground -Main Disconect 81. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1' FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct -Damper 76. -in -Garage Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoPWalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1' Date Card B-1 Date Card B-1 Comments at Final: �r COUNTY OFBUTTE - DEPARTMENT OF L.'�VELQPMENTSERVICES -BUILDING DIVISION - / 7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541 PE IT N0. (Rev.12/96) APPLICATION AND PERMIT �`0 ASSESSOR PARCEL NUMBER 69-29-15 RT 1 ZONING BUILDING PERMIT OWNER BILL & MARK HOLMES TELEPHONE 675-2627 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 0 BOX 60 FORBESTOWN 5941 5 CONTRACTOR'S NAME I TELEPHONE ' 75 SHELT RWOOD LN OROVILLEJ 95966 CONTRACTOR'S MAILING ADDRE�D� CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 9,3 0.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ _T T ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 7 .05 BUILDING ADDRESS 6519 JACK HILL DR Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 213.05 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PVT GARAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 28 26 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos ORLEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in. II force and effect. �� / �2 + License Class LIC. NO. C� J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To IooDA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS, SO 3.5¢Fr: 18. 20 NON•RESIDT MULCTI-OCUTCETS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FOCTURES Ex. Occup.BAL 20 Q 1'00 p .50 UNS Ex. Occup. ouTLBE-ors RES D.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 61.2 0 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' compensates provided for by section 3700 of the Labor Code, for the pe ancr4� a of the work for which this permit is issued. 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' m e sati insuran a carrier andolic number are: P Y Carrier _ Policy Number ` (The above Sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the Zennsation provisions of section 3700 of the Labor Code, I shall `forthwith com Ivii _ X _ ,�_ Date �� Signature of pp Icant - ❑ Owner LTJ—e5ntrector ❑ Ag t An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over sto • s in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home installation Fee $ Energy Inspection Fee $ occ NST. TYPE TOTAL FEE 274.25 H D. FE IMP X FLOOD X C F PARC 1 ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By to / l PERMIT EXPIRES ON ata Receipt No. — 7, 75-- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO GOLDENROD -APPLICANT i ?`�1°:?;lui�u' ,�w�:'c` et^.Haat;AFL`�'y�,:i�ir���;9�'�.C^�''"-1�t:.N'�CK•"�'�'�'-'i�:;¢rr,C++,ir�^ WN;» v�.v `�; �-'�-"".�.• y-•= `LT.-.. , _. T•x=f'• :. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,941 PERMIT APPLICATION DATA SHEET OWNER09t' /Ypt'/n S A. P. No. ��ZA9- JS� Proposed Building Use C-4i rrs A j _t RESIDENTIAL 069-290-015 PERMIT#97-0658 HOLMES, William 6519 Jack Hill Dr., Oroville Cont: Integrity Homes CF MH on Perm Fnd LS& I it HUD PURM 433A FOR THIS MH CANNOT B ?CORDED UNTIL ONE OF THE FOLLOWING AVE BEEN TURNED IN TO THE BLDG DIV: E (2) STATEMENT NOFFARWONW MH'S) [SPECTOR TO _VERTFY_ 4RRTAT A. r ADVT UICI CK - JOB FINALED (Date) Z//ZA2fz _ t Signature s V=OK 0 = Not OK =Not t Ready NoReaMOBILE 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/0 -Concrete ater; Location -Test -Easement Neede� (Sketch) Electricity; Location -Clearances -Gm p -Concrete Gas; Location -Test -Wrap; / /4 -'ft. / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBLLE HOME INSTALLATION Plans OK except #'s Zoning Requirements -Setbacks Easements %2. Footings;Size-Spacing-Marriage Line as; MH Test -Demand Valve -Connector L_Ar Electricity; MH Test -Crossovers -Breakers -Clearances I Drain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector U-Wgrer—and Sewer Connected -C/O to Grade -HD Approval 8 as and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 0 Date A /? `y% Card B-1 y��� Date Card B-1 Date Card B-1 Date Card B-1 ( � I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg.; Boxes-Enclosures-Panelboards-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 ✓ = OK ,SetG,r 0 = Not OK a��� RESIDENTIAL (Single & Duplex) - Not ApplicahlP Not Ready Date 46. ,-' UNDERFLOOR (Plans) OK except #'s is 1,_ZoningSetbacks-Easments-Flood-Slope Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ J' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ J' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Dates f --2 Card B-1j:f Date Card B-1 Date Card B-1 V Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Rar,je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card 8-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) _ Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77.Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: r - COUNTY OF BUTTE- DEPARTMENT OF DEVELaPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7"47-,01, 38-75447 / !TNo. (Rev. 12/96) APPLICATION AND PERMIT (A ASSESSOR PARCEL NUMB ER 069-290-015 P --r) ZONING BUILDING PERMIT OWNER WILLIAM TELEPHONE SO. FT. OCC. BUILDING VALUATION p � 78, 624.00 OWNER'S MAILING ADDRESS PO BOX 60 FORBESTOwi CONTRACTOR'S NAME INTEGRITY HOMIES TELEPHONE 911-4403 CONTRACTOR'S MAILING ADDRESS ' CONSTRUCTION LENDER , LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 272.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 177 .10 BUILDING ADDRESS 6519 JACK HILL Energy Plan Checking Fee $ $ PERMIT FEE $ 469.60 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00- USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH PERM FOUNDATION I Seg. Q`7- 0 3%q 4;r (L (. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service zoo oa .ss 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 ful orce and effect. }� n l� License Class Lic. No. 7 O / ! [ 9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. B. NON -R SND• NEW COS.MULCTI.00UTLET 97,50 POWER N ER ouARAr.T Ic a. OUTLET OR FIXTURES ZD t.00 Ex. Occup. BAL @ .so Ex. Occup. ovritorsA RS D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c ensation insurance carrier and policy number are: Carrier /1 j C& -_I -e- 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should.become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith comply with tho a provisions. ` X , Da S' na of Applicant - Owner ❑ Contractor�Agent An OSHA permit is required for excavations over '0"_ee , art.d demolition or construction of structures over 3 stories in height. C9 ��'Uo� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 469.60 HAZ. D. FES IMP I FLOOD I CDF PARCEL Po I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ��Q 41141'q7 By D toa ' PERMIT EXPIRES ON l`t (Da te Receipt No. 210386 U WHITE-D.D.S.-B.D. CAN RY•ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY,OF BUTTE - DEPARTMENT .OFD, _ 7"COUNT4y' CENTER DRIVE - OROVILLE, -4: , :NT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER/!IL// "D L Proposed Building Use:uilding Inspector: Date: At time of permit applicati OX was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. 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! ------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. -----------------------------------------------=---- . ,-, 117. Statement of Intent for Non -Heated and A/C.Buterildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ eesof $------------------------------------------------------------------------------------ . Impact fees as shown on the ,attached schedule.---------------------------------------------------------------1_� 1j, 0 W,tl California Department of Forestry plan approval/fees. --------------------------------------------------------- 1 . Flood elevation certificate. -------------------------------------------,--------------------------------------------- 4. Sanitation and plot;plan approval Health Department. ------------------------------------------- 1115. ------------------------------------------ ❑15. City of Chico plumbing permit.------------------------------------==--------------------------------------------- - z ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: _ (B) Parking: -------------------------- i . • Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- JVT9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. ---------------------------❑'20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).-;--------------------------=--------- ; + 024. Letter of signature authorization. ------------ -------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------------------------- Lj 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------- ❑28. E . g viol s and/or a permi ------------------------------------------------------------------ ❑2 433 g% -------------- ant Deed, Title, _ o�H.C.D $ - ❑30. Other: ------- Zyou issue the permit, �rss as follows 11 Mail to owner, ❑Mail t contractor. T'1ephone,!,-­23 "-' / d 3 and hold for pickup at ©" office. ❑ Deliver with inspector. ApplicAbjn_�) ! Date: 9 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution' Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. 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, ❑ Buildin$x iv" ion counter, by Da Plans reviewed by: Date: Plans approved by: ,(/Y2/ Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow, Copy - Department of Development Services, Building Division. Kyn:a*�'.'��E�rY�tiyy'{�.ijT Y'� Y'..�..ifn"� � Lj�:.,�-�'{��.��d`���'�yfi�}'��l.l#aS^'^�•�+.yN.t.-.r,+iyw.a4•Na��m.i�-ar COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER 1G–L m :5 A.P. #Olo l 4-96^D 15— PROPOSED 5PROPOSED BUILDING USE {�' �� i(/ DATE / 7 7 4 REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ....... $' _V `2. SCHOOL DISTRICT FEES paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units a Commercial (sq.ft.)... x $0.03 = $ l /0 9 / Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $4 5.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 9.00 (paid at Building Division)_- 7 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Original -Owner Copy -Building Div. DATE (Rev. 12/96) COUNTY OF BUTTE BUILDING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES zS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 >t CORRECTION NOTICE OWNER — ( IPERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If u have any questions pertaining to this matter, or need additional explanation, ease co ct this office im ediately. D2te Inspector REV 10/72 •Y ` D2te Inspector REV 10/72 04/10/97 15:18 BIDWELL TITLE/CHICO 4 9165330125 ROM Af Vw PaquM Cf MI 14j► I ; 0j*61) a�016W No. 15?o$WM Em m No. t 67oomm 9 6 —� � N4. 96-0462771' WHEN RECOMM MNL TO: 1 WILI.WN H. NOLMS. TRUSTEE M11iiMIE C. MOL MS, TRUSTER P.O. BOX 60 FOMESTiOWN• CA 9MI ORO -C Recorded Official Records County of Butte Candace J. Grubb■ Recorder 610060 10-Dec•96 NO. 151 P002 Rea roe 12.00 DOC 29.70 Check 41.70 MVTC t!P 3 ..... �wr.■ 1n Lw nn maw w use MAIL TAX BTATEMENT6 TO; DOCIR�MAAIITiWMFM TAX 44M AS ABOVE � �M ee Ownwi�abn a �,. d p�Ifb w�rt4 a1 $VOL" d *NUN M Cl AgOt eMen�r,p o�so-eaa GRANT DEED FIDR A VMLM" ooNamepATION• FgOW o/ ~ is hW" dngwY�a BMW M Oip M wa mgm A: OIQt1pC1, AS TIIIIEM8 OF 1lrEDIg01000 NA1ER VMO® Ti6t6 t. . ow►Tt� � t� , . Iwrby GRANT(8) b VALL M IL Mum ww mArim G HMAIM'1'JI;U8T688 OF ULMMMBS RsvMMS I2JTER DIVOS TRUST VA MAY 150 1987 no AM plamly in Qw Cq d C"" of M WE ATTACH= AWL ppL Dated IBIMIOpfp01>LbSd � THE DiCIUCCI*.'INTER VIVOS TRUST DATED JUNE 1987 &VO&Z 4L . 130.4 Airy. Q• •fes,. G'k . BTAT6 OF CALMWA ) COUWY OF SACRAMENTO pa.awy anaiM► be^� ad I IN 1, 1 Opt b no go emomw dOM IMOanaM IMSpng(sp) ON a" www f d wlOOh aw PON&W ad" aaan.a ar robwo" wffwm nor •ne awow..0 r >r 11MILI Ir 001111,non�n ooaw► enm 0 Q4/10/97 15:18 BIDWELL TITLE/CHICO 4 9165330125 NO.151 P004 ILLEGIBLE NOTARY SEAL • DECL.ALiATION GOVERNMENT CODE .7 I cectify under penalty of perjury that the notary seal on the document to which this statement is attached reads as Follows: Name of Notary MARIA L. BVERLY E M.Date 9/4/99 Commission. YDi 1071178 Manufacturers JDi' MEP -1 County SACRAMEM state CA MID VALLEY TITLE Place of execution of this Declaration_ 2295 Peether Rvr. bjXd,. Uoville, CA Date 1.2/9/96 1 �"- Signature rmI name L9 any r 04/10/97 15:18 BIDWELL TITLE/CHICO 9165330125 NO.151 P003 r ORDER NO. BU -157080--3 DESCRIPTYON THE LAND REFERRED CALIFORNIA, COUNTY TO IN THIS REPORT IS SITUATED IN THE STATE OF PARCEL %-At OF BUTTS, AND IS DESCRIBED AS FOLLOWS: LOT 129, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4810, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTS, STATE OF CALIFORNIA, ON NOVY,MBER 10, 1977, IN BOOR 58 OF MAPS, AT PAGE(S) 73, 74, 75, 76 AND 77. AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FIST. LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE S9BSTERLY BOUNDARY LINE OF LOTS 127 AND 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE($) 73, 74, 751•76 AND 77. PARCEL IhAi LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT 4B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECOZWER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGS(8) 73, 74, 75, 76 AND 77, AN EASEMENT FOR INGRESS AND EGRESS OVER AND ACROSS A STRIP OF LAND THE UNIFORM WIDTH OF 20 FEET LYING EASTERLY OF, ADJACENT TO AND PARALLEL WITH THE WESTERLY BOUNDARY LIN$ OF LOTS 127, 128 AND 129, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 11KELLY RIDGE ESTATES UNIT 4B"► WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTS, STATE OF CALIFORNIA, ON NOVEMBER 10, 1977, IN BOOK 58 OF MAPS, AT PAGE(8) 73, 74, 75, 76 AND 77. STATE OF CALIFORNIA BUSINESS, TRANSPORTATIGN AND HOUSING AGENCY �`4 - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM"'" STATEMENT OF FACTS This unit is a: Mobilehome 0 Commercial Coach 0 Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: c k. 0 A-, I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the -above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on at (Date) (City) (State) Signature(s) Printed name(s) �i/ hf6mV-S r)c-. Address 17 Z10 City r0 c�/'��� , State HCD 476.6 (REV 9/91) l 06 e-7—Zc�v 7 -OD 'fY`M*vt -v f t�' jhq ' � ^. j„,=.ti ►1__ j r � r ci fi v'% /iQJ t it i tn� l r ? f `: BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District _ ro (C �•' I Building Department No. A.P. Number DG / ~� /Q 'D/S Jurisdiction: City EX County Property Owner %j(%t 111ayy) �0/0�? Property Location/Address Subdivision Lot No. % Residential Development Sq. Footage ! � / No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial (rioor Mans reviewed dy Scnooi uistnct rersonneo Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. School District certifies that (Applicant) (Street �Address) (City) has complied with the requirements of Resolution No. representing square feet. School District Representative (Phone Number) a (State) (Zip Code) / by payment :of $ B 2926 $ ULL MITIGATION $ J-97 Date Paid by Check 11 Remarks: 90 - Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to. the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI, this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm L.! 2 Vaa'I�s CQiI Z /O ' � , �7 • vJ ,inch F-%r�-r— C3�cvE OZv,', r 3Z•7 - i , l Ll o i 4- z O 4re-e- 77 �iITRel o i ovs SJ' s�9 5&'7(Z 409 IL 3 2 I i Pec. •J I n � 'S /3zIre- .�,