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HomeMy WebLinkAbout071-290-071CERTIFICATE OF MERGER 071-290-071 PERMIT#95-A0998, # - GUNDERSON, Robert B. 82 Gunderson Rd., Oroville Mobilehome Utilities ELECTRIC 00 0 GAS LINE ' i COMPACTION TEST REQ !� V i SUPPORT STRUCT REQ___N fl w 071-290-071 PERMIT#95-1289 Robert 82 Gunder �)) � 82 Gunderson Rd., O ovil�l� Mobilehome Installation 071-290-071 PERMIT#96-1112 _ GUNDERSON, Robert 82 Gunderson Rd., Oreville Propane Line/MH �)(� 071-29-0-071A� GUNDERSON, Margaret -2819 E 82 Gunerson Rd, Orovillepp U new elec ser panel)JAp i ELECTRIC GAS .Support Struc. Compaction Test Req. Service OtherPipe YES NO YES NO Size Load Type Size Length ' e 5 L r"Y'� 071-29-0-071 99-2819 E GUNDERSON, Margaret 82 Gunerson Rd, Oroville ((new elec ser panel) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califorkia;95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICAfi IONAND PERMIT Z!?�: ASSESSOR PARCEL NUMBER 07 7 ZONING BUILDING PERMIT OWNER ,.ARGARRT MT" . R0 TELEPHONE , 989•-7945 SO. FT. OCC. BUILDING. VALUATION . OWNERS MAILING ADDRESS 89 t':TINTIF.RCf)N RD, OROVTTJ.P-- f^A 95Q66 CONTRACTOR'S NAME (r!!!PR TELEPHONE CONTRACTORS MAILING ADDRESS 1 CONSTRUCTION LENDER 1 Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS L 1 A2. CTTNDE SON D VIT.J..R Energy Plan Checking Fee $ PERMIT FEE $ LAT NG. SUBDN61)N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE s' SF ❑.'t Duplex ❑ Mobilehome Cit( 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: NEW EIS SER PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I TFE W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling, Fee 20.00 Main Service zoOAORLESS '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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for.'following reason: OSI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑' 1 am exempt under Sec. Business and Professions Code for this reason i Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5QFT: T. rNjON-REoSID. MUL H' OUTLETTs @7,50 OWER APPARATUS a PSINGLE ourLEr cIR. Ex. Occup. OUTLET OR FIXTURES 00 BAS @',50 Ex. Occup. oFIX� R oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .' PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S 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.) Q ' 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"sdbjectJ6-workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ✓' /' 1 r* _ Date N( _��n �� i _ Signature of Applicant - ❑ Owner ❑ Contractor ❑*A§ent t�, An OSHA permit is required for excavations over 5'0" deep and!demolition or Construction ' of structures''4ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �/ / �By �Date� ,e PERMIT EXPIRES ON } �" " j k C-0114ro, Date Receipt No. l WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION # 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754P MIT NO. (Rev. 12/96) APPLICATION ANb"PERMIT � 4- -,-) Z��� ASSESSOR PARCEL NUMBER 071-290-071 ZONING BUILDING PERMIT OWNER MARGARET TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 82 GUNDERSON RD-, DROVITIE, CA 95966 - CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE No. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 82 GUNDERSON RT)_ DROYTI.I.E. Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JR( 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: NEW ELE SER PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR LEss 23.00 2_1 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for he following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. d I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BIDS. SO 3.5QFT: = galpT' MULTI.OUTLlT 97,50 APPARATUS a SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES Q 1.00 BA20 .w Ex. Occup. DUTLEEDTS °� R6 DD 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O I 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. J7 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) LYYY 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 rovisions of section 3700 of the Labor Code, I shall forthwith co ply ith tho a provisions. q e�P,72 I 2 Date �Q [_GNU �� 1 l SigreoApplica t - ❑ Owner Contractor ❑ Agent Anit is required for excavations over 5'0" deep and demolition or construction of sver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for h fees have been paid. / rDajt PERMIT EXPIRES ON Date Receipt No. 281139 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (Rev.I 2196) APPLICATION AND PERMIT NC PER MIT A..e�oRPAR� _ OW, ZON"O BUILDING PERMIT Owl"�' U I ` D, CDTasrroNe "'" SO• F r. OCC. J BUILDING VALUATION OWN W1 MAL MO ADOREst COMRACTOrI"! NAME . l T6LZP►gN! W Misc. Wirina 23.00 COMRACTOR7 MALMO ADDRESS CONSTRUCTION LEND6t LEN06M NARMO ADORM Fire Ince "�� OR �M Lx:ENSE No. Total valuation S Heating FGn Fee S 20.00 ARCH ECT OR 09MEM S MAIUNO ADORM Permit Fee i suaeno ADOREss Plan Checkina Fee S Hood 6.50 Energy Plan Chocking Fee S S LCT No. slaeave10" ► 9L MAP PERMIT FEE S PERMIT FEI: S PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 . SF O Duplex O Mobilehome O Other Wateri in 15.00 •PECiY TYPE OF WORK Each gas water heater or vent 15.00 New O Addition O Remodel'O/ Wige�s`O hsOslation O Other O Gas i in stem i - 5 outlets 15.00 �!/lJ Q� Building sewer 15.00 Describe Work: J��C� Mobile Home S G wl @20.00 PERMIT FEE S of the Butte County Code and/or Resolutions to do work ELECTRICAL PERMIT Filing Fee 20.00 Main Service ow ooa LLEss 23.00 G dJ Main Service 20" TO 1000A 46.00 NEW CONST. r (A AOC. wP' ) RoR AODNS. K3.5t EX. Occup. ounzr OR FOnlAiE3 20401.00 SAL 0 .50 EX. OCCU . OFOWEDgA" p 00 A. 5.00 .00Tem -- Temporary orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEI: S Mobile Home Installation Fee S Energy Inspection Fee 1 $ xo COAST. rYK TOTAL FEE $ NAZ. O. FEES IUP I FL.000 I COF PARCEL PO MO 16SUE 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 Date / PERMIT EXPIRES ON Cy( l •rol '"ll N 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 prop "improvement : YES(li01 ]. 2. I HAVE[A 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: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following.p.ersons to provide the work indicated: NANIE ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOCUL SECURITY DATA: L bC,. IG,, H NOTE: This owner -Builder Verification is required by Section 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. May 1995 2.26 O.B.- I .. F :. Fu•ri: f :3 �' < . f •: o� 4::•i:•is4:•iiiiii:•i:•i.�:iiiiii:?•i:•i.?i+i'????•iiiii'•i:•i'•:Jii:.i:• •i.:�:?:i.ii•i'•�:•:}:�::.i':.X:•�:::•YL.i':::::::: {.i'iF??ii::?h :.i :::::•: n::.:.•••:::•?:.:. :::::.�:::::.::::::::::::X::iiiii:?�:?•i:•ii:ir..ir.•i:::,+i' :. .... i Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do yoninformation th the exception of various trades that you plan to subcontract, you should be aware of the f owor ur benefit and protection: 0 If you employ or o erwersons ther than your immediate family, andthe work(including materials and other sore fo the entire project, and such persons are not licensed as contractors or subcontraa employer. 0 If you are an employer, you must rem{r with the State and Federal Governments as an employer and you. are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks•for you if you do not carry out these obligations, 'and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 RESIDENTIAL- 071-290-Q71 ESIDENTIAL.071-290-0,71 PERMIT#95-0998 GUNDERSON, Robert B. 82 Gunderson Rd., Oroville Mobilehome Utilities G OFFICE "COPY ���-�� r Address GAS r' Meter By D e ELECTRIC I' T Meter .By Dae JOB FINALED (16atel - Signature i1 - ki J=OK r O= Not OK = Not Applicable it = Not Ready MOBILE HOMES Date MOBI OME UTILITIES' Plans OK except #'s Zo 'ng Requirements -Setbacks -Easements So' , Special MH Support Sketch Se er; Location -Test -Fall -C/O Concrete r ter; location-Test-Easeme t Needed (Sketch) Electricity; Location- rences-Grnd-/ /Amp -Concrete ? 6. Gas; Locatio: st-Wrap: / /"L" fti Vr / at. -or/ /"L"ft./ /"LPG e We learance & Disconnect tility Clearance Dat [T� Card B- Date Card B-1 Dat/ Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements tings; Size -Spacing -Marriage Line s' MH Test-Demand-Valve—Connector tricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. r; Test -Regulator -Connector 7.r aTd Sewer Connected -C/O to Grade -HD Approval Gas an lectricity Tagged E Insp.-tketch Cert. of Occupancy f AIL 1. Zoning Requirements -Setbacks -Easements Date Card B-1 Date Card B-1 DQ5 Card B-1 Date Card B-1 6. Carports; Windows -Doors 7. Electric 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; iCompaction-Structure Stability 3. Pool/Structure; Steel -Connections -Thickness r —Deed Men -Lining ` 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts -GF] 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 Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 J=OK O=Not OK •. = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except k'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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's I 16.. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --_- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------- ----------------- -- ----19. Shower Pan; Test. First Floor -Tub Access ---- - - --------20.-Test-Tub & Shower. --- Second Floor -Tub Access ---------------- ------ 21. Gas Pipe: Size & Anchors --------- ------ ----------------------------------------------------- Date Card B-1 Date Card B-1 --------------------- .-------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22.- Fixture & Transformer Clearance -Ins. -Protection ------------------ -------------------------------------------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ----------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------- --------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------ -------------------------------------------- ----------------------------• 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------- ------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or Al --------------- ---------------------- ------------------------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ------------------------------------ --------- ---------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- ------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------- ---------------------------------------------------- 33. Smoke Detector ------------------------------------------- ------------------------------------- Date Card B-1 Date Card B_1 ------------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support ------------------------------------------------------- ----------------------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------- 36 Conden=ate Drain & Overflow: Size & Grade --------------------------------------------------- ---- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------------------------------- 38. Attic -Access-&. Platform if Furnance in Attic ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- - ----------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - ----------------------------------------------------------------- ------ - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) -------------------------------- ------------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------- ----------------------------------------------------------- 44. Headers & Beam -Size -&-Bea-ring & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------- ----------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- --- 55..Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------------- - - Date _ ___Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings 62..- Smoke Detector -------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------- 67.- Stairs & Rails --------------------------------------- -- 68. Fireplace or Stove: Clearances -Hearth - --- - -- - - - --------------------- 6J Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------...---------------------- --- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------------------------- - 73.--A.C.-Duct in -Garage -Damper -------------- ------------ --------------- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. , In Garage: Above Floor-Mech. Protection ------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection •-------------------------------- ---- 7 . Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------- 78. -Guard -Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- - -------------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ------------------------ - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- --------- -- 83. - p 83. Vents Above Roof; Plb A fiance -Fire lace. -Clearance to Openings ------------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing ------------ ---------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---------------- --------------------------- 87. Glass Protection -- --- ------------------------------ --------- 88. Corrections from Previous Inspections ----------------------------------- 89. --------------89. Gas Test -Meters Tagged; Gas -Electric -- ----------------------- ----------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------- -- 91. Energy Compliance Certificate -Other Certificates -------------------------------------------------- -- Date Card B-1 Date Card B-1 -------------------------------------------- -- -- Date Card _13- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaN ornia -25965 - Telephone (916) 538-7541 PERMIJ NO. ti. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-290-071 ZONING FR -10 BUILDING PERMIT OWNER ROBERT B. GUNDERSON TELEPHONE 589-2945 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 6031 OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Filing Fee $ 21 . LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS�� 0,�Jer5o, 6A PERMITFEE $ rot/ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAMEPAR E�tM ��V JL (, Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑XInstallation ❑ Other ❑ Describe Work: RFn1ROOM t� QRTT 'R T(1 RF. C^T T EASET) RY RORERT R GUND RSON TO ROBERT d GUND�,R N & MARGARET GUNDERSON Mobile Home III G XW40.00 @20.00 PERMITFEE $ 60.00 Contractor ELECTRICAL PERMIT Filina Fee 20:0 Main Service ( z 0A ORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jar the following reason: as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a ACC. BLDS. ) OR SO. 3.5¢ Fr. NEW CONT. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. (ouT�s iPLN D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 Wor rs' compensation provisions of section 3700 of the Labor Code, I shall for ith comp y wit t:Z�Dalls X _indicat -- /�--- Signatur of pplic nt - ❑ -Owner ❑ Contractor Agent An OS Ape it is required for excavations over 5'0" de p and demolition or construction of stru tures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE f' TOTAL FE $' 146.0 HAZ. D. FEES fL0 COF HD U This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work b for hich fees have been paid. 1p /%S� By / ,D/ate 7 PERMITEXPIRESON ! % lal (Date) Receipt No. 176077 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (lc COUNTY OF BUTTE BUILDING DIVISION -`DEPARTMENT OF DEVELOPMENT SERVICES, 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE :�.C5 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. I ou have any questions pertaining to this matter, or need additional explanation, pled coqltaCt this office immediately. REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 .q CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date' -Q � � `",/6C4nspecto REV 10152 vt '- ABESCO ENGINEERED CROSS DRIVE TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: • WIND--- 15 PSF • SEISMIC — ZONE 4 • SOIL --- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT. • 1,727 LBS. — MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) ABESCO CROSS DRIVE ANCHOR #607 MAY BE USED FOR BOTH SIDE AND END TIE DOWNS. STRA!' DESIGN TENSION: • 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) • 3,150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: 1. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING THE DOWNS EVENLY ALONG THE CHASSIS BEAMS. 2. END TIE DOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SEC -PON OF THE BUILDING.. 3. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENUGINE-ER APPROVAL CzLNoE c✓ cc. 17S i a x � � �'. F CPu THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3, SUBSECTION (a) STATE APPROVAL APPROVED SUBJECT TO CORRECTICNS NOTED Aoproval does not outho•i:e or approve any omission or deviation from requirements of applicable State laws and regulations. State of California Department of Housing and Community Development DIVISIN CODES AND STANDARDS B� Date (signature) SPA NO. X04 This Plan Approval ftw c CoNsama ENGINIMM® ABESCO, INM 2150 BWAsn. Suite 145 FIR INT FI MIM S15W sartonanta CdiE 958.18 Phare: 916-564-M 5Bs1 Reit-Psion Roel Saffmnta a OM Pk 916 -W -W ASESCO TYPE 0 SEE CHART'. y �- WIND= 15 PSF SEISMIC= ZONE 4 FR -EQ -D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 50' 1 56' 1 60' 1 66' 1 70' 'PE O TIE DOWN LOCATIONS I E I S I E I S I E I S E I S I E I S I E I S J E :E I SINGLE WIDE UNIT 4 2 1512151216=2 1 612 1712F7T27 IART rTOTAL TIE DOWNS i 12 1 14 1 15 1 16 1 16 118 18 2' t EQUAL EO AL EQUAL EQUAL EQUAL 2' LENGTH VARIES SINGLE WIDE TYPE Q SEE CHART I r TYP SEE CHA r I I I I 2' EQUAL EORA4 EQUAL EQUAL EQUAL 2' LENGTH VARIES DOUBLE WIDE TYPE Q SEE CHART 4 4 4 4 4 4 I r TYP SEE CH) I i 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' LENGTH VARIES TRIPLE WIDE WIND= 15 PSF SEISMIC= ZONE 4 REO'D. NO. OF CROSS DRI)�E ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' f 40' 50' 1 56' 60' 66' 70' RT TIE DOWN LOCATION S E S E'� S I E I S I E I S I E I S I E I S I E DOUBLE WIDE UNITJ 41411 5.14il 5 14 1 61'4 161417141714 TOTAL TIE DOWNSI 16 11 18 1 1 18 1 20_ 1 20 1 22 22 d WIND= 15 PSF SEISMIC= ZONE 4 RT REO -D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNITI 30' 1 40' 1 50' 1 56' 1 60' 1 66' 1 70' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S IE SI E TRIPLE WIDE UNrTl 416 1516 1516 1 6l6] --6T6 7 6 7 6 TOTAL TIE DOWS-Ir 20 1 22 j 22 1 24 1 24 1 26 T 26 #607 CROSS DRIVE ANCHOR ABESCO TIE DOWNS fit M #606 7' STL #614 7' STL #608 SPLIT STRAP W/BUC STRAP W/HOLE BOLT & NUT TYPE "S" TYPE 'E" #406 PIER BOLT -ON TOP 532--75`1 I ENGINEERING CALCULATIONS WIND=15 PSF -- SEISMIC ZONE 4 a WIDTH LENGTH TRANSVERS LOAD'V5r TOTAL TRANS. LOAD I 9 TYPE'S TIE DOWNS I # TYPE"E' TIE DOWNS SINGLE WIDE TO 14'. 30 FT. 165 PLF 4,9S".. LBS. 3 2 t 40 FT. 165 PLF 6,600 LBS. 4 • 2 50 FT. 165 PLF 8,250 LBS. 5 2 00 F--, 165 ?LF 9,900 L95. , 6 2 70 FT. 165 PLF 111,550 LBS. 1 7 1 2 DOUBLE (40 WIDE l TO 28' N-ET.—I 165 PLF_ 4.950 LBS. 1 3-1-4— ^4—DOUBLE FT. 1 165 PLF 6,600 LBS. 1 4 4 � 5D-fT:---1-65-PLF`-8;250=LBS_. 5 4 60 FT. 165 PLF 9,900 IBS. 6 4 70 FT. 165 PLF 111,556 LB5. 7 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 050 LBS. 3 6 40 FT. 165 PLF 6,600 LBS. 4 6 50 FT. 165 PLF 8,250 LBS. 5 6 60 FT. 165 PLF 1 9,900 LBS. 5 6 70 FT. 165 PLF 111,550 LBS. 1 7 6 SOIL CONDITION . SPECIFICATIONS 4 ► e Dow, l� Cross i�- nGf'c) r CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT. ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "B". n �o I -BEAM SHOWN, SEE — C k RFC CHASSIS cc FOR CONNECTIONS ABE= X1406 PIER BOLT—ON TOP SEE DETAIL 'A' - TYPE ( TIEDOWN ��w r' _ �V' •: •'�:'C~ sem' �_ ~ SEE DETAIL 'A' TYPE OS TIEDOWN BEAM CHASSIS DRILL 9/16' HOLE' AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT {606 STL STRAP X1614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT ---------- —====7 sir' it 1 n \ u n • • :T #606 STL 1 STRAP STL STRAP ----'-,---------1'- ,'�-- — OB SPLIT VI EN FN❑ VIEW BOLT & NUT— DETAIL 'A' ,`2q QoU E x 12 OEEP GROUND UNE INSTALLATION INSTRUCTIONS Y,; CONTRACTOR'S WARNING : CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF 7HE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2' ASPHALT. ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL 'B'. 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL 'B'. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. _3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN. BOLT UNTIL STRAP IS SNUG. 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. ' ---#614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS 7 STc'E: STRAP 7 CROSS RIVE ANCHOR .41 DETAIL 'B' CONTRACTORS VERIFICAT10N I CERTIFY THAT I HAVE INSTALLED THE ASESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: CbLAJ&� CONNTORS C. DATE: �- SIGNATURE #606 STL STRAP 1 COUNTY OF BUTTE - DEPARTMENTOF D V �LQIMENT SERVICES --BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL F�ORNIA 95965 - TELEPHONE (916) 538-7541 1 PERM IT APPLICATION DATASHEET r r OWNER 2. 7/- �9G - a -7/ ti ! ` 6"1 A No. Proposed Building Use Building Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1, All items have been submitted. .:'...................................... --f 2. Plot plans, 3/4 sets, signed by preparer of plans ............ .N,.S. .' .......... 3. Complete plans, 3/4 sets, signed by preparer of plans. ....... `............... J� 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... .. 9. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ' , .......................................... 11 mpact fees as shown on attached schedule.. . . California Department of Forestry plan approval.es y ..q....� S 13. Flood elevation letter (1.00 year flood) by California Engineer. ..... .. . 14. Sanitation and pmt -plan approval Health Depart 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ...... • 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pre4�sp-e-cti`on- reaeest n' 20. Pre -inspection for required. .. to Building Inspector. Ddt' 21. Contractor's license information. (No., Name Style lassification). .............. Certificate of Workmans Compensation Insuran 2317,�etter Owner -Builder Verification (Given to owner , Mail to owner . .......... `fes ec rded copy of Agricultural Acknowledgement Statement. ..................� (L� �_, of signature authorization . ........................................ ;26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27,,L' etter of intent on building use . ......................................... 28. Mobilehome utility clearance...........................................�� 29. Documentation of legal access....................4..:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirer lents. ............... 31. Existing violations/expired permits . ................................ PJanchecklist. ............... ............................. VJE 34. When Xu issue the Permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ago office. Deliver with inspector. Other f Parcel Creationt Acreage Applican ��9ate Copy of Haz-Mat form sent Health Dept. Fire Dept. A" Pollution Date Copy of plans sent Health Dept. Fire Dept. O� er Date 'By The following data must be submitted prior to perm'K irbiwance (Cir a n!W not ch ked above 1. Index permit for above items No. / 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte; by'--' Date Contractor, designer, owner, wa advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date S— Zi' Plans approved by CZ Dat S Sets of plans on hold in File cabinet AP folder Copy - Department of.Public Works TO:- Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 71-8.&f AA)L- Owner f Plan Approved for: Sewage Di Clearance forbedr mobile 13oeFoe. Othei for: NOTE: O.K. for: Environmental Health MIN Location Water Supply: Public Phn Anubad B.H. USB ONL Plot Floor Phn Athehed SeottoB.D. rr �1--c�Ua-o7/ APS Private Well Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER�, O,� ZD",W _ © BUILDINGPERMIT WN ., TELEPHONE .5N_e7qLf SO. FT. OCC. BUILDING VALUATION OW Iu ss ' 7 CONTRA R�/' TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome*:Lher SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities nstallation ❑ Other ❑ Describe Work: fzzM�(`j� J �P �% Mobile Home SV G W @20.00 , PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 is� -ILJJfL,oC�n� Main Service 600V OR LESS ( 2o0A OR LESS ) 23.00 n Main Service ( 200A TO I000A ) 46.00 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 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR AODNS. ( a ACC. BLAS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) b SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BA2L @ I•00 L .SO Ex. Occup. (OFIXXEEDTSPRLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 heabove sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Dare) ReceiptNo. / 7_6 o Z2 I WHITE-D.D.S.-B.D. CANARD -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IqOTE: All Materials 6a Wo ei -kccordaxl-:-'e Vftth Recogn,ill- Of P, Quality prGscried' I'g, fo. in 0666B ancL UU10 3 eb" 0 it .12 job PA cgs and 0 -�a tis "ti A®r, cz,ified 1;se 6."t 94tallir , I & t it to :> '10Dep o� 4— e aW teoeoks ­... a19XO-6S Spec\ QV k% AA0 C C V P 1.4wv Z - L Ce.lpl r i < AI 0 r4 Tr= /Z W /V '004, ALL STRUGMIRES AND EQUIPMENT . .. . . . . "tU DtNGr-- O OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. t. A SEt -BACk—UF - .3r) FT. FROM tkt SIDE AND--*"--""-'-' FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT i& kvpe FOR A 2 FT. EAVE OVERHANG. RK 0\ 0 0 REVIEWED -BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions pey ttached shbet< Signature Date / Fx CDF—FIRE SAFE"REQUIREMENT��S++ % t — 211- 7 qS — 09 VC� �c.✓!'JG.2S0 AJ 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 land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appirte-iant-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. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 0 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 verti^. l 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::?.-. 7 — 2ci —7 AP # PERMIT # NAME [x] 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. [� 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. 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 and 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 fi_ial inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] 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 spri_ikler system per NFPA 13D - Glass area not to exceed i0% of wall 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 Page 3 of 3 ture O.B.- I 7: i7l:ii 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 NO[ ]. -2 I HAVE[ ] ] sigtan 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervisor, and provide the majwork: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: �� z DATE: NOTE: This owner -Builder 'Verification is required by Section 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. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various- trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. . A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her ,own Iabor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel, `Michael C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 95-017671 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL.DEVELOPMENT. Section 26-8 of theButte"County• Code requires this. acknowledgment to be recorded-prign,to issuance of a building permit. The property described herein is adjacent -to land or included within an area zoned jor, agricultural,purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural •chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should.be prepared;to-accept. such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: i J Date: b PROPERTY OWNERS: State of California ) County of On r% Jf" before me, personally appeared " % Epi (, It, L-, (( /(�1(�(.�_(/ (/` c7(/ j� personalh known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the ,within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized 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 my hand ;fficial seal. ' T.AZEVEDO W 'V = COMM. #990044 NOTARY MUC•CALIFORNIA Signature + Seal: • M l3UTTECOUNTY My Comm. Ex0ros March 31, 1997 A.P.,M r� LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. 2S7` 0 / 2 OWNERSJ A.P. n NAME:_ %%i�[,{ 1�J&bNUMBER: V - PRINT LAST NAME FIRST COUNTY ZONING �O DESIGNATION: i� �0 FLOOD ZONE: X FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS DATE OF CREATION: 87 6Y 6 Ltel DEED REFERENCE: OK C9 %- % 0%-,)!2 23c.M LEGAL ACCESS PROVIDED: X YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION:. YES COMMENTS/CONDITIONS: DATE OF RECORDING PARCEL CREATION BY MAP LOT BOO He] S1eVeN CotvA-NT 6Lm p9-tJr. oN Qp-/.-& G Ar -If cS' S 43.54 Ac PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone.. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of 3. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 4. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 11. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. 12. 1 .,,{ CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12/94 - C:IWP51\FORMS.KIBLDGPERM.CLR I ,L a °989, luewdoianan n,, -- SM,-- SM 9 t AVW ULM j® . 3° 1010w �� 60 9� . V h-e-�. s /�� � .. 0/Z ��2�. �= -.. � y n �. . _..- - _ � _. � £ r __ _ .f 1 + l a`, '` � . t f � \ �� ' `_ . • Order No. 5scrvw-flo. Loan No. WHEN RECORDED MAIL TO: Mr. and Mrs. Robert J. Gunderson /o Mr. and Mrs. Robert B. Gunderson P.O. Box 1488 Oroville, CA 95965 ,nor. AP# 071-290-063 DOCUMENTARY TRANSFER TAX $...................................................... ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encimbrances remaining at time of sale. AN 14 1995. 95;013636 .L SPACE ABOVE THIS UNE FOR REC Signature of Declarant or Agent determining tax — Firm Name EASEMENT GRANT DEED FOR A VALJABLE CONSIDERATION, receipt of which is hereby -acknowledged, ROBERT B. GUNDERSON and LORETTA A. GUNDERSON, husband and wife. hereby GRANT(S) to ROBERT J. GUNDERSON and MARGARET C_'ZIDERSON, husband and wife the real property in theme unincorporated area County of , State of California, described as . EASEmEN ' LEGAL D r=PTION ATTACHED " 0, 7, i t:%� C: lc/ e. �`�� '7'Y1.1� ����<'I'c.l•�� f (`S � t Y Dated June 8, 1995 STATE OF CALIFORNI }ss. COUNTY OFy�- } On —13 before me, personally appeared /e0✓drte% • 4 UA)Dr5ruCA) f "A 6TTA �4 . 14 lJNOr�dA.J _ , personally known to me (or proved to me on the basis of satisfactory evidence) to. be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/hertheir signa- tures) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS nd and official seal. Signature rn Q MAIL TAX STATEMENTS TO: e F LIA"r,-iWAS, - - • • �l- r • �- • - MI. • - GUNDERSON DENISE WARREN NRY OTAPUBUC.CIWFORNIA Btrtte• .. Sept 30.1996 .. (This area for official notarial seal) 1002.(1/94) 151FRQ MICHAEL MOONEY CIVIL ENGINEER' RCE 20647 po�'cto� a(-- i7fiE Nazi -4 ►4A, -r- of S��o�l 3� � T 20.N K 5E / Nl . W 2 wel L p PI PEvVC: 7 DESCRIPTION Commencing at the northwest corner of the "Lands of Conant", as same is shown on that Record of Survey for Steven Conant recorded in Book: 106 of Maps at Page 30 of Butte County Records, thence along t1he north line of said lands Ncrth 89-26'12" East 400 feet to the true point of beginning for -this easement, thence Northerly 15 feet more or less to a point 5 feet northerly of an existing well, and t1he end of this easement. The Basis of Bearings for this easement is the same as -that shcwn on 106 Maps 30. My license expires 9 -=(?-97 071-290-071 PERMIT#96=1112 GUNDERSON, Robert 82 Gunderson Rd., Oroville Propane Line/MH . j T COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICAT19N AND PERMIT ASSESSOR PARCEL NUMBER71-19-071 ZONING 10 BUILD G PERMIT s OWNER ROBERT GUNDERSON W�945 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 82 GUNDERSON RD OROVILLE Q VVI�17Tii�c7V�� 11 CONTRACTOR'S NAME 0 W TELEPHONE ^ CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMIJO N Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE t4O. '' Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 4.0. Penalty $ BUILDING, ADDRESS SZ GUNDERSON PD' -,i1,. PERMITFEE $ • t OROVILLE PLUMBINGPERMIT Fili Eva 20.00 Each Trap (,7_00 1) LOT NO. SUBDIVISION'S NAME PARC6 MAP Solar or heat pump water heater 23.00"-' Water piping 15,00 �.. USyyEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑°' Other SPECIFY Each gas water heater or vent 1.5,00 Gas piping system 1 - 5 outlets 151!0 Building sewer 15.. Q, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation TY Other ❑ T Describe Work: INSTALL YARD GAS LINE PROPANE Mobile Home S W @20.00 � PERMITFEE s 0. Cohtractor ELECTRICALPER,MITFilin Fee 20.00 -000V i 0R' -LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 204n T4,10 t 0OAr ,) 46.00 - 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. T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L,;;e,r the following reason: �• I, as owner of the property, or my employees with wages as their sole compensation, If will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for;this reason I rr ;.jNEW CONST. DWELLING OGCUP. SO. OR ADON ( a ) 3.52 FT. LTI-ACC UTLE NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (a SING OUTLET-PA—us UTLETT CS IR. ) Ex. Occup. ( OUTLET OR FD(TURES ) 20 Qo 1.00 SAL .SO Ex. Occup. ( OUTLETS a sE ID.)EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number -are: Carrier , . _ MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE S" Contractor Policy Number (The above sections need not be completed if the permit is for work' pf-a valuation of one hundred dollars ($100) or less.) F 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should becomesubject to the workers' compensation provisions of section 3700 of the Labor" Code, I shall forthwith com 1y with those provisions. X —Z . �' ��, =-�--- Date Slgnatur of Applldant - O Owner ❑ Contractor ❑ Agent J An OS H� p mit is 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 coNsr. TYPE TOTAL FEE $ 40.00 HA2. I D. FEES I IMP I FLOOD !7CEL I PO HD 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. B Date y r `` G PERMITEXPIRESON e; ! " 7 7 I (Date) Receipt No. 195587 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD-APPLICANT COUNTY OF BUTTE- DEPARTMENT OF QEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION.ANG PERMIT - ASSESSOR PARCEL NUMBER 71-29-071 ZONING FR 10 BUILDff4G PERMIT OWNER ROBERT GUNDERSON TELEPHONE 589-2945 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 82 GUNDERSON RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 82 GUNDERSON RD PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OROVILLE Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑yyOther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: _ INSTALL YARD GAS LINE PROPANE Mobile Home S 911 W @20.00 PERMITFEE $ 40.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR ESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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 Lr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, �will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BUDS. ) s0. 3.5¢ FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER9 (a STING E APPARAOUTLETTC R. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. (ouT�s PESID.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort ith com ly ith t se p ovisions. X Date � �S�V -- — Signht o� Appli nt - Owner ❑ Contractor ❑ Agedt� An OS p mitis required for excavations over 60" deep and demolition or construction of stru ures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 40.00 HAZ. D. FEES I IMP I FLOOD I COF PARCEL PD HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 6/ti PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 195587 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 I or and materials for construction of the proposed pro rty improvement. YES � NO[ ]. 2. I HAVE HAVE NOT[ ] si d an application for a building permit for the proposed ork 3. I have contracted with following person (firm) to provide the proposed construgtion: NAI E: ADDRESS: CITY: PHONE: l V CONTRACTOR'S LICENSE NO. 4. I pian to provide portions of this ork, but I have hired the following person to coordinate, supervise, and provid t m ' r work: NAl E: ' ADDRESS: CITY: PHONE: ONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pro-v•ide'the work indicated: NA3IE ADDRESS PHON7' TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUAAR: DATE: MaA gX1 1IT& NOTE: This owner -Builder Verification is required by Section 19331 and 19332 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. `.= OVER MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE ORPVILLE, CA 95965 ---PHONE (9:16) 538-7541 r " AP(N/: 7� PERMIT NO.://��+ �Odipnr C9 6)m 4)0-f4'50'xj Name: Owner's: w ' ,V Address: l/.,�_ lJ -!'•,-`,,T�✓7 Mobilehome I Year of /T79 Manufacturer t"' Manufacture: Serial number 4,, Insignia or �� l or V.I.N. HUD number: Official ap'roving i s't�llation: Date: If the mobilehome is molAdror 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 f 1 , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMITO. APPLICATION AND PERMIT /"D a 2 ) ASSESSOR PARCEL NUMBER 071-290-071 ZONING FR10 BUILDING PERMIT ' OWNER ROBERT J GUNDERSON T5E HONE SO. FT. OCC. BUILDING LUATION OWNER'S MAILING ADDRESS 5 PO BOX 6031 VILLEELEP CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 89 T., �, ON RD PERMITFEE $ oRnynu., 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service e00V OR LESS ( :61000A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for he following reason: s 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 NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( a ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLEr CIR. Ex. Occup. ( OUTLET OR FDRURES ) 20 @ 1.00 BAL 0 .50 Ex. Occup. FIXED APPLNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) ertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th se prov.sions. / G� q Com— _ ate�j(/j�l�/�'�/ l J Signatu a of pplicant- Own ❑ Contractor ❑ Agent An OSHA, mit is requi ed for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is inn, oo Energy Inspection Fee $ Occ CONST. TYPE T TAL FEE $ . �� HAZ. D. F IMP FLOOD CD PARCEL PD HD SU 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 ate PERMITEXPIRESON 2 (O e) Receipt No. 176295 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' . ,t'• . �{'R :r �.va J f"ti-vi•--..•l ti.tix"s^.,�y,.,:i..., J ; .r.. „.ry ..,....:..ati-- ' . •. -•),.' .. -. ... G,buNTYOF BUTTE - DEPARTMENTOFOEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Date e of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ........... `............................ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Compthte plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ................ :........................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8 ineered truss details and layout in duplicate (required prior to plan check). ... . g. Mobilehome data and manufacturer's installation instructions, 2 sets. ......... 6 ^.21-% L 0 /- eesof $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 5--2/-n / 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . ,14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ -18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pre�­!��e;�doA �equ-eT 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. . ` 25. Letter of signature authorization . ........................................ 26. Cop of recorded deed of parcel creation and 60 right of way to a public road. .... . 27 er of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ................. .....:............:.... . 30. Documentation of 50% subdivision developed or (A)"Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. 33. ..........................'........................... . �/� DOui.1/ 34. When,Ku issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hod fof pickuP at office. Deliver with inspector. Other tS AP ` C� Parcel Creation Acreage Applicant ate Y Copy of Haz-Mat form sent Health Dept. Fire Dept. Air ollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prioermit su : (Cir le w item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail' -- Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail t _ Date Plans checked by Date Plans approved by Date, 4( Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ' 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 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 Ypor and materials for construction of the proposed prope improvement : YEred NO[ ]. 2. I HAVE[ VE NOT[ ] sin application for a building permit for the proposed w rk. ' 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: l??S NOTE: This owner -Builder Verification is required by Section 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. OVER I. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE C� 95965 TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE 1z A.P. # —,)V -07/ DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES ��v2I Ic (paid at District Office) L SHERIFF FEES (paid at Building Division) Residential...... x =$ unit amt. Commercial (sq. ft.). x =$ W14-3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq. ft. amt. W/f4. RECREATION DISTRICT FEES (paid at District Office) A� l'. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE IRNRWr....s°i�1"'`^'gf1n.:1J�.�i"'r,..i•ttir ti. T'%^r�f7+%:•'.d"7L �^\.� 'r6NrN"yl�*�: i.'c`� . -•' LV''S%` . . ,vy s�� .. �. t\+ i BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Form Per Building) / Q (One C / f� School District 0'V— y 61&! _ HS Building Department No. `A.P. Number 7- aQ0-07 Jurisdiction: ;City County Property Owner /�Q�[�I�-.� � (�a? Property Location/Address Subdivison Lot No. Residential Development C No. of Living HI Addition Units Commercial/Industrial New Addition P Sq. Footage t (Group R) r' Sq. Footage - (Including Exterior Roofed Areas) 15uiidtng DepartmVrHepresentative uate (Floor Plans reviewed by School District Personnel) istrict Identificat' n No. 96 \ r (Street certifies that i (Appl (Phone Number) (City) (State) p (Zip Code; has complied with the requirements of Resolution No. ��� _ !Q by payment of $ representing O square feet. AB 2926 $ FULL MITIGATION $ School District Representative i Date Paid by Check # Bank Number Paid by Cash If, subsequent to the School District Representative signing this B Certification Form, the School District is notified by the applicable is being reviewed under the California Environmental Quality Act ( White (applicant), Yellow (building department), Pink (school district) —moi i Planning Agency that this project this project may be subject to feeformmkl (11/94)dmm CO(. -(TY OF BL'I"PE - 0EP.-kR'I:tiiE`4T. OF, DEVELOPNfE.� SERVICES, BUILDING DIVMOK count; cancer crave, ora -viiia G 95965 - Phone: 916-578-751 f ROBERT J GUNDERSON 82 GUNDERSON ROAD OROVILLE CA 959665/15/96 RE: PERMIT APPLICATION FOR MOBILEHOME-INST. DATE: A.P. 071-29-0-071 95-1289 with reference to the above subject: Attached is: Mobilehome Utilities Installation Sheet Application for pe_ -:nit Mobilehome installation Information Sheet Building Plans _ _Typical Plan Sheet _ Engineered Calculations Lyst of PlanCodeSheet ed owner -Builder verification Fm We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned Plot plans, 3/4 sets, signed by preparer of plans.. Complete plans; 3/4 sets, signed by preparer of plans. Engineered plans and talcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and dA/Cuplicate. Buildings. Engineered truss details and layout in duplicate. x,obilehome data and manufacturer's installation instructions, Z sets.& TIE DOWN Fees of S -'payable to Butte County Treasurer. PLANS 7=1mpact fees paid. SHERIFF FEES AND SCHOOL DIST FEES California Department of Forestry plan approva /fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approvalDepartment. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Lard Develcc—enc (a) z prcvements (b) Drainage. Driveway pe^nit (approval of corstr.:c:'_=n required prior to occupancy) . fo „ation (No. .lame Style. Class) or exemption statement. Contractor's license in Cert _f=csc_ co ric=-.mans Cc;.•.ensatic.^. =.^.s:lra- e. Owner -Builder Verification Form. _ Recorded _ ty c' Letter of scrature aura orization. Copy of recorded deed of parcel creaclon and 60' right of way to a public road. Leccer of intent on building use. Mobilehome utility clearance. Documentation of lecal access. Documentation of 504 subdi�rision develened or (a) Road improvements completed an: (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans ir. accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. YOUR PERMIT APPLICATION EXPIRES 6/14/96 AND CANNOT BE ISSUED AFTER THAT DATE. Other: Should you have any quescicrs concerning the above, please contact DONNA SPERLING of this office. mY rs very tr ly, I i , �, �4,\I,— MCV:ahb Miclgael C. V'ieira, C.B.O. Manager, Building Inspeccion 1..Owner's Name: &oq d P r_&n n . 2. Assessor's Parcel Number: C)7,)_ q 3. Installer's Name: �OhP r� _� ��U*& rs0 ✓1 4. Is the site currently under permit? Yes[)d No[ ] Permit No.—q 5. Is the site an existing site? - Yes [ I' No V1(If yes, furnish two plot plans). 6.- What is the electrical rating of the. mobilehome?_�JOD Amperes. - 7.. - What is the mobilehome`site circuit breaker rating? a Amperes..' = 8. What is the electrical rating of the mobilehome site? 02� C� Amperes. =_ - -.9. Is the main service remote from the mobilehome site? Yes[ ] No If it is, what is the rating? N l Amperes. - 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoK] 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: 3 , inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?aCi(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). , May 1995 8.5 I- U 41 Mobilehome Manufacturer: Ir-ini -c r Manufacture Year: If other than single wide, f irniiss 1 Setup Mo el Number: Width: o2C� (ft.) Length: ��] (ft.) Tagalong or Expando Size ) x (ft.) - On all mobilehomes manufactured after October 7, 1973, furnish - manufacturer'.s installation manual and structural setup sheets. FOOTINGS: Wood pressure trea or foundation grade["her: - SUPPORTS: Concrete block" Other: ' Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location = SINGLE WIDE MULTI -WIDE - Line 1 Line 1 Lice 2 Line 2 ................................. :.............................................................. ' Main Beams _ Line2:........................................................................ e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ............................................................................................. Line 2 s Line 1 .................................. r............... ine 5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: ` From ends -maximum: &` Line 2 Piers: Size minimum: [ ] x 1q4 Spacing maximum: ` 0•G` From ends -maximum] ` l Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: 1` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: I` From ends -maximum: ` OVER • TE: All Materials Wo -s P an 139 i21 i"re Ob at ¢. uo : css aad mo n � -1 t le 2ccordaS:,B'v71tr--R0- 9m:?eka .'r:. i':. 1�9 Apr to '20 � �,j for taf3 sleclii6(i `•.�`••' rd c� a �:ali^� .Prescrip.. v F� techanic�.�lt�t- o to - ---... ;1 1 -n: o t �'ofi r�tto� t 1e i7r-ifcrm i u., - ElactsiCCY ry/. _-- - A .a- Codss and -the 14 01 - J64- CC J. AA) l L a�a°h <s oe as b`l N p W r3Tr 2 cv onJ ©na s is Un e w i{�u 2�4C e, 1Cl ' s eQCf\ c �i�'iTZ1'P--S '" r.�� ,=c�u«��E his 3e 16,0 } i. ,�w ori{ OV.ERHA�,(CS H" L �.E ii `� ins °" O. a^ r. 0 Q�M CLEAR OF ALL .ASE?MEET e•J. / Kepi• - C.ikar o' �* ._. ,.� .. A SET ° o ° � tsst©n T'. FrCAA T IH SIDE AND-- • ! �Ji OP.Q r. Vert -S +' �.1 .y '�° .�_ ". Fd`-t f r:z ,a: ;�33C��' f?i ( L��d�S AND ...... FT. IFIMOki ;M R f, y vim)'TE RLiNE ShALL 3E Ca t%t=?iiuCT'sR a ,=:t�}D FCtUBi�iitrcP�iT EXCEPT FOR A 2 FT. EAV E OVERHANG. _........ _. v! of - �'. G • £ u C'044%REVIEWED 43Y 0 _ Y/ Tl {j1 1 � • Gp.... . . '►ee°fd°°y��;y P`�+gium�'"'�o• BUTTE CO. FIRE ^EST.�. o� o qu f't�t3'c{rtcpi CAL IF. DEPT. of.i:RESTRY �V�p� - J _... .. V�'{ patio"p` ❑ approvad as submitedItactmed t-c�P_t�_ � _ . ` p.:: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB O -)/-000 ZONINGBUILDINGPERMIT 07 TELEPHONE SO. FT. OCC. BUILDING VALUATION W - DRESS CGS % to Mc.oNftcTOR'S NAME TELEPHONE CONTRACTOR ESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ ' Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS OYl PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 n-Ro v Each Trap 7.00 LOT NO. SUBONISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplexehome,ther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation�cOther ❑ Describe Work: Mobile Home S G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service$GOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law the following reason: 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) O� ('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 forthwit comply w' h those provi ions. X ate Signatu of� plicant - ❑ O er ❑ Contractor ❑ Agent An 0 A pe mit is required for excavations over 5'0" deep and demolition or construction of str ctures over 3 stories in height. NEW CONST. DWELLING OCCUP. OR ( 8 aT) sO. 3.50 FT. CONST. MULTI-OUTLENS. NEW CTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (s SINGLE OUTLET CIR. ) Ex. Occup. (ourueT OR FIXTURES) 20 @ I.00 SAL Q .50 Ex. Occup. (oFXEEDTs tR SE I.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. I D. FEES IMP I FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.O.S.-B.1). 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT