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Home My WebLink About071-450-0170 _0r71 -r ®- Ot ' ,92-2582 P,E SO REN %LWOro incy Hwy, Oroville mhu -- .t - J = ELEC a __ GAS., .. COMPACTION TEST REQ �J�J _SUPPORT . STRUCT 'REQS. g}� ~ 92-2583MHI- ,,,, SORENSEN , Rick l2� Oro Qui y Hwy, Chico /f- mhi `. 92-3956P ' SORENSEN, Richard 9280 Oro Quincy, Oroville gas line/mh 071-450-0 17, 04-3182 g� G DARNER, .,EA.G'. LE iv E QOR.O QU.INCI' fi1VY. QRC?V1LLE Coca: DI:LI_, GETS E I FAMILY SING.LL {� i. I o !MlI F I BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP043182 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 O. V. UUllu IAGI rG.M.. 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: 03/08/2005 APN: 071-450-017-000 the Business and Profession�iode, and my license is in full and force t effect. ��77 "— 2LC»� � J~ License Class: license Number. Site Address: 8280 ORO QUINCY HWY BCK Date: OrContractor: G� Map Index: Description: NSF(1567)COV(564) p 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale 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: GARNER EARLENE ETAL to its issuance, also requires the applicant for such permit to file a BAILEY COLLETTE signed statement that he or she is licensed pursuant to the provisions of 55 KOKANEE DR 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 OROVILLE, CA 95966-3973 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 penally 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 Applicant: MOUNTAIN DEVELOPMENT CO 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, GENE DILL provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one P O BOX 5732 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 530-534-9722 sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale 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: MOUNTAIN DEVELOPMENT CO I pursuant to the Contractors' Stale License Law.). c. ❑ 1 am Exempt under Article 3 of the Business and Professions Code GENE DILL :. P O BOX 5732 Date: Owner: OROVILLE, CA 95966 530-534-9722 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 216715 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: RUSSELL GALLAWAY ASSOCIATES insurance carrier and policy number are: Carrier: Oq Policy #: 10 I certify that in the performance of the work for which this permit is Total Square Ft: 2131 S. F. �, ►� issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, I Valuation: $110 879.00 (� I J I t n and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 8 Census Code: cB 1 t I `� 31 61 6 forthwith comply with those provisions. Date: I - Applicant: • ( 2 1 WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject 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 This permit is here ssy d under the appl' able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the is Issued 3097 Civ.) Resolutions to d olk4ndica bove f vyhi ees have been paid. performance of the work for which this permit (Sec BY Date: Name: 2 ^� PERMIT EXPIRES ON: Address: Date ❑ 1 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 lily 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 form or docume ulte Cou ty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose Print Name: �/ f L Signature — O Date: ❑:Owner.Contractor ❑ Agent for Owner ❑ Agent for Contractor O. V. UUllu IAGI rG.M.. 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 OFAPPLICATION /oa g' 6.' "PLEASE PRINT CLEARLY" is 0, 05r —P APPLCAINISI NATURE For office use o I : OWNER Last N L irst Name L Address r. EC city State y, 41 c' Zinleo 6 Phone _M_2 �,,Fax E-mail ss —P APPLCAINISI NATURE For office use o I : CONTRACTOR Name L Address �� 2 City ✓ (� State Od- Zi19,C t; C -Phon 22 Fa _ E-mail u j7f `r ss —P APPLCAINISI NATURE For office use o I : ARCHITECT/ENGINEER Name L Address Map Book City Lot # State Zip Phone Address Fax E-mail State License Number —P APPLCAINISI NATURE For office use o I : APPLICANT NAME Name Z l Address Map Book City Lot # State Zip Phone Address Fax E-mail —P APPLCAINISI NATURE For office use o I : Zoning Flood Zone SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: C PERMIT NO. C� 0�• BP OCATION AP# U` 07I Property Address )V lx.1'Foriller Cit Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY —Name - Address Description or Scope of Work: 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 OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 #: I> (� v Sheriff SMIP Date: � 1 ( p Other Total To -7; 7-27-04 9A9 SUBMITTAL & PERMIT 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 ❑ its Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ .5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13 S.anifatiorian"te-pJan-approvaLfrom_the-EavjronmentaLHealih_Deparfinent_ Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following, items.) . ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact -a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. 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 and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Services l OUTrl� YVONNE CHRISTOPHER, DIRECTOR p°°o o _ / o N 7 County Center Drive °�` ° Oroville, CA 95965 oC, OUN�y M (530) 538.7601 Telephone w (530) 538.7785 Facsimile M TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 ' LAA srutherford4buttecounty.net SUBJECT: Plans Transmittal For Review Per Contract O M DATE: 11/2/2004 Applicant: Garner, Earlene Permit 04-3182 Project Type: NSF/Cov APN: 071-4507017 100% 70% Plan Check Fees $ 1,028.65 $ 720.06 $ 1,028.65 $ 720.06 WILLDAN Fee,, $ 720.06 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other 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 O j • 5j • 6 l OWNER: Gc ) ASSESSOR PARCEL NUMBER C i Proposed Building Use: ) Counter Technician: 4L 6 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t • 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. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) 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_' -f 15. Sanitation and site plan approval from the EEvironmental 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 ............................................ 0 2Q.- Erosion Control Plan Required........................................................................ ........ W' Fees as shown on the attached Schedule of Fees Due Sheet. ............................ � - ❑ 2. City of Chico Plumbing permit ................... 23. California Department of Forestry plan approval maid. Sent by: ............. 5F 11.23 -4+ " 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 ........................... 28\Pre-Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Wor er's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification(_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature,authorization!..f%.................................:............................. 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, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 4and hold for pickup. I have been infor e f the above ite and requirements for obtaining a building permit. Appliant: --, ', � � � - , Date: -- 1. Ind k r ii ppli a on foi he abo'v' ite s numBred: 4 Plan Chec c Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by. Date: Plans reviewed by: Date: Plans approved by: t Date: Structural reviewed b Date: Structural approved by: V ate: Note transfer by: Date: Yellow: Building Division E.M. USE ONLY gioa 94on Attached Hoar Man Attachad Sam too S.D. y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance GR/zLeyQ 17Jf%�.L1�2._ 20 ve.�Jc. av 6'-71 —©lp -OXY Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Wel Clearance for dwelling. Other- AJ �' C�• /2�i®GAC�e�L e,v7 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Wecialist Date 8/96 School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -71A (One fonn per Building) e -6u I I G, jJ\ 4\ Building Department N . o. Jurisdiction: Q C" JCounty Property Location/Address Subdivision Lot No. Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ..................................... ............................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial Q Q Sq. Footage A [ �ifion Including Exterior Now �/)7 Roofed Areas) A I Department Representative Identification No. )VI 4—[I -hoyl *qa1- t Address) (City) W, has complied with the requirements of Resolution No. representing square feet. School District Representative District certifies that Paid by Check # Remark,: / Date (Applicant) (Phone Number) Q (Zip Code) 4 by payment of $ '7 2926 i FULL MITIGATION $ ��_ o�/o�/dam Date 7� y J. Notice: You may protest the Imposition of the to" Identified above by submitting a written protest to the District, In compliance with Goveminei t Code Section 66020(a), wfttdn 90 days from the date fen are paid. Failure to submit a timely wrltbn protest will'prohlbit you from chalk"Ing the Imposition of the fen In sorry own action. 11, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is not! 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 tofully m1tigate.12s; Impact on tit school di &kft sdmmft. White (applicant), Yellow (building department), Pink (school district.) feeform. - As 00/03Wrnrn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER &0'.f PROPROSED BUILDING USE 1. BUILDING PERMIT FEES I�C� I --- Balance Due ..................... $ o --- Additional Fees Due........... $ ��--- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES A1(paid at School District Office) (form available after Plan Check) .3. SHERIFF FEES (paid at Bu' ding Divisi� �%� Residential............ X $360. 0 =$ 6 Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Sq.Ftg. A.P. # .01 ( 450. 1 ? DATE I ' O RECEIPT # DATE REC. (paid at Building Division) Residential (per unit)..... X = $ # Units - Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE 0 (paid at Building Division) 49E)W 9 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) _ 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone Zone X =$ # Units Amt. Commercial (sq. ftg.) ......... X - =$ Sq. Ft . Amt. 10. OTHER o r At time of permit appl' n, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d g e plan ch ng pcess. APPLICA DATE — �— Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 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 -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O�PPRTMENT O� wTT �o O O _ \O O � c�uNVy A�eQ0 Woa�S Department C o u n t J. Michael Crump, Director ®f Public o f B u t Works. LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 1r / I National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACREI 4 Project Description: 31//CLe Project Location and/or Parcel Number: By signing_below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than l Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 A^Qa d -Co, Serving WI LLDA�N Public March 1, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL Willdan Project No: 14353-1236 Jurisdiction Job No: 04-3182 Assessor's Parcel No: 04t71-450-017 Description: Garner New Single Family Dwelling Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The revisions were in response to a previous plan review and comments listed in our letter dated December 30, 2004. The plans and documents provided for this review that have been found in compliance with the applicable codes are: • Plans: Two (2) copies sheets 1 through 5 dated 08-12-04, revision 02110105, and two (2) copies sheet SI dated 02/10105, by Russell, Gallaway, Associates. Structural Calculations: Two (2) copies dated 10-04-04 revision dated, by Donald Russell P.E. None revised, just resubmitted. • Energy Calculations: Two (2) copies dated 10-12-04, by Don Freemyers. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. .¢J APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building . Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Type of Occu anc Type of Construction Sprinklers 1" Floor 2 nd Floor Stories SQ Ft Sq Ft Total Sq Ft R-3 V -N No 1 806 761 1567 Covered Porch V -N No 1 564 0 564 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking responsibility for the project design and the Title -24 -documentation author (where different). CES 10-103(a)1 and California Residential Manual 1.4.8 DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Michael LeBeau Gordon Wright, P. . Plans Examiner Plan Check Engineer CC: Alice Mefford, amen'ordnnbuttecountv.net Gene Dill, P.O. Box 5732, Oroville, CA 95965 FAX: (530) 5334835 Don Russell, Fax: (530) 342-1882; Earlene Gamer, 55 Kokanee, Oroville, CA 95966 Pace 2 of 2 Willdan 14353-1236 PC' -)F" Butte County 04-3181 L ' SITE PIAN REVIEW APPLICATION Date: i�� /off AP# J 7l— -0/7 p - Permit Number (if applicable) 0, r q -31 O .� APPLICANT INFORMATION Parcel Size: Y7 59' acAt-_S Owners Name: Owners Address: Telephone NO.. •„ Situs Address: o Proposed Use: Residential IN New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling' ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior fo Approval Site PI Stamped Approved By Date CP Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY`'' Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: OaQQ7G aSL Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from thealioraia Reclamation Board) E] Feather R.ivei� Reclaination District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:/ G( Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �� ► ��- , Side � � ?6 , J Side Street Q Rear / r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision ----------------------------------------------- Subdivision Map Special Fees ❑ .Water Tender , ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By 11 Deeds: Date of Creation: $` 8r145- Legal AccessProvided: ❑ No Yes Deed of Reference: Legal Access Required ❑ No +® Yes Parcel Frontage on Publicly Maintained Road: ❑ No 0 Yes, Road Name: -Oto.- Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: 11 Parcel Deemed to be legal ' ❑ Verify Legal Parcel "❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: . ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: I� Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional, and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa Page 4 of 5 0 0 Summary of Specific Requirements: r This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 071-01-0-024 92-3956P SORENSEN, Richard " 9280 Or Quincy, Oroville ._ gas' linehmh 4 e 1 b - . 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 071-4)in-024 ZONING SH BUILDING PERMIT OWNER Richard A. Sorensen TELEPHONE h�3499 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P-0 Bo 203 Citrus Heights, CA 95910 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Q V PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE I SF Duplex❑ Mobilehome® Other ' SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S1 G W i @ 15.001 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [4] Describe work: Gag Piping Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification NJ LF 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 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEWCONSTR U TI.OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS hl SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 61 20 75 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.7 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said-Coynty in consequence of the granting of this permit. X_ ""` ' y/"�� Date �/= .�! '. ` z_ Sigfiature of Applicant — OwnerContractor Agent ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 HAz DFEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE C This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 2/D1RE�'. OR F PUBLIC WORKS By !`Date,/f /—�/ - PERMIT EXPIRES Date Receipt No. L� WRITC-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '�'.s'r-�':--`sr.t. � _.�--.+.�.�.•,!''s+r0..�r�„�..�,..r�.ca-�i�w.-.h r� .�.,.,. .�.s,. r: �,yr� w �`_ . ,.. 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 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. J,tl /inn Date ////Ox/ Z Inspector REV 11/91/ 9•Y •?'i r; k. i kk :1 " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT . ASSESSOR PARCEL NUMBER - - - 24SH ZON NG BUILDING PERMIT WNE ""'Richard RRichard A. Sorensen TELEPHONE 966-3499 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 203 Citrus Hei hts CA 95610 ' CONTRACTOR'S NAME e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF F] Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 15,00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [q Describe work: Gas Piping Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID 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- TTT""" 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 - (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1oo0A) 37.50 NEW CONST. / DWELLING OCCUP.8d\ 3.54 sq.ft. OR ADDNS. l ACC. BLDGS. // NEWCONSTR. U TI.OUTLET BRA NCH CIRC ITS @ 5.00 !POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu 20 76 p OUTLETS OR FIXTURES Ex. Occup. OT ETS PRESID )R U EA.) 3.00 Temporary service 15.00 .00 Mobile Home Facilities 15ors. 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 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s o my in consequence of the granting of this permits X sig eture 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 S J Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 30.00 HAz I DFEES I IMP I FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. C R F PUBLIC WORKS By PER E PIKES Date Date//-/ O'—'/ �f —tom Receipt No. 129568 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 'l CCOUNTY OF BUTTE C�PARTM10�.ENT OF PUBLIC WOF BUILDING DIVISION*r4 7 COUNTY CENTER DRIVE - OROVIL CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Date i At time i7j. plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 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 to Building Ins requ� required. . . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 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 Y 34. When you issue the permit, process as follows: Mail to owner. Mail to contra tor. 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 p Ir or 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone. 916.538-7541 APPLICATION -AND PERMIT ASSESS R P EL N MB R ' USO D ZO I N G BUILDING PERMIT OWN _ TEQQLEPHON�E/ + SQ. FT. OCC. BUILDING VALUATION OWNE S AILING AD!2SS Cf" l LLQ 3 CO TRACTO 'S N MFr ?--)- TELEPHONE C NT AC OR• AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN A� Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 1 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.outlets 5.00 Building sewer 15.00 Mobile Home W @ 15.00 TYPE OF WORK New ❑ Addition L! Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18'.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 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 200ATO1000AI 37.50 NEW CONST. DWELLING OCCUP.&) OR AODNS. ACC. SLOGS. 3.60sq.ft. NEW CONSTR ULTI.OUTLET NON .RES'D BRANCH CIRCUITS) @ S.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 760 A p 60 FIXED APPLNS Ex. Occup. OUTLETS II R ESID IRE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 g 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. ❑ 1 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 15.00 Heating Cooling g Hood 6.50 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. 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. j X Date 1Z_-:- Signature Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S i, Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD COF PARCEL PO HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date @Q Receipt No. 5 �U WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLOENROO-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'opportudity 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) i 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. !+. I plan to provide portions of this work, but I have hired the.fo-llowing.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 Number Date �� z. 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. RESIDENTIAL + 071-010-024 92-2582 P, E— �4 SO.RENS4N, Rick Yp�0Oro Quincy Hwy, Oroville mhu y I OFFICE COPY Address N757, gaor "y- ELECTRIC Meter By_ JOB FINALED (Date) Signature Dates Date G 2 V=OK O = Not OK : =NotNo Ready MOBILE HOMES Date MOB!E HOME UTILITIES Plans OK except #'s fle-zoning Requirements -Setbacks -Easements oils; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clea rences-Grn mp-Concrete -bas-tocation-Test-Wrap: / P11t. / /-Nat. or/ /" L"ft./ /"LPG Well Clearance 8 Disconnect Utility Clearance Date �� 92_Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBI1,E HOME INSTALLATION (Plans) OK except #'s fling Requirements -Setbacks Easements . F ot'ings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector tricity; MH Test -Crossovers -Breakers -Clearances MH Test -Fall -flex Connector W i; MH Test -Regulator -Connector Water and Sewer Connected -C/O 11 to Grade -HD Approval land Electricity Tagged Ab _ its; Insp.-Sketch Cert. of Occupancy Date /ME Card B-1 U Date Card B-1 Date Card B-1 Date Card B-1 AM - MISCELLANEOUS ,oDate DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; 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 boards -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 P 4 O O = Not OKE = Not Applicable p'atReady RESIDENTIAL (; ' = Date �'UNDERFLOOR (Plans) OK except N's .da 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's 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 B1 - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection --- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------ -------------------------------------------- 24. Size Boxes-& No. of Conductors -Stapled ---------------------------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------------------------------- ------------------ ----------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------- ------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At -------------------------------------- - --- - --------------------------------- ---- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. I, _I nsulated Neutral ❑ Yes ❑ No ,30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------- ---------------------------------------------- -- 31. Equip. Clearances Panels-Motors-Mech. Equip-------------. 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 a'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 Card B-1 Date Card B-1 --------------------------- ---------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except n's 39. Sils. Proper Material & Anchors -- -- --------------------------------------------- ------------ - -------- 40. Walls Studs NailingSpacing & 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 Tingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _46. Cing. Joist-Rftr. ties-Purlin -root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 4's 61.- Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- --- 62. Smoke Detector -------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------------------------------- 64. Bedroom Exiting ----- --------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------- 67. Stairs & Rails ----------------------- ----- ------------------- 68. Fireplace or Stove: Clearances -Hearth --------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ---------------------------- 71. -------...-----------------71. Elec. Outlets & Receptacles at Kit. Counter ----- 72. Garage Fire Door Swing -Landing -Closer ------ - ------- --- -------- 73.--A.C.-Duct in -Garage -Damper -------------------------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -------- -- -------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------ 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- .--.------------------------------------------ 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ---------- - - --- -- 82. A.C. Unit; Disconnect Electrical, Plumbing ------•----------------------------------- - 83. 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. ---- ------- ------------------ 8a 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: a MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 f PERMIT NO. 5�� ' -'J 8-2 , Address or location of mobilehome / 7+? �� W �-�ru Owner's name 74Z 'LL c' mLs c' Owner's address Insignia or hud number Manufacturer's name— Se rial ame_Serial number of V I.N. Officia.r Apprdving Installation Year of manufacture" �� (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION; ACCtPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White -.Owner, Yellow - Installer, Pink - D.P.W. 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. 5 ' 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, pleasee/)contact this office immediately. /^ Date Inspectori� REV 11/91 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 Sjo rP.VI-Se Al lz - 2S193 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 Date /004 Z— Inspector REV 11/91 AP fir` ZI ©/ D —2-% OWNER W z PERMIT MH. UTIL. CLEARANCE DATE 3/ INSPECTOR �.�%a 4 ELECTRIC GAS Support Struc. Compaction Test Jleq. Service Size Other Load Type Pipe Size Length YES NO YES NO r` COUNTY OF BUTTE BUILDING DEPT � i� IJ U 1 1992 COUNV ! OF, BUTTE - DEPARTMENT OF PUBLIC WORKS Count nter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. v ASSESSOR PARCEL NUMBER 071-010-024 ZONING_Y_ U/SH BUILDING PERMIT OWNER RICK SORENSEN rr riV-EPHONE 966-3499 SO. FT. OCC. BUILDING VALUAT ON OWNER'S MAILING ADDRESS , P.O. BOX 203 CITRUS HEIGHTS 95611 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ORO UINCY H14Y OROVILLE Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK r�y New ❑ Addition ❑ Remodel Utilities ❑ Installationg cher ❑ Describe work: Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (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. (cense 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. 1 DWELLING OCCUP.�� OR ADDNS. ACC. BLDGS. 3.64sq.ft. NEW CON5TR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e� SINGLE OUTLET CIR. Ex.Occu Occup(OUTLETS OR FIXTURES 20 76 FIXED AP Ex. OCCUp. OUTLETS P(RESID )RE A./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, d expenses which may in any way accrue against ai Coun ,n c que of the granting of this permit. X ( Date —Z -Z-- 7Z Signature of Applicant i,canerLl 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 S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD CDF PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. F PUBLIC WORKS By 9MKDate.�P,/_92_ PERMITPOIRES Date—J—� Receipt No. 199151 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v'�,f"F''ix:+.. a,:,�-,�rF-r�i'lzcr"�rs:y��rr1'*`��.'. �"^�%..Y�4�i�w's7'�iiy ��n,+a'��tl�`•>i�'i``P�z:��`�I;Y�'•s`�ct�^`�.. '%ic . r. �; V.� ... - .. UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION fir, 7 COUNTY CENTER DRIVE - OROVILLE,�CA\ILIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLIC-Af1bN DATA SHEET OWNER I G I �Z r e, Y1 SC' k1 A. P. o. Proposed Building Use Building Inspector Date o� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: e4 . DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Epnergtr 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. . 1 Fees of $......................................... ..... Impact fees as shown on attached schedule . .............................. 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). .. ... ... . xa Pre -Inspection reque�- ; 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. . 23. Owner -Builder Verification (Given to owner Mail to owner. ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization .......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... 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 per its.-• 32. Plan check list. aCJ .. �y l < 9k gf. A. �.4� 41 33. �/ ... 34. When you issue the permit, process as follows: A Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other on 1 0 14 Parcel Creation ( - Z Z 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 submittl 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone m Counter ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by 6.) Date $ 3 Plans approved by W Date. 9117o7 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916!536-7541 APPLICATION AND PERMIT ASSE SOR PARCEL NUMBER zONINd Is ly BUILDING PERMIT ow R �G�` , G < �Oir^ e n ki [ EL r -NONE f0 SO. FT. OCC. BUILDING VALUATION ER'S MAI G ADORE O,f e` CA cAls 9A 9S6 CORACTOR'S NAME W PLe Ir TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO NSTjR�JCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCH T CT OR ENGINEER C2 via LICENSE No. Plan Checking Fee $ D, 60 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t c W ki © v' Permit fee $ S` PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomepe Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition [I Rode I❑ Utilities Installation( Other ❑ Describe work:l./(/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ElI, 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.!!Z OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &) SINGLE OUTLET CIR. IOUTLETS Ex. Occup(OR FIXTURES 20 76 FIXED Ex. Occup. OUT ETS IPRESID 1APLNS.REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wirin g .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 15.00 Heating Cooling I Hood 6.50 I Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 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 $Q 0 HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No/0/19<'SS� WNITC-a. .W.. V-1—Aft—ft—PINx-1 -PrrT PPLICAYT nP �r 1 P ... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 OWNER iGI� S® rayls(o V1 A. P. NO. BUILDING USE 6/V DATE .PROPOSED p� School DistrictF'ees Oro U�2'1 © IIS (paid at District Office) ........................... Sheriff Fees (paid at Building Department) 2/ Residential ......... I $ unit amt. Commercial(per sq.ft.) R sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ # units amt. Commerical(per sq.ft.) X =$ .sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) ...... 6. Other ,7. Other REC . - # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT � � DATE MOBILEHOME SUPPORT DATA f If other than single wide, . I I Mobilehome Mfr. �('S l///furnish Setup Model No. ? k.Year L Width (ft. ) Box LengthLo(ft. ) Tagalong or Expand61 Sizert� —..:rft x {,'�'�.i ft. On all mobilehomes manufactured after October 7, 1973, furnish man u'fac,tur-er, sf installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one)�1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Ling Line 1 �:._._ Main Beams Line -2---. _ _ _-- — _._ -l:in_ --\ Main Beams ' , — — — — — — — — — — Line Tag Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min- ------------------ Spacing-Max - -----------------Spacing-Max. --------- lath Side of Openings From Ends -Max. ------- '_ " With Width Over --------- C -Line-2=Piers;,] Size -Min. ------------- 0 ) a� Spacing -Max ---------- From ---------From Ends -Max.------= ' ' Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall only) Size -Min ------------------- x Spacing -Max.--------------- From Ends -Max .------------- Line. 4 Piers: Size -Min ------------- Spacing-Max ---------- From ------------Spacing-Max.--------- From Ends -Max .------- _ Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing -Max.--------------- From Ends -Max -------------- Line 5 Roof Loads: T Size -Min. ------------ „x „x 'k Location (From Front) r., L1l BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Al C Q� , 2. Installer's Name: �Q t X, o((-a),Se ;-1 1:1 3. Is the site currently under permit? Yes � No (If yes, furnish permit number [ ) OR Is the site an existing site? Yes F No [XI (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 M No 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- s, ✓ - Amps 6. What is the mobilehome site service rating? ------------- �Amps 7. What is the mobilehome site circuit breaker rating? ----- �s v Amps 8. Is there any other electric load to be served by the mobilehome site service? ----------------------=--------- Yes 1XI No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3` (in.) 10. What is the type of gas service? ------------------- Natural F� LPG F9] 11. What is the gas pipe length from meter or tank to the mobilehome?------------------------------------------- S f (ft.) * 12. What is the mobilehome gas demand? ------------------------ (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILEN G DEPARTMMT APPROVED - Fc(—E C ovv I N,torials W6rkmarrshiv Shan. i V ;r;2;p9 R G �{?th Re _ rlized' Goo: Pr'>cticw v r ' t ii5�► � �ri�r.. �r tie S ci"r .i us a ° 11.4 t r 'tsrr� �uiic�s lumbing & AW_, t vd4l �"4.'�� This seta ppinus and spec3finations W V' kept on Ajots at al! times and it is unlr� make any onaes or alter�ar'rinns on Sarno written per ission from fore Departmont of Pu Works, C my of Butte. ZLj -dOG o n1,h4Kuy i�- V _ ...- 3.7 f- 1 2 �cn t2ocm� N�4n-`r►t BUTMUIN i 50' BUILDING DE ENT APPR VED vV Line ------ t.*ciion of stniftres A 1 E:.,%':merit shall be as ShOM of all easens.- SkoE -t eErcrL sc�12 iCS y � pF 020-6UtNC( � Ci o n1,h4Kuy i�- V _ ...- 3.7 f- 1 2 �cn t2ocm� N�4n-`r►t BUTMUIN i 50' BUILDING DE ENT APPR VED vV Line ------ BUTTE COUNTYSCHOOLSIMPACT FEE CERTIFICATION FORM..:� (One Form Per Building) School District— 0, 0 A.P. Number0 - 0 q Jurisdiction PropertyOwner Aic_k_As_�)_(_f_Piso_rl Property Location/Address V Subdivison . ; Residential Development -1 Commercial/Industrial COUNTY OF BUTTE BUILDING DEPT Ap Q1 A W Building No. of Living Units ntative New Building Department No. City W County —Lot No. Sq. Footage Addition (Group R) = Sq. Footage Addition (Including EAerior Roofed Areas), Date vw b District Identification No. 930526 k7lb—School District certifies that (Applicant) (Street Addrdks) wom 99Q (uty) (State) has complied with, the requirements of Resolution No. ..representing /f square feet. A"V School �istrkct Representative (Phone Number) (Zip Code) by payment of $ Date Paid by Check Number Remarks: Bank Number Paid by Cash 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. 7 feeformmkl (4/92) White (applicant), Yellow (building department), Pink (school district)v. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS tz 7 County Center'DrIve - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Z — Z J—(52: .A ll ASSESSOR PARCEL NUMBER 071-010-024 ZONING U/SH BUILDING PERMIT OWNER RICK SORENSEN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 203 CITRUS HEIGHTS 95611 CONTRACTOR'S NAME OGINER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee g $ -iG�tY Permit Fee $ ARCHITECT OR ENGINEERLICENSE NONE NO. Plan Checking Fee $ 20.00 Ener Plan Checking Fee 9Y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS D ORO QUINCY HWY OROVILLE 95966 Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45.00 TYPE OF WORK New❑ Addition [I Remodel❑ Utilities EX Installation ❑ Other ❑ Describe work:_2 B1,11?M _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 0V OR LESS 200A OR LESS 18.50 13.50 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.SINGLE 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 200A TO IOOOA) 37.50 NEW CONST. / DWELLING OCCUP.a+) OR ADDNS. l ACC. BLDGS. I 3.64sq.ft. NEW CONSTR. MULTI.OUTLET NON•RESID BRANCH CIRC ITS r1 5.00 l: POWER APPARATUS e OUTLET CIR. ) EX. Occup( OUTLETS OR FIXTURES p 2O 76 0 46 Ex. Occup. OUTFIXED TS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g •15.00 Permit Fee $ 48 50— 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 suchprovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g 6.50 lation Fee $ actor 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 qarmless the County of Butte against all liabilities, judgments, costs, 9nd eX15hrises which may in any way accrue agains Id ounty in orlseqr/e o granting of this permit. X C �" Date "r 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 12 .50 HAZ 0FEES IMP FLOOD _ CDF PARCE PD O Iss. This permit is hereby issued under the sions of the B County de and/or work indic ab r hich fees I F PUBLIC By ��— PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date _Z1 3-' Receipt No. 1 9951 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,. r'ti i ...-. ..r�: -c�._ �y�. .r -. Fw ..;.� �,�:y..y v`�1...-`byl.��--J•...j��ll.i}.r . .�,. �. �...c�, . '.; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r> 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-754�/f V� ,y . PERMIT APPLICATION DATA SHEET OWNER IG I h©h S �I , • P No. Wse3 C ' �� .a 4 ing Inspector Date fc�i'os diB�ildin At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuvnce: DATE RECEIVED 'BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 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$ ................... I ................ ...... 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. k . -: 5 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) ImprovemeW&,r i �F�. r,00A .le:vft ema A Driveway permit (construction approval required p ' o c reeynenfiiinspection req 20. Pre -inspection for re uired. B�uilding �NEeer$ 21. Contractors license information. (No., Name Style, Classification). ....... 22. Certificate of Workmans Compensation Insurance. ....... -ro Owner -Builder Verification (Given to owner Mail to owner ........i - 24. Recorded copy of Agricultural Acknowledgement Statement ................... Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... ............. 31. Existing violations/expired pe mits.I. 1 32. Plan check list. ........ / " �" ... C C. (-(.� . .. ` 33. /1 n ✓I r,. I n 42 -0-4- 34. X <5- T of- When you issue the permit, process as follows: A Mail to owner. Mail to contracto, .,•.e ,,..«"K'" Telephone and hold for pickup at office. '�� Deli .er wi"' th nspector. Other I W,..� Parcel Creation Acreage Applicant ti • Date .� Copy of Haz-Mat form sent - Healtt Dept. Fire Dept. Air Pollution Date - Copy of plans sent He. geFire 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 I Counter by to z Contractor, designer, owner, was advised of above required data by _ phon -mail Counter by _ Date 9 Plans checked by Date 8 3 Z Plans approved by F)60 Date3 2 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Diiveway Clearance ZZcA�L Gi' o %rt G/�/I //e r.14 u, 7k 01,zq AP # owner location Driveway permit %� 90 Z � ;-- has been issued for the above property. n b ;p ,0 7- Zy date sign re ', TO: Building Department FROM: Encroachment Permit Section RE: 'Driveway Clearance 2 �ryy `A � � � � � /7`�v 71- O / - Z �/ owner location AP # Driveway permit Z 2 has been issued for the above property. n b o �Zy_ drite sign re 10 ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (Jel� - 0(0 -01 ZONING (,( cj BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. .. BUILDING VALUATION OW 'S MA LING ADDRESS D p Z S 115101, 9115-6i CO TRACTOR'S N ME TEL EPNE 3 CONTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER D PL& - UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ AR H T"(ECTTT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT/OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile HomeS W @ 15.00 TYPE OF WORK New❑ Addition Remodel❑ Uti2ttiilities Installation[] Other Describe work: -;2 id i Permit Fee $ .0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOAI 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.64sq.t[. NEW CONSTR. U I.OUTLET NO N.RESID BRANCH CRC. RC ITS @ 5.00 /POWER APPARATUS e1 (SINGLE OUTLET CIR. / EX. OCcup(OUTLETS OR FIXTURES 20 76 Al FIXED P APLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures tover 3q stories in height. Mobile Home Installation Fee S J, Energy Inspection Fee $ OCC CONST TYPE ` TOTAL FEE $ �, 6 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date d�/ Receipt No. 1 �2� WNITt-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR" GOLOFNROO.APPL I CANT 3�6�x_-co 13lMob i le —E.J.-.�CGI� _`D.!►�.��e�c�"1_=�,__e__Qdr�"' � - 77-1 -.774 FROM: SUBJECT: Buildinv Department Environmental Health Sanitation Clearance Owder Location Plan Approved for: Hold final for: Sewage Disposal �_ 'Rater Supply &ldl 7inal clearance O.R. for: Clearance for Z bedroom mobile home. Other NOTE **" Water Supply Water Supply Date Sanitarian TO FROM: SUBJECT: Buildinv Department Environmental Health Sanitation Clearance Owder Location Plan Approved for: Hold final for: Sewage Disposal �_ 'Rater Supply &ldl 7inal clearance O.R. for: Clearance for Z bedroom mobile home. Other NOTE **" Water Supply Water Supply Date Sanitarian APr'OVED County Butte Co - Environmental Health Da Ignofu 'IN L4 U ft; J4 Li hVlpapj It 17-D N 0 -4P Ar - COUNTY OF BUTTE COUNTY OF BUTTE - Department of Public Works BUILDING DEPT 7 County Center Drive,'Oroville, CA 95965 Phone: 916-538-7541 J U L 2 9 1992 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) v _ signed an application for a building permit .for the proposed work. 3..,I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: �— Property Owner Social Security Number Date 2 �/" 2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832. -of the California Health -and Safety -Code: -- - . 1 . This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEML T FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded NOT COMPARED WITH prior to issuance of a building permit. ORIGNALDOOUMENT The. property described herein is adjacent to land or included within an area zoned ,Ul 2 9 1992 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the 92-034126 use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: All that portion of the Southwest quarter of Section 5, Township 20 North, Range 5 East, M:D.B. & M.,.lying East of the Oroville- Quincy Highway, as the same existed on August 18, 1945. EXCEPTING THEREFROM the land described in that certain Deed from Mary C. Nelson to the County of'Butte, dated January 18, 1968 and recorded February 26, 1968 in Book 1504 of Official Records, at page 210, records of Butte County, California. COUNTY OF BUTTE: BUILDING DEPT Date: 2 lz J €1 L 2 9 1992 State of J ) On this the a �t_day of SS. undersigned N 'tary Publi County of v ) PROPERTY OWNERS: S)c 4 192, before me, the perso ally appeared Personally known to me. VProved to me on the basis QPATSY L. CARTER of satisfactory evidence. COMM. #965596 person(s) whose name(s) Notary Public-Califomla be theP )h ) t'I"MV WffECOUNTY bscribed to the within instrument and acknowledged that 1�_ Comm, oxpkes MAY 17.1ecuted. the same for the purposes therein contained. IN WITNESS EREOF, I hereunto set my hand and official seal. Present A.P. No. i /. ��- 01 c. Notary Public