Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
071-360-010
Al - 071=36-p-01.;Dp MCRAE;°CURT 93-1039 P,E .LUMPKIN RD,, MH OROVILLE �—ELEC---- 00 GAS COMPACTION TEST RE SUPPORT STRUCT RE 071-36-0-016.- - 93-1040 MCRAE, CURT,: LUMPKIN RD, �S�y MH18PS OROVILLE 071-360-010 PERMIT#98-2608 CONLEY, Thomas, 1879 Lumpkin Rd., Oroville• MHI Ex Site I-- 11W t- I ? 8- 99 F. RESIDENTIAL 071-360-010 PERMIT#98-2608 CONLEY, Thomas ,PERMIT NO. 1879 Lumpkin Rd., Orovi"lle PERMIT EXP MHI Ex Site _ OWNER CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY Address r� I [ELECTRIC AS eter By pJ , Dom(eter By CHECKED z BY` SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY k Temp. Power Pole Called PG&E Temp. Elec. Service i r. Called PG&E Temp. Gas Service t' 1� Called PG&E JOB FINALED (D I Signature V=OK O = Not OK Not •=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall-Cp"oncrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /VtL / /Nat. or/ t L ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date MOBILEMOME INSTALLATION(Plans) OK except #'s 1. ping equirements- SetbacksEasements Foo' gs; Size -Spacing -Marriage Line as; M esFDemand-Vahve-Connector ectric' , H Test -Crossovers -Breakers -Clearances rain; MH t -Fall -Flex Connector 6. H Test -Regulator -Connector ' ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas a ectricity Tagged ie Downs -Type -Installation Cert. ' • s; Insp.-Sketch ertof Occupancy 12. Permanent Foundation Only: License Decal Card B-1 Dam ' r Card B-1 - - Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DeplhSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elecbt 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance•GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/3 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = NotOK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date A.C. Unit Disconnect, Electrical -Plumbing UNDERFLOOR (Plans) OK except #'s FRAMING (Continued) 1. Zoning-Setbacks-Easments-FloodSlope Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 49. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 50. 4. Ftg. Porches & Decks; Soils -Steel-/ N FV. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. Slab, SteeNNrapped 57. 8. Piers -Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 60. Brace Interior / Exterior Wall Panels 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 62. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Date 13. Pienums & Ducts; Clearance -Material -Support -Ins. FINAL (Plans) OK except #'s 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 64. 15. Access & Ventilation Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 16. Insulation 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Date 69. Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -tights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled 26. Romex 111istalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32.Equip. Clearances Panels-Motors-Mech. Epuip. 33.Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No W. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing a5. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY Of Wi�E DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: Name: f2 Owners: Address: R -/j MobilehomeYear of Manufacturer Manufacture: Serial number or'V.I.N. 'Insignia or HUD nuAber:'( '✓ / ' r/ 7' L'/ Official approving installation: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE --DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County CenterDriveOroville, California 95965 • Telephone (530) 538-7541nn PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT `�9p��j n ASSESSOR PARCEL NUMBER 071-360-010 ZONIN I� BUILDING PERMIT OWNER THOMAS CONLEY TELEPHONE 589-4422 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 1875 LUMPI:IN RD., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S 43.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHI EX SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFiling "OOVMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.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 the following reason: —16 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Mein Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( 6 ACC. BLDS. SO 3.50 FT, Nor+ IpT MULTI.OLmFT @7,50 APPARATUS 8 SINGLE OvrLET CIR. EX. OCCU OUTLET OR FIXTURES B20 50 @ I' w FIXED APPLNS. OR) Ex. Occup. DUTLETS RaID, EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 � 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 11 ' t9 ' 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. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 143.0 HAZ. s D. FEES IMP .® _.�— FLOOD COF PARCEL 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. By D e ` `1lll dd PERMIT EXPIRES ON G�' VA/i Date ipt No. Z�� �a Rece1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT, Y OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` I COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 -, TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET ` OWNER: / lit ASSESSOR PARCEL NUMBER: _ ^%/ J?- G ' / U Proposed Building Use: U Building Inspector: ",4— Date: 0 73-& At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By El 1. All iiems have been submitted.------------------------------------------------------------ 7 ------------------------ ❑2. Plot plans, 3/4 set's, signed by the preparer of plans. -----:------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ------ =---------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ~�� ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. azardous Material Form. ------------------------------------------------------------------------------------------ 91. Manufactured Home data and installation instructions including Tie Down Specifications .----------=------- ❑ IP. Fees of $----------------------------------------------------- - -- Impact fees as shown on the attached schedule.--f�^;j-t�-- `=114 ------------------------------------ ❑ 12. California Department of Forestry plan approval/fees.--------------------,- ---------------------------------- ❑ 1 . Flood elevation certificate. --------------- ------------------------------------------------------------------------ Sanitation and plot planaPProval U(OUB 1 health Department. -� -sC: --- ----------------------- :------ Ell 5. -----❑15. City of Chico plumbing permit.--=-------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking:. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------- 7----------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on, 021. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- 022. 2. Workers' Compensation carrier and policy number. ----------------------------------------------------------- C. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- a ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ------------------------------------------------------------------------------------ ❑ 27. Manufactured Home utility clearance. ------------------------------------------------ =--------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------=----------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------❑30. Other: ------ �a _ (Date) When you issue the permit, process as follows ❑ Mail to owner, p❑ail ter tractor. _ �.Telep one gqD - SSC) and hold for pickup at & D, [��`P� office. ❑ Deliver with inspector. 4A 5 ate: Applicant: 1 i- " ! `, Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 1. Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑. phone, ❑ mail, ❑ Buil ivision counter, by Date: Plans reviewed by: Date:' Plans approved by: Date: — '- Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Men Attached Floor Plan Att ched Sent to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance --V � ISE Lt/,,m�ev. Owner Location AP# Plan Approved for: Sewage Disposal—_ Water Su ly: Public Private Well Clearance for dwelling. Other 2-- � 1,OP,1) I Ly. . Hold final for: Final clearance OX NOTE: for: Environment Health Specialist 8/96 Date OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing'your signature, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I persotially plan, to provide the major labor and materials for construction of the proposed property improvement: YES 0' NO 13 2. I HAVE R HAVE NOT 0 signed an application for a building permit for the proposed wo& 3. I have contracted with the following person (firm) to provide the proposed construction: NAHE 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 11 — K — !z 2 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. I OWNER BUILDER INFORMATION - -- Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of propertyi improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry ofyeeord on such a permit. Building permits are not required to be signed by property owners unless they are personally perfotaiiti Thai"" 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 whieit.they apply' ; a .r. :. . Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract, you ihouldri>i . � it be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (incl Is 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. ♦ If you are an employer, you must register with the State and Federal Goverrunents as an employer and'youuart,;.:;: subject to several obligations including state.and.federal income tax..withholding, federal social security;, workers compensation insurance, disability insurance costs, and unemployment c?mpensation conttibutions.:'y: ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especiallysaion§ with respect to worker's compensation insurance.rr,_ ` ♦ 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 informatiori 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 perforni'dicir work personally or through their own employees, without a licensed contractor or subcontractor, -only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Build n ' permits are not required to be signed by property owners unless they are performing their own work personally.-, ... " Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your - community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" lin 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. 'y. 4ic rely, J l C. Vi ira,CB.O. l, Building Inspection NOTE: This Owner-Builder.Informallon is required by Section 19830 of the Callfornla Health and Safety Coda COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754t?`�8 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ���� ASSESSOR PARCELNUMBER _ D /U ^ ZONING BUILDING PERMIT OWNER r7 / T41k 51 "E �� SO. FT. OCC. BUILDING VALUATION OWNERS MANDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ p� • 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDWGADDRESS _ / / OV vL v/Al.� Energy Plan Checking Fee $ S PERMIT FEE $ LAT NO. SUBDNSION'$ NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other BPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition Cl Remodel ❑ Utilities ❑ Inst�a/lla�tion ❑ Other ❑,,/ Describe Work: [/ / Q Uf d / ( Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p°o�L oRR yes 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 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 5'0" deep and demolition or construction of structures over 3 stories in height Main Service tow TO IOooA 48.00 NEW CONST. DWELLMCi OCCUP. SO OR ADDNs. a ACC. a s. 3.5¢NT. NEW NON-REOMULTL SID. OUTLET @7,50 PS0 APPARATLS a sINGLE oLmEr CTR. Ex. Occu OUnErORFORURES ®''� eAL Ex. Occup. oimt�sAPP� °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 1113 Mobile Home Installation Fee $ /66 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE S 01) HAL I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. Te ReceiptNo. S ( ( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT U BUTT5COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 000 (One form per Building) School District �( Building Department No. A.P. Number Q " ' 36o^Q1'r(/Jurisdiction: City County S� Property Owner n 11/ c_e. Property Location/Address % >=r Subdivision (Phone Number) Lot No. Residential Development , (City) (State) (Zip Code) No of Living Mobile Home Addition Units Installation Commercial/Industrial Building Department k District Identification No. u-ioor runs reviewea X9003 i New Addition School District Personnel) Qro�jlttpv1 ��Y l School District certifies that I•uw��o f�v'-� tVi Sq. Footage (Group R) Sq. Footage I (Including Exterior Roofed Areas) Date t - I � . Cori (Applicant) (Street Address) (Phone Number) Qrov�lt� CA q6 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 129 square feet. 3 School District Representative lol;; -6-bl by payment of $ ew...YVI ± �Alk26 $ ULL ! ON 9' 18' Date Paid by Check # Remarks:`'"/ �'' • �3 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County•Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on .the school district's schools. White (applicant), Yellow (building department►, Pink (school district) feeform.xis (2/97)dmm -IS �� T Cd�t� r•-� �. rG� r 1 `1�a Vd,. l SM Cir" i��D Up -oto UO � Ltv `-Was set of plans and speefficatIonn XM be —wept on the job at all times it is unlawful to make any changes or alte=olns on same without Written permission from the Depwtment of Public Works. Oaunty ct Butte. I MOTE. All Materials' Worlmax-114P ShaU BO t.tll �—h'GICOrdaDcO With J�ecvgbized Good - Practices gr of QUWAY Pres ' ' and Prescribed. for the Sbecifted use 'bL9'UxdfOPni Building, 00den and the Hawonc Plumbing & Mecba=()a,7 Blearl(ftl Code. GC (.5 ULU U0 � Ltv `-Was set of plans and speefficatIonn XM be —wept on the job at all times it is unlawful to make any changes or alte=olns on same without Written permission from the Depwtment of Public Works. Oaunty ct Butte. 1. Owner's Name: 2. Assessor's Parcel Number: 7 ` 3. Installer's Name: 4. Is the site currently under permit? es[ ] No[Permit No. 5. Is the site an existing site? , Yes ] . No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 106 Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from -the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ .4 No[ ] If yes, please identify the load and size: a) The mobile h me site: j v Load- �Amperes- / 0 b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[/ None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 1t% (ft.). 14. What is the mobilehome gas demand?—� B.T.U.*• *(This information'is not required if the pipe length i ess thait6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION. BkjTTECOUN �UILDING v May 1995 8.5 All Mobilehome Manufacturer: G ,7n /7,t, /0 /� Manufacture Year: If other than single wide, furnish Setup Model Number: Width:�(ft.) Length:�(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure trea ed or foundation grade[ If/Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Vn 11tk4- Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 Main Beams Line2..................................'..................................................:........... e 2 Line 1 Line 3 Line 2 ............................................................................................. Main Beams Line 2 Line 1 .................................................. ins S Tag or Triple ins 4 ins 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: Spacing maximum: ` From ends -maximum: Ib ` 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: ` Line 4 Piers: Size minimum: [ x Spacing maximum: ` From ends -maximum: ` <11 " OVER l Lr c � Q (6 S :c 11 APPROVED Butte County r' cnvlronmental Health a - ---- -- Signature --- COUNTY -OF BUTTE 3UIe NG DIVISION .. DEPARTMENT OF. DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. lygpu have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. 'VV'6 / /7/ Date_ _ Inspector REV 10/92 TIEDOWN CERTIFICATION Installation Permit Number: �� 019 Property Owner's .Name : Tym C, Address or Location of Units / l U W1D;k-- Assessor's Parcel Numbers Manufacturer's Names 1 hv4e ✓n; VN Sizes Gf`oss 'e-5. Year of M/H: �00 Tiedown System Number! 6-T.S / I certify that those portions of the tiedown system installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the terms of their listing or with the terms of the engineered plans and specifications. CY Signature Date ..Print Name RESIDENTIAL r �-- 071-36-0-010 .� 44—k6-39 P,E MCRAE, CURT 1$5? LUMPKIN RD, OROVILLE 'ff13Q49 y- . Y, i1 r l r i t a 4 v OFFICE COPY Address i 4 r GAS Dates Meter By ELECTRIC paten-/ ' Meter By JOB FINALED MAI tfllfw� Signature :� V= OK c O=Not OK, Not ' = Not Rea'dyable MOBILE HOMES Date/Initials MOB E HOME UTILITIES Plana OK except #'a i Zoning Requirements -Setbacks -Easements i . Soils; Special MH Support Sketch i . ewer; Location -Test -Fell -C/O Concrete meter; Location -Teat -Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete �6.9Gae1-6ocation-Test-Wrap: / /"L"ft. / /" at., or/ P'L"ft./ /"LPG { learance & Disconnect t ft -Utility Clearance i! -i7-�3 ► i y t Date/Initial &mwHOME INSTALLATION Plana OK except #'a I ZaAlng Requirements -Setbacks Easements di;notings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector r 4. E poWclty; MH Test -Crossovers -Breakers -Clearances Iain; MH Test -Fall -Flex Connector �Wa Test -Regulator -Connector mater and Sewer Connected -C/O to Grade -HD Approval !8T,9!i.apd-Electricity Tagged Gel!0-ts;Inap-Sketch 10. Cert. of Occupancy ir• MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Graders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectore Shthg: Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Door: 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftra-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI B. 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-Enclosu res -Pane I boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK ' - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Ring. 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 T -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/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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 69. 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drains, gge & 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. Vents Above Roof; Plbg: Appliance -Fireplace. -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. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O Cot�ty Ce41 er Drive - Orbville, Chfifornia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-360-010 ZONING 1FR- BUILDING PERMIT OWNER Curt McRae 702 TELEPHONE 285-2312 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 273 Gabbs NV 89409 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[I Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition LJ Remodel ❑ Utilities ❑ InstallationE, Other ❑ Describe work: MHI (3 Bedroom) _ :K�,—�® Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 ' Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p j y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BusinesS and Professions Code and my license is in full force and effect. License Ao. Classification Et -r-1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the.owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. 3.56sq.ft. NEw CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75d FIXED APPLNS, Ex. Occup. OUTLETS IIRESIM.) E A./ j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 2 it shalI not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �– Date �–�y' Signature of Applicant — Owner ®--'Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOT)kL FEE $ 105 00 HAz I DFEE 1 P FLOOD CDF I PARCE PD I HDIS E This permit is hereby issued under th plicabie provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. COR OF PUBLIC WORKS By D Dates -/95 PERMIT EXPIRES Date {' 140524 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE CCiUNTY-OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFOI9N"5965 — TELEPHONE: (916) 538-7541 �'3-ICU PERMIT NO. /t t Address or location of mobilehome /9: 2�? Owner's name ( lJ Owner's address 31 v Insignia or hud number Manufacturer's name L%tq v Serial number of V.I.N. (Off ic(g.YAfi roving#4nstaIIatian Year of manufacture f I� �S (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION - ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r �, 513B White - Owner, Yellow - Installer, Pink - D.P.W: •.- \ 1. it 'i-- ..1 ' 'V `� tl �.Iv }l.. -� •� ry. rrwl,� . ..... .. -� • r , COUNTYOF BUTTE - DEPARTMEN` ,0POP—Mli , PMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Uwe,," f PERMIT APPI ICAiTION DATASHEET OWNER AA. P. No. jo ZZ– V/0 Proposed Buiding Use `Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. r' 5. Hazardous Material Form . ........................................... 6. Energy Design Complianceland supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... $CaliEngineered truss details and layout iQ�duplicate (required prior to plan check). •.. . fornia Mobilehome data and manufacturer's installation instructions, 2 sets. UW bfnr9�a,LFees of $ �Impact fees as shown on attached schedule. 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 -Inspection request 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. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27- Letter of intent on building use. . Mobilehome utility clearance .........................................'067-93 E24— Z� 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 . ............... jv 31. Existing violations/expiredi'permiis. ...................................... 32. Plan check list. ....... W.?.�........................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. 1� Telephone2a2 :z;t a&Z and hold for pickup at office. Deliver with inspector. Other Parcel Creation y4 f -Z Acreage Applicant' �> ��r-�' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte r' mit issuance: (Circle new item not checked above). 1. Index permit'for above items No. ti 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 Count r _ Date Plans checked by tiw Date 19OV5 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 e OWNER 67Urf - !�E A.P. NO . d % l- 36o - a 9 PROPOSED BUILDING USE 1 v I DATE C 2� REC. # DATE REC 1. School District FeesOAP/t/6:_/� (paid at District Office) ..... iFlk_2. Sheriff Fees (paid at Building Department) Residential ......... X unit amt*. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit)' X =$ # units amt. f. Commerical(per sq.ft.) X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ,. „ ..................... 6. Other 7. Other jAt time of permit application, I was advised the above fees are required .to be paid prior -to issuance of the permit. APPLICANT DATE 1 B,UTTE;COUNTY SCHOOLS IMPACT FEE.CERTIFICATION FORM _ O0/7 ?� (One Form Per Building) l// f Building Department No. • ;�� School District Q�-(J lZ /( +. A.P. Number �7/��iD� �6�� Jurisdiction 0 City County Property Owner 61 �" A/ AG Property Location/Address Subdivison Lot No. Residential Development 0 Sq. Footage 1536 No. of Living MHI Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) f3 .Building Department Representative Date �w (FloovPlans reviewed by School District Personnel) District Identification No. 9 i O 7 O 7 n 0 SGot strict certifies that (Applicant) 0 e (Street Ad ress) '.. '' a (Phone Number) ov R 0V (City) (State) (Zip Code) has complied with the requirements of Resolution No. 1016 7 V by payment of representing �tD square feet. School District RepresentAtive Date Paid by Check Number Remarks Bank Number O Paid b Cash y If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) E s � o 4 I aox Vba DOG BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: !//V-� /l, )"7 J/C1, /y�QWf" 2. Installer's Name: V F 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is Yes No the site an existing site? (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach m fields Yes No F-1 and clear of all setbacks and easements? (If no, clarify 5. What is -the mobilehome electrical rating? --------------- /00. - Amps.. ,;�©o 6. What is the mobilehome site service rating? ------------- Amps O0 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes � No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �f/Dq/� (in.) 10. What is the type of gas service? ------------------- Natural LPG [] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) _. 12. What is the mobilehome gas demand?,---------------------- (BTU) *(This information not required if pipe length less thanft: on natural gas or less than 50 ft. on LPG.) y'3 -10 1�o BUTTE M, N'T'Y - BUILDING 07,.. TMENT APPS MOBILEHOME SUPPORT DATA If other than single wide,, Mobilehome Mfr. Amfl-A),9,216A) furnish Setup Model No. Year /C�?`3 Width a (ft.) Box Length�(ft. ) Tagalong or Expan]do,Size ft.� x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)©1. Wood -pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one)21. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Line 1 Piers: Size -Min. ------------ 'k Spacing -Max. --------- ,- „ From Ends -Max. ------- '_ �' Line 2 Piers: Size -Min. ------------ �i ,, �! Spacing -Max. --------- d�'-`J� From Ends -Max.------- 1 ' Line 3 Roof Loads: `j iI Size -Min .------------ Location (From Front) _ Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- ._ I� Line 1 Openings: Size -Min. ------------------ „x n Each Side of Openings With Width over --------- " Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ k Spacing -Max.--------------- r_ From Ends -Max .------------- e :) riers: kunuer nearing eaaao vuryi Size -Min ------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size-Min.------------ ux „ nx „ „x a „x .1 „x. „ ux a „x I. Location (From Front) 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 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, �leasecpintact this office immediately. Date //)-I / `/inspector REV 19/92 ` O AP �r OWNE fob C-9C� .e PERMIT r /tea MI UTIL,CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES -f NO YES NO 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilles.California 95965 - Telephone: 916'538-7541 • APPLICATION AND PERMIT PERMIT NO. 143- 03 ASSESSOR PARCEL NUMBER 071-360-010 ZONING FR -5 BUILDING PERMI OWNER Curt McRae 702 TELEPHONE 285-2312 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 273 Gabbs NV 89409 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ MOIL LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outletsE-00 Building sewer Mobile Home S G W 3Q,QQ TYPE OF WORK New,_ Addition;_; Remodel Li Utilities Installation[ Other❑ Describe work: MHU (3 Bedroom) _ Permit Fee $45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR ESS 200AORLESS 1 18.501 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. Icense No. Classification L I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ADONS. 1 ACC. BLDGS. /) 3.66sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15,00 Misc. Wiring 15.00 Permit Fee $48.50 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1911I" shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X -f� ` A Date — �O- �' Signature of Applicant — owner g pp Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P OCC CONST TYPE TO AL FEES 11 .50 HA2 DFEES 0 FLOOD I CDF I PARCge PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR C OR OF U LIC By PE MIT EXPIRES Da the plicable provi resolutions to do have been paid. WORKS D e 3� 9y Receipt No. 140524 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .� t�e.,-,�,�...ti. �Yir��"',�,�/r..r'tip�l.��'T�"+rr{ 4r�'Y''�'��.f✓Y"\7ti...,,,�'�.--r-�_.^1-v rte. -e �.-.,�. COUNTYOF BUTTE - DEPARTME OVE40PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFQRNIA 95965 - TELEPHONE (916) 538-7541 OWNER U / Proposed Building Use PERMIT APPLICATION DATA SHEET ,1 Building Inspector (DD 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. 2. All items have been submitted. ........................................ Plot plans, 3/4 sets, signed by preparer oftplans. ........................ 3 i' 3. Complete 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 suppoTing 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. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. _14. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval 'lfi° Health Department . ............ y z 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. . a 19. Driveway permit (construction approval required prior to occupancy). . 20. Prelnspe onrequesi Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. 24. Owner- BuilderlVerification (Given to owner , Mail to owner . .. . . Recorded copy of Agricultural Acknowledgement Statement . ................ 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 4p4* 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. ...... r .............................. . 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone%,L-2f�3y -21andhold for pickup at office. Deliver with inspector. Other Parcel Creation ` 1 �77 Acreage Applicant �i �� �-P Date `f' ' o2 C1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, 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 Counter by _ Date Plans checked by f Date d ? Plans approved by Date X13 Sets of plans on hold in File cabinet AP folder Twu*vv-d � PAV I(-?Jj93 Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) )/775 2. I (have/have not) signed an application for a'building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 4jDate NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and -19832 of the -California. Health and Safety Code This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUE-I ✓ • i'ORK" PERMIT NO. 7 County Center Drive - Oroville„California 95965 - Teleptlonl- 9.6 536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING r' BUILDING PERMIT E JNrr�P J TELEPHONE S0. FT. OCC. BUILDING VALUATION JWN I- R'S MAI, INv ADDRESS -Jr:TRACTOR'S AMEN TELEPHONE :.ONTRACTOR'S MAILING ADDRESS Fireplace ; i CONSTRUCTION LENDER UNKNOWN Total Valuation S Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ O - Q7 I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ I ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ I BUILDING ADDRESS Z �� �V���� Permit fee $ Oc7 PLUMBING PERMIT Filing Fee 15.00 UM-'I'/�'(% „ If Each Trap Solar or heat pump water heater 5.00i. 1 20.00 ' Water piping 7.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE 15.00 SF! DuplexiJ Mobilehome - Other T` SPECIFY Building sewer Mobile Home S G W @ 15.00 std-� TYPE OF WORK — _ New Aadl[lonRemodel;_ Utilities Installation[ Other 17L Permit Fee $ UJ "V Contractor Describe work:, ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V ESS 200A OR OR LELSS 18.50 /� . �`J Main service 20CATO 1000AI 1 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.&) OR AODNS. ACC. BLDGS. II 3.66 sq.tt. I declare under penalty of perjury (check one): NEW CONSTR. ULTI.OUTLET NON.RESID. BRANCH CIRC ITS @ 5.00 J I am licensed under provisions of Chapt. 9, Div. 3 of the Business (SPOWER INGLE OUTLETTUS CIR.bI and Professions Code and my license is in full force and effect. Ex. Occup(o DR FIXTURES 20 76d License No. Classification XA ED APP LNS. OR FIXED Ex. Occup. OUTLETS IRESID.I EA. I 3.00 1, as the owner, or my employees with wages as their sole compen- J sation, will do the work,and the structure Is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 / S-cx> ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) [•I I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 15.00 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. J 1 shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Is correct. I agree to comply to all County Ordinances and State Laws relating Ener Inspection Fee Energy $ to building construction, and hereby authorize representatives of the Countyot for inspection OCC I CONST TYPE Butte to enter upon the above-mentioned property purposes. !TOTAL FEE $ I also agree to save, indemnify and keep harmless the County of Butte against D FEET IMP FL000 CDF PARCEL PD HD ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue rIAZ � against said County in consequence of the granting of this permi ill;? Q This permit is hereby issued under the applicable provi- I X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner C Contractor L :: Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0” deep and demolition or construct- DIRECTOR OF PUBLIC WORKS on of structures over 3 stories In height. Date �/ By � Receipt No. lyDs� PERMIT EXPIRES Date wNITE-D.P.W.. YELLOW-ASDEssOR. P,,,.INSPECTOR. GOLDENROD -APPLICANT l 00 I vi a- •• / ALL sTr UCTIJRES ANIb Ei?f. IPMENT INCLUDING :r�E,r.HAff�flS SHALL BE CLEA G ALL EASEMEti'TS. ;ET ESA ,K QF �O _ r= �. F't�OA� TFiE SSI A MD �0 FT. FROtjTHE REAR tPROPERTY UNES AMI FT. FROW THE ROAD G EV i ERLWE SHALL - I CLEAR OF STRgCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. .f f ,.,TE: ,, Ivla19rial-s & Workn:ansFip Shan U ., r,c.:.ordoT e with Recognized Good Practices c d v o civa 'fv prescribed for the Specified use in tho LffP lnir,-g, Plurnb;ng & Mecnonicol Codos and bar. Ne Vivol Electrical Cade. V1 This#t of *tu and specificafions MUST Int kept<he job tat all fim 3s and it is unlawful vc make any changes or alterations on same without writfer permiss-ior- ram the Department of Pvbi c -Wo,ks, County of auffe. Mu * R3 -103q BUTTE COUNTY -BUJ WING DEPARTMENT PVD 'Piu! 4{3a(93 aas.os� AP 40- 0 �k—a-66 /o Ret.ui-n to DPW �y AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT. Se-tionF26-8.1 of the "Butte requires this acknowledgement prior to issuance of a building FOR RESIDENTIAL DEVELOPMENT County -Code, be recorded permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from' the pursuit of agricultural operations including, but notlimited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or -discomfort from normal, necessary farm operations. Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All ttrat .ramal .:property::. situate in . the County of Butte, State of California, described as follows: Date: �i Z State of�J County of On this the 212,10 SS. undersigned Notary C-,, 4,7- day ,7 NOT COMPARED WITH ORIGINAL DOCUMENT PROPERTY OWNERS: day of11-i L , 19 1 before me, the Public,personally appeared Pd/t4__KZ.. ®°M ME MEW M 0 a®a°isIla 0 me a ami -MM - la Personally known to me. d Proved to me on the basis .®r -DANIEL F. HUNY � ® of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA t� be the person(s) whose name(s) f Butte County My commission Expire& Oct 1. 19WJb scribed to the within instrument a d ack ledge t �- ® cuted the same for the purpose th rei co tai . IN WITNESS wWHHEREOF, I hereunto set my hand a d o fi ial sea Present A. P. No. -2` � U tary Public r� 015817`��11-�93 O1-Stl% 9" � 17 t Rec Fee 8. 00 r~) 3-015 8. 00 -t ��asrh Recorded t Official Records t i County of Butte t r Candace J. Grubber -.l Recorded i1:12am 22 -Apr t FULL XX 2 N PARCEL II• A PORTION OF%THE SOUTHWEST _QUARTER OF SECTION 21, TOWNSHIP 20 NORTH, RANGE 6 EAST, M.D'.B. `& M., DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 21; THENCE SOUTHERLY ALONG THE WEST SECTION LINE 195.00 FEET; THENCE EASTERLY AND PARALLEL TO THE SOUTH SECTION LINE A DISTANCE OF 685.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUE EASTERLY AND PARALLEL TO THE SOUTH SECTION LINE A DISTANCE OF 225.00 FEET; THENCE SOUTH AND PARALLEL TO THE WEST LINE OF SAID SECTION A DISTANCE OF 200.00 FEET; THENCE WEST AND PARALLEL TO THE SOUTH SECTION LINE A DISTANCE OF 225.00 FEET; THENCE NORTH AND PARALLEL TO WEST SECTION LINE A DISTANCE OF 200.00 FEET TO THE TRUE POINT OF BEGINNING. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY AND EASTERLY 30 FEET THEREOF. PARCEL II -A: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 30 FEET IN WIDTH, LYING SOUTH AND EAST OF AND ADJACENT TO THE,SOUTH AND EAST LINES OF THE ABOVE DESCRIBED PARCEL II. PARCEL II -B• A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE NORTHERLY AND EASTERLY 30 FEET OF THE FOLLOWING DESCRIBED PARCEL OF LAND: THE EAST 2180 FEET OF THE SOUTHWEST QUARTER OF SECTION 21, TOWNSHIP 20 NORTH, RANGE 6 EAST, M.D.B. & M. _. EXCEPTING THEREFROM THE EAST 1730 FEET. ALSO EXCEPTING THEREFROM ALL THAT PORTION LYING SOUTHERLY OF THE CENTERLINE OF THE LUMPKIN ROAD. ALSO EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL II -A, DESCRIBED HEREIN. PARCEL-II-C.- AN ARCELII-C• AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 30 FEET IN WIDTH LYING EASTERLY OF AND ADJACENT TO THE EASTERLY LINE OF .THE FOLLOWING DESCRIBED PARCEL: THE EAST 2180 FEET OF THE SOUTHWEST 1/4 OF SECTION 21, TOWNSHIP 20 NORTH, RANGE 6 EAST, M.D.B. & M. EXCEPTING THEREFROM THE EAST 1730 FEET. ALSO EXCEPTING THEREFROM THE NORTH 1705 FEET. ALSO EXCEPTING THEREFROM ALL THAT PORTION LYING SOUTHERLY OF THE CENTERLINE OF LUMPKIN ROAD. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville, CA 95965 PHONE: 916-538-7541 DATE %� 3 n _ _ ... RE: With reference to the above subject: Attached is: A. P. # 6%/ — 3%D — D/ b Application for permit Mobilehome Utilities Installation Sheet - Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street -and drainage improvement plan approval from -Land -Development Section'(DPW). sets -of plans in accordance with the changes-marked-in.red: Sanitation approval from Butte County Health Department at: 1469 -Humboldt Road, Chico - - -. 7 County Center Dr., Oroville Skyway_ & Elliott Rd., Paradise- Planning aradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. - �� J Recorded copy of deed showing / Recorded..c.opy of agricultural.acknowledgemen state ent... Should you have any questions concerning the above, please contact of this office. Yours very truly, William Chuff Director of Public Works (2-1 F. Glander JFG/aj TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance - = ... Hol Plan AnuEhu:- 1"Wor flan IUuiehed SEnt ,u 11J), I e t�[- ca li..o� �1 r%/- --f,1,'" Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: I'ublic Private Well Clearance for --3 mobile home. Other Hold final for: Final clearance O.K. for: NOTE CfAl ala aame .--/ Environmental Health Specialist 8/92 I W.Q. oS- " Butte County Environmental Health Date rhL-- Signature 1 I ay �r 1 �. Oo 1S'11, APS Environmental Health APR 2 6 1993 Oroville, California. A'P.+:9l -34,-1 D APPROVED Butte County V Environmental Health Environmental Y-;t3itri APR 2 6 19 rd_ oP- }1TJ3 9� Date Oroville, California & _ D v0/ 7 Signature iA • cLUs� ; � 1f WO��r q, -,,PRY c L ds�T 3 In �Io7 T9