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071-190-011
I o w j Y } 71-19-0-011 00-0983 DULSKY, BARRY EDGEHILL DR., OROVILLE CONT: B & B MOBILE HOME MH UTILITIES 071-19-0-011 00-0984 DULSKY, BARRY �) EDGEHILL DR., OROVILLE CONT: B & B MOBILE HOME MH INSTALL ELECTRIC GAS COMPACTION TEST REQ. a SUPPORT STRUCTURE REQ. 470 cl NOTES RESIDENTIAL 00-0983 1 071-19-0-011 i E PERMIT NO. ` DULSKY, BARRY i I EDGEHILL DR.; OROVILLE CONT: B & B MOBILE HOME MH UTILITIES' = A 4 _ SPECIAL CONDITIONS CHECKED BY /—FLOOD RA CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (D ) Co Signature I V= OK 0 = Not OK - = Not Applicable • MOBILE HOMES = Not Ready Date ' MOBILE,HOME UTILITIES (Plans) OK except #'s ,!Soils; Special MH Support Sketch Locat ion -Test -Fall -C /O -Concrete er 'ocation-Test- Ease ment Needed (Sketch) GU a city; Location-Clearances-Grnd- Amp -Concrete as; Location -Test -Wrap;-/ /" L'ff. / at. or / /"L"H./ /'LPG ell learance & Disconnect tility 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '� VI Z119 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing - 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready FRAMING (Continued) RESIDENTIAL (� Date 47. Underfloor (Plans) OK except #'s 48. 1. Zoning -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Property Line Firewall & Openings 14. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Insulation -Walls -Ceilings 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 79. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Following Instld./Drive :) Yes p NoMalks 0 Yes 0 No/Planters Yes ] No 13. Plenums & Ducts; Clearance -Material -Support -Ins. 84. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 15. Access & Ventilation 87. 16. Insulation Ventilation Throughout House 89. Glass Protection Date Corrections from Previous Inspections Card B-1 Date Card B-1 Date 92. Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates PLUMBING (Permit) OK except #'s Address Posted 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -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 FRAMING (Permit) 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-Rttr. Ties-Purlin-Roll 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 Ht. & 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 79. Insulation -Foam -Looked in Attic 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 -Connector - 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 & Receptacles 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 (F.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 O Yes 82. Following Instld./Drive :) Yes p NoMalks 0 Yes 0 No/Planters Yes ] 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 Throughout 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 94. Address Posted 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: w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D ISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) (Rev.12/9s) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-190-011 ZONI. BUILDING PERMIT OWNER BARRY F. DULSKY TELEPHONE SO. FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 184 EDGEHILL DR., ORO 95966 CONTRACTOR'S NAME B & B MOBILE HOME TELEPHONE 534-9694 CONTRACTORS MAULING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS EDGEHILL DR., OROVILLE 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Installation ❑ Other ❑ Describe Work: MHU Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 60 , 00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Filing Fee 20.00 800VOR UES Main Service 200A OR LESS 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 full force and effect. License Class Lic. No. 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. �1, 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. ❑ 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW LIIG OCCUP. OR ADDNS. ( 8 ACC. BLD S. sD 3.50FT. NEW CONS . MULTI -OUTLET NON-RESID. c 97.50 POWER APPARATUS a swGLE OLmtT CIR. EX. Occup. OUTLET OR FDRURES 82 O 1.00 Ex. Occup. ounAPP o,OE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ 43..00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 com with those o ons. X Date —� Si re o p icant - wrier C actor ❑ Agent An OSHA perm required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 1 HAZ. D. FEES IMP -� FLOOD CDF PARC ND ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have �' B &�� PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. 294423 / $166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I /-. _�`"."nv�„v l.,S"N.?•.f.`4Si:�->1. M4`Y.Sa.Y•V,+y'�'yM1+..4�i.�•.+r'�il �.�l"'^�t,�r1 `fit NJ...,{y.., •+r. .eE�ny`! rr T n. 't a.+It I i 'S'...srtr��, �ii^� N��Jh�. rtp"t�ct �;I�r� i�•.�'�r'ri�Y'vir.-��,,,.....�, w.�- .. GCQUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILD SVG DIVISION 7 COUNTY CENTER DRIVE-. OROVILLE, CALIFORNIA 95965 - TELEPHONE 538-7541 - 1 � j. � ♦ ,t, r. � � r e,L t PERMIT APPLICATION DATA SHEET OWNER: '^ *nz ASSESSOR BPARCEL Proposed uilding Use: Building Inspector: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f Date Received By ❑ I a. All iiems-have been submitted .------------------------------------------------------------------------------------- . 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! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑tr7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ -- j❑Vees of $ ---------------------------------------------------------------------------_---=---::- ❑mpact fees as shown on the attached schedule. ------------- --- -- ---- ----,=--alifornia Department of Forestry plan approval/fees. e- ? 1113 Flood elevation certificate.-------------------------------------------------------------------------------:-- ------- C `, Sanitation and plot plan approva_ Health Department. ----------------===- :==="-✓------------- . �1 1115. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 1 . Planning approval for (A) Use: (B) Parking: -------------------------- 69X41 8. ------------------------- (9' 18. Contact Land Development about Improvements, ❑ Drainage, 0 Legal Parcel. -----------------------z cw WEncroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ E] 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- b23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 15 2, . Letter of signature authorization. ------------------------- "----------------------------------------------------ORc a.� _,- ecorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- — -� ❑26. Letter of intent on building use. -------------------------------------------- ------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- n - ' ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- . ❑29: 0433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 030. Other: ------- When ,. you issue theermit, cess as follows ❑Mail to owner, ❑Mail t/o� ntractor. 4and Q ' , LJTelephone hold for pickup at ` office. ❑ Deliver ith tor. Applican ate: Copy of Haz-Mat form sent o Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme ❑ 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 o phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved.by:� Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached Plan Atta Sent -7 e Sent to B.D. / Cs0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -71- 19 -o • II Owner Location AP# Plan Approved for:, Sewage Disposal Water Supply: Public Private Well Clearance foagQdwelling: Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Spe 8/96 Date OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 • Telephone (530) 538-7541 rr�� (R y s� APPLICATION AND PERMIT0 """iO"•""`d""'�' �� I _ �D1NO BUILDING PERMIT Ow' " Q ��S T60110"a SO. FT. OCC. BUILDING VALUATION 4-El6zf1/G 17,E oleo X517610 RAcroRy r co— ` ras►a"e A/�� 7!� ooHr"AOTW1 WALM AODia I 00N@TNXTM u0081 u0001111 Asa AWRIM Fireplace Total Valuation i ""c"ITIECT °R V40I"M ucoms6 No. Firing Fee S 20.0 C AACHTIEcT OR e►w.asa www ADORM Permit Fee $ Plan CheckingFee $ aLRpgADORQs C L_L 02 040 Ener Plan Checking Fee Energy g i _ PERMIT FEE _ LOT NIX susavelON1/MA! ►A"CEL MAP PLUMBING PERMIT FMg Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other •PWFY 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 ❑ Describe Work: 144 � L) —err Other ❑ Gas piping system 1 .5 outlet 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing F 20.00 Main Service = ooa LLEESs8 23.00 / (/MD © f Main .Service 20" TO I 000 48.00 OR CONST. OwBLNO oat. 3.528 O" i AOC. dDt. mLW GumMNS. wwRFs10. Mtn 1. H CNKM Q7.50 POWER APPA" W L 9NOlt OIrRET d0. Ex. Occu ounar oR Panw®m o 1.00 Ex. Occup. °ni1P916 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FES S Mobile Home Installation Fee i Energy Inspection Fee S «` CONST. TYPE OTAL FEES "A Z. 0. nes 11 n=0 I cora HD I asp[ This permit is hereby issued under the app ----cabfle provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � `�3 � �-® By oats �-( PERMIT EXPIRES ON BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville. California. 95965 • Telephone (530) 538-7541 '1110,1_1� APPLICATIONAND PERMIT ,..-AS'ESSOIPAMMMUMM aC) DD"NO BUILDING PERMIT O1M14"� ' V �s rnEr►a"a SO. FT. OCC. BUILDING VALUATION OWN617 nDDlr*t. &I 00"r1Y1Cf011"s / TlISNONE O0NM*4TOAj ADORM CONSTMJCTION UND9111 uEwrns MA&M ADDRESS Fireplace Total Valuation Is AncwrECT OR ENOIN9M LICENCE NO. Rrina Fee S 20.00 APA;tMCT OR 060Nt8'S VAUN2 ADDRESS Permit Fee S Plan Checkin Fee $ /Y.DNOAWMS W //,.f, / o/� D2 D—V Ener Plan Checking Fee Energy g S (J PERMIT FEE _ LOT NO sueon°°"s►wiE EL ""P PLUMBING PERMIT Fffng Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other sPOCFYEach Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O U ii*m O Installation O Describe Work: Otter O Gee piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE ! ELECTRICAL PERMIT Filing F 20.00 Main Service 2000" OOR LEsa 23.00 { / 3� C�/ I Main Service 200A TO IOOOA 48.00 NEA CONST. oWBlt10occuP. 3.5QR On a Ax. EEns. 1. GUM NONRESIO. BRANCH CI RCUITS nUT @7.50 AM APPAAATUB a SNOLE OUTLET COIL Ex. Occup. OJr ET OR Ftcr EB 200 I.00 L 50 Ex. Occup. AP U 1110 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood6.50 Ventilation ::F - PERMIT FEL: $ Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TYPE T-QTAL FEE $ •� HAL D. TEES IMP 01000 I CDP AAAnKND 163UE This permit is hereby issued under the appl cai ble provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �-0 By oats PERMIT EXPIRES ON MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: Owne?s Name: - t!) IJ L, � - k_ V 7 L Owners Address: / j f A MM/obilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: b4o�3— DZr - T7 s' Insignia or HUD Number: flj�A-o 6 �-g7.?4P Official Approving installation: Date: y ! ! If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor AP # l)2z - 1.5--d - 0 I GV - 7 PEEtMir lk MH.,UTIL,C,LEA NC DATE �7_77? -INSPECTOR' ELECTRIC GAS Support Str c. Compaction Test .Req. arvice Lze Other Load Pipe Size Length YES NO YES I NO -Type 2 ! Z a iP4l � !l� =WED BUTTE G FIRE DEFT CALIF. DEFT. of FORESTRY ❑ approved as s- 0mittet\ [ approved with conditions per e;�ach� 9 sht;et. _ ..� - Date signature ND EOUIPMENT INCLUDING ALL STRUCTURES A . OVERH.ANNO-66 ,,�-I,�LL S F BE CI_EAR OF ALL. EASEMENTS./ ET BACs""� OF 3 a . .FOP; THE SIDE AND A S 3 O " ^��� a r�0p� CY LINES AND, i`) �""I, "�`i . 'E fiL"V E9 SI V HALL 5� � v C•; �'^ Ti a 1 e"y. ir' "1,` y3�pte" ENT EXCE FOR A 2 F -T. EAVE OVERHANG. 6 CDF FIRE SAFE REQUIREMENTS 17 --1 AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for - compliance. 1272.00 Maintenance of Defensible space. To ensure continued '\ maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must -be provide for by the landowner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing -sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 , feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. () 1273.05 Turnarounds. If required, will have a. minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length.` Page 1 of - 3.-, AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 .feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. I- 2. The gates must.be located at least 30 feet from the roadway.and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre arid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ 2. For parcels -less than 1 acre, local jurisdiction .shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f_:ral inspection of a building permit. Page 2 of 3 w • %�-/��/ 80-0 AP # PERMIT # Other Requirements [ ] If Building Setback is 1.5 to 30 Feet: - Class A or B roof - Enclosed eaves AME [ ] If Building Setback is Less Than 15 Feet Choose any -3 of the following: - Metal or no doors on side toward property line with -insuffi- cient setback - Class A or B roof with enclosed eaves. - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wail area toward property line with insufficient setback - Siding from the following list: 'Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width: IY-' ft.) Length:_Y-9• —(ft.) Tagalong or Expando Size ft.) x_(&) ' On all mobilehomes manufactured after Octobir '7, 1973, furnish manufactwer's . installation manual and structural-setup.sheets. FOOTINGS: Wood pressure treat_ ed or foundation gr a*de[ her_ SUPPORTS: Concrete block[ A6- Provide Tie Down Specifications for all Mobilehomes:_ 00/..e Pier-Fdotings Sizes and Location SINGLE WIDE MULTI -WIDE Line I el Line 2 Line 2 ................................................................................................ Main Beams ...................................................................................... ....... Line 2 e2 Line I ULini3 Line 2 ................................................................................................ Main Bearns U Line2 Line I .................................................ine 5 Tag or Triple ine 4 ..................................... : ........... Pine I i Lined Piers: Line'l Openings. Size minimum: r I x r I Size minimum: I1;Jx1-3o1- Spacing maximum: Each side of openings From ends -maximum: with width over: Line 2 Piers: Line.4 Piers: Size minimum: x [30]. Size minimum: x Spacing -maximum: Spacing maximum:-. -maximum From ends -maximum: From end's7_dl dium:. Line 3 Roof Loads' Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): OVER Owner's Name: 2. Assessor's Parcel Number: -. t�) 3. Installer's Name: ��►F-�7i L� 4. Is the site currently under permit? Yes[ ] NoM Permit No. - 5. Is the site an existing site? Yes[ ] NoV1 (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?-:--�6` Amperes. 7. What is the mobilehome site circuit breaker rating? D Amperes: = ' . 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] Nolm If it is, what is .- the rating?. -' Amperes. _. _ ._... 10. Is there any other . electric load to be served by the mobilehome site,. -electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: - Load- Amperes - b) The main service: _ Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ None[ -- 12. Size of as pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_Zg�P (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or. less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 CIA 0 :nvironmental Health MAY 0 5 2000 t;ou"ZienterUrive n�,vilie. Ca APPROVED Butte County Environmental Health Pate Signature AP o7r —(q'o- voll .. nvironmental HE MAY 0 5 2001 t;ounry �etnerur nro Ille,Ca 1 tj ANDJAN-It-kiORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII�'�III'III"III"III�"�'II"I 2000-001 74B27 Recorded I REC FEE 10.00 Official Records I CONFORM .00 County Of i BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON. I Assistant I Nikki 09:35AM 16 -May -2000 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT U4 Section 26-8 of the Butte County Code required 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 bere ared to accept such inconvenience or discomfort from normal, necessary farm operations. 4 O 1 — All that meal property situate in the County of Butte, State of California, described as follows: . q '� M Date HAY 16, 2000 PR9#RTYOWNERS: BARRY F. State of California County of BUTTE On HAY 16, 2000 before me, PENNY C. ENGLAND, NOTARY PUBLIC personally appeared BARRY F. DULSKY Dersonally (mown 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 capacity(ies), 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. WITNESS mphand and official seal Signature Jq J4 Seal: A.P.# 0`71-1q0-- 011 AMES RES;'13ENTIAL 071-19-0-011. 00-0984 PERMIT NO. DULSKY, BARRY - — EDGEHILI, DR., OROVILEE — CONT: B & B MOBILE HOME i MH INSTALL, - SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS 1 VERIFY USE PERMIT CONDITIONS i SUB -STANDARD HOUSING LETTER _—_=---- OFF�I`CE�COPY. , Address GAS D1J~ Meter By °J+` ELECTR Meter B Date JOB FINALED (Date) ld r' Signature V= OK 0 = Not OK - = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements - 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or / /"L"tt./ /'LPG Card B-1 Date Card B-1 7. Well Clearance & Disconnect Card B-1 Date Card B-1 8. Utility Clearance FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Size -Spacing -Marriage Line 7. 3. Gas; MH Test -Demand -Valve -Connector 8. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 9. 5. Drain; MH Test -Fall -Flex Connector 10. 6. Water; MH Test -Regulator -Connector 11. 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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/O -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. Plenums & 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) 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- Purlin-Roll 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 Ht. & 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 -Connector - 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 & Receptacles 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 (F.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 ❑ Yes 82. Following Instld./Drive ] Yes p NoMalks ❑ Yes 0 No/Planters 0 Yes ] 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 Throughout 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 94. Address Posted 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 DIMISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538 54 ��' /�P�ttlrty9'/n�. (Rev. 12/96) APPLICATION AND PERMIT -�/�'/ (�y1S �f ASSESSOR PARCEL NUMBER 071-190-011 ZONING BUILDING PERMIT OWNER BARRY DULSKY TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 184 EDGEHILL DR. ORO 95966 CONTRACTOR'S NAME B & B MOBILE HOME TELEPHONE 534-9694 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LAT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Installation ❑ Other ❑ Describe Work: MHT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G 1 920.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..*,v, "R 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 full force and effect.P License Class LIC. NO. 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, ill do the work, and the structure is not intended or offered for sale. 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 To 6.00 WEE200A NEW CONST. DWELLING OCCUP. CC OR ADONS. ( a ADC. BLDS. SO 50SO 3.5aFT; L.,oµREOSIp ' MULTI-OUTLETITS LG 7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OccuFIXTURESOUTLET OR FIXTURES �0 Q I.SO Ex. Occu . OFIx Ds Aa of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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 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.) 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 'rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp it those pro's' s. `/ X Date J �� Sig elute of p licant - caner C I actor ❑Agent An OSHA is required for excavations ver 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 A D FEES IMP a� FLooD cDF CEL PO D 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 _ D to J 106 PERMIT EXPIRES ON 3 IDawe ReceiptNo. 294423 $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CO QTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILD NG DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (5 n538-7541 PERMITAPPLICATION„DATA SHEET t D OWNER: ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date:', At time of permit application, I was ad_vised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted ------------------------ --=----------------------------------------------------------- kU2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 1:14. 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. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- azardous Material Form. - ----c--- -� ---------------------------------=------------------- anufactured Home Form instructions including Tie Down Specifications .------------ ❑ 0. Fees of $--------------------------------------------------=------�'------=---- - ----== - pact fees as shown on the attached schedule.�r---Ems#-Q�J �' =--_ d ❑ 12. California Department of Forestry plan approval/fees.---------------------------------i----------------- =--- 1113. Flood elevation certificate. --------------------------------------------- 0 -14. Sanitation and plot plan approval Health Department. 1115. City of Chico plumbing permit. ---------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- .w _ Planning approval for (A) Use: (B) Parking: - -ar- . Contact Laud Development about Improvements, ❑ ” Drainage,Leg al Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). 020. Pre -inspection Pre -inspection for required. Request to Building Inspector on 021. Contracfor'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 0) - -------------- ----------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑2 Recorded copy of Agricultural Acknowledgment Statement. 13:Y, Letter of intent on building use. ---------='=--------------------- 27. Manufactured Home utility clearance. ------------------------- 028. Existing violations and/or expired permits. --------------------- 029.,0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. other When you iss�iT t, �rocesss as ollows ❑ Mail to owner, ❑Mail o contractor. \9Telephone C� - � and hold for pickup at _ office. ❑ Deliver with * ector. Al Applican' 1 � ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme t, ❑ 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: rev 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 'vision counter, by Date: Plans reviewed by: Date: Plans approved by: -4---z, Date: �J�J Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. FA i (Date) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California a,95965 • Telephone (530) 538-7541�1,�� Annil I^Alr ^k@ w s� rn nai9F (Rev.12NO) Arr-LI eAIIVNANIiJr-Cniv11I — MSCMOnPARCKNUMER DD/'O BUILDING PERMIT OWNER TRaNONE SO. FT. OCC. BUILDING VALUATION OwNEM MA&HO ADORM CON RACEOOM NAY! Taus -"ONE OONM4CTOn7 VALA4 ADORE!! CONET111 cram EEra1En LMEM 1M.M ADOA1= Fireplace Total Valuation S ARCW ECT OR ENOi►EER UCENSE NO. Firma Fee $ 20.00 ARCMrEcT On OXWE81a wuNO ADDRESS Permit Fee S Plan Checkin Fee S sU.oaAooREss ( / 1lY Energy Plan Checking Fee t $ PERMIT FEE _ LOT NO. Eu°°N°°"srMrre PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Moblehome g Other 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 ❑ L11INe9 ❑ Inslatation ❑ Describe Work: / Other ❑ Gas piping system 1 - 5 outietj 15.00 Building sewer 1S.00 Mobile Home I S I G I W 020.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service =OORUEso 23.00 . Main Service "Q^ TO I000A 48.00 NEW CONST. Ow[= occur. 3.SQs OR ADONS. ( a ACC. alDB. NtW rOM. ' MULTI -OUTLET @7.50 P.0NOLE APPARATUSd0. a OunEr Ex. Occup. OUTLET OR FUTURES 20 0 I'00 ML 90 FIXED AFPLM. OR Ex. Occup. Ovnzm ESID.) EA S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee b Occ CONST. TTMPE TOTAL FEE _ oC HAL D. TEES I COPQ PMC SPO I 10 I W"E This permit is hereby �s ed under the applci able provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. PERMIT EXPIRES ON Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE 'AY.'/0R�ZW/W/� PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ - vised Plan Checking Fee ....... $ / 2, SCHOOL DISTRICT FEES aid at District Office) SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.0�3*s----$ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x - _ $ #Units Amt. Commercial (sq.ft.) .. x =$ aq.rt. rwu. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $5j9.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE 6-^� RECEIPT # . DATE REC 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. DATE -5— Oa Pursuant to Government Codgkction 66020, you are hereby notified Wwritems 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) `(No foundation inspection) Sq. Footage (Incuding Exterior oofed Areas) s Date (Floor Plans reviewed by School District Personnel) District Identification No. VUU 138 ( Ydl S wool District certifies that (Applicant) . " - � (Str' Address) - (Phone Number) ' Ile 91!1; (City) �(State) (Zip Code) has complied with the requirements of Resolution No. �Q� �10 by payment of $ representing square feet. FULL l S FUMTIGA ON $ }}j J School District Representatives Date Paid by Check # Remarks: (�'/ �1� ' I ✓��. W� 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 Tnotified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA). 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) leeform.xls 110/98)dmm BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ` (One orm per Building) School District"' i Building Department No. • A.P. Number —�i Jurisdiction: CityCounty Property Owner 5 ( Property Location/Address r Subdivision Lot No. Residential Development :...........................................................................:..............................::.....: 0 /^ Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # `(No foundation inspection) Sq. Footage (Incuding Exterior oofed Areas) s Date (Floor Plans reviewed by School District Personnel) District Identification No. VUU 138 ( Ydl S wool District certifies that (Applicant) . " - � (Str' Address) - (Phone Number) ' Ile 91!1; (City) �(State) (Zip Code) has complied with the requirements of Resolution No. �Q� �10 by payment of $ representing square feet. FULL l S FUMTIGA ON $ }}j J School District Representatives Date Paid by Check # Remarks: (�'/ �1� ' I ✓��. W� 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 Tnotified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA). 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) leeform.xls 110/98)dmm ❑ APPROVED ❑ CONDITIONALLY APPROVED " . RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: Q oo� — 0 C) U Date: S Genera0l7forinab%On p Owners Name: 1 � f - U LS IC "y Parcel Acreage: Ll 13`2, jq Owners Address: - O C f�) ('� LLMC C_�1 1 S l r�O Building Site Address: 2-) �2- Proverfvinformation Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: r R— Date of Zoning Ordinance: General Plan: A r<� Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement jffNo ❑ Yes, check use Minimum Acreage: Nitrate Action Plan a No ❑ Yes Violation Area &No ❑ Yes Specific Plan >� No ❑Yes ❑Chico ❑ D2N ❑ Cohasset Enterprise Zone JN No ❑ Yes, check use I Floodplain No F] Yes Zone: Panel Number: Q 8 Watershed Protection Zone �No ❑ Yes Proposed Use Complies With: & General Plan ® Zoning Fre Prevention Subdivision Ma Procosed Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking Requirements are OK as Shown Landscaping: ❑ Landscaping Requirements are OK as Shown Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Other F—i Other Zoning Code Street & Highways Fre Prevention Subdivision Ma Front Side 3 D Side street Rear .. Height Septic Permit Review: Well Permit Review: Land Development Review: ❑ Map Perrt�it C/earance Agriculture Affldavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Corn/Ind/Multi) ❑ No ❑ Yes Date of Creation: Deed Reference: Parcel frontage on Publicly Maintained Road: Complies with County Standards for. Deed Creation: Comments: Date of Recording: Legal Access Provided: ❑ No ❑ Yes Legal Access Required: ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: ❑ No ❑ Yes Lot: Block: Book: . Pte: =onditions That Must be Met Pricr to Issuance of Permit• ❑ Verify Legal Parcel []Verify Legal Access ErProvide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Constru;ct road to ❑ Meet parcel size required by zone ❑ Meet current I:HD requirements. ❑ Other :eneral Comments: A.in i taawaQUA30 GNV1 I.Una40UNI nnn7 L nw nA A17�1�i1