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Home My WebLink About071-470-010IV G71-#'IQ-0ZQ ' 01-11'23 C30N, 7'.Ai. LS, UOMAS, CONT , CAI 4"V OYNA_-kf1,CS A.P. -iT=TT K o Jo es umpki Rd. south of her Fa is t 1258 67B w single family & restaurant- a A.Pk7ether Alonzo Jon s ��n�s Lumpki . 1 Permit 112 6 ( footage for restaurant) BIGELOW Tom 1 - 't -11-J- n/s Lumpkin n Rd .. ?� 6- �S p a 14 mi. so of Feather Falls, Oro *11e Permit 1415-72B,P,E (complete bldg. star %permit 2) A . P..- 3--� C . L. BROWN rigs Lumpkin app. 1� mi.her Falls, Feather Falls ' Permit 3318 -6- (transfer of ownership 415 —72)_ - Itw Uwe �/� G aim is andGrove�0�1, �•pq . NIS Lumpkin Rd., app.14 m -S-Of I Feather Falls, Feather Falls Permit #3576-79B,E(util,,,MH) ELEC . -- GAS SUPPORT STRUCTURE REQ. 4167 COMPACTION TEST REQ. /r/Q Permit #3577--79B,E(complete work started by prev.owner/SF) `jar O rmitD#6458--7 I ' y Issued '-1d/-jI/--;?9 071-470-010 ��01-0517 BLACK OAK RIDGE 1 " �`-C Permit#3398-83P(install s line to 2253 LUMKiN,RD. OROVILLE CONT: B_RAV000NSTRUC:rION replace ele range)SF t D�OsSF cn[-Ljr)7C)—DtD W 96-0054 A GROVE, Richard 0. 2253 Lumpkin Road, Oroville'. - Ag exemption for rabbits & feed PER IT#97-0077 GROVE, Richard 2253 Lumpkin Rd., Oroville Replace Ele For Well 071-470-010 03AG164 BLACK OAK RLDGE LLC, - 2253 LUAIIJ:KIN RD, OROVILLE AG EXEMPT' BUILDING 7 G/O - - - N rooft BUILDING DIVISION ;s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: •(530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. t11 ZONING OWNER-(],Al� VtAn / /�j (J (_ PHONE NO. OWNER'S ADDRESS D(CW/ 1-e— LOCATION OF BUILDING L� l 0 d USE OF BUILDING- tOr SIZE OF STRUCTURE '„'j� J �— � �_ 1 +J� X - FT TYPE OF CONSTRUCTION: WOOD FRAME —Z— STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN „/ RO F COV RING FL TYPE (�� f ESTIMAJJED COST OP CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �0 '' FRONT SIDES REAR AG AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. _ Al h/ '.' �'v Date 9 I4 Q13 Perm/Fee $600(0Re 13 vs�5 Signature of The above described AG Building is exempt from a bui Manager• By ten_ White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant pepit. Date ` �� . 1 M � e I t J 1 1 lasolOOMQ:Assessor Name B14CK pA.K RIDGE LLC Ascot # Fee # 071-470-010-000 Status ACTIVE" �� Status Date 02/27/1995 Addrl 12231 LUMPKIN RD p Tax 000 NORMAL OWNERSHIP _ _ !TRA 109 000 Addr2 OROVILLE CA 95966-8747_ �1 Situs 2253 LUMPKIN RD FEATHER FALLS Addr3 _ 1� Base Dt 02/14!2001 Add4 .. �I Land 46,818; Timber Preserve Structure 20,808, Comments REMAP FROM 071-050105-000 07/28/98 r AgPres Fiattures ,.. 0, Etal Growing 0; Creating Doc# 19951906299 . Date 02/27/1995 r Notes Total L&I 67,626; Current .Doc# 2001 R 0006185 Date 102/14—!2001 J Bonds Q Multi Situs. Fix. R Killing Doc# Date _ MH PP 0; Flag1 Asmt-Desc 2253_LUMPKIN RD _. SuplCnt 3Pj Flag2 PP 0; Zoning DwellO J 910 MH Exempt 0 _. rJ Net 67;62 " AcreslSq Ft 7. 19 IN 071 Asmt PP Pen QJ Tax PP Pen R/C# —I Appeal Pending T%R Dt LC Split Pending R/C Stat —J, OWN P��HY�- EXP TAX HON F ATT SIT APR. ��-� �; lL'�J RZ t- n^ +PRCL�, j Find III&IFQI 2003 sa, 07!22!2003 11:15,57 AM i S _� R + ' `. j a n I .. \ - .,�. � � _ Y .. Y ~1 V ` � � ,�.` l � ..� � r �� R 071-470-010 4 01-0517 BLACK OAK RIDGE 2253 LUMKIN RD. OROVILLE CONT: BRAVO CONSTRUCTION DEMO SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7540/ _ �0RWT)NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 1_.%(-" (111.': LIT' " "f• TELEPHONE SO. FT. OCC. BUILDING VALUATION („ 0 C 1 OWNERS MAILING ADDRESS 7' r~,)n 1 T.F r•� c,5v ; CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS r. , !rTA ,' T •' MIT'`'_' 13!-C"rr`r rt, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS LL"'.—C' .1% �, T , CA X525-5 Ener Plan Checking Fee $ 9Y 9 $ PERMIT FEE $ 71 -CO LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DI•s .:) SL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.j License Class � ; [� i• 11 L Lic. No. 1 19 " OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Si Policy Number cli Q h 0 00 1=7 0 (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that H I should become subject to the workers'�compensatotV provisions of section 3700 of the Labor Code, I shall forth with�co�nply,withithose provisions. X r L Date 3,15, C SignatWb of Applicant,' ❑ Owner P,,Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLMIG OCCUP. 3 5¢SO. OR ADONS. ( ft ACC. BLDS. FT. MULTI.OUT =RESID. @7.50 POWER APPARATUS a SINGLE OLTrLET CIR. EX. Occup. OUTLET OR FIXTURES BAS ®' o Ex. Occup. DUTLEEDTS qp ,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74. CJ :H-: D. FEES IMP FLOOD CDF PARCEL PD HO ISSUF, {' This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Bye, f _' 1 ^::f' Date) --I �" �% PERMIT EXPIRES ON Date 7 /74 Receipt No. �'./: :�l .�.? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .0 6 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-470-010 ZONING FR10 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS EST 3 00.00 CONTRACTOR'S NAME BRAVO QnN.0,'M1T(7TnN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' [Fill lace LENDER'S MAILINGADDRESSADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 54. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 22 Energy Plan Checking Fee $ $ PERMIT FEE S 74,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isin full License Class „ I 6 a force and effect. / n , L_ Lic. No. OWNER -BUILDER DECLARATION I hereby affirm tinder penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00So CCU000A NEW CONST. owEwNG occuP. OR ADDDDNS. ( W: 3.5¢F°. MUL�TC. NON-RESID. @7.50 POWER APPARATUS a SINGLE OUT. CIR. EX. OCCU . OUTLET OR FIXTURES � @ I:50 FUCED APPLNS. OR Ex. Occup. olmtTs RES10. E._L 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insuranccarrier and policy number are: Carrier ST^I er Y✓N� . Policy Number 3 i 53 — -7 Co (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor rs' compensat' provisions of section 3700 of the Labor Code, I shall fo h c pl ose provisions. (( X Date I r O I SignaOO6 of Applic - ❑ Owner P,.Contractor ❑ Agent An OSHA permit is r quired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SU This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. �s�l PERMIT EXPIRES ON — �S O to ReceiptNo. 314794/74-00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT )0 r'i'm'_ ��¢"��%'� '� '� � � _ J�`'r�-•�:: `__'�' 1 "�4COUNTY OF BUTTE - DEPARTMENT OF LYE`VELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: %� D ASSESSOR PARC NUMBER: 3� —" ` 1 7 "' 0 Proposed Building Use: Building Inspecto Qom' Date: S ^ O At time of permit application, I was a vised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted.t ------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and:layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1 . Flood elevation certificate.---------------------------------------------------------------------------------------- ' V4. Sanitation and plot plan approval(�!!iHealth Department. -�4 l 0.15. City of Chico plumbing permit. ---------------------------------- ------------------------------ 016. Plot plan and business license approval from the City of Biggs. ------------------------------------------- ❑ IT Planning approval for (A) Use: '(B) Parking: ---------------------- ❑ 18. Contact Land Development about)[] Improvements, ❑ Drainage, ❑ Legal Parcel. ----- --------------- El 19. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------------ �•e` ❑20. Pre -inspection for required Request to Building Inspector on _ 021. Contractor's license information. (Number, Name Style, Classification). -------------------------------- El 22. Workers' Compensation carrier and policy number. ------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ----------------------- ------ -- E324. Letter of signature authorization.--------------------------------------------------------------------------• 1125. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- =----------- ❑ 26. Letter of intent on building use. --------------------------------------------------------------------=---- ❑ 27. Manufactured Home utility clearance.------------------------------------------------------ �-%---- ---�---- ❑ 28. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. Other: When y rs; ❑T enhone follows ❑ Mail to owner, ❑ a o contractor. _ and hold for pickup a office. with inspector. (Date) Applicant: / Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution t Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, q Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by:.. Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �- Demolition:Permi.ts Asbestos Notification Statement Date AP# �, ' �� D ` I Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or. both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental -Protection Agency is not applicable toAh' demolit'o project. 7IgnatureZkV Applicant 2/19/91 I V PERMIT NUMBER — B 3318-72B P',E P E PERMIT EXPIRES OWNER C. L. Brown CONTR: Cbd ner LOCATION (A.P. 37-11-19 n/s Lumpkin app. 1-;g� mi. so -of Feather Falls �r a .. J Mr T i Mr COUNTY OF BUTTE Forms Fireplace Lath & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS Department of Public Works .•�1` BUILDING INSPECTION RECORD Zoning, Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing Plmg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final Forms Fireplace Lath & Plaster_ Found. Vents _ Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final DATE REMARKS OR CORRECTIONS 14 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — •Or6A, e, California 95965 Telephone: 533-1230, Ext. 25b APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ^ Date* ^ 2- 7 /2 Signature of Permitee or Agent X Receipt No. _,/a o yZ Ca _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 9�E�zzDate //' 3 0-7 Z Building Permit Expires Date 7—,12- — -7'Z BUILDING Owner d uw SQ. FT. OCC. BUILDING VALUATION Mailing Address ,�10 Fireplace Contractor �4e___1V11_1f11 Total Valuation Mailing Address Permit Fee PI an Checki ng Fee &/or Penalty Permit Fee $ $ O Building Address U/�� N �7'� %L PLUMBING No. @ FEE PERMIT FILING FEE $2.00 M1416 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 J Zoning Gas piping system 1 - 5 outlets 1.5b Each additional outlet .50 Fire Zone Fire Dept. Sanitation ) tanning Building sewer 5.00 lans Fees W. C R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER m Permit Fee $ $ d fj!/I! FFdA alts /P ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i4/v//r — 22 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets 20 2.5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification L2i1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ 3-60 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 s$Permit Insfrumenraotionrr�n a Motion $0.07/$1000 Evaluation $ TOTALI' PERMIT FEE $ '3 0� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ^ Date* ^ 2- 7 /2 Signature of Permitee or Agent X Receipt No. _,/a o yZ Ca _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 9�E�zzDate //' 3 0-7 Z Building Permit Expires Date 7—,12- — -7'Z w� 4 .,..v� 21 i' PERMIT NUMBER - B 1258-h7 P 1933-67 r E 1029-67 + PERMIT EXPIRES—(O w OWNER Alonzo Jones CONTR: owner. LOCATION (A.P. 37-11-19 n/s pumpkin Rd.. app, 11 miles south of Feather Falls ate t .•r 1 y 1 Ll !. COUNTY OF BUTTE Department of Public Works BUILDING INSP.ECT.ION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. ' Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE OR CORRECTIONS /� �l qq JREMARKS �Gu COUNTY OF BUTTE DEPARTMENT OF' PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230" Ext. 259 APPLICATION AMD BUILDING PERMIT s , f �,a �- Permittee Owner +� � � `�t _ A. P. No. Mailing Address t"t" "-y v Zoning Sanitation Contractor Plans Fees W..C. Mailing Address Planning e BLDG. Address 1.=a. ,.• .: lr .� . o i' + �. dt. : y' NEW REPAIRS OTHER ADDITION F O U N D A T I O N ' 0'', � 0 Others Ii MATERIAL EXTERIOR PIERS . w Single Multi Width at Top USE OF STRI.ICTURE Family 0 Duplex Dwelling .Others �" �+ .I /` �' Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN IX Girders �.. joists - 1st Floor " Joists- 2nd Floor "+ "t Joists -Ceiling Total Valuation I �j' Exterior Studs Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee I .w I Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No. Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). ® I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. > ................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information isVorrect, and agree to comply to all County ordAriances and "State Laws relating to building construction. d� y�tit.... �r..:. . Date ...................................... SIGNATURE OF PERMIT �E' RE �T Receipt No . .............( APPROVED ........... This BUILDING PERMIT is hereby issued under the appli- cable provisions of the-^H'eal-ttP and—Safety-Code and"th"t-=Cxalifz fo'rimi-A A'CI rtri!'n-'�tra-ffie` @Ud * =T11TY 01D1Jt*07.1 ! a% DIRECTOR OF PUBLIC WORKS By.....�f::'• f..f� Date-- ........... f. .,................................. Permit Expires Date „•...... .....4...... i COUNTY 0§ BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Driye - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BU ILOING PERMIT , I . ,4 l.. y, Permittee Owner ,+ �`•✓�' � � (.:% M�' A. P. No. Mailing Address C/C+t" :: r"1 ✓' ••rY �i1 -" �•• /�° _�� ...--+J Zoning Sanitation Contractor :•t, :.! +�^ iL. I Plans rFees�W,.0{, Mailing Address BLDG. Address NEW ®'� ADDITION 0 REPAIRS 0 OTHER F7 Others Single Multi USE OF STRUCTURE Family Duplex 0 Dwelling Others t"! � ', �.�FIY �cl� / /1 •<_ SO. FT. OCC. I BUILDING VALUATION Total Valuation= Permit Fee Plan Checking Fee &/or Penalty i fI. MATERIAL Width at Top Width at Bottom Depth in Ground R.W. PLATE (Sill) Girders Joists - 1st Floor Joists - 2nd Floor Joists - Ceiling Exterior Studs Interior Studs Roof Rafters I Planning FOUNDATION EXTERIOR PIERS SIZE I SPACING I SPAN Total Permit FeeI r 7Z Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ > License No. Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). i+ I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a, certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction.. } f X........................................................................................Date ............................ f........ SIGNATURE OF PERMITTEE OR AGENT Receipt No........!....:: > .................................APPROVED ............... .ft• - This BUILDING PERMIT is hereby issued under the appli- cable provisions of he*H-eial,thaand*Sft) Cr demidwthee�alrf- GT'ra�C•foriii%wAdm di isttativeaGode �Wi#al# DIRECTOR OF PUBLIC WORKS � J } By..?x..... ... a� :....• :+�. rr�-.. ............Date —a.... ...... 5...:. .... +-. .. .......... // ' Permit Expires Date,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, vi Mailing Address BLDG. Address t-/ DESCRIPTION OF WORK NEW ADDITION F_� REPAIRS OTHERS: Remark s: USE OF STRUCTURE Single Multi RESIDENTIAL Family [Z/Duplex F-1 Dwelling 0 OTHERS: Remarks: PERMIT FILING FEE No. @ ti. Fee $2.00 Each fixture or trap or set of fixtures on one trap .r 1.50 COUNTY_ QF. BUTTE Repair or alteration drainage or vent piping �..r 1.50 DEPARTMENTOF PUBLIC WORKS / :j 1.50 y 7.'`County Center Dvive -. Groville, California 95965 Each gas water heater or gas heater vent 1.50 Phone: 533-1230; Ext. 259 Gas piping system 1 - 5 outlets APPLICATION .AND' PLUMBING PERMIT Gas piping 6 or more - Each Permittee Owner A %n,.. -a. n � 1.u -s A.P. No.. Mailing Address 0i•n"_1 r Contractor iv -r e7 •. r Mailing Address BLDG. Address t-/ DESCRIPTION OF WORK NEW ADDITION F_� REPAIRS OTHERS: Remark s: USE OF STRUCTURE Single Multi RESIDENTIAL Family [Z/Duplex F-1 Dwelling 0 OTHERS: Remarks: PERMIT FILING FEE No. @ ti. Fee $2.00 Each fixture or trap or set of fixtures on one trap 1.50 % 3,,s 0 + Repair or alteration drainage or vent piping 1.50 Installation or repair water piping :j 1.50 J�t7 Each gas water heater or gas heater vent 1.50 c� Gas piping system 1 - 5 outlets Gas piping 6 or more - Each \ .30 Sewer I I 5.00 1 ' Lawn Sprinkler system 2.00 t a TOTAL FEE $ I -' / a CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof....................................................................................:...............................................................................................................................................:........... r License No .............................. Classification ,,,,,,,,,,,,,,,,„.........7,,,, .............. I and certify that the aforesaid license is in full force and effect. ,. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of.the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by!licensed contractors. ( Sec. 7044). ” ® I am the owner of the above property and do not intend to offer it, for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. ............................ .................................................................................................. :..................................................................................................................................... .. ......................................................................................................................................................................:............................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption • pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County . ordinances^arid State Laws relating to building construction. y X....:.............................................................Date...................................... SIGNATUREOF PERMITTEE OR AGENT /'''']] _ Receipt No. !V_J/`i APPROVED,........ l,,,,.......... This PLUMBING PERMIT` is hereby'issued under the appli- cable provisions of COUNTY ORDINANCE NO. 888. DIRECTOR OF PUBLIC WORKS .--�,c BY ..........Date ....'.y`............ . COUNTY OF BUTTE 7 '' DEPARTMENT OF PUBLIC WORKS 7 County Center Dilive - Oroville, California 95965 Phone: 533-1230, Ext, 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner J 6211 d -Q ! &'J�._ A. P. No. Mailing Address Contractor Mailing Address BLDG. Address DESCRIPTION OF WORK NEW EADDITION F-1 METER SERVICE OTHERS: Remarks: — -- PERMIT FILING FEE No. @ Fee $2.00 Supplementary Filing Fee ,.50 Main Service � Range, Oven or Dryer .5,0 Water Hearer or Heater(., 59 Fixture & Future 0•udbet .20 eJ USE OF STRUCTURE Single Multi RESIDENTIAL Family Duplex Q Dwelling 0 OTHERS: y X ze p�;.�„�� .� % rte. Remark s: Receptacles or Switches Hood or Exhaust Fan 25 Evap.Cooleror F.A. Fum. Motor .25 Garbage Disp. or Dishwasher .25 Air Conditioner or Heat Pump water Pump TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._..................................................... License No .............................. Classification......,,,;..... , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. X. .......... ...................................................Date..................................... SI i=GNATURE OF PERMITTEE OR AGENT Receipt No.,, %................................... APPROVED This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of the Health and Safety Code and the Calif. fornia Administrative Code and County Ordinance q 814. DIRECTOR OF PUBLIC WORKS BY. Date . Permit Expires Date... INSURANCE BINDER [kXNew ❑ Renewal of Binder No Extension of Policy No. Agent/Broker DAHLMEIER BROTHERS P.O. Drawer 511 (2080 Myers St.) Oroville, California 533-3424 Name of Insured and Address: PURPOSE OF BINDER z Alonzo E. Jones 7 Mi. N/E of Oroville Woodleaf Star Route This Binder is a temporary Insurance Contract to serve on Woodleaf Star Route as evidence of Insurance pending: Oroville, California period 12/14/67 -'68 ❑ Issuance and Delivery of a Policy ❑ Issuance and Delivery of a Renewal Policy ❑ Issuance and Delivery of Endorsement Business or Occupation: Certificate of Insurance to: ❑ Negotiation of Rates, Premium or Coverage The Argonaut Tns. Co. (Name of Insurance Company( is hereby bound to an insurance undertaking for the Insured named above subject to the conditions set forth below as follows: DESCRIPTION OF PROPERTY OR OPERATIONS AND LOCATION TYPE OF INSURANCE AND INSURED PERILS AMOUNT OF INSURANCE. OR LIMITS OF LIABILITY 7 Mi. N/E of Oroville Workmens compensation on Woodleaf Star Route (pending receipt of policy for period 12/14/67 -'68 The following clauses, special limitations or endorsements Certificate of Insurance to: shall apply to this insurance: "County of Butte = Depp. of Public Works #7 County Center Drive- Oroville, California ORIGINAL BINDER SENT TO: ❑ Insured ❑ Mortgagee or Loss Payee ❑ Other: In consideration of the Insured's agreement to pay. a premium based on published or manual rules and rates, and subject to all the provisions of the policy customarily Issued by the Company bound herein Insuring against the perils specifically designated, it is agreed that insurance of the type named above is bound for the following period: ❑ Noon From December 14 19 67 at M. To-De-cember 14 19 68 at ❑ 12:01 A.M. Standard time, or such time prior thereto as the Company's policy may be issued in,lieu hereof insuring the described risk. A premium, charge shall be made for the term of the Binder, calculated In the manner provided above, unless a policy Is Issued by this Company and is accepted by the Insured covering the Binder term. The issuance of such a policy shall void this Binder. This Binder may be cancelled at any time by the Insured by its surrender to the Company or. to this agent, or by giving notice to the Company or to •this agent when thereafter the cancellation shall be effective. The Binder may De cancelled by the Company, or by this agent`fin,behalf.of the,Company, by mailing to the Insured, at the address shown above, written notice stating when not less than five (5) days thereafter such cancellation shall be effective.rThe, mAiling�of notices r as aforesaid shall be sufficient notice- The effective date of cancellation stated in the notice shall become the enC •of'the binder,period Delivery`of written notice shall be equivalent to mailing. A SY � t EY a� •:`t - Date: By: DAHLMERy BROS, msuxANCE Authorized Representative No. GF 201-A 5164 Recommended CAIA -IBAC Form NOONAN PUBLISNINO COMPANY --Affiliated with The Merritt Company — SANTA MONICA. CALIFORNIA .r E ^4 1*3 E 0'2 wd1k Z96, 6 &3f ON ol WA f - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 4 ERMIT NO.. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 ,7 1 Q Sa _ / o s ZONING Flif y U OWNER �� ®L ✓� PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING —/a LIP pt_' _)5z� A44 SIZE OF STRUCTURE V o X (/D _ U O SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL X CONCRETE OTHER (Specify) TYPE OF ID NG ROOF O ERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 7, 000,x° AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:- r + f�' FRONT �� SIDES `Zd REAR o1 d /y>'^^✓ AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements 'n effect at that time and before occupancy. Date Signature of Owner Permit F e -$60.00 Receipt No./ T The above described AG Building is exempt from a building per it. FLOOD PARCEL P.D ROO G ISS Manager Building Division By Date S White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant f .t ' T ' I "ARMILZ6001 3577-79B,E PERMIT EXPIRES �j,�w -PWNER Richard Grove owner '!CONTR. 71-05-27 LOCATION (A.P. NIS Lumpkin Rd., app.114 mi S.of Feather ---"Falls '111 v Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E A16 772 - Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) a r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor - Stemwall Siding .To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------=------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) CtOUNTY`UR BL9TTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dnive -. OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMITAA I �11 BUILDING Owner P SO. FT. OCC. BUILDING VALrJATION Mailing Address I_t1/10 9e N �O Contractor r' Mailing Address Fireplace d -• Total Valuation ^&)0 Telephone No. Permit Fee ^ Building Address Plan Checking Fee&/or Penalty Permit Fee .. PLUMBING No.1 @ I FEEJK PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 r A. P. No. �l '/,-1Z!:.%—.ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 F anitation Fire Dept. Fire Zone Use Pennit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Improvem is Each additional outlet .30 Building sewer 5.00 Bldg. PI ec'd Parcel AEEroval Plansproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER . Permit Fee $ $ ELECTRICAL No. @ FEE ' PERMIT FILING FEE $3.00 i Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others.❑ Main service EA. ADD -L too AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW UP. Y OR ADDNS. ( AC 22sgft QD CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. ULTI.OUTL T NON -RESID. (BULTI.Q CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTIIRES1 IgAL2j Ex. Occup. ( OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 J ' am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E�lcertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. L1XALdbDate /S__ Signature of Permitee or 'g`eenntt Receipt No. !(�� White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling i. Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 08 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC PUBLIC WORKS Z Dateg permit expires Date �--L r--� o ! 4 i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: A:.P. 0,57 Address: Date of Insp ction ' c Tenant: 5/4MI2 Inspector Building Location: ' S �`Jj,��/S/ Xa � j PR / � Gwl S �'�' i`� /� , f -r¢4 G C Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to 4. Other (specify IzI1 4 %/ X r<EiLl—� ,Q r V;E&DEZ 7-0 Cow i� [�Ti� �G IJP 57A,4ne 0R/c/ Fk;E11(ex. 5 d7 w e,16.1 2 5 /� i�� //V00 ow eO�.�''- Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory:__ 0 /G 3. Bathtub or shower: 6 G 4. Kitchen sink: C;—/ _ -5. Hot and cold water to fixtures: 6 . Heating fac it it ie s: 4A) Oo/7 -"� Natural light and ventilation: LylAlpr-K o S /VAF-b /.iC/ A-All•n S / ,l 8. Room and space requirements: x Bedroom window or door for second exit: DAV "7Z4/Dy- A 7L 10. Infestation of insects, vermin, or rodents: O 11. Connection to sewage disposal: VAL 12. Connection to water supply: PK/ �'�� XVIE 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: pGlti 3: Wall construction: L� 4." Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service 2. Recepta 3. Fusing: 4. Comment 1 D. Plumbing 1. Fixtures connected and vented: 5 2. Gas water heater: 3. Gas heating vents: 4. Comments• (continued on back) E. Other 1.. Maintenance and repair: G�Do 2. Fire -hazards: _ 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: -- 6. Comments: 3 F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: j 3. Physically handicapped: 1 4. Restroom floors and walls: 5. Exits: i 6. Improvements: 7. Zoning: 8. Comments: , 1 G. Field Problems or Violations 1. Problem or violation (give complete description): NTu Oc-010F� g/,4a/7Y T 0. 2. What action taken (give complete descriftion): S� t'Lzk, s O f 3. What action recommended: A. Information only - file. 1 B. Hold for ten (10) days, then write letter. I C. Write letter. D. Other: 0GUi I&g LL L,' � rlr iw> I L TyPE 4 F4(./, f J TO: Building Department FROM: Environmental Health RE: Sewage and/or Water Clearance OWNER LOCATION Has been approved for: S�3, JAGE DISPOSAL 1a -.;0 - 710 WATER SUP?LYia f Sanitaria Date S95-775 A.P TO: Building Department FROM: nvironmental Healtn RE: Sewage and/or eater Clearance OWER LOCATION A .P## Has been approved for: SEWAGE DISPOSAL ivAT,,SR SUPPLY %-7 /y 7�. San tarian �r \ Date t. S95-775 t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.( 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT ASSESSO PARCEL NUMB r` a ZONING BUILDING PERMIT O R n C TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING AL1RESS r--- CONTRA TO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas meter vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,/ USE OF STRUCTURE SF K Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home W S G 10.00 e TYPE OF WORK Installatio ElOther [:J New �Adtion❑ R model UtilitiesIlly- Describework:ELECTRICAL QJ r..k1q-e Permit Fee $ A0 Inn Contractor PERMIT Filing Fee 10.00 Main service soov OR LESS10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/ZPSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. I Ex. OccuP(oXTs OR FIXTURES 20®50a eAL030 IED Ex. Occup. OUTLETS PR RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. II 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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, sts, and expenses which may in any way accrue ag t sai County i con quence of the granting of this permit. X Date /� — �" �� Signature of Applicont — Owner Contractor ElAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structureess over 3mstotriiees in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST. I PARCEL P11 I HD I TSSUE. 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. CT9R OF PUBLIC WORKS BY 14 Dat D PERMIT EXPIRES to Receipt No.y) 1 910 T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor.andterials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) -G signed an application for a building permit for the pro osed 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 Phone Contractors License No. City, 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 S igned : Property Owner C Social Security number, Date lD ^=- 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 ,.permitted to issue the permit. _. - ^.. r�r•.yx,.in-.. y... d-r.iwr �ir'r7rAr ".^ yy': ti'J..:.v� y�N'r3`�rW�*i''.`'dk:� .:fF. a'i -r'.S; :�5,'[z3 L.w.wv 1.S , • 071-050-105 PERMIT#97-0077 GROVE, Richard 5 2253 Lumpkin Rd., Oroville i, Replace Ele For Well 1 COUNTY OF BUTTE -DEPARTMENT OF DFVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, OaliforniA 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 071-050-105 ZONING FRI0 BUILDINGPERMIT OWNER RICHARD GROVE :"OT -N1809 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 2253 I_U11-In .:IN ORUVIU E CONTRACTOR'S NAME/V.11,�r2?T) r.r TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDERYOi"Ll Y Fireplace 1.16 LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER 19OirTF 9 �1� LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2253 1-T- KIi+ RD Energy Plan Checking Fee $ $ OrOVII LE PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap E 7.00 . USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other I�'1I SPECIFY Solar or heat pump water heater 23.00 � WaterP�P 9 I in 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑• Installation ❑ Other ❑ Describe Work: ELECTRIC FOR INTMI, (1 EYIAM EXISTING) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V OR LESS Main Service 200AORLESS 23.00 Q LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To +000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( a ACC. BLOC. so 3.5¢FT. O ==T. MULTI.UTLET 97,50 POWER APPARATUS 8 SINGLE OUTLE? CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1 ao L so Ex. Occup. OUTLETS (RESIED D.OEA_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall �orthwith comply with th se pro Isions. X _ �CsT`_n_ Date L�� 7 _ Signature of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or ih fees have - indicated above aJ444iV1 ByDate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. / f -'/ Date !T Receipt No. 40VU114 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, 0alifornia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT-! ASSESSOR PARCEL NUMBER 071-050-105 ZONING FR10 BUILDING PERMIT OWNER RICHARD GROVE ON T �-1809 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2253 LUMPKIN OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2253 LUMPKIN RD Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOTNO. • SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WELL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EY Installation ❑ Other ❑ Describe Work: ELECTRIC FOR WELL (REPLACES EXISTING) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G w 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOV OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To I000A 46.00 NEW CONST. DWELLING UP. OR ADONS. ( 6 ACC. BLOB. s 3.5,sD NNLET OC RES OT ANCI CU12 97.50 APPARATUS d SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL Q'.W Ex. Occup. ouTLEEDTs AESIo�eo 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 1 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with th se pro Isions. X _ �— Date �� _ Contrtor ❑ Agent Signature of Apant - ❑ caner 11ac plic An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. 1 0. FEES IMP I FLOOD I CDF PARCEL I PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Res Autions to do work indicat above for wh' h fees hav n paid. Q By Date EXPIRES ON �� ale ReceiptNo. 209674PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 win 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 : YESF. NO[ ]. 2.: I HAVEK. HAVE NOT[ J signed an application for a building permit for the Propose work. .. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: - DATE: r /ice %7 - NOTE: % NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are. required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. . If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed, as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security tares, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�nc�rel ` N icha4l C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. e Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Building Division FOR RESIDENTIAT: DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultfuiral purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of\agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations , including, but not limited to cultivation, pilowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use "for produc- tive agricultural purposes and residents within said ones 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, Stateof California, described as follows: Date: PROPERTY OWNERS: State of California ) County of ) On before me, personally appeared \\,personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the '" rson(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature A.P. # Seal: OPP IV ,1 PERMIT NO. -.3576-79B,E PERMIT EXPIRES (0/ Richard Grove ,OWNER CONTR. owner 71-05-27 ,'LOCATION (A.P. NIS LumpkinrRd., app-lk mi.S.of Feather Falls tii tj - Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. P-64alledaI&G96- AAP?7-F— JOB FINALED (Da (Signature) V11 COUNTY OF BUTTE v DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. -.534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number -7, for the following location: /US Owner,�f//1c� Owner's Address ��"Z`� %CST Mobilehome Mfg. AIAA VA14 Model Year Insignia No. Serial No. � ^' It is hereby certified for occupancy at the above described location and may be occupied. Director of,Public Works, A B Date y , THIS CERTIFICATE IS VOID WHEN MOBILEHOME!IS RELOCATED White - Owner, Yellow- Installer, Pink - D.P.W. � - r tsrgfwn X C ooling T mp. Pole F nish is nder round In rior Lath ntilation Permanent X or Closer nal Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service a d/t- Elec. Pedestal Water Piping 0 . 3., Sewer / i Gas Piping WOBILEHOME INSTALLATION kJ - - - - - - - - - - - - Support ¢j 1 Elec. Continuity Water Piping /0 — _-.>S- ?odC4--- Drainage /D 5 Gas Piping DATE REMARKS OR CORRECTIONS 103 -7 g Q�ra� (P-tD oX$ A, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTME,NT OFA PUBLIC WORKS BUILbING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING etback rewall Soil Piping rms PAPpets 1st Floor In Bldg. Resl&oom Finish d Floor ootin s Windo s 3r Floor StVnwall Siding To ou Sla Roof She4hing Water P jn Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicaped Conformance of ex. X V structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio IREP CE Final Footings Footing E ECTRIC ,L Masonry Walls Throat Rough. Reinf. Steel/ Final Fixtures \ Bond Bea FIRE SPRINKLER& Motors Framinq Test Water Htr. Stucco Final Subpanel/ Mesh MECHANICAL Grd. F@&It Prot. Scralch Heatbfa Servidle tsrgfwn X C ooling T mp. Pole F nish is nder round In rior Lath ntilation Permanent X or Closer nal Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service a d/t- Elec. Pedestal Water Piping 0 . 3., Sewer / i Gas Piping WOBILEHOME INSTALLATION kJ - - - - - - - - - - - - Support ¢j 1 Elec. Continuity Water Piping /0 — _-.>S- ?odC4--- Drainage /D 5 Gas Piping DATE REMARKS OR CORRECTIONS 103 -7 g Q�ra� (P-tD oX$ A, (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical ; A. Is service large enough to provide adequate amperage -to mobilehome (must equaY"rat ng of mobilehome with a minimum of JR15' amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yess/ No B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes= No D. Is continuity test satisfactory as per the following procedure? Yes No X- De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. j. 'Switch all breakers and switches in the mobilehome to the "on" position. :" Connect one lead ofa test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. ,5: All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. ,V Upon completion of the above.procedure, the power supply cord or feeder assembly` conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I 10. Is job card signed by Health Department for water and sanitation? c. 11. If everything okay, sign off card and tag services. MOBILEHOME DATA /� Manufacturer and/or Namestyle / V 4 SOLI.04- Length %0 Width ` �- Vehicle Serial No. _,9 7_&Sl/ State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_,,!:�'No_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088)'Ye.s�-,No 5. re than a single unit, are crossover connections properly installed? (Sec. 5088) es No 6. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No - W4?ckflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A.. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -moo B. Does it have minimum" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -ions of water through each fixture including washing machine standpipe? Yes No t/ iD(A_If,coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehoh as line inlet without reductions other than the mobilehome connector. Yes'L/No B. Test OK as per following procedure? .Yes_ o 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. i C. Are all appliance vents properly installed? Yes_ No. ° 'COUNTY OF MATE, — QE.PARTMENT OF PUBLIC WORKS 7 County Center Drive — Or6ille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner i Mailing Address 742!q Tela -e N.9 ` e) Contractor 42 4x --W e^ !O Mai I i ng Address Telephone No. Building Address ) D PF5 S l9 I/V 4P /A , �j A. P. No. 1 `J"a ` I ^f ening & Pic ing F ' tion FireDept. Fire.Zone Use Permit EQA Parking Parcel Parcel a 60' R/W Im rovem is Plans Declaration p p Bldg. PI nJ s Reed I Parcel A roval Plans Approval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification _ BUILDING if t S0. FT. OCC. I BUILDING VALUATIO Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER O OVER AMPP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. ` DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. nlnN REBID_ (MULTI.OUTL T l BRANCH CIRCUITS Ex. OCCUD(OUTLETS OR FIXTIIRE'. EX. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring am exempt from the Contractors License Laws of the State of California. I Permit Fee MECHANICAL PERMIT FILING FEE Heating WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ET�lcertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. XDate G f S Signature of Permitee or'AA ent `Receipt No. 2--1�` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE 174 Dt Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ ZV ®f% TOTAL PERMIT FEE is F3 50 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date Building permit expires Date 6 ?o ,. C(-!JNTY OF BUTTE — . DEPARTAAENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ^ Telephone: 534-4541 j r —9 Telephone: APPLICATION AND PERMIT � authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date` Signature of Permi e� _Ment Receipt No. (7J7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abgtE en paid. F PUB IC WORKS �+ By ateJ Building permit expires Date BUILDING Owner R14A P-0 C4)20V4ff SQ. FT. OCC. BUILDING UATION Mailing Address 7(Q 2�/ L "PkQAJ 11) Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee n Building Address � s LU Pe_1A J APP � Plan ng Fee&/or Penalty Permit t Fee Mf S. OIC FE9-77lce- F:M__GL PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 pp^^��//1� _ �r�� r� /"G..A77- F/7 ws Repair drainage or vent piping 1.50 A. P. o. /— A-7-- Zonifig & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fes I W Sia - Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel • Declaration Parcel Map 60R/W ' Improvements Each additional outlet .30 Building sewer 5.00 BI Plans Recd Parcel•A oval Plan proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 1rOif �Z /T>L-e/l/%S-%�p_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 B00V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Q-" Others ❑ Main service EA. ADD•L loo AMP 2.50 Main service OVERaoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELINGOR ADDNS. ACCLBLOGS.CCUP S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW RESID.CON I BRANCH CI LET NON-RESID, � BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS s NON.RESID. SINGLE OUTLET CIR. Ex. Occuo{ourLETs OR FIXTI RES) 5B Lam1 Ex. OCCU FIXED APPLNS, OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 • Lice se No. Classification Misc. Wiring 6.25 r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I hav placed on file with the County of Butte a certificate of W men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 L Fee $ �Q TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date` Signature of Permi e� _Ment Receipt No. (7J7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abgtE en paid. F PUB IC WORKS �+ By ateJ Building permit expires Date { 1 MOB ILEHOA -SUPPORT DATA �J J If other than single wide, Mobilehome Mfr. Q/ ';furriish .Setup Model No. Year Width (ft.) Box Length i f�r(ft:)..-:Tagalong or Expando Size ft.. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7,.•1973,• furnish manufacturer's installation manual and structural setup sheets ('if '*not-on..fi.le :with the, County of Butte) All center supports measured from front of mobilehome unless'otherwise'specified: Footin s.(check one) Single 1. Wood either, pressure treated or foundation grade: x . ( t.)(in.) (in.) (in.) 2.. Other (specify) Center upport Center su port locat ons* footing. izes Supports (check one) ( in. 1: Concrete block.' x 2: Other (specify) .(ft.)(in. (.in. (in.).. <---Tagalong or Expando,' show support. details. (ft.)(in.) (in.) (in.) xc -- Typical Support (in.) (in.) Footing Size (ft.)( A- (.in.) °('n.) (D -- Max. Pier Spacing (ft.)(in.) Max. Overhang ('in.) (in. L ) (ft.)(in.) BUTTE COUNTY 3UILDING DEPARTMENT APPROVED * e e drawn above if center piers are other than , draw in --locations. spacing, and dimensions. 1. Owner's name: C 2. Installer's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:,534-4541 MOBILEHOME INSTALLATION SHEET "e -O C,/ (e, 3. Is the site currently under permit? YepT!i / No / / • (If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) 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 P. No (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ----------------------------------==--------------- Yes No (If yes, identify the load and size: (Load) r (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) /Natural T-1 LPG /!�!" 10. What is the type of gas service? ----------------------------- 11. What is the ` � gas pipe length from meter or tank to the mobilehome? (ft. ) 12. What is the mobilehome gas demand? ----=------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) / A peom' will be required `for the ion of the mobilehome. a L.. The Aftt. Setback shall be 5 ft. from the a side property line and 50 ft. from the centerline of the road, permi9•ting. a maxi- 1 rrsuk., Nf a 2 ft. eave overhang but entirely ®�aut of all easements. 0 Septic system and loc tion ..of4w* � tt beasp� !� Butte County Health ept. Re r( quirements. U - v! � a z All utility conn6etions shall be located within 4 ft. outside the rear third section. of the mobile home on the left jroad) side of the mobile home. Phis set of plans and• specifications MUST be NOTE:—All'Materials & Workmanship Shall Be in sept on the job at all times and ' it is unlawful to Accordance with Recognized Good Practices and make any changes or alterations on same without of a quality prescribed for the Specified use in the written permisson from the Department of .Public Uniform Building, Plumbing & Machanical Codes and Work:, County. of Butts. P the National Electrical Code. . BUTTE COUNTY .BUILDING DEPARTMENT VFD APPRO i y h i PERMIT NUMBER - B 1415-72B3P5EM i P { E PERMIT EXPIRES �`�e�- 73 OWNER Tom Bigelow CONTR: owner LOCATION (A. P. 37-11-19 ) r . n/s Lumpkin 'Rd. app. 14 mi. so. of Feather Falls c Ci - i' l m t"i i COUNTY OF BUTTE . Department of Public Works _... BUILDING INSP,'--CTI&N RECORD Zoning . Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DWA,9iTMENT OF PUBLIC 7 County Center Driveville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT wOA��/ � 7a authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x� Y —Date -4 ignature of Per ' Or erg, Receipt No. (/O(/ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Byell Date 7 —f Z_ i Z Building Permit Expires Date. BUILDING Owner 3� 6 o SQ. FT. OCC. BUILDING VALUATION Mailing Address v2.3 .6 -� r' /Z i Fireplace Contractor O Total Valuation 6 �j Mailing Address Permit Fee Plan Chec ng Fee &/or Penalty A 6 - 4 Permit Fee $ 7 f -d--v $ 77-d' Building Address /VA .�.,�, :.., l2c� ° PLUMBING No. @ FEE PERMIT FILING FEE $2.00 a,G—') �G 3 -5—. Each Trap 1.50 / , j 0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — //-1 F Zoning _Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER Permit Fee $ % 00.$ 17. 3-p Z& ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 b-3 Main service incl. 1 meter2 iab -0 Additional meters ach 1.00 Sub -panel (12 r less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 02, �--o / r� Si ote� �— i'�'s►''tt— t.s'`f Oven, Cook -top or space heater 1.00 7 �o Light xtures i / 70 R c s., sw tc es & fix outlets A n ]V CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business• & Professions Code under the name style of: Hood, Ex..7an or F.A. Furn. Motor 1.00 f b Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3 0,q $ �0hemi WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation „ac Fee $ % a-�3 $ -% 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 sjPermit Ins'rumenrattionrrpn 4 anion $0.07/$1000 Evaluation $ ? TOTALPERMITFEE $ 3o�oi authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x� Y —Date -4 ignature of Per ' Or erg, Receipt No. (/O(/ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Byell Date 7 —f Z_ i Z Building Permit Expires Date. t intII1IfftIItitv, I itIititIittiIII T t1ttitIk tit , ittittititItI. .. .. ...... , itIf114 ITtIitITittitItI1,7 IIitilIt tlITitIt1, fl. I . iilik� J] "At. T1 It, 44 I it it . . . . . .. it, 7 1,, 1 lr� It ;I,-; l7, % Q� tI Ilk -11 1ittitTtill IttitTititITittitIittill, I fitIItitIitN4'1 rie II T 'I . . . ... . Itit ttIItIIt1( Jj IttIIIIttf ELF N't, ALI