HomeMy WebLinkAbout069-360-026.. _ .. .- -
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69-36-26
el & Charlene Cloud' ��� ti
12 encairne Dr. ,lot 5, Ballantrae o f ` "� , O II _
Marro J� Oroville -
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Permit 3316-81B,P,E'M(new single
family)
69-36-26
Permit #3984- B (add' 1 ftg . &. inter_,
stairway SF)
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69-36-26
26
Permit # 2621-82B(1. re wal/3316-81)
69,-36' f C �I
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Permit#2986=83B(2nd. rerie 316-81)SF y
69-36-26.. Y
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Permi'02805-84B j
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69-36-26 - --
~Permit# 56-85B(4th renewal/3316-81) D p
P t it#2637'"86B(5)th :renewal/3316-81)
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ERMIT
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Temp. Gas Service
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Called PG&E
EXPIRES
.PERMIT
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OW Euel '& •Charlente' ; Cloud
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Owner
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ASSESSOR
PARCEL
69-36-26
�
LVOCATION
12 Bencairne Dr. lot 5
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Ballantrae Manor ,#2, Oro.
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Temp. Power Pole
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Temp. Power Pole
Called PG&E
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Temp. Elec. Service
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Called PG&E
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Temp. Gas Service
Called PG&E
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JOB FINALED (Date) ^
+'
Signature s -•--
J = OK
0. = Not OK !
- = Not Applicable MOBILEHOMES
* = Not Ready `
MISCELLANEOUS :.
.Date
MOBILEHOME UTILITIES (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's '
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
r ..
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shing.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ P, LPG'
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date -
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's '
Card -BI
Date
Date Card-bl Date _
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1; Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5.Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval' t
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Bones -Enc losures- Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch Tom.
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
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V ,= OK
O' = Not -DK
Not Applicable RESIDENTIAL (Sin'gle and Duplex)
= Not Ready
O�-cnr-
Date D!�R LOOR Plans OK exce t#'s
Date FRA
Continued
onin requirements -Setbacks -Easements
48.
r rty Line Firewall & Openings
g., Main; Soils-Steel-Elec. Grnd.- / Ftg. Depth
49.
. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel -,V1_4!' Ftg. Depth
50
airs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ft Porches & Decks; Soils -Steel- / /" Ftg. Depth
5
P ood on Roof Overhang -Attic Vents -Rafter Outriggers
,0000Stq,%walls, Main; Steel-Blockouts-Wrapped-Slab
52
iding-Nailing-Veneer
_ temwalls, Garage; Ste2j_81l7Muts-Wrapped
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. iers-Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9,,Cas as Pipe; Size -Anchors
0. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground U F-
_ ums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -B
ate and -BI Date
!O oN lC%G SYZ. ,clL
Card -BI
to Card -BI Date
TS,l j>wu O/C ! ! o
Card -BI
Date Card -BI Date
Card -BI Dat -kl Card -BI Date4
Date FINAL (Plans) OK except #'s
Card -B ---Date//' 2,:,E4, Card -BI Date
j fgZ ' L(X/0Co1` 44409<6 ` y/jF
Date PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
V5.6.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
Zin
n -Clearance-Comb. Air -Connector-
Garage; Above Floor-Ducts-Mech. Protection
Z 15. tester Pipe; T nc t n
1 D.W.V.; Tett-Fttngs & Anchors -Nail Protection
Bedroom Exf ' g
17. Shower Pan; Test, First Floor -Tub AccessA.F.I.
18. Test Tub & Shower, 2nd Floor -Tub Access
Bath es & Tub Access
Elec. Tri Subpanel reaker Sizes -Labels
19. Gas Pipe; Size & Anchors
Stairs & Rails
_
3.
Fireplace or Stove; Clearances -Hearth
6
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date� Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
66._,Elec.
Outlets & Receptacles at Kit. Counter
Date E E RICAL Permit OK except #'s
Garage Fire Door; Swing -Landing -Closer
68.
A,Q_Dm t-iR-&arape-Damper
2 . Fi re & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. I .Receptacles Spacing -Lights &Switches at Doors
0.
Plb., Elec. &Mech. Equip. Listed for Location
22 ' e oxes & No. of Conductors -Stapled
Elec. Receptacles in Garage; (G. -Romex Protec.
.2.
2 m x Installed Close to Edge of Studs & C.J.91?.
2 uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic ❑Yes
.
Guard Rails & Deck Construction -Post Caps
2,4"2 Appliance Circuits in Kitchen & n uctor Size
74.
Fdn. Vents & Crawl Hole Do Drainage & Wood -Earth Clearance
Looked under Floor es
26. Subfeed Wire Size /�ga. Cu o A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive es Walks ❑ Yes o;
Planters ❑Yes ❑
28. Service -Riser Conductors & Ground -Main Disconnect
76.
rown-Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
kr7.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Show Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
w
al, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
1.
Ventilation throughout House
Card B -I Date Card -BI Date
181.
lass Protection
Date MECHA AL (Permit) OK except #'s
_
Corrections from Previous Inspections
84rft.
1 VtiL-NIUMS Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
31C cls; Insulation & Support
32. ent F.Exhaust above Insulation
_ _33. Condensate Drain & Overflow; Size & Grade
Energy Compliance Certificate -Other Certificates
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -B
Date Card -BI Date
Card -BI
Date.�t/ � Card -BI Date
Card -BI Date ' Card -BI Date
Card -BI
Dat -1 rM Card -BI Date
Date FRAMI Pans OK except #'s
omments at Final:
36. i Proper Material & Anchors
jJ'b
37. W Studs -Nailing, Spacing & Bracing -Plates -Sound
L! 14C,L4
_
38. V. g Walls over Girders & Floor Nailing
P G+-%
39 ft Stop in Walls (rat proof)
AD
A_t
4 Fire b s; Furred Ceilings -Stairs -Chases -Tub
gb
__4 _ eader & Beam -Size _ & Bearing
42. g r - ost ps Anchors -_Connectors
4 C g Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh nq.-Rfng.
44 i ce Ties or Type A Flue -Fireplace Throat
_
45is es_s; Size & Romex Protection -Draft Stop -Ins. Baffles
_ 46 Bd Windows or Exiting Doors -Sill Hgt. & Dimensions
47 arage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
(,aner, Permit No.
ENERGY CERTIF ICAT ION
12 Bencairne. Oroville r.,!2 - s4 -
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberalass Batts Brand Name Owens-Corning
Thickness(inches) 64" Thermal Resistance(R Value) R-19
CEILING
Batt or Blanket TypeFiberglass Battsgrand Name Owens-Corning
_ Thickness(inches) 64" Thermal Resistance(R Value) R-19
Loose Fill Type Brand Name
Minimum Thickness (Inches) Number of Bags Wt. per bag -lb.
Area covered(ft.2) Thermal Resistance(R Value)
FLOOR, ELEVA�ED
Material Aa
Thickness(i&hes)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name '-1.2
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements,
Loerke Insulation 432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
120MJGf9f4c .E�pJ 2-20-85
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAM
J,QWNER (Please print)_ STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE' POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville - Phone: 534-4541
Skyway and Elliott Road, Paradi-se - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
R-
A
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
gutter, or need additional explanation, please contact this office immediately.
Inspector Q -V1 Date A - -1 __
COUNTY OF BUTTE - DEPAAT•MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califorriia 95965 - Telephone 916/534-4 `11,217/6
APPLICATION AND PERMIT
ASSESSORKjARCEL NUMBER
(/Q
zO
BUILDING PERMIT
OWNER
TELEP oNE
SQ. FT. OCC. BUILDING VALUATION
-1-7-q-7 AILING/MS r-/I/VCr V ✓IVlst_i V'7
W
OO
CONTRACTOR'SS'NAME
TELEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace A
CONSTRUCTION LEND
UNKNOWN
Total Valuation 1 $
� , 6
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGIN R
LICENSE No.
Plan Checking Fee
$ 14121 Lam. D
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Zt3
BUI)D�G ADD$ES_S_ ^,4/R - IE Pel VE -
,(// ((J/('�/^V/ �//! ,AVIPLUMBING
PERMIT
Filing Fee 10.00
Each Trap
2.00 Q�
Repair drainage or vent piping
5.00
D di�/LW
Water piping
LOT NO.SQUBDIVISIIO"N'NAME
rJ1-r7VE M%���� Z
P2ARCEL MAP
Jp-7�
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
�,� USE OF STRUCTURE
PDuplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
p LI)SF
Lawn sprinkler sy em
5.00
SO� a_rCr 14
rUl
TYPE OF WORK
New Addition❑ RemodelUtilities❑ Installation[] Other ❑
Describe work:
Permit Fee
$ -0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00Q
rsO
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ACC. BLDG . `
2Q sq ft , 8
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Cha -pt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and'effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec..7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R BRANCH -OUTLET
ITS 2.5Oea
NEw CONSTR. ( POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 50@25
IXED APPLNS. OR
Ex. Occup. �OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring '7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
9&67-5 0
Cooling 1>110046"
Hood
3.00 QQ
Ventilation
Permit Fee
S , p
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against C t onse ce of the granting of this permit.
Date
ign pplicant — Owner Contractor ❑ Age ❑
An OSH permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
r 2J' g�
TOTAL PERMIT FEE $
occuP. GROuPTYPE
"3
OF CONST.
IV
11
PARCEL PD
K;SS>F�,
Thispermit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
PE XPFRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date .(� OPY
�y
/ 7—
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-IN5PECTOR, GOLDENROD -APPLICANT
-�- � -�.- v�-..y....y.y...ec---�s�aaLF�.'.rppy�iV'r" y"+Me"5w`'i.. - ..-aw+.-vr+w-x....�e^.. ;w.•�- y.r vim.--.w..o...-�,w. -.-_
y
COUNTY .OF BUTTE - DEPARTMENT OF. (PUBLIC WORKS - BUILDING�DIVISION
"_-*,7CENTER DRIVE - OROVILLE, CALIFORNI95965 - TELEPHONE:: 9
A16/534-4541
PERMIT APPLICATION DATA SHEET
Permit No
OWNER �vt L eil ��C� 4 /0&oub A. P. No. �v�I ".3�n"Z�o
Proposed Building Use
Permit Fee BasedUrn: Complete Contract Price DPW Valuation
1 Other (Explain)
Building Inspector Date 15-31-1
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . .. .
3. Complete plans in duplicate. /triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement.
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) {
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to x
�17. Pre -Inspection for Required. Building Inspector n) (Date)
- 18. Other e6,4_-QR2>C-2) )94,
When ou issue the erm VMS. as foll s: Mail to•owner. Mail to contractor.
Telephone � �� "' and old for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept.', Fire Dept., _6011her Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
z
(Contractor, Designer, Owner) was advised of above required data by
By
Plans
Plans
Other
Telephone
�f
Mail
Date
Other
Copy—DPW
.CtI,om, ��iv:..r.orde j
Sub e,aI . Saua_',*at ;:ou, 1eaxCL1Z
P.'I.£+T2 v?pp.ruvt� d : Cr.
Nord f' -i.0 � or -
Fir.ul c 4a.run E O.K.foos
%t-t6xOcr :� nwle
Olaar;�tuce Cor I-ld-i +• on of
No tt. �
o't h s i''
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIF ICAT ION
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received,
1. I personally plan to provide the major labor and materials for construction
,of the proposed property improvement (yes or no) y�
2. I (have/have not) signed an application for a building
permit for the proposed work.
3., •I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City .
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property
Social Se _
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
-4Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RUTTE COVITY ^ (;Ao .
FOR RESIDENTIAL -DEVELOPMENT ViCOF05 f QL.1:
Section 26-8.1 of the Butte County Code requires this acknowledgement SEP
be recorded prior to issuance of a building permit.
CLARK A. plfnf.S, ON
The property described herein is adjacent to land'or included CLERK-REGGr�DFI��s
;within an area zoned for agricultural purposes, and residents of �.e,�8r�c�8 FEE
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including', but not limited to herbicides,'
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying; pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be_prepared to accept such
inconvenience or discomfort from normal,'necessary farm operations.
All that real property.situate 'in the County of Butte, State of California,
described as follows:
Date: September 1, 1981
1
State of California ) On this the lst day of September 19 81
SS. before me, the undersigned Notary Public,, personally
County of Butte ) appeared
Euel J. Cloud and
Charlene S. Cloud
0 OFFICIAL SEAL
SHARON M MCGHEE
m NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
My comm. expires APR 5, 1985
Present A.P. N0.
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
a*
0
0
CM
C,JZ
5pl
r j Order No. 125'21
DESCRIPTION 1
1', r All -that certain real property situate
�. described as fnllnw.r_
in the County of Butte, State of California,
Lot 5, as shown on that certain map entitled "BALLANTRAE MANOR UNIT NO. 2111
which map was filed in the office of the Recorder of the County of Butte, State of.
J California, May 16, 1963 in Book 30 of Maps, at pages 20 and 21.
0
3: t
TOGETHER WITH: w
An e.isement for installatioi and mainten-)nce of a 'sanitary sewer line over a stripy
of land 15 feet in width, 1 -in` adjacent- to Southerly of and parallel with the Northerly.•
line of lots 6 and 9 in said Ballantrae Manor Unit No.
A15 -aa =-,n easement for sewer line 'installation andmaintenance and septic disposal
purposes over a.portion of lot -9 in said Ballantrae Manor Unit No. 2 and more '' "�.e
..�,. particularly described as follows: y
,#,f is Y- , .. "' _ .. r ' •, • ..... ,...,, `-
Be iming at the most Northerly corner of said Lot 9; thence South 460 05; East, ` h
X,
along -r
the Northerly line of said Lot 9, 111.18 feet to the Northwest corner of hot
10 of said' Ballan;;rae Manor Unit No. 2; the?Lce South 11° 4.9' 42" west, along the
bo ary line bet: een said Lots 9 and 10, 131.0 feet; thence North T°' 1 47' _ 55rr west,;.
100.45 feet to a point on the Northl:csterly line of -said Lot 9; thence North. 131' � 38'
4Ea--"-, 179.0 feet to the point of beginning as i .Yo Willow the installation
necessar t`
.4 �
._..tw± _t '• r.-_.. _ _..+s.yr. Wt...:• • Ni.�Y; +,r.; A► r
of 400 Lineal feel; of�lea._ch. line with a equal- area set aside for full replacemeVint of
said installation. Installation slcall continence -adjacent to the. Easterly line of 'the • ' �'r";;„�'
Northerly half of said Lot 9 and. proceed Westerly with parallel lines until 400 feet o f
line `Aa.s_ been installed._ Tih,e re})laccrient are: shall be determined in alike manner.-
Said
anner. Said easements shall. he for the benefit of and a ''.
ppui tenana o Lot 5 in said Ballantrae ,r`;
Manor•Unid' Ko, 2 until such time as.a sanitary sewer main is constructed and
va i'i_ ble for 'connection within a right-of-way contigious to said Lot-. 5. This easement . f%
shall be considered abandoned within a time, not to exceed six months, frcm -the ,
firr't date sewers ze'wvaila.ble.
N.
ty t o.
.. . �••••.Lt.;c . ;,' `-L � rh•-�wa+9e+Mww, yw.- +.e • - '� •}
EN0 O i
COUNTY OF -BUTTE - DEPARTMEITT OF PUBLIC WORKS ERMIT O
7 County enter Drive - Orovilie, California 9565 Telephone 916/534-4541
APPLICATION AND ¢Ef MIT a
ASSESSOR PARCELT ER
6
Z7 n
r L�
BU' DING PERMIT
C LL�=/ V C�C�F/
l} w p—� f�E[
�O
LqE H NN
W-;
O�/
SQ. FT. OCC. BUILDING VALUATION
r co
OW
fJ—GE{RGS
" /� �•
6 11,1 ec `/-' /�Cc V /
COO TRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
r ov
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 2O. O d
ARCHITECT OR 'ENGINEER
LICENSE NO.
Plan Checking Fee
$ O.a-0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS .
Permit fee
$ . OO
BUILDING ADDRESS �
^L7/ /V
PLUMBING PERMIT
Filing Fee 10.00
Each -Trap
2.00
Repair drainage or vent piping
5.00
v�LCte�
Water piping
LOT NO.
SUBDIVISION NAME I PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 -5 outlets
USE OF STRUCTURE
,—
SF U/, Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ AdditionRemodel ❑ Utilities ❑ Install tion Other ❑
Describe work: PZ_ /
rl� 12
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR LE
00 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.511
OR ADDNS. ACC, BLDGS. /
20 sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OU LET 2,50 ea
NO N.RESID BRANCH CIRC TS
NEW CONSTR. ( POWER APPARATUS 6)
NON-RESID. SINGLE OUTLET CIR.
50@25¢
Ex. Occup_ o XED Ts OR FIXTURES BALP1
FIXED
XAPP LHS. OR
Ex. Occup.((RESID.) EA. 2.00
` Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against Co i ' nsequenc of the granting of this permit. n/
X Dat �� X�
Signature o licanr – Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $®a
Ep. GROUP
TYPE of CONST.
JPARCELJ'
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OF PUBLIC
BY
PER E PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date%
5SReceipt No. fJ
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-.4:541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)..gej
2. I (have/have not) ��,�Q� signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work•
Name
Address City
Phone Contractors License No. i
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
S
Signed:
Property Owner -
Social Security, �`
Date
NOTE This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY -OF BUTTE =,DEPARTMENT OF.PUBLIC WORKS - BUILDING DIVISION
7. COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER u�L C'/y/9�Lc�it/E G'L�Gf D A. P. No. l09--56
'ADD � T� f �' � 33/6 FS/
Proposed Building Use
Permit Fee Based /Upon: Complete Contract Price DPW Valuation
( / Other (Explain)
Building Inspectol Date 16Zl
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or iss'Uance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ .. . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's. License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (pole)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other -
Date% "?W,
i
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by
Plans aDDroved bt
Other
Copy—DPW
Telephone Mail Other
Date
Date
Date �
C N Rr1C' C- 0 s 14 -7. ,Z. 8 C 4F rJs
o show lt�S»E SYf , '•J
COR►G)06L sws ouTslT>F sT/JIIQS�
NOTE --All Materials & Workmanship Shall Be is
Accordance with Recognized Gcod Practices and•
of a quality prescribed -for• the S►-wcified use in the
Uniform Building, Plumbing & Machanical Codes and
hhe National Electrical Code.-
12
lo
I = I t3 -r
4-: I O
EuE� T_�CD
10P41WN $Y: �Z-T.Zwov11
A setback of 5 ft. from tke
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
fora 2 ft. eave overhang.
RPP. No zq•U-4 AmeNorimc rr'-rb Af°PRotfF=fl IvhFC'nlo.
DiAasZ.1IL-
A
81 R j
F.N_DmEArrT . Td 6AR8.�E s16.1ftz TA_.oUT5t9 .`'
D R C -r
�'p
STAID D�TR1L, R�Sc s'�„Rug 60 Pet'
PJ,A (Js 514
� � � ' 77•'1 �. ' � `��yr
Ch 17MG1 rNo0RP0RA-rZE3 I 3 T, .o �•.�
Thi3'set of plan's and specifications MUST bb �5 ell
FctiWacETo6�ev�kept oR the j.ob at all times and it is unlawful to GONC��� �L j
make an changes or alterations on same without = ''” r9 - ''''--`r
y g }33 �c>Y ��. ��l,��sciJ �.` ' • q 1u. -.0�
written permission from the Department of Public-' _Y:._ 3.�" '�'`''_:.- _ '_` ': -z .; '" ' �'-.r �:" ; , g
V1/orks; •County-of-Batf�- •
C-H�4CF. Io sNc -F Z0C- PSAnfs
60�IGINAL 6NoU)s vtrr-(.,M
E5 l D 6 AfO C VCwK
pRawN 8y8 ti�T,(21,0ND
i
�_c°over
Ap;p."k,OVE0
�✓\
COUNTY OF BUTTS -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7'County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �2—/ _�2
APPLICA ION AND PERMIT
In
ASS ESSORAP,yC IN Utv�]E,.R ONING
66 1/0 !%sl/�/_ 'N A
LDING PERMIT
/ �. /
DMEL C ��-✓v� C�(�� T Ho E
S0. FT. OCC. BUILDING VALUATION
OWN 'S MAILING ADDRESS
/Z �J�4i,en/E DGz 02v�/l�� C4—
CO TRCTOR'S NAME // /� /
Oa /�/
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADD s
Permit Fee
$ I�D
ARCHITECT OR ENGIN R
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINE tR'S MAILING ADDRESS
Permit fee
$
BUILDING AZDDRESS ^
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION AME
��/Each
&qLL �G /1/f/��i� Z
PARCEL MAP
30-2C)
qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
E5.00
TYPE OF WORK
New ❑ Addition ❑ Remoddeil -❑ Uti I' ie�j91 instal I tion ❑ Other
Describe work: IST-. ' r J?J�J ' ��
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST./OCCUP.OI\
OR ADDNS, ( ACC. BLDGS. _
2�sgftDWELLING
/
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
No. Classification
(� I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWNON.RESID R. BRANCH CIRCUITS
2.50 ea
NEW CONSTR. ( POWER APPARATUS 6)
NON-RESID. ANGLE OUTLET CIR.
Ex. Occup g
OUTLETS OR FIXTURES L�
BAL0100
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
�1 to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi ' 'es, judgments, costs, and expenses which may in any way accrue
again Count i o sequenc a granting of this permit.
X Dat
I ure o p I nt - Owne tractor ❑ Age
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
structures over 3 stories in height.eipt
Mobile Home Installation Fee $
TOTAL PERMIT FEE /SZ S�
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD I
ND
550E
This permit is hereby issued under
sion of the Butte County Code and/or
wo indicated above for which
c
D RECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateE-D.P.W.,
G�
L10of
No.
YELLOW -ASSESSOR; PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DeOartmaht of Public Works
7 County Center Drive, Oroville, CA. . 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name'and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity -to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) E
2. I (have/have not)signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned
Pr
So
Da
NOTE: This Owner -Builder Verification is sent.to you as required by Sections 19831!.
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No
+ ; , 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES OR PARCEL NUMBER
-
ZONING
BUILDING PERMIT
OWNER /�/y
I -\ - eAld
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAI NG ADDRESS -
� a I r e 7 rax
Q�A Q C67-
CONTRACTOR'S NAME
4 w est"
TELEPRONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNovyy.
✓
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$�,_
ARCHITECT OR ENGINEER
(9'11
LICENSE NO.
Plan Checking Fe
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 3
BUILDING ADDRESS
y e_ r
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDI VISION NAMEPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
�,
SF ' Duplex❑ Mobilehome❑ Other
Ly
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Re ode Utilities ❑ Installation❑ Other
Describe work: �� ' \P,,n IF,0 R, ��^ t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
( \
t
5,Z_
Main Service EA, ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2I/2PSgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NON -RESIT R BRANCH CIRCTITS 2.50 ea
NEw CONSTR POWER APPARATUS &)
NON RES SINGLE OUTLET CIR. /
Ex. Occu 20@s0C
OR FIXTURES BAL®30
P.
FIXED A
FIXED APP LNS, OR
EX. OCCUp. OUTLETS (RESID,) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X G Date�. ����
Signature of Applicant — OwnerJ9 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -0
ion of structures over stories' in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ —
OCCUP. GROUP
I TYPE OF CONST,
JPARCF1J
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
• IR CT F PUBLIC
BY
PERMIT EXPIRES tem
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date
��_ !Sa'
Receipt No. to 9-5 (/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) \
2. I (have/have not) 16t2_ signed an application for a'building
permit for the proposed work.
3. I have contracted with the following person (firm), to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned :
Property Owner
Social Security numbery � -
Date f / l 9 6-3
NOTE: This Owner -Builder Verification is sent to you as required by,Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT�
ASS SORPARCEL NU BER_
n
ZONING
BUILDING •PERMIT
OwR7o �
I
TELEPHONE
�l�
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Ic a I r n e_
CONTRACT 'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee (
$ ,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ r1 'v
BUILD;;ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ R io� I ❑ Utilities ❑,Installat)-on❑ Other
Describe work: -� ►NeAAIa 33�6 r �� —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
c�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC• BLDGS.
27�2QSQft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS
NON.RESID• ( &SINGLE OUTLET CIR.
2005ee
Ex. Occup(o XTs OR FIXTURES BALQ30
FIXEEDD APP LNS, OR
EX. Occup. OUTLETS (RESID•) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
N1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against County in quence a granting of this permit.
Date
Sig - r ppli nt — Owner Contractor ❑ Agen
An OSHA permit is required for ex ca tions over 5'0" deep and demolition or construct-
ion of structures over33 stories inheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ /
OCCUP, GROUP
I TYPE OF CONST,
I
PARCEL
P777�E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
REVIP OF PUBLIC
ByQ
PERMIT EXPIRES Die
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Dae — a
^�
Receipt No. V J Q 7 7
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIF ICAT ION
Attention Property Owner:
c
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name'and bearing
your signature..
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. I (have/have not)signed an application for a building
permit for the proposed work.
3.
I have contracted with
construction:
Name
Address.
Phone
the following person (firm) to provide the proposed
C ity
Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property e
Social Secur ty . �'�
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N
55 -
ASSESSOR PARCEL NUMBER
69=36-26
ZONING
BUILDING PERMIT
OWNER
Euel & Charlene Cloud
TELEPHONE
589-1086
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
1 e a
CONTRAC TOR'S NAME
TELEPHONE
4th renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee EE $ 142.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
15 2. M 50
11
PLUMBING PERMIT Filing Fee 10.00
a19 Rpnnairnp
Each Trap 2.00
Oroville
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 4th renwal Permit 43316-81 _
(3rd renewal Permit #2805-84)
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service 11101 OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penal of perjury
y I y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this r son
NEW CONST. ( DWELLING OCCUP.8i ,
OR AODNS. ( ACC. BLDGS. /20sgft
NEWCONSTR UL '.OUTLET
NON .RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 200500
eALoso
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�j I shall not employ any person in any manner so as to•'become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
udgments costs, and expenses which may in any way accrue
my in c n nce of granting of this permit.
"nA
Dat 0
cont - Owner ® Con roctor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 152.50
OCCUP.
CONST,TYPFJ
I
JF1O..1P.RCr1J
PD
ND
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRZF PUB 1 ORKS
Byt Date
PERMIT EXPIRES Date 9' 4-86
Receipt No.
WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF.BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965- Phone: 916-53474541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)_.
2. I (have/have not) HOW E- signed an application 'for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you -as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
69-36-26
ZONING
BUILDING PERMIT
OWNER
Euel & Charlene Cloud
TELEPHONE
589=1086
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
#12 Bencairne Dr. Oroville
CONTRACTOR'S NAME
TELEPHONE
th rnewal
permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ k FEE
$ 142.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 152.50
PLUMBING PERMIT
Filing Fee 10.00
12 Bencairne Dr.
Each Trap
2.00
Oroville
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF P9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 5th renewal permit #3316-81
(4th rnewal #2556-85)
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
19 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this eason
NEW CONST. DWELLING OCCUP.&
ft
OR ACDNS. ACC. BLDGS. /=2sga
NEW CONSTR ANUTLET 2.50 ea
NO .."ES'..
•RESID RC.
BRANCH CIRC ITS
POWER APPARATUS &)
SINGLE OUTLET CIR. )
Ex. Occu zALI
Occup(OUTLETS OR FIXTURES eL030
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under natty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ainst ounty in o quence o he granting of this permit.
Date
gno Ap t - Ownerx Con ctor ❑ Agent
An OSHA permit is required for exc'av`ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 152.50
OCCUP.
CONST,TYPIJ
IFLOODIPARCELI
PD
I NO
I 1590E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
IRE F PU I WORKS
�}
By Da%te
R
PE XPIRES Datey/4/"•
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) S
2. I (have/have not) &4tl'' signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name MM
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name N 0 A/ E
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Ai OPE
Signed:
Property Ow
—11
Social Secure y
Date ��_
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
I Y
.ti v Fav' W v
OWNER/BUZLDtRS
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