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--- - r 1, AIL --x 17. 'keoppel",melvin''& k-�— :!e"91408 ORO-QUINCY4 HWY, BERRY' CREED AG EXEMPT, PERMIT 'CHICKEN FOOD & R,. n t4 • . n i _ 1 w i i r I i I1 I I° I I 1 --- - r 1, AIL --x 17. 'keoppel",melvin''& k-�— :!e"91408 ORO-QUINCY4 HWY, BERRY' CREED AG EXEMPT, PERMIT 'CHICKEN FOOD & R,. n . � mlm� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT MIT NO �� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implemerits, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D 1 /+1 I ,� 1 /n �i� ZONING % / J p OWNERM E L -L J� A 1 � V <ED �%�%L � �i�T PHONE NO.� OWNER'S ADDRESS //�O k,?o LOCATION OF BUILDING � 4�;)--L) APP90X 5-00' A/E aFMtl USE OF BUILDIN ' �J / C -i C Li� All SIZE OF STRUCTURE ' X 2-4,,. SQ. FT. TYPE OF CONSTRUCTI . WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE O tpr7A ) ROOr-7::7f' FLOOR TYPL ESTIMATED C =RUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: ' 1 FRONT �� SIDES REAR S / AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect that time and before occupancy. �^ Date �� Signature of Owner / Permit Fee - 560.00 The above described AG Building is exempt fro a b ilding permit. Receipt No. 15-6 / 14 FLOOD PAR L P. . ROOF ISSU Manager Building Division By �� �Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORFhA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER L�1 V 9 /, P. t1cyj Proposed Building Use ing Inspector Date At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: i/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other / Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to.renevv action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one yearfrom the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant rr� _ `y"� i 'V�".".'�r��1''"I��l.���yt" ..�.-1'•4y'.�a� rr.-.���y `ri.ri'1._n�,p,.j.n,.-rV""w.y��rm..n.....�....,r,�t'�'���4.yr,l.-ltrrw.+..,�_�+,�-y- .._��.'..w. '-n+`�. NO COUNTYOF BUTTE - D_EPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROS ILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET 4� l�,, OWNER V P. O7�-D1D-O %� Proposed Building Use _ B.uilding Inspector Date Z At time of pe (t application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ....................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. ' 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions,`2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about '(A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for required. .. o e�i� �9 �spadorat (Date) 21. Contractor's license information. (No., Name Style, Classification) . ..............: 22. Certificate of Workmans Compensation Insurance . ........................r. . 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . . . 27. Letter of intent on building use . ......................................... 28. Mobilehome�utility clearance . .......................................... ' 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed , and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 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: 7 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 Date Sets of plans on hold in File cabinet AP folder" Copy - Department of Public Works RESIDENTIAL 0.71-01-75 — - - -- 2352=°91P, E CIGANOVICH, Kathy 9408 Oro Quincy Hwy, Oroville (mh util) C = OK = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOOXE HOME UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easements So' , Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd- p -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 1 Clearance & Disconnect Pg'Lltility Clearance Date ,2Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s ZqDing Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line est-Demand-Valve—Connector Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector r; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval 8.4-ae-and Ele ity Tagged Exits' p. -Sketch ert. of Occupancy Date `,(2Z!gZ ,ard B-1 C Date Card B-1 Date T Card B-1 Date Card B-1 S Gfr-V ,9 LQ, S - yon 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- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric i 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing j 11. Ext.; Steps -Doors -Landings I ! Date Card B-1 Date Card B-1 i Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements j 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI I 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater J 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Bo xes-Enclosu res- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I X 'i OK O=Not OK - =NotApplicable* RESIDENTIAL (Single & Duplex) , = Rea;1 Not y' Date w UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post -Caps -Anchors -Connectors 2. Ftg., Main; Soils -Flet. Grnd.-/'/" Fig. Depth 46. Cing. Joist-Rftr. ties- Purlin-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-Blockouts-Wrapped--------- - 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air- Baffle ----------- ---- - -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date - -Card B_1 ----- Date- Card B-1 ----------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------------------- ------- ---------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- ------ ----------------------------------------------------------------- 24. Size Boxes & No of Conductors_Stapled -- - - ------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------- ------------------------------------------------------------ 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ----------- ❑-- -Yes --N-o- ------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------ - ---- -------------------------- --------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----------------------------------------- ----------- ------- ---------------------- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ----------- ---------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------- ---------------------------------------------------------- ---- 36 Condensate Drain & Overflow: Size & Grade --------------------------------------- ------- - --- -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------- ------------------------------------------ ------------------------ -------------- 38.- Attic Access & Platform if Furnance in Attic -------------------------------------------- -------------------------------------- Date ---------------------------------- Date Card -B-1 Date Card -B- 1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - - ------ - ----- ------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- --------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - - - -- - - ----------------------------------------------------------- - ---------- 42. Draft Stop in Walls (rat proof) ------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---------------- --------------- 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ ---- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- ---- 57. Glazing Area -Glass Protection -Skylights -Plastic ---------------- -- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- Date Card B-1 -------------- -------- Date Card B-1 Date _ Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- ----------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. . -- - --- --- - ---------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ------- - ------------------- 70. ------------------70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance - 7 1. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire -Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------- ---------------------- - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ -- ------------- -- 78. -Guard -Rails Rails & Deck -Const Caps --------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -------------------------------------- ------- 80. -------------------------------------------80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ----------------------- - - --- -- 82. A.C. Unit; Disconnect Electrical, Plumbing ------------------------- ---------- --- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing - - ---------------------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. -- 87------- ------------------------------ . Glass Protection . --------------------------------- ------------------- 88. Corrections from Previous Inspections ...... --------------------------------- --------------------- 89. Gas Test -Meters Tagged: Gas -Electric____ -------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ ------------------------------------------------ Date Card B-1 Date Card B-1 - -- ------------------------- ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. A I," A— j A Aid A V. J' 6v Date 41t Inspector REV 11/91 .t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 6—WNth PERMIT NO. h A, routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 0 r: •y Y; �r 54 ..Y `i ,i ;X S `.i r . .r fi Date 1 Inspector REV 11/81 MOBILEHOME INSTALLATION ACCEPTANCE �r] COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 Address or location of mobilehome 7� Owner's name t a Owner's address- 619 Oro 1, Insignia or hud number o3-5,2_4 Manufacturer's name 4 6&1 C Serial number of V.I.N._ 410,3 (OffiAl Apprdvving Installation PERMIT NO. Z 3S3-91 Year of manufacture ' 7Z IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION, ACCEPTANCE. SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE: MOUILFHOME IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 071-010=075 ZONING U—SH BUILDING PERMIT OWNER - KATHY CIGANOVICH TELEPHONE 589-3832 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 6190 ORO BANGOR HWY OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE �-- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER T ONE UNKNOWN e Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9408 ORO QUINCY HWY OROVILLE Permit fee $ 25.00 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[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TG FW 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel0l. Utilities ❑ InstallationQ 0th r ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR 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. NziI 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.. OR ADDNS. ( ACC. BLDGS. ) , /20sgft NEW CONSTFZ MU T'.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETs OR FIXTURES 20030Q eAL@3o EX. OCCUp. OUTLETS FIXED P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.010 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 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 County in consequence of the granting of this permit. f� q X Date Signature of Ap licant 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE - TOTAL F E 70 rlAz. cuA PARK SCHL FL COF P R , j HD ISSUE This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated abov for which fees D R OF PUBLIC By PERMIT EXPIRES 66ate G applicable provi- resolutions to do have been paid. WORKS , Date Receipt No. 94551 70.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7`ALINTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE ' PERMIT,APP-11CATION DATA SHEET OWNER <A A 4 i 916/538-7541 Permit No. A. P. No. 67 (` o(0--075 Proposed Building Use Building Inspector G 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 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 .......................................... r 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 manufactu rer's installation 'f instructions ................................ . `.................. 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid, j 13. �� K �-'f School District fees paid .............. - Z 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 approval for (A) Use: (B) Parking: ...... 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, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... /'t 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. nj k7) CL - 4 C_ 27. When ou issue the permit, process as follows: a`il to owner. Mail to contractor. Telephone 5'?j'Z-&q157,hold for pickup at OW_office. Deliver w/inspector. Other / 1 ---4ppl icant Date Copy of Haz-Mat form sent Health Dept.Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire ept. Other Date By The following data must be submitted pri t it issuanc Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o er,/w_3e Ised of above required data by_ffphone--nail—counter by*..date 7_0 Contractor, designer, owner, was advised of above required data by—phone —mal I—counter by date Plans checked by Date Plans approved by G4/ Date Sets of plans on hold in File cabinet AP folder NJ Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:"538-7541 APPLICATION AND PERMIT PERMIT NO. �-35`3• �/ ASSESSOR PARCE NUMBER — co (d.�U7S ZONING , 51ff BUILDING PERMIT OWNER TELEPHONE SWY - 383z - .SQ. FT, OCC. BUILDING VALUATION OWNER'$ MA�ING P RESS 11 Nlr W 690 CA CONTRACT OR'S����NIlA��M//E,'QQ QLV/VL TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN IC) Total Valuation Is LENOER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee $ ARCHITECT OR ENGINEER �� LICENSE NO. Plan Checking Fee $ ! �� �Y ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ^ !n( / Q U jkjoLyl Permit fee $ 913 PLUMBING PERMIT Filing Fee I 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. $UBOI VISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USOF STRUCTURE SIF [I Duplex❑ MobilehomeOther ������```""P�� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W S 1 G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: — 4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LESS e e 100 AMP OR LESS 10.00 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. ❑ 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 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,s` OR AOONS. ACC. BLDGS. ) ,� '/2 CS ft NEW CON STR ' UL. LOUT LET NDN.REsID BRANCH CIRC' ITS F2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX, Occup( OUTLETS OR FIXTURES ?0*!0t eAL_ motI FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 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 County or 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 accrueI against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct. -On of structures over 3 stories in height. Mobile Home Installation Fee 5 Energy Inspection Fee $ occ CONST TYPE TOTAL FEES TO?�✓ O „A ',UA rAN< , , FLD lDF P4F :p ;, D..,S�,= I I i This permit is hereby 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. ��5,5/ .+Altc•a.P.w.. TCLLaw•,lec�]oA. Pl.x•N9Pr.CTOA, .OLDCNROa•ApPL�CANf 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/_ ve not) signed an application for a building permit f r r e 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 . d Signed: Property Owner Y:�&L P11 Q,- CV1YzW-C-C Social Security Number Date /? — // ` q/ 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. This set of plans and specifics ' s MUST be kept on the job at all times an 's unlawful to make any changes or altera i s on same withg written permission from th epartment of P G Works, County of Butter v o -J . \J .0 A setbaok of S ft. from the 53 pro erty lines and a setback of ft. from the road centerline shall be clear of NOTE:—Ak Materials & Workmanship Shall E a in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use ir the Uniform Building, Plumbing & Mechanical Co les and the Nationat Electrical Code. rt O l s ILM structures or equipment except for a 2 ft. sane overhang. .�— �C]Lrce.I r� V BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS v ' 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: vy el�,Alwl"fl1 2. Installer's Name: aw /" &60- 3. Is the site currently under permit? Yes O No (If yes, furnish permit number 237 Is the site an existing site Yes No (If yes, furnish two plot -plans.) " 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 0 5. What is the mobilehome electrical rating? --------------- �/ T� Amps 6. 'What is the mobilehome site service rating? ------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas..pipe�size? ------ - (in.)' ::� 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not;ceq.uired if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BME COUNTY BUILDING DEPARTMENT APPROVED (BTU) F(,C (L* MOBILEHOME SUPPORT DATA If other than single wide furnish Setup Model No i"'V rM/'�lV !/�� ; R /`{': Year Mobilehome P1fr. p Width `v (ft.) Box Length �" (ft.) Tagalong orrExpandol.Size f.v. x ft. On all mobilehomes manufactured after October 7, 1973, furnishFinanufactuiet s installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) R1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)01. Concrete block. 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------------11 "x Spacing -Max- --------- , Each Side of Openings From Ends -Max- ------- '_ With Width Over --------- Line 2 Piers: 10"x Z 4- or 12x30 Size-Min------------- -----------30 9 , ' Spacing-Max ---------- Spacing -Max.--------- From Ends -Max .------- ,_ , line 3 Roof Loads: Size -Min------------- "x "x "x 'k Location (From Front) Line 4 Piers: Size -Min .------------ Spacing -Max.--------- , From Ends -Max .------- 1_ Line 5 Roof Loads: Size -Min. ------------ Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x „ Spacing -Max.--------------- From Ends -Max .------------- Size -Min.- ---------------- Spacing-Max ----------------- From Ends -Max .------------- 1.x 1, 11x „ ,L- 1, „x „ ,L- „ ,Ix 11 11x 1, „x Location (From Front) I L 9 , ' 1 AP # 014NER ;�Qciyzn t/Al-1 PERMIT MH UTIL.CLEARANCE DATE �LZ=::� INSPECTOR— �— .ELECTRIC GAS Support Struc. Compaction Test Re . Service Size- y" Other Load Type Pipe Size Length YES NO YES NO VIA t� czz�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County CeAter Drive - Orovllle, California 95965 - Telephone: 916/538-7541 2352-91 APPLICATION AND PERMIT ASSESS R PARC L NUMBER 071-010-075 ZONING USH BUILDING PERMIT OWNER KATHY CIGANOVICH TELEPHONE 589-3832 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6198 ORO BANGOR HWYOROVILLE CONTRACTOR'5 NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $► Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADE 8 ORO UINCY HWY OROVILLE 94 Permit tee $ 15.00 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❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[M Installation❑ Other ❑ Describe work: j Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2-90 CONTRACTORS LICENSE LAW penalty I declare under lt perjury (check one p y of per I y(ec), ❑ 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. 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) ElI, 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.E! OR ADDNS. ACC. BLDGS. , /20sgft MULTI -0 UTL NON.RESID CONSTR BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. I Ex. Occup\OUTLETS OR FIXTURES 2ALO eLo30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 37 sn 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 I shall not employ any person in any manner so as to become subject �l 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 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 Count in consequence of t e granting of this permit. ` ?._��— G) / X Date L/ Signatureof App 'cant — Owner ❑ Contractor ❑ Agent ❑ ,An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL F E HAz. CUA PARK SCHL FL CDF .--� PAR PD HD ISSUE, This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated ab ve for which fees D TOR F— UBLIC By PE IT EXPIRES(Date applicable provi- resolutions to do have been paid. WORKS Date ''2 .� '� �)t No. 94550 92.50 YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ♦7'' . e?`rsh y,�yi}.f .• ,-... r W,;g � `it,�,"'� . S 4 -r ^r�`r .,..:y- . COUNTYJO&UTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ` !`C'dUNTY CENTER DRIVE - OROVILLE, C40FQ�A 95985 -TELEPHONE: 918/539-7541 PERMI•PPPLICATION DATA SHEET Permit No. WV1. '" 975 OWNER � 1 /V ' t/ A. P. No. —612— Proposed Building Use /Ur fZ— � Building Inspector � Date !l 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 .......................................... f 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....................................................... j t 10. Fees of $ ........................ t, 11. CFyico Urban Area fees,paid....................................... 12. r Park fees paid ................................................... 13. %< School. District fees paid .............. Sanitation approval from OALD Health Department -c/1 15. City of Qjipo 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: ...... 18. Improvements may be required. Contact Land Development Section DPW ✓ 19. Driveway permit (construction approval required prior to occupancy) /Z 20. Pre -Inspection for required Pre-Inspec. requ st to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at. office. Deliver w. /inspector. Other Applicant Date- Copy ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By H. The following data must be submitted p,Cior,�permit issuance: (Circle new item not checked above ti- 1. Index permit for above items No. 2. Additional items required: Contractor, designer, ovp r, was advised of above required data by_phone__rnail—counter by ..date' z���� Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder nter by date Datq;?�:K?Z'y/ .TO Buildinv Department :FROM: Environmental Health SUBJECT: Sanitation Clearance 00 he -)/--/ — >J er LlbcatioAP# Plan Approved for: Sewage Disposal Water Supply LI&Jl Hold final 'for: Water Supply Final clearance O.K. for: Water Supply Clearance for --c2--bedroom obile home. other NOTE' * * * -7IZZVW Sanitarian Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance K� tti owne AP # location has been issued for the abpve, property. Driveway permit / 7 / date si ature 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 NUMBERZONING. 0'7 i-0(0-075 `'U S r BUILDING PERMIT OWNERLl � ("I - G A-A)o V, ell TELEPHO E 56i4 -36132 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS p go 4NG02 LIGv/ ©fX � I CONTRACTOR'S NAME O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE UNKNOWN UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee S 10.00 Permit Fee ARCHITECT OR ENGINEER 7 ucENSE NO. Plan Checking Fee $ J ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty g BUILDING ADDRESS o& 01?0 Permit fee $�� PLUMBING PERMIT FilingFee I 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 US OF STRUCTURE SF ❑ Duplex❑ Mobilehoml Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 110.00 ea p TYPE OF WOR F(� New ❑ Addition Re/m/odel❑ Utilities Installation❑ Other ❑ Describe work: ��'y Permit Fee $ 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 1.00 0 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. ❑ 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.aI OR ADONS. ( ACC. BLOGS. ,/ I 2.2esaft NEW CONSTR. UL'I.OUTLET .,.N..ESID BRANCH CIRC' ITS 2_90eat POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 19 !at 1 eA 130tFIX 0 EX. Occup. OUTLETS 1PRESIO ,REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 COC Misc. tiyirin g 15.00 Permit Fee S37 OCL WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 3100.00 (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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the Count of Butte against 9 Y p Y g all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 1n height. Mobile Home Installation Fee 5 Energy inspection Fee g OCC I CONST TYPE s�t� TOTAL FEE S -� AC UA 1 TANK 1 CHL FLD %OF PAR .O "D. ; 35Uc i This permit is hereby issued under dons or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC 3. 1 PERMIT EXPIRES Date the applicable provt- resolutions to do have been paid. WORKS Date v Peceipt No. .4 R1TC•O.P.W., TCLLOW- 38Caaa A. P14x•1NSPCCTOR. .OLOCNROD•APPL.CANr 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�te ave not) signed an application for a building permit forroposedwork. 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` "k Social Security Number ' Date !2 17 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. d i This s9t of plans and specifics ' MUST be kept on the job at all times an i 's unlawful to make any changes or alter son same with t _� iVOTE —Ail Materials & Workmanship Sha11 in I I written permission from t epartment of P 1161 Accordance with Recognized Good Practice and X19 of a quality prescribed for the Specified use i the Works, County of Butte y Uniform Building, Plumbing & Mechanical C des and the National Electrical Code. I v A setback of 5 it- from the ro erty lines and a setback w of ft. from the road O centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. sw O - N (� 7z ACV-Y BUTTE COU TY BUILDING DEPA TMEW E--D -'" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 101% 2352-91 APPLICATION AND PERMIT ASSESS R RCfiL NUMB R 071-010-075 , 'G USH BUILDING PERMIT OWNER KATHY CIGANOVICH TELEPHON 589-383 SQ. FT. OCC. BUILDING VALUATION ER'S MAILING ADDRESS 6198 ORO BANGOR,HWY OROVILLE CONTRACTOR'S NAME E 7 ONE OWNER CONTRACTOR'S MAILING ADD R'ESS Fireplace CONSTRUCTION LENDERUNKNOWN NON Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AD71 D E Penalty $ BUILDING ADDRESS 08 0 UI Y OROVILLE �-F Permit fee $ 15.00 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�] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: DaKl Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 10AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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. 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.al OR ADDNS. l ACC. BLOGS. / yz¢sgft NEW CONSTR U TI.OUTLET ..RF NO ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET SIR. ( OUTLETS OR FIXTURES OccupS. 20050 ¢ FIXED APPLNEx. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor �J 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 I shall not employ any person in any manner so as to become subject �l to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. I also agree to save, indemnify and keep harmless the County of Butte againstHAz all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of toe granting of this permit. 9 _ C / �` Date �� — �J Ignature of App 'cant — 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 $ K CUA PARLD SCHL I F Cc PAR PO .; HD. IssuE This permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 94550 92.50 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Permit#2353-91MHI_ (mh install) a -T-755 t I :NT OF PUBLIC WORKS 95965 - Telephone: 916/538-7541 ) PERMIT PERMIT NO. ASSESSOR PARCEU-NUMBER - 07 -075 ZONING U -SH BUILDING PERMIT OWNER KATHY CIGANOVICH TELEPHONE 589-3832 SO. FT. OCC. BUILDING VALUATION R'S MAILING ADDRESS 6190 ORO BANGOR HWY OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9408 ORO QUINCY HWY OROVILLE Permit fee $ 25.00 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[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ RemodelUtilities ❑ Installation[ Other ❑ Describe work: — A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 CONTRACTORS LICENSE LAW I declare under penalty perjury erjury (/ 1 econe): . ❑ 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, 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8d OR ADONS. ACC. BLDGS. /z¢sgft NEW CONSTR.MULTI-OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2ALO 30 eLo FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. 15I� 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ I 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. 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 ainst said County in consequence of the granting of this permit. Date ! - // — / Signature of Ap licant 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7A 00 HAz i CUA I PARK SCHL I FLo I coF P I ; Ho• IssuE This permit is hereby issued unser 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. 94551 70.00 NHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLICANT 2 turn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section -26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - I The property described herein is adjacent 91-028801 1 Rec Fee 7.00 to land or included within an area zoned I Cash 7.00 for agricultural purposes, and residents Recorded . of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 8:01am 16 -Jul -91 I CD 2 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 priorityus'e 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 prape:rty:-.-situate in.the County of Butte, State of California, described as follows: �' e- C' v� � e -,S (Z '� �\ `�D \-� c) Y-\ a_7\_-VCx_ U�V_IeA Date: // _Z/uL P'��'qA(Lm PROPERTY OWNERS: State of'GAu P- ) On this the 111=day of ),LAGq , 1991, before me, the �) SS. undersigned Notary Public, personally appeared County of �1` i� ) y C Cz Bsssssssssasosssosv.ss�®®� ®Personally known to me. 1-1 "-�---, � _ ne-ort- —h � ±s-- . s CYNTHIA A. COLLIER s of satisfactory evidence. .m NOTARYPMe�n�IFORNIA io be the personal whose name( lS ■ MyOommissionExpimsOct. 30,1992 subscribed to the within instrument and acknowledged that �summon mssssssssonessss®ss executed the same for the purposes th ein contained. IN WITNESS WHEREOF, I hereunto set my 1-�nd and oricial seal. Present A.P. No. 0_1 ' 010 Notary Public 1.9 sr -28801 2. f 65 �. Order No. 1-151765 ..EXHIBIT "A" The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 1, and all that portion of Lot 2 in the Northeast quarter of Section 5, Township 20 North, Range 5 East, M.D.D. & M., lying Easterly of the Oroville-Quincy Highway, as said highway existed on February 1, 1959. EXCEPTING THEREFROM the following described parcel -of land: A portion of. Lot 2 of the Northeast quarter of Section 5, Township 20 North, Range 5 East, M.D.B. & M., more particularly described as follows: Commencing at the Southeast corner of Section 32, Township 21 North, Range 5 East, M.D.B. & M.; thence South 87° 43' 30" West, 894.7 feet, along the North line of said Section 5 to a point on the Easterly side of the Oroville-Quincy Highway, as said highway existed on February 1, 1959, which point is the true point of beginning for the parcel of land hereiv, described; thence North 87° 43' 30" East, along the Northerly line of said Section 5, a distance of 276.68 feet to a point from which the Southeast corner of said Section 32 lies North 87. 43' 30" East, a distance of 618.02 feet; thence leaving theNorth line of said Section 5, South 32° 28' West, 560.17 feet; thence Northl55° 20' West, 227.30 feet to a point on the Easterly boundary of saidrCounty Road; thence along said Easterly boundary, North -S2° 26' East, a distance of 393:78 feet to the true point of beginning. ' PARCEL II: i That portion of the Southwest quarter of the Northeast quarter e and the Southeast quarter of the Northwest quarter of Section 5, Township 20 North, Range 5 East, M.D.B. & M., lying East of the East line of the Oroville-Quincy Highway. EXCEPTING:, THEREFROM all that portion of the following described parcel of land lying Easterly of the centerline of the Oroville-Quincy Highway, as the same existed on November 1, 1967: Beginning at a point on the Southerly line of the Northwest quarter of said Section 5, from which the West quarter corner of said Section 5 bears South 89" 09' 47" West, 2296.94 feet; thence from said point of beginning, North 19° 26' 13" East, 111.42 feet; thence North 13" 09' 57" East, 961.38 feet; thence South 76° 50' 03" East, 80.0 feet; thence South 13° 09' 57" West, 961.38 feet; thence South 3° 22' 15" West, 85.39 feet to the Southerly line of the Northwest quarter.of said Section 5; thence South 89. 09' 47" West, along said Southerly line,' a distance of 109.97 feet to the point of beginning. ; ' 1 EXCEPTING THEREFROM all that portion deeded to the County of Butte,, State of California, recorded November 21, 1975 in Book 2030 of Butte County Official Records, at page 160. AP No. 071-010-075-. � r END OF DOCUMENT JJ`n8J0�d_Yp �'voo1 c-io , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FOR 6R{L, (One Form Per Building) �u��o�rv�oePTrT� School District Q R0 _V111 H _S A.P. Number 7/Q �Q7 Jurisdiction ( J City NY 2 7 Building Department No. County Property Owner_—* -4i `____._Ci Property Location/Address,_ � _ _ �% 0/190 C- Subdivison Residential Development =1 1:1-1 No. of Living MHI Units Commercial/Industrial New ildi g Departm t epre entative Lot No. Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Floor Plans reviewed by School District Personnel) District Identification No. 920467' (Including E)terior Roofed Areas) —5— /JZ 1V ate OEML�j� chool District certifies that (Ap icant) (Street Address) (Phone Number) (City)– (State) (Zip Code) has complied with the requirements of Resolution No. _ _ by payment of $' "7 (� representing _ _ _ _ square feet. School District Representative Paid by Check Number Bank Number Paid by Cash Remarks: Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92)