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HomeMy WebLinkAbout071-400-0480714 40-0-— 04.8,93',323 MHI: DONAHUE, EDWARD X258 MIDDLEFORK,LN, OROVILLE CONTR : MH CENTER 15�j V MHI/EXISTING SITE B07-0641 071-400-048 MISCELLANEOUS Electrical UPGRADE ELEC SERVICCEE.FO/R RES 258 MIDDLEFORK Electric] SUNSHINE LIVING TRUST, NELMS E 01/0_40or"j 11 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0641 Issued: 03/28/2007 Address: 258 MIDDLEFORK LN Area: RRY CREEK Owner: SUNSHINE LIVING TRU,APN: 071-400-048 Applicant: ELIZABETH NELMS Map Page: Permit Type: Electrical Description: UPGRADE ELEC SERVICE FOR RES WEL F Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVE BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216: Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 i Inspection T e 1 IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setacs 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insm --1 — — — — Gas Testi � Manomej - - OFFICE COPY M Continuit Skirting/Address Manufact, GAS N Date of N Meter By 1 - Date Model Nd ELECTRIC S Date /� M Serial Nui Meter By LIA Length x Insignia: Publtc Wor s Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final IZ "PROJECT FINAL 801 P c -rrolect rium is a -,ernucate of occupancy for txesiaennan Vmy) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBE Single Phase Service-Resid $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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. X 03/28/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; X Carrier: Policy Number: Exp. Date: (This section need not be competed if the permitis oror one hundred ($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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compenSiatian provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 03/28/2007 sig - Date WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $55.00 Fees Paid: $55. Balance Due: $0.00 Receipt No: B23 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the Contractor's License Law.). F I AM EXEMPT under Section B. & P.C. for this reason: � n 03/28/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ��ve mentioned property for inspection purposes. I hereby certify that I am the mentioned act lh prop rty ower behalf. _ 03/28/2007 flaffie 7ermi ee [SIGN] Print Date 1�1wner ❑ Contractor OR;Agent for Owner ElAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 258 MIDDLEFORK LN Owner: Permit No: B07-0641 APN: 071-400-048 SUNSHINE LIVING TRUST, NEIL Permit type: MISCELLANEOUS 42 VALLEY VIEW DR Issued Date: 03/28/2007 By KCG Subtype: Electrical OROVILLE, CA 95966 Expiration Date: 03/27/2008 Description: UPGRADE ELEC SERVICE FOR RI (530) 533-3383 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: ELIZABETH NELMS Building Garage Remdl/Addn 42 VALLEY VIEW DR OROVILLE, CA 95966 Other Porch/Patio Total (530)533-3383 FEE INFORMATION DBE Single Phase Service-Resid $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 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. X 03/28/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑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. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; X Carrier: Policy Number: Exp. Date: (This section need not be competed if the permitis oror one hundred ($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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compenSiatian provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 03/28/2007 sig - Date WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $55.00 Fees Paid: $55. Balance Due: $0.00 Receipt No: B23 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the Contractor's License Law.). F I AM EXEMPT under Section B. & P.C. for this reason: � n 03/28/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ��ve mentioned property for inspection purposes. I hereby certify that I am the mentioned act lh prop rty ower behalf. _ 03/28/2007 flaffie 7ermi ee [SIGN] Print Date 1�1wner ❑ Contractor OR;Agent for Owner ElAgent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION ' An application for a_ building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY POYES PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY EMENT.NO) 2. (HAV 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 THE 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 Description: UPGRADE ELEC SERVICE FOR RES WELL Reference Number: B07-0641 Applicant Name: ELIZABETH NELMS Owner's Name: SUNSHIN E S E AP # : 071-400 048 Signature of Property Owner: _� Date: F v/0 res BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Gi'TS I ,jVame Mailing Address/ _w b I %i4 c:L� V City kD Vt tie State Zip�S�n 77 Phone 6_3 3 - 33 $ 3 Fax E-mail D1 KPitr -L sbe �ot1 • /1 J APPLICANT INFORMATION CONTRACTOR Name , Address Phone City E-mail State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name State Address ' Phone City E-mail State Zip Phone Fax E-mail Stale License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# � I_�DG1-D �-L906 Property Address 'g �, e� City Cid V, l/P PERMIT NO. BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK• uAi�ad P_,41 l zZR77 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning ILA I Flood Zone I SRA I Yes I No Occ. Type Const. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld; CalifoFnia 95965 - Telephone: 916/538-7541 • '~�• APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL NUMBER 071-400-048 ZONING U BUILDING PERMIT OWNER Edward W. Donahue TELEPHONE 429-2324 SO. FT. oCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5841 Stubblefield Way, Sacramento 95823 CONTRACTOR'S NAME Mobile Home Center Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35,00 lie 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 QF STRUCTURE SF ❑ Duplex❑ Mobilehome�J/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal latioo Other ❑ Describe work: 2 Bedroom MHI 1,405 sq. ft. Existing Site Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S and Professio Code and my license is in full force and effect. License No. ClassificationCc�� 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 Main service 200A TO 100OA1 37.50 NEW CONST. DWELLING OCCUP.N) 3.6ysq.ft. OR ADDNS. ACC. SLOGS. NEWCONSTR ULTI-OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e1 SINGLE OUTLET CIR. / EX. OCCUp( OUTLETS OR FIXTURES 20 76 PP Ex. Occup. FIXED AS L SID.IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 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 y� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood H650 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 indemnify and keep harmless the County of Butte against all liabilities, u ments, costs, and a penses which may in any way accrue against said 0u in conseq n e of a granting f this permit. X ate An OSHA ion of HAstructuresmit is uiredes r:xc h ions over 5'0' deep and demolition or construct - stars Mobile Home Installation Fee $70.00 q -Inspection Fee $ do occ CONST TYPE TOTAL FEE $125.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 135330 '/Q WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPE OR. GOLDENROD -APPLICANT .. .. , •..•', .. +..iy ...,..Yw+ .. .•f T4 Y.'.._ �. V. .1,.� r .. X76• • •R � COUNTYOF BUTTE -DEPARTMENT OFD.�V9LOPMENTRVIC 'S ES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHO (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER EDWAVLD CA.). LDOAI9 HU0 A. .N .0 /— 4/l/"076)4E Proposed Building Use ,AA I-/ I EXST S I TFF, Building Inspector Date d cj At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 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 supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ngineered truss details and layout in duplicate (required prior to plan check). ..... Mobilehome data and manufacturer's installation instructions, 2 sets. lhu4aa0.4i U� .ZL,44 10 Fees of $ fib,y U ......................................... 1. Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . VA Flood elevation letter (100 year flood) by California Engineer . ................. . ✓(1 Sanitation and plot plan approval 012 Health Department . ............ i 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: . ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . ti Pre -ins -inspection for M H I �X S T" Preanspedion reque—{s ``20. h �7 / l li required. .. co B� id �9 i�spedo� (Date) L Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner �. .......... . 24: ecorded copy of Agricultural Acknowledgement Statement . .................. 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 . .......................................... 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. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephones 33 1/ y03 and hold for pickup at office. Deliver with inspector. Other /1 .t • Parcel Creation Acreage Applicant Date z 0/ /--3 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 1. Index permit•for above items No� 2. Additional items required: e new item not checked above). Contracto , designer, owner, was advised of above required data by phone _ mail Counter by Date _.?41493 actor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by bd Date 2 2 Plans approved by Date Sets of plans on hold in File cabinet AP folder L, Copy - Department of Public Works COUNTY OF BUTTE — DEPARnMNT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 A . P . NO . U— — D 0 °OPOSED BUILDING USE A4 H DATE REC. DATE_ REC School Distric Fees _ aid at District Office) .... . 2. Sheriff Fees (paid. at -Building Department) _,L//T3- Residential X 3 % 0 =$�i unit amt. Commercial(per sq.f t.) X =$ sq.ft. amt. Urban Area Fees (paid at Building Department Residential (per unit) X =$ " units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. Recreation District Fees (paid at District Office) Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid pr' =o issuance of the per„zj�t. -PPLICANT DATE I D/0? BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School -District W_ 0 U/t/ H '` Building Department No. z A.P�Number O % Jurisdiction City 0 County Property Owner E V VJ A l_C> IBJ , DO/V A H VF— Property Location/Address 12,J ? / l DD L F1=70 9 /G. L /// Subdivison', Residential Development j.. 7 tr.tw Commercial/Industrial Departme Lot No. 0 0/ 0 Sq. Footage 0� No. of Living , MHI Addition (Group.R) Units ,a 00 Sq. Footage New; .,� I `A- I 1.1 Addition ax 4. (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) oZ / 0 9 Date District I'dent'ificationNo. T/l J 0738 A tjt (,(i11,�' 0'. Schon' District certifies that )GI',t,�r-�,�.9.0 r z;, (Applicant) (Street Address) V. (Phone Number) ACM (Zip Code) k 'A has complied with the requirements of Resolution No. / 'S % U by payment of $ � 3) g • o? S OF 4AJ representing y0 square feet. t b -0 0� School Bank Number Paid by Cash CAAXtAx- Date -� Remarks: �a - f '1 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) N feeformmkl (4/92) mow■ wAmmik ■ . m .A�A� ■ ■wft MAMMAPM � F, 9i■ 6` -■ mai N i�--7 COUNTRY ESTRTE 0 CE566S1 1,405 S0. FT. (56X25'4") FEATURES CONSTRUCTION • 2' x 6' Exterior Walls -16' on Center. • Fully Vaulted Cedkgs Throughout. • White Frame, Dual Glazed Windows. • 16' or 6' Eaves on Skies. (Size depends on Model). INTERIOR • 1/2' Sheet Rock. Taped, Textured and Painted throughout. • Passage Doors and Wardrobe Doors are White, 6-ponel Colonist Style. • Bright Brass Lever Hardware on All Passage Doors. • Colonial Style Door Casing. KITCHEN • GE -18 Cu. Ft., Frost Free Refrigerator. • GE - 30' Free Standing Gas Range with Electronic Ignition, Window In the Door. Clock and Tkner. • GE - 3 -Cycle. 5 -option Dishwasher. • 1/3 H.P. Garbage Disposal. • Single Lever Mbcer Faucet. • Hardwood Cabinets, Fully Lined with White Melamine. • Adjustable Shelves In Overhead Cabinets. MASTER BATH • Porcek]In Sink with Pop-up Drain and Single Lever Mbcer Faucet. • Oval Tub with Separate Stall Shower, Walk-in Shower or Tub/Shower Combination per Floor Plan. • Single Lever Mbcer Faucet on Shower. • Fluorescent Lighted Soffit over Lavatory Top. GUEST BATH • Porcelain Sink with Pop-up Valve and Single Lever Mixer Faucet. • Tub/Shower Combination with Single Lever Mixer Faucet. • Fluorescent Lighted Soffit over Lavatory Top. UTILITIES • Plumbed and Wired for Washer. • Wired for Electric Dryer. • 30 Galion Gas Water Heater. • Overhead Utility Cabinets with Hanging Rod and Adjustable Shelving. AVAILABLE POPULAR OPTIONS • FIREPLACE • SKYLIGHT • ENERGY CONSERVING INSULATION PACKAGE • BUILT-IN APPLIANCES • BAY WINDOW • OAK CABINETS • BUILT-IN HUTCH/BUFFETS GOLDEN WEST HOMES 9998 Old Placerville Rood, Socromento, cR 95827 (916) 363-2681 10192 PRE -INSPECTION OWNER: DO &14 Hy E DATE -0-1104913 Oleo// LOCATION: Fl X le-' L-/ A.P. #07/ - CONTRACTOR: 6�eW F, ZONING PRE -INSPECTION FOR: H-1 )0; 7 - DATE DATE TO INSPECTOR PERMIT HISTORY: LL::l NONE E:] AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: [� OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES [� HEATED -COOLED " PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: ISSUE 0 HOLD FORCCs S OTHER: BY Z2 DATE*/��..