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HomeMy WebLinkAbout071-430-021TRAVEL TRAILER WITHOUT PERIMITS 10/25/93 -74-35-�2 1412-90P, E LEE, Greg , 0� EC'k S/W intersection Horseshoe Hidden Springs Rd, Berry Crk 1474-91P,E WILLIAMS,Jame.s 2 Horseshoe Tr-, Berry Creekr (travel trailer utilities) 4 ELEC - - �, GAS COMPACTION TEST REQ SUPPORT STRUCT REQ 071-430-021 94-1231P,E WILLIAMS, JAMES B. 2 HORSESHOE TRAIL, BERRY CREEK UTIL FOR TRAVEL TRLR(REPLACES #91-1474) 071-430-021 03-0372 POTTER, GABRIELLA 2 HORSESHOE TRAIL,'BERRY CREEK MHU. ELECTRIC GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 071-430-021 1`x(l ?J403 73 POTTER, GABRIELLA 6 q 2 HORSESHOE TRAIL, BERRY CREEK NIHI ' r ENVIRONMENTAL HEALTH CLEARARANCE DATE 071=430-021 - 03-0555; PERMIT RENEWAL ' ;SPOTTER, GABRIELE BP # 03 -6555 2 HORSE SHOE TRAIL, BERRY CREEK Cont: OWNER . 1 < Date: 9-10106 GAZEBO. 7'7���� BP Expires: 0 071-430-021 04-1625 �. POTTER, GABRIELE - 2 HORSESHOE TRAIL, BERRY CREEK Cont: PHIL DECANN._ I �_ MH PERM FDN 1 b � , 'In -- __ _— — -- e -NOTES - RESIDENTIAL Z'-1--162PERMIT N0. 071-430-021�� POTTER, GABRIELE '2 HORSESHOE TRAIL, BERRY CREEK Cont: PHIL DECANN I MH PERM FDN r THE HCD FORM 433A FOR THIS MH CANNOT BE t RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: { (1) LICENSE PLATE(S) OR DECAL (THE ` INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). t INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS a CHECKED t. BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER II I DETACH FOR SERVING:UTI;LLIITY 1. Address (2�jt GAS L Meter By 'Date� ELECTRIC Meter By Date r 1 O- I i i i JOB FINALED (Date) Signature J=OK 0 = Not OK = Not Reaab�edy 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 -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) �.. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Date 1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 6. 7. 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. 8. Gas and Electricity Tagged 9. 9. Tie Downs -Type -Installation Cert. 10. 10. Exits; Insp.-Sketch 11. 11. Cert. of Occupancy 12. Enclosure; Fencing -Alarms !Date 4 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card Date Card B-1 Date PER ENT END SYSTEM (ONLY) Z g Requirements -Setbacks -Easements J Fo gs; Size -Spacing -Marriage Line 411fi-opk<9 MH Test -Demand -Valve lectricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Ws la'License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s ' V 1. 2. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails (? 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing + 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors �.. 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s + 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI ' �i 5. 6. 7. Elec.; Pool Lighting; 15 Volts-GFI Elec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms !Date 4 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 9 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel,/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. 7. Slab, Steel -Wrapped 55. 8. Piers -Fireplace Ftg.-Steel 56. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 57. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor-Nai Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AV-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 91. 36. A.C. Ducts Insulation & Support 92. 37. Vent Fan, Exhaust above insulat on 93. 38. Condensate Drain & Overflow, Size & Grade 94. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 95. 40. Attic Access & Platform if Furnace in Attic Date Fire Sprinkler Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: . ` f COUNTY OF, BUTTE BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street [ Chico, CA • (530) 891-2751 "7 County Center Drive • Oroville,. CA • (530) 538-7541 CORRECTION NOTICE_ OWNER PERMIT NO. i WV ,� i , .� r .,. •` r. A routirie inspection indicates thaY� 'im owing violations of butte county Ordinances exist at the ab6ve address a6d'should be corrected. Please notice this office when correction of work,is t �. •' completed. 'if you have any gtrMiJns, pertaining to this matter, or geed additional explanation,. please contact this office immedltely. v Date r 7 -,'Inspector i REV 10/92 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 PERMIT NO. BP041626 LICENSED CONTRACTORS 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 Issued Date: 06/30/2004 APN: 071-430-021-000 the Business and Professions Code, and my license is in full force and effect. License Class: nse N(um�be^r: U L Site Address: 2 HORSESHOE TR BCK 6 Date: �- �iJ' Contractor: C�- Map Index: Description: EX MH EX SITE PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner• - POTTER GABRIELE B to its issuance, also requires the applicant for such permit to file a DBA BRIGITTES TOUCH OF ART GLASS signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section STUDIO 7000) of Division 3 of the Business and Professions Code) or that he or 2 HORSESHOE TRL she is exempt therefrom and the basis for the alleged exemption. Any BERRY CREEK CA 95916-9710 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).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DE CANN, PHIL such 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 improvements are sold within one 169 BARDOLINO LANE year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of (530) 534-7670 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with.a contractor(s) licensed Contractor: DE CANN, PHIL pursuant to the Contractors' State License Law.). O 1 am Exempt under Article 3 of the Business and Professions Code 169 BARDOLINO LANE OROVILLE, CA 95966 Date: Owner: (530) 534-7670 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #- 670920 ❑ 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. O 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: �, Carrier: ICS Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 O 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 Census Code: become subject to the 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. Date: Applicant: WARNING: Failuret cure workers' compensation coverage is unlawful, and shall su . ct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor interest, and attorney's fees. 6 %j code, 7 CONSTRUCTION LENDING AGENCY This perm is ere sued nd r I applicabl provisions of the Butte County Cods a..n or I hereby arm that there is a construction lending agency for the affirm Res uti s d d' b hi fe h e s an paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ✓h Name: BY Date: PERMIT EXPIRES ON: Address: Date Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a icial to or do ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: A Z R ti Signature: 6; 3 G Date: r ❑ Owner Contractor El Agent for Owner ❑ Agent for Contractor NOTES RESIDENTIAL 071-430-021 03-0555 PERMIT NO. — POTTER,'GABRIELE _ 2 HORSE SHOE TRAIL, BERRY CREEK Cont: OWNER-' t GAZEBO PERMIT RENEWAL BP # 03'0.5 Date: 2 1 BP Expires: 3 /0 4 a i 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) r"7 r '0 J Signature J CHECKED BY J=OK o = NotOK - Applicable =Not Applicable + = Not Ready ' RESIDENTIAL Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope 2.' Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 18. Water Pipe; Test & Anchor -Nail -Protection 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 21. Test Tub & Shower, Second Floor -Tub A ecc ss -- 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped ELECTRICAL (Permit) OK except #'s 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 26. Size Boxes & No. of Conductors Stapled 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 27. Romex Installed Close to Edge of Studs & C.J. 11. Water Pipe; Test -Anchors -Regulator -Service Test 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 12. Electric Underground 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 32. Service -Riser Conductors & Ground Main Disconnect 15. Access & Ventilation _ 16. Insulation (Single & Duplex) 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: Date Card B-1 Date Card B-1 Date 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.V)(.V.; Test Fittings & Anchor -Nail Protection 20. Showe Pan; Testi First Floor=Tub Access 21. Test Tub & Shower, Second Floor -Tub A ecc ss -- 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps - 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK 0 = Not OK . = NotReadyable 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 -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Footings; Size -Spacing -Marriage Line Carports; Windows -Doors 3. Blocking 8. 4. Gas; MH Test -Demand -Valve 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; MH Test Roof; Shthg-Roofing 6. Water; MH Test 12. 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 Date 9. Exits Date POOLS (Plans) OK except #'s 10. License Decals Setbacks -Easements 11. Verify #'s with Office 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date 5. Card B-1 Date Card B-1 Date Elec.; Enclosures; Conduit Entries -Terminals -Listed Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 ate Card B-1 Date Card B-1 COUNTY OF BUTTE -DEPARTMENT Ofr i]E1&ELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Orovidle, California 95965 • Telephone (530) 53 541PERMIT NO. (Rev.12/96)'0.' APPLICATION AND PERMIT 3 - o 5S5 ASSESSOR PARCEL NUMBER 071-430-021 ZONING ILDING PERMIT OWNER Potter Gabriele 589-9979 TELEPHONE SO. FT. OCC. BUILDING VALUATION 152 C 1976.00 .OWNERS MAILING ADDRESS 2 Horse Shop Trail Berry Crppk 99q16 CONTRACTOR'S NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1976.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 29.25 BUILDING ADDRESS 2 Horqp Shoin Trail Berry Creek CA 95916 Energy Plan Checking Fee $ $ PERMIT FEE $ 94.25 LAT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 12 X 12 gazebo built wZo :permi tG Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORtE600V R SS 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. COE], I, as owner of the property, am exclusively contracting with licensed contractors construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. SO 3.50FT; NEW REOSID MULTI.OunET @7,50 a OUTLET OWER APPARATUCS IR. Ex. Occu OUTLET OR FaTUREs 20 ° ' 00 BAL @ .50 OR Ex. Occup. o rLETS .=.) EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00to 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.) 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 f rthwpth comply rwitilose=visions. -• q '_Qte b( 7 �j ignatureof Applicant - !Owner ❑ContractorAgent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in hep ht. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 94.25 HAZ. I D. IMP FLOOD CDF PARCEL I PD HD E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. 1,� ®� /ant7,41,/ 4" pits) ReceiptNo. / WHITE-D.D.S.-B.D. CANARY- S OR PINK -INSPECTOR GOLDENROD -APPLICANT County of Butte Oroville, California �Opr GENERAL CLAIM CLAIMANT: Gabriele B. Potter ADDRESS: 2 Horseshoe Trail IMPORTANT: CITY & STATE: Berry Creek, CA 95916 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 3/10/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Reason for the QV2� Citarg%ed ' y Refund: 131dg Permit App a No.: 03 '0555: AP No :;071-430 021 w Receipt No.: 37Q2p2 ; Receipt Date �F ?/??/Q3� Bldg Permit Fees:!, : s., :' ,..` „ .., .., Owner's Name: Gabfl@Ie.;POttef TOTAL FEES PAID: $109.10 TOTAL FEES RETAINED (Breakdown Below): $94.25 UM Building Permit Filing Fees: Plan Checking Fee: c �z A Plumbing Permit Filing Fees:° Energy Plan Checking Fee: Electrical Permit Filing Fees :�' F Refund Processing Fee: Mechanical Permit Filing Fees: ,;. Inspection Fee: ' s Fee: .............................................. $ 14.85 I, the undersigned, declare under penalty of pedury the services or articles claimed have been performed or d Iver d that is cl i tr i correct as stated �and AM N < Dated this day of � M 2003, at _Calif. of igned, hereby certify that, to the best of my knowledge, the services or articles specified above have been pe orm d or delivered and that there is a Budget Appropriation or Spec Board A proval ck one) for the same. [ih- Dated this �t day of _�n�, 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. �OT orFo °Butte County Department of Development Services ° ° ° =a ° Building Division UN REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 3-41(t)] CLAIMANT'S NAME: MAILING ADDRESS: ASSESSOR'S PARCEL #: BUILDING PERMIT #: RECEIPT NUMBER(S): A request for refund of fees paid on the above receipt number(s) its for the fo WM9 r asons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) ( Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) { ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date "13 - j 0 - 013 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 T FOR BUILDING DIVISION USE ONLY.- NLY:Receipt ReceiptInformation: Number: Date: Issued To: Amount: Fees Retained: BP# BP#• Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech. Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee: $ Other: $ Other: $ Total Amount Retained: $ $ TOTAL REFUND DUE: $ $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR ('A _I� ASSESSOR PARCEL NUMBER Proposed Building Use: 62 _,PJt/ j% Counter Technici Date: IZ:72 O;? It required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Womplete f plans, 3 or 4 sets, signedty the preparer of the plans. . plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or 'foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other �a Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. 4 16. Sanitation and plot plan approval from the Environmental Health Department in �3 �17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone t'j - % and hold for pickup. 1%7.55 I have been informed of the above items and requi-Kements for obtaining a building permit. p licant: Dat o2 03 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the abo e d to by .❑ phone, ❑ mail, ❑ counter, by Date:_ >-:+ Plans reviewed by: � Date: Plans approved by: 1& �Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division 0;-05S'S TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Ptoi Pisa`"Actec;tD� �- Fioos P9sa Ates d .v 1 6�Alel,0566-, ec'--.6h 04 72— .4 /& 0 -;7/ — �/ . Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well •r Clearance for dwelling. Other 1.2 �� �� x /-2 Hold final for: Final clearance O.K. for: NOTE: Environmental HeatVspecialist Date 8/96 O.B.- I 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. (ij-personally plan to provide thjor labor and materials for construction of the proposed property improvement: YES NO 2. J HAVE � HAVE NOT 0 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: OONE: CONTRACTOR'S LIC NSE NO. 4. I lan provide portions of this work but I haue'hired P P the following person to coordinate, supervise, an , Ovide the major work: NAME: ADDRESS: CITY: PHONE: CON TOR'S LICENSE NO. 5. I will Provide me of the work but I have contract ed) the following persons to provide the �rk'dicated: N ADDRESS PHONE TYPE OF WORK AI SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 7— NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit, OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveial 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. k i%_ grely, C. Vi ira, C.B.O. Mr, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER GOUN TY OF BUTTE - DEPARTMENT,OF DEVELOPMENT SERVICES - BUILDING DITISION 7 County Center Dave Orov lle, California 95965 • Telephone (530) 538-15 PERMT 140. v.tu9s3 APPL[CATION AND PERMIT zs P O 6 �1dt' BUILDINGFERMIT S0. FT. OCG. SUELDING VALUATION 9975 l , a e ZWA4QDRc Rem �r�resmet �� ewanw� �� Fire leoe EL O=ZM6FTS APPiJ2► 47A ' OIrILEZS eR�. FJt Total Valuation oAe"`a Fffmo Fee s W== ORe� � =%E= Pemrs Fee y s Misr. Wiring Plan Ghees Fee Energy Pian Cheng Fee s PERMIT FEE S HECHAA11CAL PERMIT PERMIT FFE $ DrtCi su�rvr�estraeeE Prates MW PLUMBING PERMIT ::,,A Trap USEOFSTBUCTURE solar ar heat pump watrr heater 3F 0 Duplex O Nbbilehome0 other VJz p0bg $P ' Earh weisr heir or vent TYPE OF WORK g= C -ss pbgyg qyst= 1 - 5 Caleb Nee 0 Adam 0 Remodel 0 tfirm 0 bdWId= 0 Other saver I �- 1 -Za- Mbbfle Home s w owe work cti c�-11rn�.�yttit' PEReNT r-=_ s -ELECTRICAL PERMrT Main saw= c i Main Serie= 'm 1�oA *?SkMIT FEE P. Alb SRA SHERIFF "Ovw R, b .s-/ 0?. t 0 a TO PJT XN TO COIM'11i 7.00 2S.0D 15.00 15.00 15.00 15.00 @20 oo 2D.DD 20.00 Fz •O , Duna are F=LMW sm AD EL O=ZM6FTS APPiJ2► 47A ' OIrILEZS eR�. FJt 4•DD Tmnpwov SwvL-e =Do Noble Home FamMes 20.00 . Misr. Wiring 2LDD PERMIT FEE S HECHAA11CAL PERMIT FAng Fee 20.00 Hea5ng Hood 6.50 P-r;tmrT FEE s r1he Home hrdtslle5on Fee hmPecon Fee 5 , } " TOTAL FEE $ WZ d FM ner erait is hereby Issued under the appfr obis pmvisrorss ufie County Code andlor Resohftm to do work above for vd*A fees have been Paid. By . Date ie�iptNo. PERMIT EXPIRES ON YYMiT6.Q IIS.e G ea�rcRt- lS�SSOA PeWi:4Ru'^-?59MR raMMENROD-APPUCAMT rAerol County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Gabriele B. Potter ADDRESS: 2 Horseshoe Trail IMPORTANT: CITY & STATE: Berry Creek, CA 95916 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 3/10/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Reason for the Refund: Over Charged Ellag erml pp No.: 03-0555 AP No: 071-430-021 Receipt No.: 370202 Receipt Date: 2/27/03 Bldg Permit Fees: Owner's Name: 'Gabriele Potter TOTAL FEES PAID: $109.10 TOTAL"FEES RETAINED (Breakdown Below): $94.25 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: Energy Plan Checking Fee: Electrical Permit Filing Fees: Refund Processing Fee: Mechanical Permit Filing Fees: Inspection Fee: SRA Fee: $14.85 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated Dated this day of., 2003, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this _11 day of _March , 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. BALANCE OF FEES SHEET DATE: an PERMIT #: V -13. ASSESSOR PARCEL #: V OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ . EI Medio North Chico Specific _ $ WATER TENDER FEES $ FEMA SMIP $ OTHER$ / I 1 RECEIPT NUMBER(S) BATTALION # N. - February February 6, 2006 Arthur & Gabriele Potter 2 Horseshoe Trail Berry Creek, CA 95916-9710 Re: Assessment# 910-024-776 Fee Parcel# 071-430-021 Dear Mr. & Mrs. Potter: Count LAND OF. NATURAL WEALTH AND BEAUTY KENNETH O. REIMERS ASSESSOR 25 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3382 Telephone: (530) 538-7721 00 Fax: (530) 538-7991 During the last year, you were issued a permit for a permanent foundation for a new or existing mobile home. Per Section 18551 of the Health and Safety Code, before a mobile home can convert to real property, an engineered foundation system must be installed, a certificate of occupancy must be issued, the title to the mobile must be surrendered to the local enforcement agency and a 433(a) recorded as constructive notice that the mobile home has become real property. Our records show that the foundation system for your mobile home was finaled by the Building Department on 7/08/04, but there has been no 433(a) recorded to complete the conversion of your mobile home to real property. If it was your intention for the mobile home to remain personal property, there is nothing for you to do. However, if it was your intention for your mobile home to become real property for financing or other reasons, you will need to contact the Building Department as soon as possible to obtain the necessary form to complete the conversion of your mobile home to real property. If you have any questions, please feel free to contact me at (530) 538-4305 or the Building Department at (530) 538-7541. Sincerely, Kenneth O. Reimers Butte County Assessor By Diane Brown, Principle Property Appraiser RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: MR. 4 MRS. ARTHUR POTTE 2 HORSESHOE TRAIL ` BERRY CREEK, CA. 95916 A.P.N.:071-430-021 Order No.: 218174CB 2004-0020334B Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:WAM 12 -Apr -2004 REC FEE 13.00 Mark Page 1 of 3 Above This Line for Recorder's Use Only Escrow No.: 218174CB/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY L& [ X ] computed on full value of property conveyed, ort� �h [[ l computed on full value less value of liens or encumbrances remaining at -time of sale, X ] unincorporated area; [ ] City of _, and . 1?f 11911 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, G9BRIE"LE B. POTTER, AN UNMARRIED WOMAN hereby GRANT(s) to ARTHUR ALLEN POTTER ANDG9BRIELE B. POTTER, HUSBAND AND WIFE, AS JOINT TENANTS the following described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. (];,0, b r - e, B POTTER Document Date: April 6, 2004 STATE OF CALIFORNIA COUNTY OF , On personally appeared )SS personally known to me (or proved [o me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature This area for official notarial seal CHARITY D. BERRY Commission #1351358 v Notary Public - Californiato Butte County My Comm. Exp. APR, 14, 2008 Mall,.Tax Statements to: SAME AS ABOVE or Address Noted Below )i* instrument instrument STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT _ REGISTRATION CARD Manufactured Home Decal No: LAW3878 Manufacturer ID/Name SKYLINE Trade Name HOMETTE Model DOM 00/00/1978 DFS 02/15/1979 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 03741162L 105160 56' 12' 04 SFD LPT Issued Total Fees Paid Mar 18, 2003 $160.00 Addressee GABRIELE B POTTER 2 HORSESHOE TRAIL BERRY CREEK, CA 95916 Registered Owner(s) 4' GABRIELE B POTTER 2 HORSESHOE TRAIL BERRY CREEK, CA 95916 Situs Address 2 HORSESHOE TRAIL BERRY-ER€:EtE-C—A 6 Legal Owner(s) l EUGENE ESHOM ELIZABETH M PETERSON Joint Tenants with Right of Survivorship .31.1 SIMPSON RANCH RD BERRY CREEK, CA 95916 I -Pede ed On 03 9 4:54:20 i �O0S1NG p Oma .nZ e , e t IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2856350 03182003- 379 r BUTTE COUNTY 1PEPA,R4TMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS 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 : License Number: r50 Date: C Contractor. "4�-1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 State 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).): ❑ 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: 2A Carrier: Ccl—. PERMIT NO. BP041626 Issued Date: 06/30/2004 APN: 071-430-021-000 Site Address: 2 HORSESHOE TR BCK Map Index: escription: EX MH EX SITE PERM FND Owner: POTTER GABRIELE B DBA BRIGITTES TOUCH OF ART GLASS STUDIO 2 HORSESHOE TRL BERRY CREEK, CA 95916-9710 Applicant: DE CANN, PHIL 169 BARDOLINO LANE OROVILLE, CA 95966 (530) 534-7670 Contractor: DE CANN, PHIL 169 BARDO LINO LANE OROVILLE, CA 95966 (530) 534-7670 License #: 670920 Architect: Engineer: Policy #: b� ^ b 3 3 l I Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: Applicant: WARNING: Failure t cure workers' compensation coverage is unlawful, and shall su ' ct an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: Valuation: $0.00 Census Code: sere ' sued nd r t applicable provisions of the Butte County Codaan or d d' 8 b hi fe s h a en paid.�� Date PERMIT EXPIRES ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a ficial fo or d ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ��/zR rt DlZe✓t ti Signature: �. Date: e� r '30 — 6y ❑ Owner Contractor L3 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name i Address, " Ci CJ�- Stag Zip q S gy m° Phone S�� _ S Fax E-mail CONTRACTOR Nae 1 L- %Q w r�.--- Address b city 026\J� to _ Zi S�� f l� Phone `I _ g Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Cityceaa (jl �c Address zip� SzT� City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Narn�4l L_ Address Cityceaa (jl �c st zip� SzT� Phone 4A�4_ q g Fax E-mail j1=PPLICANT SIGNATURE For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPO 41 BIN # LOCATION AP# C)—�I_y-? ( Property Address Cross Street, C-0-41 'W'ORKER'S COMPENSATION Policy Number j/ •a.v Carrier If hiring anyone other than h ense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope o ,J2ilM Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMSOUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: " Amount: '54 Bldg SRA Receipt #: 4,c)(C) Zg Sheriff Other Date: (,/7 / O � �- � c? d Total 11 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. _ ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). - ❑ 5. Letter from Engineer or Architect for truss design review. ` ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). - ❑ 9. Sanitation and site plan approval from the Environmental Health Department. - ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. .. ❑ 5. 2 Energy compliance design and supporting documentation (if required). - ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate,- (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. - Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1'�'rrEr2 ASSESSOR PARCEL NUMBER e:)f- 4 30 - o P 1 � Proposed Building Use: EX M I -f EX S / TE fPE2Nr Ftiib Counter Technician: 4 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order tb apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (.Marriage line info,) Floor Plan, Tie down or fnd plans, all in duplicate. _ ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate -❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form _• 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required........................:n................ ❑ 20. Erosion Control Plan Required ............................................. _ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. X❑❑� 22. City of Chico Plumbing permit............................:...........................:.............. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: • 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... _ tr' 28. Pre -Inspection for G Y�t4 N F7 -x rF aTEP M Fxlrjequired ....... _ ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... _ ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... _ ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... _ ❑ 32. Letter of Signature authorization.................................................................... _ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. _ ❑ 34. Manufactured home utility clearance............................................................... _ ❑ -35. Existing violations and/or expired permits.......................................................... ❑ 36. Deed Restriction.........................................................................................- ❑ 37.Grant Deed, �ZM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, l�heck to H.C.D. $ O 38. ther: -----` _ ❑ 39. Other: _ When issued Telephone _ e.-,!2 4 • 4-As3e,.) and hold for pickup. I have been informe o above it ms and requirements for obtaining a building permit. Applicant Date: �o ' 1. Index perms application for he above items numbered. Plan Check Letter 2LAdddoal items required Contractor, gner, owner, was advised of the above data by tY phone, ❑ mail, ❑ counter, by _ Date: (o•30. Q4- on ractor, designer, own r was advised of the bo b phone, ❑ mail, ❑ count b Date: Plans reviewed by: Date: 08•Plans approved by: rh Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division Building Permit Number: Owner Name: PO+f� Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your .parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required: Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 04- (�vp Owner Name: Pv 4c,(- Li Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following narcel man reauirements shall be met: i All structures and equipment including overhangs shall be clear of all easements. A setback of % feet from the side and feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. == Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name: 2. Assessor's Parcel Number: �"j 7 / — 30-0,2/ 3. Installer's Name: y /T 0`Z r-1- 4. 1'4. Is the site currently under permit? Yes[ J No[W-6permit 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?,�M__Amperes. 7. What is the mobilehome site circuit breaker rating? ` , Cl ? Amperes. 8. What is the electrical rating of the mobilehome site?.. C-.'� Amperes. 9. Is the main service remote from the mobilehome site? Yes[') No[ ) If it is, what is the rating? ® 0 Amperes. . 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes [14"No[ ) If yes, please identify the load and size: a) The mobile h�, ome site: Load- ', Amperes - b) The main service: Load- ' ty zE Amperes- S• 11. Type of gas service at mobilehome site: Natural[ ] Propane[ v,r None[ ) 12. Size of gas 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? ft.). 14. What is the mobilehome gas demand? B.T. U. *(This information is not required if the -,pipe le h is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION BUTTE COUNTY INkO1NG CEPA May 1995 \ APP.ROVED 8.5 Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish S tup Model Number: Width: _(ft.) Length:e�(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] Other - SUPPORTS: Concrete block[ ivrOther: Provide Tie Down Specifications for all Mobilehomes: C_ S C c) Line 1 Piers: Pier Footings Sizes and Location Size minimum: SINGLE WIDE Spacing maximum: MULTI -WIDE Line 1 ` Line 1 Line 2 Size minimum: Line 2 Spacing maximum: Main Beams From ends -maximum: Line ? Line 3 Roof Loads: 1 -.Line 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 A .................................................. ine 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: r I x Spacing maximum: ` From ends -ma *mum: ` Line 2 Piers: ��ii X'��• Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads - Size minimum: Location (from front): Line 1 Openings Size minimum: [ J x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum- [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` BUTTE COUNTY May 1995 1� DEPA APPROVED 2-x 2"z 3/ 16- � STEEL ANGLE m CJ Z O CJ O W m Q r m N m ao m LD cyl �r DETAIL "A" CHASSJS FRAME--" 1/4- GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE 1/2-ISUNC-A307 x 4 BOLT WITH HUTS (4) REQUIRED of 1/2" SCH 40 PIPE' RISER WITF 01/2" ADJUSTER HOLES AVD 3/8" THICK TOP PLATE O2- SCH 40 PIPE STAND WITH TWO -- H1/2- ADJUSTER HOLES AEESCO ABS PAD #503 STEL FPAME� SEE DETAIL "A" /, 3/8" CAD PLA -EO BOLT, NUT do WASHER COAC-1 "C" FRAME COUNTER BOREO FLUSH WITH 30TTOM AT e" D.C. (8) REQUIRED 2"'CHANNEL 1 /4- GRIPPER 1/4 -x1 -1/b- PLATE 1/4" STAND BASE TEK STS r ASESCO ABS PAD #503 (2) REQUIRED 1/47 GRIFPER� BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE 1/2" A307 BOLT C—BEAM (2) REQUIRED ATTACHMENT `�,rp10 p A: ��♦ 36" MAX TO BOTTOM OF PAD 01/2-x 3" C-R. LOCK PIN WITH 01/8- BRIDGE PIN J i� 10.00 —1 a 0 10.00 a� 09/16 HOLE (TYP) STAND BASE TOP Vi EW 17918 OF C TUF--1 PERMANENT FOUNDATION SYSTEM ABRSCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMEXrO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH -J" FRAME 1/4°a1-1/4- TEK STS (4) REQUIRED 1/4' GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED J—BEAW ATTACHM-NT v 1/2" DIA. HOLE (8) PLACE'S 304 STEEL FRAME TOF VIEW STS • _ . �1L'1tRJWD iAi'8TY 0004 11� wjlmRTTO�C!ln�M011fi • r-° JIII.ZfOffi11�Jl�It'g01�0!/�1��J�t1!< - .. 8A �VfAlfOF11+1FOSE � islJ<CA1fii1Cl MAW.iAlMi811111111AUM ... r/Onrlw�>t111i/� �it.c c►+>o&mgmmmq1; 5 - &F** r * WAYNE POLVAOO, PE—LISTING NO. F94249 SHEET i o1 3 GENERAL NOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 I.B. FLOOR LEVE LOAO - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC 20NE '4" *SNOW LOAD 100 PSF (SEE NOTE j15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE L0,",ATI D AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S 1/4", OW WHEN IT WILL ADVERSELY AFECT MOBILE HOME UNIT. S. CARRY ALL FOOTINGS DOWN TO FIRM: UNDISTURBED SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COITPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR S=ASTM A449=ASTIR A3725. 7. THE "CUS GUARD ASSELIBUES SHOWN ON THIS PO.GE SHALL BE LISTED AND LABELED BY BSK AND A35DVATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: EORIZONTAL VERTICAL G'JS GUARD TUF-1 2200,E SODOM GUS GUARD MGP PAD 22001 6000# GIDS GUARD E -Z TIE PAD 22001 6000# S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAr BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN ON'THIS PAGE OF TYPICAL FOUNDATION 'LAMS. 10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SiNGUF-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. - (SEE SHEET 3) _• 13. ALL UETAL COMPONENTS = ATTACHMENTS TTEIJS SHALL BE PPOTECTNE ODATEO. 14, WHEN CONCRETE .SLAB IS IN EUSTANCE, PAD IS NOT 16. FOUNDATION ELOCKS 16-x 16"xl2" POURED IN PLACE AT GROUND LEVEL WAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SIQGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. 11' MAX. S= 6` MIN. /16' MAX. S= 6' MIN_ / 22' MAX. VARIES 10'-70' (SEE TA3LE ON SHEET #3) -' E+ S S • S =--! E ❑ u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER (TYPICAL) Q ❑ ❑ ❑ El IaT ❑ ❑ ❑ ❑ 8, NOM. [1—ANOM. ❑ ❑ PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPP RT AVOID CLEARANCE POUT ROBJFMS_ ENGINEER. TYPICAL THROUGHPM TYP) 4K Exp. 4plgrf dFICR E4��`� REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH -,UF-1 PERMANENT FOUR (4) 1/2"x 3 1%2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLOM - PIIRICIM ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMIIdTO, Ce19S$23 ONE BASIS. _ _ C. STATE APPROVAL MANL'FAC iiDROMEIAIOBti>8)f[OD� FOUNDATION SYSTI m FIMU 'LTAND SATZ" 00DB.8ECn= IM AFPS OVA 8UWEICrTDC OPABGrumno=1auD APPILOVALU0WN0T,&1UTE0RTZ8OLAAfii 0WMr OMISSIONS OR DEVIATION FROM RBQUIRE&CR " APPLICABLE STAT$ LAWS AND RBWjjA3X" Sento ofCalii�croia oI Howils and Cc>x1111dw _ Z�Ili� via ODIDBS AND i r .w / c> _ SPA TOO. � 6 r_�..�-4 Ole 13 I __ T1 is Plan Appmvsl lExnT� WAYNE T. POLVADO, PE—LISTING NO. F94249 ' SHEET 2 of 3 m m w Q 0_ U z O w CQ Q ti m N Lr) m 00 m Lo m I r Lr) m 3/4- DIA. x 18" L.G. 1/2"x 3 1/2" 1/2"x B" LONG (4) REQUIRED EXPANSION ANCHOR - ANCHOR BOLT 3/8" CAO PLATED BOLT, NUT & WASHER 6'4) REQUIRED (4) RECUIRED COUNTER BORED FLUSH WITH SOT -OM • AT 8" O.C. ` (8) REQUIRED CONCRETE PAD INSTALL4TION ,; = POURED IN PLACE 16xl6x12 ^CONCRETE m I REPt FOUNDATION INSTALLATION CHASSIS FRAMEt- LIGH— HEAVY—WEIGHT PLASTIC PAD INSTALLATION 1/4" GRIPPER PLATE (2) REQUIRED t/4" GRIPPER BASE 1/2-13UNC—A307 x 4* BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 0112" ADJJSTER HOLES AND 3/P" THICK TOP PLATE 02" SCH 44 PIPE STAND .WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 —� 4 STEEL FRAME 36" MAX MUTT--wwlc UK= SINGIR WIDE uNns TO BOTTOIi OF LENGTH OF TH 01' HOPE OF PAD 01/2"x 3" CR.j LOCK PIN WITH 501 /8" BRIDGE PIN H011E 24 2W --T 26 I 44 UP TO 4l 6 8 I 8 12 "-1- to GVJ 12 1 12 1 12 18 sr -1" to 8D 20 20 2A 24 LENGTH HONE 10 YfIDTH OF HONE 1 12 14 16 ilP TO 4S'6 6 6 6 44 —1 fa &6' 8 8 S 8 d6'—t' fo 80 10 TO I0 1 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED N07; SINGLE VADE UNITS REQI6RE (4) E—Z TIE PADS. GUS WARD TUF-1 PIERS ARE TO BE PLACED AT APPROMATFLY EQUAL DITERYAfS ALONG EACH FRAME RAIL 37- TUF-1 PERMANENT \ FOUNDATION SYSTEM 18 t z" ABESCO-GUS GLIAR:D COMPAA'Y \ 5851 FLORIN - PERKINS ROAD SACRAM IRM, CA 95823 PH: (800) 382-8831 E - L TIE PAD FAX: (515) 383-5207 STATE APPROVAL FCUNDATION SYSTEM ANC SAFETY CODE. SBCrM JUST APPRDVED SVBn= TO CORREMOM mOrED APPRUVAI. DOHS NOT AU MORM DR APPROVE ANY I' OMISSIOMS OR DEVIATION FROM REQUIRENOM O? AFFL:CABLB STATE LAWS AND REGULAnON15 - Smote of Ceiiotnis" aot Flauft ad CowwmlW DeodVzal >as AND srArtn:!2� 13y BPAVO. Thle FlsnApprovm Eglm f?[.r.C._1Ad I WAYNE T. POLVADO, PE—JSTIPIG NO. F94249 SHEET 3 of 3 J ' 1 CDF FIRE SAFE REQUIREMENTS 0 3 -O 3 7 2- r �.�M1EL LA AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and.utilization of the defensible space provided for in these standards, annual maintenance must beiprovide for by the land owner. Driveway Standards , [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius �[J 1. No roadway shall have a horizontal inside radius of I" curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [,1,,.•1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�1 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, -U 63-072- G64134E(_L4- AP # PERMIT # NAME (�) 1273.10 Turnouts. Driveways exceeding 150 feet in length, but 1 less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,. turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and - shall be within 50 feet of the building. 1273:11 Gates [•.(� 1.. Gate entrances shall be at least two feet wider than the roadway it serves. An 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3.' Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. • [�y 1276.02 Disposal of Vegetation.and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi_ial inspection of a building permit. Page 2 of 3 7/-41- Z( 03 - 0 3? 2 foTr AP # PERMIT # NAME Other Requirements • [ ] If Buildina Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Buildina Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback . - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials • [ l Date Signature Page 3 of 3 REM Residential Development No of Living Mobile Home Units Installation Commercial/industrial New Addition Building Department Representative ....................................................................................... S q. Footage (e-7 ? Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) L............................................... . .... — ............... ! ............................. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 040198 1'e-, W) rbw61— School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date aJ� ?U4c.-, (Applicant) 6FI- 1 DOC) (Street Address) (Phone Number) q has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # ✓ Remarks: (State) (Zip Code) j D5-90 by payment of $ . 6 JAB 2926 $ PFULL MITIGATION Date Madc : You may protest the Imposklon of dw fen Idontin above by submitting a vMtten protest to the District, In compliance with Goverment Code Section 66020(a), within 90 days from the date fen are paid. Failure to submtt a timely written protest vAll'prohM you horn challenging the Imposition of the fen In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertlNation Form, the 10111strict Is rhoMR by the applicable Local Planning Agency that this project Is being ravlointred under the California Environmental Quality Act (CEQA), this project may be s~ to additional school fen to fully mitigate, its Impact on the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ft (10/03)dm.m BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM - 600 (One form per Building) School District anj('11101 00116() Building Department No. A.P. Number Jurisdiction: city County Glnhr; ftr-, Property Owner r Property LocationlAddress P11-5 ((q (21 ( v— Subdivision Lot No. Residential Development No of Living Mobile Home Units Installation Commercial/industrial New Addition Building Department Representative ....................................................................................... S q. Footage (e-7 ? Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) L............................................... . .... — ............... ! ............................. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 040198 1'e-, W) rbw61— School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date aJ� ?U4c.-, (Applicant) 6FI- 1 DOC) (Street Address) (Phone Number) q has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # ✓ Remarks: (State) (Zip Code) j D5-90 by payment of $ . 6 JAB 2926 $ PFULL MITIGATION Date Madc : You may protest the Imposklon of dw fen Idontin above by submitting a vMtten protest to the District, In compliance with Goverment Code Section 66020(a), within 90 days from the date fen are paid. Failure to submtt a timely written protest vAll'prohM you horn challenging the Imposition of the fen In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertlNation Form, the 10111strict Is rhoMR by the applicable Local Planning Agency that this project Is being ravlointred under the California Environmental Quality Act (CEQA), this project may be s~ to additional school fen to fully mitigate, its Impact on the school dhftkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ft (10/03)dm.m .7 . �0TTFButte County Department of Development Services oo 0 0 Building Division 7 County Center Drive CouN�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees Daid to other Countv Deoartments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the CLAIMANTS NAME: MAILING ADDRESS - w L1 ��_ l.«. iii_. ® e egil Building Permit Fees =Other (specify): _ Sheriff Fees =SRA Fees (CDF Fire Planning) (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. Signature Date K:/Forms/Refund Application 082203 COON OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • -I-County County Center Drive -Oroville, California 95965 9 Telephone (530) 538-7541 03-OV3 (Ree`12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-410-021 ZONING BUILDING PERMIT OWNER T HONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS BERRY CONTRACTOR'S NAME T NE M. CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin Fee $ BUILDING ADDRESS � r, F _ ,.,�.� ��; Energy Plan Checking Fee $ $ PERMIT FEE 3nn LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT. Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK • New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: t�t�i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 BODY OR LESS Main Service 200A 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. License Class s Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f7 -the following reason: 2"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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO lOooA 46.00 NEW CONST. IyWEl11NG OCCUP. OR ADDNS. & ACC. BIAS. SO 3.5¢Fr: NEW CONST. MULTI.OUTLET NON-RESID.. C @7.50 PowER APPARATus & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAN- O I.w Ex. Occup. oUTLEET.PAaEI 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 pr •sions. X Dates'�7 _ Signature of Applicant - wrier ❑ Con actor ❑ 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 $ 100.00 Energy Inspection Fee i $ occ coNST. TYPE FEE_ $ nAL 0 F PARCEL HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo._ ,70035 :143,00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION REPORT OWNER: LOCATION: Z i4a12SF 25 H-0 E— -T�2- L CONTRACTOR: REASON FOR PRE- k` DATE: A.P. # 07/ • 43C) • D Z/ ZONING: DATE TO INSPECTOR: PERWr HISTORY ( ) NONE (L -)-SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: / Residential # of Units: Currently Occupied 'Yes ( ) No Abandoned/Vacant: Electric: Electric Currently ( ) On (Off Condition of Electric / Gas: Currently () On Off Condition n 0" Sanitation: Mobile home # of Units: Plumbing Worldng 0 Yes ( ) No Obvious Sewage Problems ( ) Yes y4o ACTION RECOMAIEIENDED: CISSUEDO Yes ( ) No Hold for permits or verify: IM t.l- i S lS�l S k w-ty, Inspector: Date: t CKFTC14 R.TTTT,DTNGS ON REVERSE AND INDICATE LOCATION ON PROPERTY: r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name \r',` - Address City( vv �. i(111 Z State zip Phone Fax , E-mail CONTRACTOR Name Addressvt city c,++ 44; Phone`s _�C, Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City. t L)t Lim Address 44; City I No State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name�� Address r City. t L)t Lim St 44; Phone I No E-mail 24 LICANT SIGNATURE For office use only: Zoning, Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BPO 4-1 BIN # LOCATION Property Address Cross Street g WORKER'S COMPENSATION Policy Number Carrier ^'( ^ If hiring anyone other than h 'ense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of -folk: u Sq. Footage 2 ❑ Structure Built vAthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: 4,C)(40 2g Sheriff Page 1 of 2 SMIP Other Date: REV 4-30-04 0 ENVIRONMENTAL HEALTH CLEARARANCE DATE 9 -IL -O;S 7 EL TRAILER WITHOUT PERIMITS 7-�-35- 2 1412-90P,E '7/- 41 5/93 LEE, Greg )0 rc S/W intersection Horses'oej�w- Hidden Springs Rd, Berry Cr6ek .1-p-r—f ar—i 1474-91p,E WILLIAMS,James 5(travel 2 Horseshoe Tr, Berry Creek trailer utilities) 19 ELEC GAS COMPACTION -�T R�E�( Z_� _�T� SUPPORT STRUCT REQ 071-430-021 94-1231P,E WILLIAMS, JAMES B. 2 HORSESHOE TRAIL, BERRY CREEK UTIL FOR TRAVEL TRLR(REPLACE3 1191-1474) 071-430-021 03-0372 POTTER, GABRIELLA 2 HORSESHOE TRAIL, BURRY CREEK mHu— ELECTRIC GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 071-430-021 03-0373 POTTER, GABRIELLA 2 HORSESHOE TRAIL, BERRY CREEK M1711 S 071-430-021 03-0555 POTTER, GABRICLE 2 HORSE SHOE TRAIL, BERRY CREEK Cont: OWNER GAZEBO ENVIRONMENTAL HEALTH CLEARARANCE DATE 9 -IL -O;S COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 a037�- (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - ' T: '7 .OWNERS MAUI b SSS T TOE n CONTRACTOR' i� �''_ - "' TtLEFHONE HONE SO. FT. OCC. BUILDING VALUATION CONTRAC ADDRESS CONSTRUCTION LENDER - • - Fireplace LENDER'S "UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23"00 BUILDING ADDRESS HORSESHOEr CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EP,1010ther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities installation 10 Other ❑ Describe Work: � ) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 r Mobile Home S G ,W @20.00 5jO.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service 2a UA OR LESS 2OR 23.00 3.E 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. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 121`11, 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 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 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.) p!Tcertify 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 p visions. X Date � Signature of Vpplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 " NEW CONST. DWEwNG OCCUP. OR ADDNS. ( 8 ACC. BLAS. SO 3.50FT. N"ONEW RESD. MULTI.OUTLET 97.50 APPAM US a swGLE GLmET cIR. @ 1.00OWNER-BUILDER Ex. Occup. OUTLET OR FIXTURES BAL p .so Ex. Occup. o xuTLEEDTSA aEslD OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE = 0.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ y S. 00 HAZ. D. FEES IMP FLOOD CDF PARCEL pD HD '-- ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ! /� PERMIT EXPIRES ON(� f �7 I Owe) Receipt No. U005.," 1165. 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville California 95965 • Telephone (530) 538- 541 PERMIT NO. (Rev.1?/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTELEPHONE SO. FT. OCC. BUILDING VALUATION Q -q OWNER'S MAILING ADDRESS _ 1. T T. NAME CONSTRUCTION LENDER - la _a3 _C 4:�, t> : 2-em� LENDER'S MAIUNG ADDRESS $ Main Service ARCHITECT OR ENGINEER " PERAAIT FEE PAM Main Service UCEN: ARCHITECT OR ENGINEERS MAILING ADDRESS SHERIFF BUILDING ADDRESS rce ghrae Tia. iL 'Ro, «r LOT NO. I SUBONISION'S WDM€, � (�� � � Imo' / ,y � CEL MAP tVN USEOF(SSTRUCTURE •"1 �3—I -A L SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑�Remodel ❑/ Utilities ❑ Installation ❑ Other ❑ �" / [ Describe Work: H V ( f,n,s p 5664- �L - la _a3 _C 4:�, t> : 2-em� -r--b 2,15-ero $ Main Service Plan Checking Fee " PERAAIT FEE PAM Main Service SRA $ SHERIFF DWELLING OCCUP. ( 8 ACC. BIDS. arma NEW CONST. NON-RESID.OOUUITS@7.50 PERMIT FEE $ • AU4louw lteca r> 1 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fireplace Total Valuation $ Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ Main Service Energy Plan Checking Fee $ NEW CONST. OR ADDNS. DWELLING OCCUP. ( 8 ACC. BIDS. $ NEW CONST. NON-RESID.OOUUITS@7.50 PERMIT FEE $ PLUMBING PERMIT Filing Feel 20.00 Each Trap @ 1.00 --- BAL @ .50 7.00 Solar or heat pump water heater 5.00 23.00 Water piping Mobile Home Facilities 15.00 Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home JjCl G 17tI 920.001 (p �— I PERMIT FEE $ (03-110 1 1 MECHANICAL PERMIT Filing Fee 1 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee I $ OCC CONST. TYPE TOX'AL FEE $ HAZ. D. FEES I VP FLD D cDF 'CS_RCEL I HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON PERMIT FEE ELECTRICAL PERMIT Filing Feel 20.00 Main Service "OOV OR LES ( 20.A0.LES:) 23.00 -(--# Main Service ( 200A TO 1000A 46.00 NEW CONST. OR ADDNS. DWELLING OCCUP. ( 8 ACC. BIDS. 3.5,s0. ---- FT. NEW CONST. NON-RESID.OOUUITS@7.50 MULTI,OUTLET POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES20 @ 1.00 --- BAL @ .50 EX. OCCU FIXED APPLNS. OR OUTLETS RES10.) EA 5.00 Temporary Service ---- 23.00 Mobile Home Facilities _ 20.00 aQ J Misc. Wirina 23.00 I PERMIT FEE $ (03-110 1 1 MECHANICAL PERMIT Filing Fee 1 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee I $ OCC CONST. TYPE TOX'AL FEE $ HAZ. D. FEES I VP FLD D cDF 'CS_RCEL I HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C 6, F. Q ASSESSOR PARCEL -BJ I Proposed Building Use: Counter Technician: I.V Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. �V2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. -P)6. Manufactured homes: (Vo-bata sheets and installation instructions, (B) Marriage line information, (;4-loor Plan, ( )jFie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ..............................................: i Sanitation and plot plan approval from the Environmental Health AIDepment in❑ 7. City of Chico Plumbing permit ..........................�..California Department of Forestry plan approval Q"paid.Sent bW..................... 19.. Planning approval for (A) Use: Q K (B)Parking: (C) Parcel Check: p ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21'. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 0122. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... -040.10trant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D ❑ 31. Other: _ When issued Telephone S and hold for pickup. I have been informed of the above�items and requirements for obtaining a building permit. Applicant:Ae�� ✓�� O Date: � -1-09 1. Index permit application for the above itenip numbered: Plan Check Letter 2. Additional items re �,K Lw,(i 4,1 4- "t / a C O Contractor, designer ow ; was advised c the above data by phone, ff mail, ❑ counter, by _ RA Date: _moi ?� Contractor, designer, owner, was advised of the ab e data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: (' Dater Z 03 Plans approved by: Date: 21, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division E. . use ONLY 'Piot Plan Attached „A. • �% �.i 3 Roos PlanA Arad n 3 a 3 sant to 130 0�, TO:. Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Wel Clearance for dwelling. Other rV�• ' h Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OF FEES DUE OWNER PROPOSED BUILDING USE U 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ........:...—X—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) jo� SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # o' I -!!o o�! I DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 7 — d Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' ' (Rev. 6/00) PRE -INSPECTION REPORT LOCATION: aa-(-�sezhelf- O. . . PRE.INSPETION FOR: aeff tcf 4 -QC TO INSPECTOR .2 -AQ .- Q PERMIT I LLSTORY:( )NONE Banding Deuription: c«n�«�rtr�ge: Residentialt# of Units: C=eatly Occupied AbandonedNacaat Electric: Gas: BUILDdNG INSPBCtOWS REPORT Yes No Electric cwa -Utiy On Off Condition of Electric DATE:�� A.P. ZONING: Natural Propane None__ Currently On Off Obvious Problems: r_ SrnItation: Plumbing Worlana Well Working Potable Water Obvious SewageProblems _ I ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: tiC��—1 moi' Date 2 Sketch buildings on reverse and indicate location on proper COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071--410-021 ZONING BUILDING PERMIT OWNER TIfEEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 1 j CONTRACTOR'S NAME w - 7 NE -7, N CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS i 1KIRSESHOEE— BZ -22X• EZ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT- Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o°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.6 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law f9 the following reason: ►, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service 200A TO ,°°°A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( 6 ACC. BIDS. SO 3.50FT. NEW CONST ULTI.OIUTLET NONEBID. IBM 97,50 PSINGOWELER APPARATUS OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 � ''0° BAL o .50 Ex. Occup. °FIxLI s ALM 0" EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) 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 theAw workers' compensation provisions of section 3700 of the Labor Code, I shall ' forthwith comply with thosNk X Date — 2 Signature of Applicant - ca ❑ 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 $ 00.00 Energy Inspection Fee $ Occ CONST. TYPE®' T AL FEE $ 141. 00 HAZ. IMP F PARCEL HD 5 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. x:70035 •::143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i r��t-. �.r..y,.i �.-„*..--..,.r . .c-•'+RR'•Y..-„r•.r' :: �.--.r•y�v,,,yyp�FY'+'f•.r•Y,,.�,-*,��,,,r�,�„,�• ,NfF�tq�v. -�,.,. +„��;.�;r �.� ��..,•.....- � .ti.t... . ..-. .... COUNT, _DF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r N -,,bf7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I' -APPLICATION AND PERMIT �3 � ASSESSOR PARC0.NUMBER -_ 10-021 z "w"G T1 � BUILDING PERMIT OWNER { TE HONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDR SS 1 �SF_ V_ eta t• _ CONTRACTOR'S'NAME v - L EEEPHONE CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER r Fireplace LENDER'S MAILING ADDRESS ' '1-1.. 1 Total Valuation Is ARCH,RECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS I I Plan Checking Fee $ 9,4.00 BUILDING ADDRESS- ., - Energy Plan Checking Fee $ _ I PERMIT FEE $ LOTNO� SUBDNISIONSNAME PARCEL MAP- iY PLUMBING PERMIT Filing Fee 0.00 .� USEOFSTRUCTURE Duplex ❑ Mobilehome ❑ Other g=. SPECIFY Each Trap 7`0 Solar or heat umwat r� eate 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New,O, Addition =O Remodel ❑ Utilities ❑ Installation ❑ Other ❑ f Describe Work: I�iI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 , Mobile Home S G W @20.00 - PERMIT FEE S - ELECTRICAL PERMIT Filing Fee 20.00 eoov oR LEss Main Service, 20IAORLESS -23.00 y LICENSED CONTRACTOR'S DECLARATION 1, hereby, affirm; under, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, andlmy 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 f '_ the following reason: R ®!I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 0 N Main Service To 46.00so WEE200A CCU000A NEW CONST. OWEWNG OCCUP.•- OR ADONS. ( & ACC. BUDS. SO / 3.50FT. / NEW CONST. MULTI.OUTLET NON-R61D. 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. - AI` Ex. Occup.OUTLET OR FIXTURES 0 @ t'50 SAL p•so Ex. Occup. OFlxDT ETs Aa oE. 5.00 ' Temporary Service "! tel � 23.00 D , _Mobile Home Facilities �- 20.00 Misc. Wiring 23.00 PERMIT FEE P S �- WORKERS' COMPENSATION DECLARATION. 1 hereby affirm under penalty of perjury one of the following declartions: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, ae provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 ,I have and will maintain workers' compensation insurance, as required by Section ' 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number''”" (The above sections need not be completed if the permit is for work of a valuation I orie hundred'dollars ($100) or less.) 3. ®/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' 4, compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. XDate��" Signature of Applicant - wner ❑ Contractor ❑ Agent .ms's An OSHA permit is required for excavations over 60” deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ,Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ 100.00' Energy Inspection Fee $ ' ' OCC CONST..TYPE PTAL FEE $ 143.00 HAZ. IMP 00,s O CAF 6.� PARCEL PD HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES, ON I the'applicable�provisions Resolutions to do work been paid: .. ` Date Date ReceiptNo.370035$143.00 T` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 J� ri'+� Y'T.•.•.'+^.'.�,,,.•rq'r.....-s...........-.r.-.T: _ . ...,. �LJ�".-•......�� f T .. -,� �„����'�w�i'”"y'�Y'y�.Y'�"�`�a..�.:}rr"'..-.. .': . ,.t . • _, ..t., wY COU.N%, *,OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ` •�. o-7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE MIT O APPLICATION AND PERMIT ! - N ' k� FS.E.S7SO�RP-;CEL NUMBER /� ♦ '• ZONING TWR BUILDING PERMIT �AI�, P� F •; ; .. ,, TELEPHONE rfat� nt� � SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS .-. _ �'• 12 F# PSHOI IV pV !`1a& 'Fr r 4��A r CONTRACTOR'S NAME -_ .. ._E - - »•.ate.. ' "'TELEPHONE •r' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS- 9 W .0 F ATI R F Energy Plan Checking Fee $ $ - -- - - PERMIT FEE $ LOT NO. ^� Sl1BDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 ✓ t USEOFSTRUCTURE SF'O."-Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap„. ,r � � 7100, r Solar or heat um waterfieate( f 23.00 Water piping 15.00 Each gas water heater or vent 15.00 , TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ rw Describe Work: MHI Gas i in system 1 - 5 outlets 15.00 Building sewer 15.00 •, Mobile Home JS I G 1 920.00 PERMIT FEE S ti ELECTRICAL PERMIT Fling Fee 20.00 Main Service, zooOR ss 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 u”FIXED ,1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f$�ithe following reason: I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A +000A 46.00so NEW CONST. DWELLING UP. NG ( OR ADDNS.,NEW 3.5¢F°: ,f CONST. MUL�TICO�iS. NON -REBID. @7.50 , POWER APPARATUS 8 SINGLE OUTLET CIR. J' OUTLET OR FO(TURES Ex. Occup.BAL 20 Q 1.00 @ .50 APPLNS. OR Ex. Occup. ourLETs REBID. E0. 5.00 Temporary Service %` 23.00 ) Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S ,A WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:w Carrier S 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 f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prop sions. Dated `6 : _ Signature of Applicant - ®oiwner ❑ 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 $ 100.00 Energy Inspection Fee $ occ co1ST. TYPE TOTAL FEE $ 143 DD HA2. -�„ p, IMP FLQO_D /\`( CDFr lr PARCEL ��� I Pp I HD ISSUS# I�7✓� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable proviiions Resolutions to do work been paid. 1 Date Date No. 370035 $143.00 D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E ',1 071'430 021 03-0373, POTTER, GABRIELLA 2 HORSESHOE TRAIL, BERRY CREEk, MAI rr ""- .+ —.�.., "'+�=-Y �rw"�+1sa'l..u5�y ii+"'�,^+�.i'�c..�.-.,�•' t 'S^��..�-^"Y;:...-:•,r'"-:. _. �", a-«•���,z � .• .. COUNTY'OF BUTTE - DE PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .t. 7 County Center Drive Oroville,tC lifornia'95965 • Telephone (530) 538-7541.-(-,7PERMIT o. '(Rev.12/46)• APPLICATION AND PERMIT� ASSESSOR PARCEL NUMBER .. - 071-4-30-021� ZONING t ' BUILDING PERMIT OWNER PaIWER (;Ai3 I.. TELEPHONE rS2t1..QA S 'SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADD SSki w y 1 . PS F{1T R v � ' R'^ ck�A a _ . .-—....., CONTRACTOR'S��INAME - -- ' 'TELEPHONE 'A 01711 CONTRACTORS MAILING ADDRESS r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ " ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 3 BUILDING ADDRESS 2 I4ORSFS Energy Plan Checking Fee $ PERMIT FEE $43.00 LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT. Fling Fee 20.00 USEOFSTRUCTURE SF"❑'.`Duplex ❑ Mobilehome ❑ Other _ SPECIFY Each Trap �; i 7,00. Solar or heat pump water°heater' ` 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR Main Service, p A OR LESS 23.00 . e 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 thg Business and Professions Code, and my license is -in full force and effect. License Class Lio No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for, -the following reason: 00' 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 caTtracting with licensed contractors I to construct the project. ❑ 1 am exempt under. Sec. Business and Professions Code for this reason 1 Main Service To 46.00so CCU000A NEW CONST. DWEl11NG OCCUP. W:o OR ( a AOC. BLDS. SO 3.5Q�; CNS. CONST, BRANCH CIRCUITS MULTI -OUTLET @7.50 PSINGLE OWER APPARATUS a OUTLET CIR. r Ex. OCCU OUTLET ORN. FIXTURES BAL p'. o Ex. Occup. ...XE. s RES 6.o� 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. ❑ I have and will maintain workers' compensatioi insurance, as required by Section 3700 of the Labor Code, for the performance o`work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy • Number (The above sections need not be completed R the permit is for work of a valuation of one`hundred dollars ($100) or less.) 1111111 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 /9' Date Signature of Applicant - ©,'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60"deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 1W.OU Energy Inspection Fee $ - occ CONST. TYPE T30TAL FEE $143, 00 HAZ. ....►�, p•;gE� IMP FLOOD f x COF PARCEL Po HD ISSUE' This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON, c .' the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 370035 $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR ' PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY,OF BUTTE - DEPARTMENT OF DEVEL`DPMENT SERVICES - BUILDI G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 PERMIT NO. tliiev.12/66) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT O OWNER --S3 TELEPHONE 7 SO. FT. OCC. BUILDING VALUATION -OWNER'S MAILING KESS r c e r Ot / = —�. CONTRACTOR'S NAME TELEPHONE CONTRAG S MAILING ADDRESS -- CONSTRUCTION LENDER LENDEn S MAIUNG ADDRESS Fireplace Total Valuation $ - AgCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0_0 ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDINGAODRE Tf,41L (0 4 COCK _ Permit Fee $ Plan CheckingFee $ Energy Plan Checking Fee $ 61 PERMIT FEE $ �D LOTNO. I SUBDIVISION'S NAME,p /� p� p �— P�ac L MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE p �� N L SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY_ Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UT Each gas water heater or vent 15.00 Gas i in system 1- 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @20.001 PERMIT FEE $ _ ELECTRICAL PERMIT Fling Feel 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 �� �, __r/� - 1}• e/ 2� 0-�T•- ^ VV �7 S *PERaIIIT FEE PAlb fid s_ / ��, SI � • . !�A SHERIFF OTHER s 3 T AMOVNT RECEIVES u`' A`W 3 C " TO " KM mkno COMPtJM J Main Service 200A TO 1000A 46.00 . NEW CONST. ( oWELLINGACC. ODS.CCUP. ADDNS. a SO -- BI FT. NEW NEW CONS MULTbOUTLET q� NON-RES10. 7.50 PLET OWER APPARATUS 8 SINGLE OUTClq. Ex. Occup. OUTLET OR FIXTURES 20 1.00 BAL gl .50 EX. OCCU FarED APPLN3. OR - OUTLETS REBID. EA Temporary Service 23.0001 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling I _ Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ ou Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ HAZ. ;V Pt E1L 101HO I, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: "J"2 Lriffle., .. ( ASSESSOR PARCEL NUMBER_ Proposed Building Use: e / I H Z Counter Technician: 7V1 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signeAy the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. � 16. Manufactured homes: Data sheets and installation instructions, (B) Marriage line information,T)JFloor Plan, (L))kvie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) 44 i4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑. S atement of Intent for Non -heated and A/C Buildings ................ ..............................I anitation and plot plan approval from the Environmental Health Department in �_^) (G i I -/Z -03 ❑ 17. City of Chico Plumbing permit............................................................. ........: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... . ❑ 19. Planning approval for (A) Use: O � OB Parking: (C) Parcel Check: 2) 4-0' ❑ ,20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1. Encroachment Permit -for driveway from the Pup lic Works Dept. (construction approval prior to occupancy). p( i U. 7R. 22. Pre -Inspection for Iri keft ( -k,4 I(? S required ................ 0 23. Contractor's license information( umber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number .... -%........:.............................. Owner -Builder Verification (❑given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization.................................................................. Recor o�an �expired cknowl�dgment Statement .................................... anufactured hoance..:.':......................................................... 9. xisting violatioopermits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: , When issued Telephone _ Z7q 75= (J((/i%i?r' and hold for pickup. I have been infor ed of the above items and re ' ements for obtaining a building permit. Applicant: Date: « — '07-03 1. Index permit application for the ve s numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was f the above data by ❑one mail, ❑ counter, by Date: _ Contractor, designer, oWlier, was advised of the abo e d4ta by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: A Plans approved by: Jam_ Date: Structural reviewed by: Date:—"Structural approved by: Date: Note transfer by: Date: Yellow Ruildinn Divkinn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE ^� OWNER (�,Lr I !y �'� A.P. # a �71 PROPOSED BUILDING USE 0/i DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ 4HAitional Fees Due ................. $ iced Plan Checking Fee .............$ OOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE. 7z-.0 a Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy: Plans must be available on the lob site. A.P. No. _ 071-430.021_ 03-0373 _ POTTER, GABRIELLA Owner _,_.2 HORSESHOE TRAIL-, BERRY CREEK - Contracti MHI Permit N PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina orM.H. I Revised 7/94 f ' .......r...........r'�.....r..�.-rw•,r....rw�wrr✓rw-.rT/r.�✓•�r...r ..�.._.. �..��....�._.. ...... 9 1 -34 288 ~n'•N,r Recurn to DPW AGRICULTURAL S'rATU41.frl' Oi_ACK IOWi.IriX i. FOR RI-SI.DI-MIAL 61- ME 01722n' Section 26-8.1' of the Butte County Code i requires this acknowledgement be recorde,i I prior to issuance of a building permit. 91-034288 1 Rec Fee 5.00 1 Cash 5.00 The property described herein is adjacent ' to land or included within an area zoned Recorded 1 Official Records I for agricultural: purposes, and residents of this 'property may be subject to incbn- County of 1' I veniences or discomfort' arising from the Butte 1 use of agricultural' chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 9;43am 20 -Aug -91 I XX 1 of agricultural'..' operations including, but not limited 'to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County leas established agricul- j turul zones which have as a priority use for productive agricultural purposes, and resiCents within said.'zones and'on adjacent property should be prepared to accept suc, inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of ilutte, State of California, described as follows: f f1RCE � d �� . 5Nou)�1 e) ,J 78A C.tR,N,IV i'nr<CV- - MtjP �ic�,!:I�c 7 �!J TIf> OfFt c F o4- 711C Elel? ✓Gf-K e7 TN�e C'e.,,..-l.r O� 0,..T7C 0-F: CAI, {oAA' p �J J,"�>J�y !y� /%c5'S,_I!V / nA, I 1 ' F3 lh r� )� 3 J A7 �•�nJ�n,c. TH(.•k, inr•,., A IridHT Date: PROPERTY OWNERS: , day of C71 ` 19 ZL, before mc, the On this the state of �) )Y.00nall)' appeared eared SS, - undersigned ` rwtc,r;r Publ.c, I County of /i% UW*ryYN�0. rtR Porsonally known to me. Y"' Proved to me on the basis �– BuiTQY of satiar:ctury evidence. 1 V1Vl to be the persun(s) %,hose name0c) _— MYS subscribed to the within instr•.,ment Lind acknowleciged that T executed the same for the purposes therein contained. IN 1iI'ISI:S5 hNEREOF,.I hereuntoset. m).han1 and official seal' Present A.F. No. Rotary Public END OF DOCUMENT • r • ' - _ _ --,v..nesrfao1rmm11a'711R71RAI@►AFB9 I •. •"ef '1 ,� a,?^' i; .t ,;�,.y.�.,,..,,,..,'�,":�•: 'r{:a.+:Y. .v{ et; `t,;. y�,.. TPM.., ,• .go..,.�.. .,, �.. •. ... ,.. .., � 5- tisa�.:�.':��'tit�6!fa®....•ra�fneaa.<..elvGw.w� r�.+�'e'o:,�uava�.:=:,••... ��` .• ACV .:.�F. � 'a`.� . Y J C,CIE z N1 v 11.11111111 111 � i, ��0 O .��, 0� d '^� . it u i i •• � d .I .x•11 � IF c I:L iaf is •'w .. i`p� X 1b`1"..• i i8�� i to� I I ••tit^ � � \ \ • \)\\y * 1�9�,� I . � 71. It IZ-4 CL I sa) . 3 � QQQ �° ��MaJ.t�✓o.—_ Msrm.inn I =\' 'r �9 ' � W �2 ' d ' .S ' _ I I v A `�C �a I� `' I � . � ° � ri� , Oln�� 'll•� 1` � �a � '� I NYUO//Y . ovW �i iolo�3 h o ^. -n•u/�T— niton i —� " j� I Is I� o/'ltl I1'ttt I !,\� "'ice .716' i 1/i M./l.J/./On ` I ,y410Vn"or v 2 fopp Y " a tit . Q V :Nip i 3``• pin $ 41 At VO bvy ..� �^ �.� Q � ^�4 ICY:•• \ liln I •,� V gINMM.Mn ~( O',ZIS" ,AI'JIII f J LJ.w ",aa^I�� •M'MI JN.N•I/.avn a �oi3).�� iN N IAfL� M N.// fr,A9n A 1, i •F! AW 4i q: i u I• 2� PM a ><EI ` . . �z1► I111 Imo I � • !. " __�' � k.�`a�o .. lit NM lsiw isr miw• •�..'e. is+,ca @:.4Own, 8 f^L OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA NO ❑ 2. I HAVEA HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME:[ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: N /sir 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: r PROPERTYOWNER: - _ ' SOCIAL SECURITY NUMBER:_ � % DATE: o? — /7 — 0 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do 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 $300 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 Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +rely,Vi ira,C.B.O. uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. APPLICATION FOR ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER Assessor's Parcel Number for Site: IL �Y"612 Street Address of Site: Applicant's Name: Applicant's Address: Applicant's Telephone Number: _�3 o 1?? 7,5 Building Permit Receipt Number: (Show Copy of Permit Signed and Issued) Date Sewage Disposal Permit Issued: �� — 91 (Show Copy of Permit Signed and Issued) I certify that the above information is correct and that I have read Butte County Code Section 24-300-C. On the reverse side of this application. Applicant's Signature: r TO BE FILLED IN BY PLANNING DIVISION Date Application Received: c� ! _ O Zoning Verified By: A0l.�r5- Permits Reviewed By: Associated Building Permit #:� Planning Approval By: Date Approved: i E -&-y 0_? File: "Mobile Home Permits - Temporary" Chapter 24 of the Butte County Code 24-300 C. Temporary uses in zones permitting a residential use: 1. Temporary travel trailer as a dwelling unit during construction of a single family residence or the rehabilitation of a single family residence that has been damaged by fire, earthquake, tornado, other acts of nature, or has been deemed condemned or uninhabitable by the County, subject to the following requirements: A. The travel trailer may be placed for a period not to exceed one (1) year from the date of issuance of the Administrative Permit; provided however, the Planning Manager may extend such Administrative Permit for one six (6) month period. Such extension by the Planning Manager shall be done only upon a showing of physical or financial hardship by the applicant. B. That the occupant has secured a building permit for a residence. C. That the occupant has secured a sewerage disposal permit from the Butte County Environmental Health Division. D. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence; and E. That the house must be completed within the one-year period and the trailer dwelling must be abandoned. F. The applicant must obtain the necessary permits from the Butte County Building Division and Environmental Health Division for the travel trailer installation. uv a tLC a.VVIM I.T: LJCPFiT1 I IVIr-IV I Ur•MAL LH- . DIVISION ,OF ENVIRONMENTAL HEALTH. _ SEWAGE DISPOSAL PERMIT 196 MEMORIAL WAY " 7 COUNTY,CENTER DRIVE CHICO. CALIFORNIA 95926 747 ELLIOTT ROAD OROVILLE. CALIFORNIA 95965 Phone: 891-2727 PARADISE,,,,.CA•LI'FORNIA 95969 Phone: 872-6308 Phone: 538-7281 Date Issued— 'EXPIRES ONE YEAR FROM DATE F ISSUANCE ,Permit Issued to. L � �- 2- ! ��� ��N A)G � To. construct a se age disposal system Located.at: /t �/ /(JG S /LSC' /yb SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Meas ements) Leaching Field LengtK: 'ft. Total Length:.ft. Width: ! ft. Trench width:. ... inches t Liquid de the . ft. Minimum No., of lines �. Y�� c Liquid capacity: `'"", gals. Rock under the Special ,conditions: — Additional leaching field will be required if experience shows it to be. necessary. No part of the system may be located within 50 feet of .the -center line of'any County Road. NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting the system into u&IOccupancy of a new building is not permitted until the system is approved. 177 ermit Fee S. Penalty Fee $ tal Fee uilding Sewer.Fee$ Issue Sanitarian eceipt No. _ IS 3.1.278R p1}i`'ds- 4 -" •� `^A `Gaueeti d6AS'eiGa�twyn .•: e:IN`lik`:'Fa - •- . U OFFICIAL RECEIPT COUNTY OF BUTTE STATE OF CALIFORNIA OFFICE OF PLANNING RECEIPT 20968 COUNT UTTE -- 7 ounty (Rev. 12/96) ASSESSOR PARCEL NUMBER OWNERT 10ELEPHONE OWNERS (LING AD R SS e,TilL CONTRALTO 'S NAME e CONTRACT R5 MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS TMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION nZ .rive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT ZONING BUILDING PERMIT g SO. FT. OCC. BUILDING VALUATION 3&r Pf (If eek NE ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 -Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ CIA BUILDING ADDRESS � eEnergy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑��Remodel 1❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: %" / [r U Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home G 920.001 PERMIT FEE S I ELECTRICAL PERMIT Filing Feel 20.00 R LESS Main Service A OR LESS 23.00 "-_ - _ ' ' Vd *PERMIT FEE PASO /� Q� A SES �— rJ' I • SHERIFF OTHER AmOw Perce O n �O T0.96 M Xt'" compim Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. 3.5Eso. -- OR ADDNS. 8 ACC. BLDS. FT. _ NEW CONST. MULTI.OUTLET NON-RESID. 97.50 POWER APPARATUS 6 SWOLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES @ 1.00 BAl @ .SO _ FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. Ea 5.00 Temporary Service 23.00 Mobile Home Facilities .20.00 `U Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ &"d HAZ. I D. FEES IMP FLO D CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I in— C NT Y OF BU PARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 C Venter Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. IRev. 12/96) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERr ZONING BUILDING PER M IT . OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION I I`� .f-ir �t�n �SgG-9�i OWNER'S MAILING ADdRESS — - MAILING ADDRESS CONSTRUCTION LENDER LENDER S MAILING ADDRESS vireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ BUILDINGADDRE rse �L le Energy Plan Checking Fee $ - PERMIT FEE S "O LAT NO. SUBDIVISIONS NAME PARCCL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.0-0 Each gas water heater or vent 1 - 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _ Describe Work: UT Gas piping system t - 5 outlets 1 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service 000, OR LESS 200A OR LESS 1 23.00 ' ' .*PERJMIT FEE PAlb !sd SRA SHERIFF �� OTHER �IJIIIOtJN'T RECQ1/�� S_ ��.�`' TO COMM. Main Service 200A TO i000A 46.001 NEW CONST. ( OWELUNG OCCUP. 50. OR ADDNS. '& ACC. BLDS. 3.5C FT, NEW CONSI. MULTI -OUTLET NON-RESID. mANCH IRcurrs @7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDCTURES 20 1.00 BAL EX. OCCU FI EO APPINS. OR OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ ou Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ !ooe3 HAZffo p, FEES CDF pAACEL PD I_77 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 Receipt No. PERMIT EXPIRES ON WHITE-O.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date -4 11 -74-e5--22 1412-90P,E LEE, Greg S/W intersection Horseshoe Hidden Springs Rd, Berry Cr ek f in I P r f Q r, 1474-91P, E< WILLIAMS,James 2 Horseshoe Tr, Berry Creek (travel trailer utilities) .ELEC 4 GAS COMPACTION TEST RE SUPPORT STRUCT REQ 071-430-021 94-1231P,E WILLIAMS, JAMES B. 2 HORSESHOE TRAIL, BERRY CREEK UTIL FOR TRAVEL TRLR(REPLACES #91-1474) k� II !' a ' N � .:,1,7.5 ' 04 I I � I ov Ir G\ b I vi a ... A� n c ( k to • - oCL � o o '�'• o I I �- x *4 �ra I (n oa d -3-7 n I C, y °= CA I ,� �• �— �•� 0 m tIE 0 • 61 IRI I �-r 1 I OI I I tt� F 0 cn O R� tA • T � 222.51 0 a1 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Dries - Oroville, California 95965 - Telephone (916) 538-754/ / _l�j IT NO. t' APPLICATION AND PERMIT `f ASSESSOR PARCEL NUMBER �1-- i - �3�- ®a I ZONING U BUILDING PERMIT .. OWNER `-- JAMES B. WILLIAM TELEPHONE — SO. FT. OCC. BUILDING VALU ON OWNER'S MAILING ADDRESS • �4M8N—C�9'�5$-3 CONTRACTOR'S NAME / 5 j q f J7y-0A - '-H 5-3-A TELEPHONE CONTRACTOR'S MAILING ADDRESS I1/ r'- f Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filin Fee g $ y�{{///�p� XXOP Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9 140RqESH0F TRAIL, RETRY CREEK PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap - - 7.00 Solar or heat pump water heater 23.00 LOT NO SUBDIVISION'S NAMEpqR �p Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome IN Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 9 1 XVJ @20.00 60.00 TYPE OF WORK New ❑ Addition ElRemodel ❑ Utilities QX Installation ❑ Other ❑ Describework: TRAVEL TRAILER (REPLACES #91-1474) PERMIT FEE 1$ 80.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2101V OR LESS 00A OR LESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RES ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1 00 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California.E Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63.0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood Ventilation E6.5O PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said unty in consequence of t¢e_granting of this permit. / Date^ �� nature of Applicant Owner O Contractor ❑ Agent OSHA" permit is required for excavations over 5"0" deep and demolition or nstruction of structures over 3 stories in height. P Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE $ 166.010 HAZ• D. FEES T IMP Fl PARCEL PD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC 5�--By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date G 2 Y S6z AiT (pale) �-11/ Receipt No. WHITE-D.D.S.• .D�CANARY-ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT \ i !_t....r•....-.r...`Y-Y�N'ti,r•I.,r�.�^�.cs."^.;y.,.=i"r-n:ti.-•�-�`.i4���1...Y"✓"..^_...�,..��.sry;v:x-�..�,.��.<w.: -•.� .f1. ,�.T•..- -..c_. i•t..,,--. r•. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 ' ## PERMIT APPLICATION DATA SHEET OWNER V t2 Y, Proposed Building Use A. P. No. Oil---no-Dar)- Building Inspector Date A)�i��'i 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. 2. 3, .4. 5. 6. 7. 8. 9. _10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Y 26. # 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans . ..................:...... . Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . .......................................... . Energy Design Compliance and supporting documentation . .................. StatementofIntent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout- in duplicate (required'prior to plan check).-.... �- Mobilehome data and manufact er's installation instructions, 2 sets. ........... Fees of $ �,ri�S, .�,1��..� - Impact fees as shown on attached schedule. ... California Department of Forestry plan approval/ ees / .�.... . Flood elevation letter (100 year flood) by Californi neer. ................. . Sanitation and plot plan approval Health Department . City of Chico plumbing permit . .......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: '. Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .... i. Pre -Inspection requed-- ,e Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner, Mail to owner �........... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ....................................... . Documentation of 50% subdivision developed or (A) Road improvements completed ,and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired'permits. ........... `......"...:; .............. { Plan check list . ..................................................... When you issue the permit, process as follows: < Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation *J x�& Al 9� - g �/ Acreage Applicant .Ld ,�i � /•�F''.--� 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 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 Date Plans approved by • /A '� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER ( LC( YVl CL S 0 : (r G h'l s A.P. # D / / ` SO -ov PROPOSED BUILDING USE DATE 10l o� REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at -District Office)........... ........... 2. SHERIFF FEES (paid at Building Department) Residential...... x unit amt. Commercial (sgft) x sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ —F—units ' amt. Commercial (per sq.ft) x =$ . sq.ft. amt. ' 4. RECREATION DISTRICT FEES (paid at District Office)...... ............... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division).... ..... ... SRA FIRE INSPECTION AND PLAN CHECK = $89.00.hy (paid at Building Department) 7. OTHER , 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior -to issuance of the permit. APPLICANTDATE "_ '�— ? 0 COUNTY OF BUTTE - Department of Public Works 7 County�Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. - Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the- proposed -property - improvement (yes -or -no)— - — -- - 2. I (have/have not)g//per /1J,J�7_ 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 Securit Date q-,qu M 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 returne& to our office before -we are per- mitted to issue the permit. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 MR JAMES B WILLIAMS 6304 LILLIAN WAY SAN JOSE CA 95120. L7--- 0 ` - •" ov 14 0 ., �` MAR 15'94 0.29 Z w \ n ..+f �A 6828744 DWd AS ADDi�ESSfD fwwi�o � ,�i�=.1816 02 II i I I Ii i iIi iIi I iI 1I ii I I III "�" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER O}i - 3�- © — Oaf —o ZONIN BUILDING PERMIT OW ER (-6 7 TELEPHONE /Y S �S3 S0. FT. OCC. BUILDING VALUATION W N E Rt;S •n*Ai uw , OWNER 1521 A ,�_ ,A fir N ��- CONTRACTOR'S NA nE �p TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A DR 55 Tit 1,d or(se. ho e Permit fee $ PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 _ryl U Solar or heat pump water heater 20.00 LOT NO. /J SUBDIVISION NAME C[`' PARC MAP Water piping 5.00 D Each qas water heater or vent 5.00 'USE OF STRUCTUREGas SF [:1Duplex ❑ Mobi lehome ❑ ryJ Other �.�PE I FY piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New ❑ Additio Remodel ❑ Ut• 'ties ❑ Inst Ilation ❑ Other [ Describe work: L` I (n _ Permit Fee $IS i2a Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div: 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i OR ADDNS. ACC. BLDGS. , 2/22sgft NEW CONSTR "'UL-T'-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EOp OUTLETS OR FIXTURES Ex. Occup( z0es0e eAL030 FIXED Ex. Occup. OUTLETS P(RESID E 2.00 a0 Temporary service 10.00 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X S -- 0- Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0'deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 4-11)n � 0 HAZ I CUA PARK I SCHL I FLD I P12/ f/ P HD IssuE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., 7ELLOW-A53CSS0 , PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT Qf ,p.�1BiLIC WORKS - BUILDING DIVISION 7 COUNTY .C�.ktP,1DRI•VE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 41 1-4!.)IPERMIT APPLICATION DATA SHEET Permit No. OWNER — x A. P No. Proposed Building Use 0 Building Inspector Date f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and•calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... _ 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data -including manufacturer's installation i instructions ...............................\ I i 10. Fees of $�.....................a� • M 11. Chico Urban Area fees paid ....................................... M 12. Park fees paid .................................. :...... ........... l 13. School District fees paid ............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ................................... 16. Plot plan and business license approval from City of + (see City for,other requirements) 17. Planning apl5roval for (A) Use: (B) Parking: provemenfs may be required. Contact Land Development Section DPW 9. D iveway permit (construc Ion approval required prior to occupancy) wj re -Inspection for 1c; .1 r C� required Pre-Inspec. request to % • �s Building Inspector (Date) AContractors license information (No., Name Style, Classifications ... —�q2 Certificate of Workmans Compensation Insurance .................. & Owner -Builder Verification (Given to owner ❑, Mail to own(; . -q- 24. Recorded copy of Agricultural Acknowledgment Statement ..... 25. Letter of signature authorization ................................... 26. P. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. a$ Other A Applicant / r .Date S 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 itemstr�quired: ^ Contractor, designer, owner, was advised of above required data by—phone ___jnail—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has' been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement '(yes or no) Yr_�_. 2. I (have/have not) Pgar_ 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,�Zb ut'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 K12 uCZ_WLR AP' c,i,JOG Oda �L� � RlG �R - 310 ( wr„ T%Ku t �A�G `+ Signed: Property Owner Social S curity Amber Date z��v 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. PRE-INSPCTION- OWNER : C- 0- LOCATION: zLOCATION: S �( n Cir p r - CONTRACTOR : IV J jel ✓( s * 4�f ------------ PRE-INSUCTION FOR: V?l FA Y\,, 7 © (- Vu f DATE 5 0 A. P. # �l 7� ZONING m_ r(l DATE TO INSPECTOR, PERMIT HISTORY: NONE Cj AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: or Alc> TENNANT: ll?rOCCUPIED HAS ELECTRIC HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON. CONTACTED V1 a n a_ i OTHER COMMENTS:. he -e,% Ij s t �c �Z 6f Zoa tri( ACTION RECOMMENDED: �? ISSUE HOLD FOR /v G(. OTHER: ,11 v��;. ice. fi��S ���, l�Jo�s nod �a10 Perlm)'+ o- 6w6V6 r/ wtS �"�1E t�av� ( tYai'�� c S ©�'l �1 l��vc� s ��fn�s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541 Gregg Lee DATE May 29, 1990 P.O. box 102 Permit appin #1412-90 for elec for Berry Creek, CA 95916 RE: well & future lot development A.P. # 71-35-22 With reference to the above subject: " Attached is: 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 7IJ-4- I 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 duplicate 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: .,.,.,X196 Memorial Way,' Chico JirLn 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. TffHER Permit for travel trailer being used for living on property before issuance 9i efty ether peFe-it-s- Should you have any questions concerning the above, please contact of this office. JFG/aj Yours very truly, J.F. Glander William Cheff Director of Public Works /F. Glander Chief Building Inspector •.CDF FIRE -SAFE -REQUIREMENTS• AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County, local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. K] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Drivewav Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appirte-tant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�Q 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of ver`:i^,;:�l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. t�g 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of : :?.-, -7l -(�3 -Z-1 -2 ( /W/uL-1 "9�s. -�U-5 AP # PERMIT # NAM KI 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway. exceeds 800 feet, turnouts shall be provided no more than 400 feet apart.. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates N(i 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�(] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way provides entrance, used. Fuel Modification road with a single traffic lane a 50 foot turning radius shall be 1276.01 Setback for Structure Defensible Space. [�(1 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from il] property lines and/or the center - of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements -below. 1 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation.and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction Dr fi_ial inspection of a building permit. Page 2 of 3 2( AP # 'l V-iZ3 PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves S NAME' [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 a got Of P1 ans and spe( t ori the -job ai all time,% T e'�( and la-ur hZi &Os or alteratom{ on nam ,La -m• -the 0aprwt=gnV lit 9 wit CIA) Work Go Lmty of �Butte. 2 tz 7- ? n Mtse... Qc -sl CIL 1) V ALL STRUCTURES AND •QLIIPMNT INCLUDI OVERHANGS SHAILL 13E CLEAR OF ALL EASEIVIEN-'11-1. A SEt BACKOF FT., FROM THE SIDE AND �° - i9 , ,0 1 fT. Fl3OMI THS REOi PROPERTY Y LINES AND CO FT, FOOINCTW ROA' CENT�PLI INE SHALE CLF.Ai OF S11RUCT ES ANID EWMEM7 Md �tCE T .. ( R FCR A 2 FT. EW't 7- '7. 1®mw %0 A3( V i it I RE\11EVVED BUTTE .. .. LIP I BY 6EP 1—CALIF. D PT -91 FORESTRY a p 3'roved vviih'--'6nditicns . pbtrati'ade d* s �t Mle I Drue Signa: I V ALL STRUCTURES AND •QLIIPMNT INCLUDI OVERHANGS SHAILL 13E CLEAR OF ALL EASEIVIEN-'11-1. A SEt BACKOF FT., FROM THE SIDE AND �° - i9 , ,0 1 fT. Fl3OMI THS REOi PROPERTY Y LINES AND CO FT, FOOINCTW ROA' CENT�PLI INE SHALE CLF.Ai OF S11RUCT ES ANID EWMEM7 Md �tCE T .. ( R FCR A 2 FT. EW't 7- '7. 1®mw %0 A3( V i it 9 4 y 1 ` tOUNry OF BUrrr` k\) \s l U < �, BUILDING DEPT r o0c`I e SEP 2 4aRS�S )3E(za D (A'R C o - - 3 C%arse �,cwcoZ�e i ULA jJ�w�� Sr�oLt--*-- LT\11 S ' I � ^l 02 NO 1 �®tLX s fu o ��c �,AC e, tS C-4, Q -Q-\ 4: M `nn e 0 e-- AT LJ" -1 )�-L4� V k6 .,. (c C� l, F U -L 0 u-� ��'A,.j ,RIft YL I 17- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT RMIT,NO. ASSESSOR PARCEL NUMBER • 071-350-022 ZONING iJ . BUILDING PERMIT OWNER James B. Williams (707 TELEPHONE 526-1573 SO. FT. OCC.1 BUILDING VALUATION' OWNER'S MAILING ADDRESS P.O. Box 464, Berry Creek 95916 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR LN ,1NEER None LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checking Fee Energy g _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Horseshoe Trail, Berry Creek Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P/ARCEL MAP 7�� b Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home -S G 10 10.00 ea TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation❑ Other ❑ Describe work: travel firni 1 Pr Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. License No. Classification. 21'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) ❑ 1, 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 OCCUP.N New CONSTR.(A , hLsgft ULTI OUTLET NO ..RES'.. ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 2AL@ eLe30 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date ��_g� �ignoture of Applicant — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 82.50 Az. - CUA PARK SCHL FL I v'— CDF PAR PD J HD ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab f which fees have been paid. �R T R F PUBLIC WORKS B- Date P RMIT EXPIRES Date SY^Z1�`9Z Receipt No. 89125 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance. 2a ' Locatn Owner - Plan Approved for: Hold final for: Sewage Disposal Water Supply w moi, Water Supply ^inal clearance O.K. for: Water Supply Clearance for, bedroom mobile 'ihome . Other NOTE *** ate Sanitarian TO' Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance O er Location AP# Plan Approved for: Fold final for: Sewaqe Disposal _ Water Supply L de Final clearance O.R. for: Clearance for bedroo mobile ome. Other NOTE * * * Water Supply Water Supply hill Sanitarian 6at Z T•r,..,•,,,. •._^ -w•t ••e-w.�- 3�.X�-..--rn-.,.,r�•.�•+p-�£.,n:_,.7v�.1.,�r+�,• ;: �:.: ;�:r'-..r....-+..t^�^.....SrYr-int ,1'k`r inti ..,:.4.-^.�r. +a"-.. .r. COUNTY OF BUTTE`- DEPARTMENT OF PUBLIC WORKS -;'BUILDING DIVISION Y a ; 7 COUNTYCENTER DRIVE. OROVIyLLE, CALIFORNIA.95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIJON, DAJTA SHEET I/ % % Permit No. OWNERJV� t l ` 1 C( kn S A. P. No. Proposed Building 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 APPROVED w 1. All items have been submitted. ... .......:.......... .......... 2. Plot plans in duplicate/triplicate„signed by preparer of plans......:. 3. Complete plans in duplicate&iplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. hool Dis ri t fees paid ..... `........ 1-4. Sanitation approval from _ � 5 ✓�Oy" ) NL Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... l 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 1 X23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... ' 2-O.-51 1 25. Letter of signature authorization ................................ . 26. I 27. When you issue the permit, process as follows: Mail to owner..-' r' Mail.to contractor. +1 Telephone and hold for pickup at office. Deliver w/inspector' Other Appl icant 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 submitted lanor to permit issuance: (Circle new item not checked ab'o've). 1. Index permit for above items No. 2. Additional items required: ,- A Contractor, designer, owner, was advised of above required data by_phone---nail-counter by -.date Contractor, designer, owner, was advised of above required data by -phone -ma lg-ounter.byedate / Plans checked by Date Plans approved by Date as/Q Copy -DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PA CEL NUMB t% ZONING BUILDING PERMIT OWNER U1 TELEPHONE SQ. FT, DCC. BUILDING VALUATION OW ER'S MAILI ADDRESS _ © — CO TRACTOR'S NAM ti IfTELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace Fireplace CONS RUCTION LENDER UNKNOWN _ Total Valuation $ Filing Fee � $ _rOsw LENDER'S MAILING ADDRESS Permi! Fee $ ARC I ECT OR LN .INEER 61 LICE.`tSE No. J Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITOECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o r ✓`a ' r Fe Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G 0.00ea QQ TYPE OF WORK New ❑ ' Addition[] Remodel❑ Utilities ins lation❑ Other ❑ Describe work: T ra iC— Permit Fee $ 3O n Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 l Main service EA. ADD'L 100 AMP 2.50 d CONTRACTORS LICENSE LAW_ I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, El 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- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d New , h2sgft CCONSTR.(A UC TBI ODUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES 2A3C eL0Le 90 FIXED ANS Ex. Occup. OU LETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ .56) WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penntt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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. %� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAL. I CUA PARK SCHL I FLD I CDF I PAR I PD I HD. ISSUE Thls permit is hereby issued unaer 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. - y )S WHITE-D.P.W.. YELLOW-A3eE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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. o 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 442 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 s Social Securi .Number Date J_- / 3 - 1 / 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. Return to DPW AGRICULTURAL STATEIMATT OF ACXNCWLEDCEIvMTT FOR RESIDENTIAL DEVELOPI NT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 91-034288 I Rec Fee 5.00 The property described herein is adjacent I Cash 5.00 to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and fertilizers; and from the pursuit 9:43am 20 -Aug -91 I XX 1 of agricultural operations including, but not limited 'to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on 'adjacent property should be prepared to accept such inconvenience or discomfort from normal', necessary farm operations. All that real property: situate in the County of Butte, State of California, described as follows:• -Dj`tZCE L 1 /45 5 riC-;&J N i AA -1 C� K ; H i N �Nf Ci Nlr}� )CCC o:7�'� /A-) J � I-�F O �fl C � � � I fi E I«c.�c K i7 •_ i� t� -� Tffr- � G. c_t ,,, -l�. G --F /3..� TT% .5 T �4-7-F- 04 C4�44e.��N,rF � CSV JT3y� I F /Y1 �� J /i / 4FA) 7 /4 0,7, ��tt/'�tL Date: PROPERTY OWNERS: r .' s State of i o ) On this the ,20n day of $T 19_!?/ , before me, the SS. undersigned Notary Public, pcyrsonally appeared County of �) P S l�,: %1��' /L' D dl's S OFHCIAL MOL CAROLYN D. ENGELHARDT ~ Nofn� �a ❑ Personally known to me. �} Proved to me on the basis 7^ of satisfactory evidence. ` August 119 19�94� to be the person(s) whose name(s) /S subscribed to the %,,ithin instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �% _v�5 2 /0, / Votary Public 7_ 1 IM qW_' =This set of pians and3 if At a -Mil !�-���i bb k on the 'tob at all times and h is un aw A wd§'Anco Wdh! Raaognw good �d t. ` ribed for d+e _ _ ifissi_-m k oe ! make any changes or alterations - . sai — n% : , in! i dad Go& end out,written permission from the bepar?r'ne O"O� iBeer Via• i I Public Wgtks, County of; Butte. i t I In Ones and a 40taCk. of Z i p�Pe 1► -d - ter gp ft: from theEd 47:StmCwtes or rhan9- for a 2 ft. eavl aveIva —5 i 1 I'M Q ! I F:t. i 1 t L- i I r - - BUDEPARTMENT APPROVE —1 I i 1 i ad TZUM bnt, zneiq to toe zidl' -t l0welnu at ti brie zemif lie to coo! edt air, tqq� .stfue 10 Vtnuo:) ,a'41oW AdEulq E � 1 F s a tj to al.0fl m ".-rC14 44 a" 61313uQ2 00 ya� .463 04 9A ifs3j,iiitrrx. =33t;a r3 S 6 lot Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of .t�a Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 91-034288 =91-3288 � I I Rec Fee 5.00 The property described herein is adjacent I Cash 5.00 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 9;43am 20 -Aug -91 I XX 1 of agricultural operations including, but not limited 'to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real -pro:perty: -situate in the County of Butte, State of California, described as follows: (FARCE L 1 f}S S Na-)^) p N tlA i c g s A i no ?,,r, Ma p 9N Ttf-F O c.F 1 fiE RECaRaE"R D- Thr- -/o-F t3,,,7?e) 5—f A-� 4_6,rk A� 1 iO N S-*x)1AYJR y 5'�, /9�5, SSV i3oa K of T pn&r(s)$�• 1�E5=RJrN� j t{= �noian f /L��IfT o ���% ✓��of �u�%ic c-+71 i,Yr EA5)'VeN7 �5 <5ffo�J� o,v �N� 19bdve /J�Pc�� )4 �p Date: E .7,0 --Q/ PROPERTY OWNERS: r 451- 4,� z�, r t—, State of On this the �J h day of SI_ , 1957/ , before me, the SS. undersigned Notary Public, p rsonally appeared County of �) CAROB � HAEL RDT Notorf PJb1c-CaY 0 EJ Personally known to me. 0 Proved to me on the basis +e WM of satis�ctory evidence. my COMMORM 1994 to be the person(s) whose name(s) S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. Nom.?1 S /,;11/'11,�,Z� Notary Public / END OF • 02 s' fifl!.lE COAVIA Wcfvr 2'EVf w:ar. � , Y 4 l.. ♦. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT, SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (91'6) 538-7541' FAX: (916) 538-2140 James B. Williams 255 Reflections Drive Apt 11 San Ramon CA 94583 RE: Code Violation 2 Horseshoe Trail, Berry Creek Dear Mr. Williams: March 14, 1994 A.P. #071-43-0-021 This is a.courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of travel trailer. Occupying travel trailer without the required approval. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate. fees.. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present anacceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:dms cc: Assessor Coves) M Sincerely, • is ael C.1 Vieira, C.B.O. Manager, Building Inspection ✓io {. OAF )Auw.�Aote�. 1�e at -e& PZIFF me, XLa James B. Williams 6304 Lillian Way San Jose, CA 95120 7 COUN I Y GtN I th UMIvt - v-1-, .. ----- 1397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 14, 1994 RE: Code Violation A.P. #071-43-0-021 2 Horseshoe Trail, Berry Creek Dear Mr.'Williams: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of travel trailer. Occupying travel trailer without the required approval. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate, fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you :should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any. questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV:dms — Mic ael C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor .,. _ v3 -03 73 a 4 'RESIDENTIAL Sk)4r 1"A -le 071-430-0214 R 94-1231P,E 14ILLIAMS, JAMES B. 2 HORSESHOE TRAIL;4BERRY CREEK UTIL FOR TRAVEL .TRR(REPLACES #91-1474) r • F( rt-1V. V' L 1 4 -y , it f JOB FINALED (Date) Signature Wit` »��, r ,�•"� _ 1 � w ^f V = OK V=OK O = Not OK - = Not Ready RESIDENTIAL ' Not y . , 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-Steei-% /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-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.; Fell -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 N's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi 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 #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes& No. Iof 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 #'a 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. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing -7- (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Ovefheng-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. & Mech. 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 -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ 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 Flnel: V=OK O = Not OK Not Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2 Solis; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ /"Vtt./ rLPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except ft'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test-Crossovere-Breakers-Clearances 5. Drain; MH Test -Fell -Flex Connector 8. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp: Skatch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK 1. Zoning Requirements -Setbacks -Easements 2 Footings;.Solla-Size-Depth-Spacing-Connectors-Steel & Decks; Grlders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rttre.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Qecal-Enclosures & Carports; Windows -Doors 7. Electric & Frmg; Slls-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings . Date/Initials POOLS (Plans) OK except 8's 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distances-GF1 5. Elec.; Pool Lighting; 15 volts-GFI & Elec.;Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r 1 •- •- ...� •,-- ......--• L-, ...,t t,x yr,�-..,.w; -�v,:,,�+ �q;i+°(Ai'„lr.. z�4ri!`et/P."*iy'^it,R'ar..,.�"�.:.,.,._..at✓'^. r n , � ..r^r�wrra.-^r+r�c�/v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916)538:7541 PERMIT NO. APPLICATION AND PERMIT %� '� Ass—ESSO,I E -1V/4., n""?I _ 9 3a— (0 Q I Z°"'"° TJ BUILDING PERMIT OWNER I JAMES B. WILLIAMS TELEPHONE t,jj-I.Fc r"SQ FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS256 Rffiq!:EeftM9 M -,—APF --W, SAN RMW GA 3 ,-ff CONTRACT_O Ir NAME f Fr Oni kJ , S'3 - A �j'R fiJ -C M TELEPHONE / n CONTRACTOR'S MAILING ADDRESS &, IVB ����Ur"Ce y (,.. I't r Fireplace CONSTRUCTION LENDER NONE UNKNOWN 4 Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ ?OPpp Permit Fee $ ARCHITECT OR ENGINEER NONE DCENSE NO, Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2 HORSESHOE TRAIL BERRY CREEK PERMIT FEE $ _' • � � y 1. _ •� ".. � - E PLUMBING PERMIT Filin Fee 20.00 g � Each Trap'? Solar or heat pump water heater 23.00 LOT N° SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE V SF D Duplex D Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G �7V @20,00 60.00 TYPE OF WORK New D Addition O Remodel O Utilities DX Installation O Other D Describe Work: TWU TRAILER PERMIT FEE 80.00 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (REPLACES 091-1474) Main Service ( ZODA ORLESS ) 23.00 ZJ-UU Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. SO, OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. t `�.__ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) D I, as the owner, am exclusively contracting with licensed contractors.'(Sec 7044) D lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. Ofl (OUTLETS (RESID.► EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCEt - r 1 declare under penalty of perjury (check one): D This permit is for $100.00 (valuation) or less. D 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a .f Certificate of Consent to Self -insure. A I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. 0r ' ,PERMIT FEE $ ��• Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation I PERMIT FEE $ Contractor . - I certify that I have read this application and state that the above information is correct1 I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. .'r, I also agree to save, indemnify and keep harmless the County of Blitte(against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. f (I X 1�// ,�'/ ' �'f '>' '= Date '�Y (� {� ( ,Signature of Applicant =0 Owner D Contractor D Agent r� i An OSHA permit is required for excavations over 5"0" deep and demolition7or construction of structures over 3 stories in height. Y Mobile Home Installation Fee $ Energy Inspection Fee' $ OCC `CONST. TYPE TOTAL FEE$ Y� OO / HAz,. D. FEES IMP +�* gOOD' i/ �Cp PARCEL PD HD ISE' ,This permit is hereby issued under the applicable provisions ofahe Butte Colina Code. and/or Resolutions to do work -indicated'above foi.which fees have been paid. DIRECTOR OF PUBLIC WORKS By y a !sL t, Date PERMITEXPIRESON . - �•7i/ ,^'7 S (Date) Receipt No. P 1 CLJ �7 . ll� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 c RESIDENTIAL 1474-91P,E, # WILLIAM S;James°"(j 2'Horsesfioe Tr, Berry Creek (travel trailer utilities)+ 9 ` Y r Y r J JOB FINALED (Date) Signature V OK O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except n's - Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except u's Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except k's 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa - Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection - 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ' 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings " 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's Date Card B-1 Date Card B-1 39. Sils, Proper Material &Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card 8-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size &"Bearing each time you visit job site) (NOTE: An entry must be made v=OK O=Not OK -=Not Ready le MOBILE HOMES ' Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ' r E ,COUNTY OF ;BUTTE - DEPARTMENyT OF PUBLIC WORKr County!Centeir Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT RMIT or NP. ASSESSOR PARCEL NUMBER 071-350-022 ZONING - U� BUILDING PERMIT OWNER James B. Williams (707) TELEPHONE, 526-1573. SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' P.O. Box 464, Berry Creek 95916 v CONTRACTOR'S NAME Owner TELEPHONE',. CONTRACTOR'S MAILING ADDRESS .. Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee Y� $!tJ1/ Permit Fee $ ARCHITECT OR Ev INEER None _ �' LICENSE No. Plan Che. -.king Fee ec 15 00 $ • Energy Plan CheckingFee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Horseshoe Trail, Berry Creek Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[B[ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G10 J 110-00ea 2 TYPE OF WORK New Addition ❑ Remodel❑ Utilities Installation ❑ Other ❑ Describe work: travel trailer Permit Fee $ 30.00 Contractor ' ELECTRICAL PERMIT 10.00 Main service 1OD0 AMP ORV OR SLESS Main service EA. ADD'L 100 AMPCONTRACTORS EFilingFee LICENSE LAW declare under penalty of perjury (check one): I am licensed under p ❑ provisions Of Cha t. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification. [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed, contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.BII OR ACC.BLDGS. ONS. NEW CONSTR U NCH TLET CIRCU.ea NON ESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOS eAL030 R FIXED APPLNS. Ex. Occup. OUTLETS ((RESID ) EA.) 2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00 is.00 Misc. Wiring g 15.00 . i 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 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 t+ MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the abo,veGinformation is correct. I agree to comply to all County Ordinances and State Lawsre-lating to building construction, and hereby authorize representatives of theCountyot Butte to enter upon the above-mentioned property for inspection purpose: 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 �, /I/� e- c �, , �> �`/'�� Date J /moi _ Suture of Applicant — Owner 4 ❑ ❑ a 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'lnstallation Fee $ Energy Inspection Fee $ OCG CONST TYPE i TOTAL FEE $ 82.50 st+Az. CUA- PARK SCHL I FL cDF '"° ` Pnai .� PD I HD, "21V I This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above�l which fees have been paid. � _;,dz. RECTOR F PUBLIC WORKS �By � _ �. Date �'gPERMIT EXPIRES` iDate-"`�,I,/ Receipt No. 89125 ' t a WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MR 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 101TBAl ;lil – 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 notify this office when correction of work is corr.pleted. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 7 Date JZ�Inspector Il 0-1 f! - REV 1092 . :EJ t M.Eicjc-, I W 13c)-bil :Z0 • .,?,PROVE County enylivilmental Health Z_ 4D EOUPMENT. li�ct_u®o -p& UC 6s A LS EASEMENTS- tiom -BE-GLF-A—ROF ALL dVSft9Ar4993MA& See ft aftached 65, scMc, AND— SFT. BACK OF fjLWA&fT. FR THE Y LINES AND' IL�_WAI FT. FROM THE REAR PROPE R -T LL BE PIC t Dao AG u611 FT. FERUCT OM 1RE AD CEQUIPMENT SHA CLAR OF STRUCTUAND EYOEPT' eir (§ F LUR A 2 VT EAV.E.OVIERHANG Par, as 65n*0nm@Rta1H6a1th FEB 2-8 2003 0 7 County Center Drive C4 G WIA C., OrOVItte, Ca.. C4 Ir APPROVED Butte County Environmental Health Date Tu a S "A 9,:, SE Tic BUIL C_,AS L G v� A AP -0 r- cT s 30'f SA L wqi� t oicTat'CA 111.1 Doty\ c- STIc CFW f4o o k Irk MI.7.67. YS - DEPA R 0VED r t TIR A I 1 i �A u fie) G rid was PosTs Rx mei A L d�lks Oak o N T e P o f AEc.k GiO.daKS� Wilk -- - - wNeT* I, s Rp ca N u Er-Tl.v9 Top Peri•, 3 oTTo M pes-r _ i�so 12. �X 1* i cgs ON _ p -- •.- r Mae ,. ''x g'' FACIA X IZ 1 I.h% Ai6o E l s sTA J FoaTl N9 t--- �2A LO y� ".000 u (opt LC5 Tk PIRTE SUM c m 7 y 1!-�t Fla %JiLrlD4 D 15CA L E J* -O'XI 0 71 �`4 �3Z Ti qRM5 Jiktr M�'J Ao P P R 0 V E 15 a 071- q 30 ay A ' a3�0 ddAlNY nO3 3.UnG . 10 I )Z2 , 1-rJ ce C4 O hd- atiac a vp Zo 1 i + v PGS[ f "er r / r f t Turzw oL; Rs'x 9o' c .�pyr.e OecT- t - I l y .�. ver `► SCHLiz \ P/ cc 0 RT 11 FIRE r Ei TRY 0 of FO s Li 6 ,ALL STRUCTW�7,, EQUIPMENT ANCLUMN �^+Y E ..{y p"yTgl�t-111b'S si 'All a,-//�;Jj��(_/^./��'�,,.�> Rde As L_ -lr-.. �'16d�6 � u�[ Tl !� A. '1ISE i BA Y8 0Y. 6/ � � tl o 6E V���E er` iNID r _ F RC`JV... 7 h f ;A3 i CE E EsR x -NE S am! . r �0 - A khsrs(;,,17 I 30` i�5 L . I i 47d. 53 -- - n, I-Ifit 5 (7 ^ I^ i L / vlrll j c -- + rp r -.144.92 I •..n i I ,. IN ,x - --� I 11 �� ti vILI ch t � G I I 444.94 I I 222.50- �J I'„ � ro IN � i•'11 v ro ! I T22`5 i - J •L: 1� (�• �_.) �� t.� i� it ----=-- -- _. " 2.52 ' U I � O ti NOT"Es Q V NVSEJ t 6 ,J C arw ..i E CA El. 4,z' 1`&8,o7 APPROVED Butte Counttyy EnvIronmental Health .,2 QA tg ----4S P� NEw �•' C371-430 b2 -I ss as specified 0,4 sWovod by C.D.F. ' d< R`,�I'-WED BY � PGC DRo pO�� I AG.UCII ??'�►i T. FIRE DEPT. 9 0 13 .1 C , PE T. of FOREST RY J NOT Lor (� � 0 �► rn_,rc ^J as submitted I o n, �•� ,-,rr,,r�-J4 with conditions I d sh of Q �,.�r.. f o Date z g i LA ri rq � r ,f .�t_L STRUGTUI'r } S EQUIPhENT !ElCLUDINr Cle t •.. �ry,r ,-', EAP; OF ALL EASE!l:ENT OVERHANGS;.. C' FT. FROM THE SIDE AlM r ----4S P� NEw �•' C371-430 b2 -I ss as specified 0,4 sWovod by C.D.F. ' d< R`,�I'-WED BY � PGC DRo pO�� I AG.UCII ??'�►i T. FIRE DEPT. 9 0 13 .1 C , PE T. of FOREST RY J NOT Lor (� � 0 �► rn_,rc ^J as submitted I o n, �•� ,-,rr,,r�-J4 with conditions I d sh of Q �,.�r.. f o Date z g i LA ri rq --- rrCcT u t1* I o ' I �o►2JC 5k wq►� C-IKcTRtc,� R, 10, 1 •°•w' n'1 M I I - �, * 6 7 yS N" ,f .�t_L STRUGTUI'r } S EQUIPhENT !ElCLUDINr t •.. �ry,r ,-', EAP; OF ALL EASE!l:ENT OVERHANGS;.. C' FT. FROM THE SIDE AlM A SES' BACK ��_ \R PROPERTY LINES APD t [ '� v� ... G�-FT, FROM1,` !`)f%D CENTERL INE SHALL = z- AND EQUIPMENT EXCE I T t , � s a►Z � CLF_AR OFSTR3C .. E; "k So' �. , WRtI 3 U 1-! S �. P. E. I 0 a a3 0, N . q� 33 Cep --- rrCcT u t1* I o ' I �o►2JC 5k wq►� C-IKcTRtc,� R, 10, 1 •°•w' n'1 M I I - �, * 6 7 yS N"