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072-230-002
72-23-2 Cl-es`tte1 R. Howard 5195 Wyandotte Mhers Ranch Rd . , 0 0�?. � Permit�k344-81P,E(tLt i1.,MH) 1 ELEC. 3-4- k z6r0A• GAS - —ff SUPPORT STRUCTURE�-REQ. /11,0 11 COMPACTION TEST 1, I EI 72-2 Contr : Eagl"L Mobile How iter f Citrus H�s�" Permit##794-w MMHHI . Issued/�A —/,� 72-23-2 contra Holmes Mobile Home Serv., Bangor' Permit #3179-81B(new deck., awning & stairs ft 072-230-002 06-1285 MORRIS, DAVID 60 BREEZE HOLLOW LN, OROVILLE Cont: PARAMOUNT POOL & SPA POOL(MSTR 01-521) N N M PERMIT NO. 344-81P,E PERMIT EXPIRES -3 /3/S/ -,0L OWNER Clestel R. Howard CONTR. owner ASSESSOR PARCEL 72-23-2 LOCATION 5195 Wyandotte Miners Ranch Rd., Oroville Temp. Power Pole Called PG&E ,Temp. Elec. Service ,,--'` Called PG&E Temp. Gas Service Called PG&E Aa JOB F ALED (Date) Signature J OK 0 Not OK ="Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready , Date MOBILEHOME UTILITIES (Plans) OK except p's mooning Requirements–Setbacks–Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 1. Zoning Requirements–Setbacks–Easements oils Special MH Support–Sketch 2. Footings; Size–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/0–Concrete 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails ater; Location–Test–Easement Needed (Sketch) 4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing ectricity; Location–Clearances–Grnd.–/2.0mp–Concrete –4—Gas.; Location–Test–Wrap:/ /"L"ft./ P'Nat. or/ P'L" ft./ /"LPG, tility Clearance 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Carports; Windows–Doors 7. Elec. Card -BI Date O1Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s /1, Zoning Requirements–Setbacks–Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except tt's 1. Setbacks–Easements 2. Footings; Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability 3 f est–Demand–Valve–Connector Electricity; MH Test–Crossovers–Breakers–Clearances 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining 4. Elec.; Receptacles and Lighting; Distances–GFI 5. rain; MH Test–Fall–Flex Connector 5. Elec.; Pool Lighting; 15 volts–GFI 6. W ter; MH Test–Regulator–Connector 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed Water and Sewer onnected–C/0 to Grade _ ova 7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater 8;.1Ge-_Vu&ro&EIeKricity Tagged 8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 9. xits; Insp.–Sketch Cert. of Occupancy 9. Health Department Approval =a 10. Plumb; Cir. Test–Water Supply Test - Card B-1346 ate Card -BI Date Card -BI Date Card -BI Date Cad B-1 Date Card -BI Date Card -BI Date Card -BI Date '1. J = OK < 0 = Not OK - = Not Applicable * Not Ready RESIDENTIAL (Single and Duplex) " Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'S 67. Garage Fire Door; Swing -Landing -Closer ' 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- ' In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation- Foam- Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails Deck Construction -Post Caps 26. 27. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes E] No; Walks El Yes C] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42, Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY DF BUTTE - DEPARTMENT OF PUBLIC WORKS P MI NO„ 7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT ZI I ASSESSOR PARCEL NUMBER • q ?_ — ZONING B ILDING PERM UT OWy,6R/EL[Mle- TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONL,1�AM�. j/` Li'V/ r+•� TELEP HGIJ CONTRACTOR'S MAILING ADDRESS J 4632-o A41S7-" ' At%00,P 0-17POS f79 -E FS; -61 Z) Fireplace CONSTRUCTION LENDER Q! UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 1 $ 10,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee $ $ -170,0 BUILDING ADDRES �� ��il/�p %1�'/^%G_S �Q�/G�,/ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 / ©� VILL ll Repair drainage or vent piping Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer Lawn sprinkler system 5.00 SFEI Duplex❑ MobilehomeQ�Other SPECIFY TYPE OF WORK Permit Fee $ New Add ition❑Red/el❑tilities instal tion Other Describe work: lv " " �' �J�i J �I/- � Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Z �(J Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.5i OR ACDNS. ACG. BLDGS. 20 sq ft 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 Professio s Code and my license is in full force and effect. �.-..� ` License No. Classification NEW RESID, CH L T 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS D1 NON-RESID. \-SINGLE OUTLET CIR. / 80@250 Ex. OCCUp OUTLETS OR FIXTURES gpL �i EX. QCCUp. (OUTLE OUFIXED TLETS ESI D,)RE A. 2.00 Temporary service 10.00 ❑ I, as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 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) Misc. Wiring 7.50 Permit Fee $ ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE Heating 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 beccme subject Cooling Hood 3.00 Ventilation 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. Permit Fee S Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 0,Qp 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 agre save, indemnify and keep harmless the County of Butte against all liabi ' i judgments, cos s, ndexpenses which may in any way accrue agains d County in co equ nc ofth granting of this permit. TOTAL PERMIT FEE $ (./ OCCUP. GROUP TYPE OF CONST. PARCEL Pb ND 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. +p X Date a ` Signature of Applicant — Owner L -T Contractor R ---Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov r 3 stores in height. DIR TOR OF P BLIC s BY I PERMIT EXPIRES Date WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE 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 S, under permit number-%c?cl�J for the following location: r' AA Kri — ( ) YT► Owner It? r c7 Owner's Address 4 J (A Ir5k,4.Jf fi to ,U.. h a} Mobilehome Mfg. Model B Year -Insignia No.0) Da IC 1 — 2 019`9 'A Serial No. � ��� —t1) 9 - � It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date — G„ R- By Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J MOBILEHOME SUPPORT DATA f If other than single wide, r Mobilehome Mfr, i !�/�'� furnish Setup Model No. Year Width_ (ft.) Box Length (ft.) Tagalong or Expando Size t. x ft.' (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured 'after October 7, 1973; furnish manufacturers installation manual,and structural setup sheets (if not on file with the County of Butte). o All center supports measured froth front of mobilehome unless otherwise specified. Footings (check one, Single Wood either trj Pressure treated c .x �D foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support . locations* footing sizes Supports (check one) (in.) Concrete block. x 3v 2. Other (specify) ( .)(in.) in.) (•n.) (----Tagalong or Expando, show support details. `` (ft.)(in.) (in.) (in.) x 9 --Typical Support (in.) (in.) Footing Size (ft.)(in,) (in.) (in.) �r -- Max. Pier Spacing (ft.)(in.) -. -- Max. Overhang U �� 7N- Q SUT G COUNTY aU.ILDING DEPARTM€:t�- APPROVET) 12 �ea-0/199J? -� aa�>s� *if center piers are other than drawn above, draw in ---locations, spacing, and dimensions. 1. Owner's name: 2. 3. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Installer's name: / E Is the site currently under permit? Yes / / No ( If yes, furnish permit number Is the site anexistingsite? Yes / / No (If yes, furnish two (2) plot plans.) M 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- o��� 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• site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -- Natural / / LPG 11. What is the gas.pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ���� (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) c (BTU) s This s6f of 06s iand', socificat`rons imus'( ba ' i ; NOTE; -All :Materials & Wofkmanship 'Shall Be in kept `on the iob gat all -tunes and it unlawful 4o Accor4cnte �v;th Pbr:omni-ed Ge -,".ted P.ryctie-es anc� Make cnv ch6nges or alterrijions on sa o w1th+�ut .4 a ivalolfv Aire �cr*bpr! .I., The Snec;fie4 use in, the �iritten pi:rmtssion friom the I epdrfinen+ of bu lla `.Jniform B, 'ding, Flumbi' q � Machanical ,Codes and Wor"s, County of Butte. the Notional Electrical Code. { i 1 500 SQ. FT. MINIMUM ; FOR MOVE; P i Utility connections shall be within 4 ft. of the mobilehome citber. - directly behind or within th6 rear _ half of the roadside (left) of the. A setback of 5 ft. from the ; ' r o property lines and a setback of 56ft.rom' fthe road ' ' 1 r ' .UNTY centerline shall -be clear of; BUTTE CO l structures or equipment except UMI r%INr pp?ARTMENT for a 2 ft. eave overhang.r_� ' . •� ,'; yQ,7 ��`' . APPROVED, i i Y 'I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS `, A routine inspection indicates that the following violations of CounP din Orance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r7ly -N, 11-Y %,�V'.N./wiJ'1 1f r "✓f47 I .Mj ill, Jt .�.t l) CJl ?,d I��.. C��NYt• Inspector �� � �� Date � � `• � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE _ / r 1 . l / � . )�•� ' �*.y, 777 Ir � `` 7 • . BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. rYN a' A, .77 I Inspector + Date - J + 1 � I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT =EI A5S E350R PAR EL NUMBER • +� 2 3 -- D ZON NG _ �I' BUILDING PERM OWN I.C.le, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN MAILING ADDRESS V V CONTRACTOR'S NAMETELEPHONE Y CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ J LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ro Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer AW Lawn sprinkler system 5.00 TYPE OF WORK/ New ❑ Addition ❑ Remodel ElI�' Uti Iities Instal lation ❑ Other ❑ Describe work: Permit Fee $ ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L. 100 AMP 2.50 NEW CONST. DWELLING OCCUP.pi` OR ADDNS. ACC. BLDGS. I 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the. Business2g 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. '.OUTLET 2.50 ea NO N•RES'D BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS&I NON-RESID. -SINGLE OUTLET CIR. / 80 a ¢ Ex. Occup(OUTLETS OR FIXTURES BAL@100 Ex. Occu IXED APPLNS. OR p•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare Ander 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id Co ty in consequence of the granting of this permit. X �,44z ��� Date l— 3� -^ �i) —�-�— Signature of Applicant — Owner.K Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I �i1 ( !�'`_ TYPE OF CONST. ✓ PARC PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI ECTOR PUBLIC �`- By `" PERMIT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Dae l Receipt No. 47 6 o WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 1. BUILDING PERMIT 24 HOUR INSPECTION 4: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (53d) 538-7541 a.� LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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. rr ' �J7 ) (,;;5 License Class : License Number Dater 3, Contractor: ni i,UNa' 6u1+ �CO l�' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to rile a signed statement that he or she is licensed pursuant to the provisions of the Contractors Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professlons Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 1, as owner of the properly, 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, BUslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License, Law does not apply to an owner of property who builds or Improves lheregn„ and who contracts for such projects with a contractor(s) licensed' pursuant to the Contractors' State License Law.). ❑ 1 am Exempt underArticle 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number.are: Carrier: 7 T �T •Il ^� Policy M � / � � Ob 613 I l 1571� PERMIT NO. BP061285 Issued Date: 06/23/2006 APN: 072-230-002-000 I Site Address: 60 BREEZE HOLLOW LN ORO IMap Index: Description: POOL MASTER #01-521 Owner: MORRIS RHONDA LYNN 60 BREEZE HOLLOW LN OROVILLE, CA 95966 Applicant: VIKING POOLS OF CHICO INC 4385 RAWLEIGH CT SUITE B 95973 530-345-4079 Contractor: VIKING POOLS OF CHICO INC 4385 RAWLEIGH CT SUITE B 95973 530-345-4079 License #: 823708 Architect: . Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: O I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failur 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.P - - - - �- CONSTRUCTION LENDING AGENCY Thl I hereby affirm that there is a construction lending agency for the . Re. performance of the work for which this permit is issued (Sec 3097 Clv.) By: Name: Address: y, s55 -�t+9L-1.q I Is hereby Is ued under the applicable provisions of the Bulla Counly'Code and/or- - PERMIT EXPIRES ON ited,above for which fees have been paid. % Date: U V 6- 1 I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I'hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substanc of any official form or document of Butte County. I hereby authorize representatives 9( t�lte CounW)to enter upon the above mentioned property for inspection purpoys. Print Name:: Jill I ) J� C /�� �t lr '4 Signature: Date: 0 Owner - 0 Contractor 0 Agent for Owner )Ugenl for Contractor Butte County Department of Development Services AREA NOTES. 7 county Center Drive, Oroviile, CA 95965 (530)538-7601 www.b6ttgcounty.neydgs • °° 4 - RESIDENTIAL t APN: — -: �. 06-1255 F Owner. 072-230-002 MORRIS, DAVID OROVILLE Site Address: , 60 BREEZE HOLLOW LN, s `,cont: PARAMOUNT POOL &SPA Contractor. POOL(NtSTR 01-521) Type of Permit: --- - � • r Y p4 jj ars 12jaAcl, et CHECKED BY I SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r` Y'1 DATE JOB FINALED: i1 SIGNATURE: e • f ki, r Y p4 jj ars 12jaAcl, et CHECKED BY I SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r` Y'1 DATE JOB FINALED: i1 SIGNATURE: e • f +=OK n = u.,e nK MANUFACTURED HOMES MISCELLANEOU-S-. DATE I Li PERMANENT FOUNDATION Lj SOFTSET 1 Zoning -Setbacks -Easements 2 Sails; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd " Am -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat e3 or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr t 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmes + 10 Drain; MH Test -Fall -Flex Cnnctr f 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers„ —-–DATE D E C K S'C O V E R S'C A R P O R T S •G A R A G ES 1 Zoning -Setbacks -Easements 2 Figs; SoilsSz-OpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Ocking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws4.36ors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis s, DATE POO eth ks-Easements 1 , CompactionStructure Stability of Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Reptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts -GR nclsrs; Conduit Entries—Terminals—Listed ec Banding; Metal w15'-Drcltng Egp-Htr 8 Elec Grndng; Eqp w/5',Crcltng Eqp-Pool Ightg Bo s-Encisrs-pnlboards-lnsultn to Main Conduit alth epi Apprvl m , Cir Test Wtr Supply Test 11 ache nclsr e c -Alin 13 Bonding, Diving board or Slide Pool Drawing !" I� 0 ="NOtOK RESIDENTIAL (Single & Duplex) 3 Ftg Garage; SoilsSteel-Eiec Gmd Ftg Dpth .DATE JUNDERFLOOR 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth DATE 5 Stemwalls'Main; Steel-Blockouts Wrapped IPLUMBING 6 Stemwalls Garage, Steel-Blockouts Wrapped as 53 Wtr Htr; Vent Acc-Cmbstn Alr Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail -Prion 56 Shwr Pan; Test, Firsf flr-Tub Acc 57 Test Tutt & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping oATtc IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air. Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm If Furnace In attic #41 FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-CImc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frpic-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler _r ' 1"A 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ftg DRth = 3 Ftg Garage; SoilsSteel-Eiec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls'Main; Steel-Blockouts Wrapped k 6 Stemwalls Garage, Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs �K 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel I,. 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test # 10 UF, Gas Pipe; Sz Anchrs-Sz Test ¢, 11 Wtr Pipe; Test-Anchrs-RgitrService Test I + 12. Elec Undrgrnd f13 Plenums & Ducts; Choc-MaterialSupport4nsultn ' 14 GirdersSills-Anchr Botts-Joists-Vnts-Cripples t 15 Acc & VntItn 16 Insulation i' 00 �Sl DATE FRAMING 17 Sills Proper Materials & Anchrs "- 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound I 19 Bearing Walls over Girders & fir Nailing ?. 20 Draft Stop In Walls (rat proof) 21 Fire Stops,"FUrred CeilingsStairs-Chasers-Tubs 22 Headers & BeanisSi & Bearing' 23 Hangers-Posf Caps Anchrs-Cnnctns !` 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg F 25 Frplc Ties or Type A Flue-F•rpic Throat Clmc Z 26 Attic Acc; Sz &-Rmx Prtctn-Draft Stop -ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions f 28 Garage Fire Prtctri Framing -RC Channel t 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits + 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd an Roof Ovrhng Attic Vnts-Rftr Outrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . E 36 Shear Walls; Nailing -Bolts Is 37 Brace InUExt Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn !. 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr • 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 0a Q CU or AL AC Wire Sz ya Q CU or DAL ,.. 48 Range Circ Qa Q CU or [:1 AL r• '- Oven Circ pa Q CU or[:] AL Insulated Neutral QYes ElNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnes pnls-Motors-Mech Eqp ` • 51 Clothes Closet Lt-Shwr Lt -Spa Lt t 52 Smoke Detector as 53 Wtr Htr; Vent Acc-Cmbstn Alr Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail -Prion 56 Shwr Pan; Test, Firsf flr-Tub Acc 57 Test Tutt & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas.Piping oATtc IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrfiw, Sz & Grade 64 Furnace -Vent Acc-Comb Air. Rtrn/Vent 115 Outlet 65 Attic Acc & Pitfrm If Furnace In attic #41 FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr, Vnts-CImc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Dmge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb-Appinc-Frpic-CIrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler _r ' 1"A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. ,1 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45;1-3/ �9 49 j - - APPLICATION AND PERMIT I AA ASSESSOR PARCE MBER _.—Z ZO INGLle cr BUILDING PERMIT owN?Q/yb '/�-/ T ONE S0. FT. OCC BUILDING VALUATION RESS Il O WN�SCM�AI L/INGGAC/�/V CONT�F3 A,,L RES . � ' �,5,Wl _ ` /KL/ TELEPHONE CONTRACTOR'S MAIILING ADDRESS Fireplace CONSTRUCTION LEN R UNKNOWN Total Valuation $ Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ . OC7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee •$ 16,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ g -O BUILDING ADDRESS 5/ S MAIC S ,e�-V6# ,�D PLUMBING PERMIT Filing Fee 10.00 • Each Trap 1 2.00 Repair drainage or vent piping 5.00 Ol/lG[ Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STR CTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilitie ,4I stall tion❑ Other ❑ Describe work: Z /� �� 571-�!'�S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.y) OR ADDNS. l ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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) �Misc. 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 I -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW.0 (POWER APPARATUS S� NON-RESID. \SINGLE OUTLET CIR. EX. OCCUR(OUTLETS OR FIXTURES BAL@1 and 00 FIXED APPLNS, OR Ex. Occup.(ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 7.50 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. til 1 shall not employ any person in any manner so as to become subject �2 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co ty in consequence oflhe granting of this permit. X 1 ,�, C�-�—_. 14) ' Date Signature of Applicant — Owner Er 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF ST. PARS L P. N 5s This permit is hereby issued under sions the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By P T EXPIRES Date the applicable provi- of resolutions to do fees have been paid. WORKS Date 7—y-P� r — Y �/ Z Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 001 ButteC;Oun�lj LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH y DIVISION OF ENVIRONMENTAL HEALTH Address O 196 Memorial Way {� 7 County Center Drive Chico, California 95926 ❑ Par Elliott Road Reply to Oroville, California 95965 Parodise; California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 May 3, 1983 Clestel & Mollydeen Howard 5195 Miners Ranch Road Oroville, CA 95965 Dear Mr. & Mrs. Howard: This is -to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance renewal to .Sections 19-10 and.19-12 of the Butte County Code 'for the continued use of a mobile 'home on your property located at5195 Mine_rQ'Pnach Road Or vil le. CIL and identified as Assessor's Parcel Number�72=23-QO2---. This variance renewal was granted on.,' April 12, 1983 and includes the following conditions: 1. The variance renewal is granted only for a term of one year. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. 'If the mobile home is not removed. within 120 days,.the county may.remove said mobile home and store it at the owner's expense. Very truly yours, Lynn E. Vanhart, Director. Division of Environmental Health LEV/lda PC: Clerk of the Board Planning Department �Bzolding Department � , .amu tie o LAND OF NATURAL WEALTH. ANS' SEAUT`f DEPARTMENT OF PUBLIC *HEALTH ! DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 11 o 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise. -.California 95969 Telephone: 916/891-2727 Telephone: 916/534-428.1 Telephone: 916/ 872-2961, Ext March 16, 1982 Clestel Howard 5195 Miners Ranch Road Oroville, CA - 95965 Dear Mr. Howard: This -is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance renewal to Sections .19-10 and 19-12 of the Butte County Code for the continued use of a mobile home on your property located at 5195 Miners Ranch Road, Oroville7 CA and identified as Assessor's Parcel'Number 2-23-002. This variance renewal was granted on March 9, 1982 and includes the following conditions: 1. The variance renewal is granted only for a term of one year. At the end of one year you must apply for a . new variance if the use .is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may -remove said mobile home and store it at the ot�mer's expense. Very truly yours, Lynn Vanhart, Director Division of Environmental Health LEV/lld r cc: ;Cle of the Board ing.Department uilding Department PERMIT NO. 3179-81B j PERMIT EXPIRES OWNER Clestel Howard CONTR. Holmes Mobile Home Serv., Bangor ASSESSOR PARCEL 72-23-2 LOCATION 5195 Miners Ranch Rd., Oroville y' r Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINAL ED (Date)/, —�� Si J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date D CKS, O' RS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements J,-*toninq Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch otings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete . Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. C rd -BI 4Q Datj��; rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI _ Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [3 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 13 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date - ---- Card -BI _ _Date -_ Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Proper Material & Anchors _ 37. 38. 39. _Sills; _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlir -Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) epar ment of. Public works B0 tj t t LAND DEVELOPMENT DIVISION ].Michael Crump, Director Storm Water Management Psogrem •``i\,'�2 \ ® 7 County Center Drive 0 -oville. CA 95965 Q (530) 538-7266 aUc �S (FAX) 538-7171 National Pollutant Dlscharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN.1 ACRE Project Description: o -,t Di ti - Project Location andlo arcelNum:be 1/3b -e61-- By signing below, I, the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 do not need to apply for a Construction Storm Water Permit acre or more of land and that I, therefore, . fcm 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 'infonnation 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: llAAWLI Butte County of'Developrnent Services 0 -Department o 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from. other regulatory entities, including but not limited to, Planning, Environmental Health, . Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for - septic and/or well to Butte County Environmental Health immediately. ® I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plats. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). 5 Please print: Applicant Name:�Afimb Building site address: n� 07Z - Z 3 ouv Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATUi t OF APPLICANT . -36 -0(- DATE Butte County Department of Development Services TIM SN.ELLINGS, DIRECTOR l PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds www.buttegeneralplan.net ADMINISTRATION * BUILDING * PLANNING May 24, 2007 DAVID MORRIS 60 BREEZE HOLLOW LN OROVIL,LE, CA 95966 Subject: PERMIT EXPIRATION NOTICE IMPORTANT: On 6/23/2006, our office issued building permit number- 06'1285 for POOL(MSTR 01-521). This permit expires one year from the date of issuance. If work has begun and you have had at least one inspection for this permit in the past year, you may qualify to renew the permit for the current renewal fee of $115.98. You must renew the permit within 30 days of expiration. If you fail to renew the permit, Butte County Code requires -a, new permit application. A new permit is in most cases, substantially more costly. To avoid the higher cost of a new permit application, we would advise that you commence work and call for a building inspection prior to the expiration date of your permit. Some non-structural permits do not qualify for a renewal, such as electrical, plumbing and mechanical. In these cases you may want to try to final your permit before it expires to avoid having to apply for a new permit. If you have any questions, please contact us at (530)538-7541 or the permit center at (530)538-6861, 7:30am - 4:30 pm on Mondays, Wednesdays - Fridays and 8:30am - 4:30pm on Tuesdays (Holidays excepted). Sincerely, Butte County Department of Development Services Permit Center COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: o r r (S R ;C� -- • f ASSESSOR PARCEL NUMBER V � � " o? "' JD Proposed Building Use: 1' J�1/� 1 -� Permit Technician': %� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. 0 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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form _�C 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other_ Re aim ms needed to issue the permit. (May require additional plan review upon receipt of the following items.)' ,I r 1 anitation and site plan approval from the Environmental Health Department in ❑ Chico 0 Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ,. O 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required.......................................................................- ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. w 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:..........., 1 25. Contact Land Development about _Improvements, _Drainage ........................ 26. NPDES Form.............................................................................................. 0 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. 0 Legal description, 0 M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 3't 5-- C/O -7:�71 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant4 Date: 5/3 - 1. Index permit application for the above items numbered: !� Ian Check Letter, 2.4;g4'al items required on rac o esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: ctor, 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, ❑ mail, ❑ counter, b Date: Plans reviewed by-Date: Plans approved by: Date: ' Structural reviewed by Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 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 OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name First Name /,� dire Address Phone City 1096111tPhone GI State Zip � 6 6 �–� , 23v3 Fax E-mail CONTRACTOR ARCH TECT/ENGINEER Name ;l� %1 - Address Phone City *46 E-mail State Zip q��3 Phone Gi , Address Fax I lac. Class G;T2 APPLICANT INFORMATION ARCH TECT/ENGINEER Name V_4,1�vAkv ;l� %1 - Address Phone City E-mail State Zip Phone Address Fax E-mail State License Numbeyy APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIG RE X For office use on y: Zoning Flood Zone SRA I Yes No Occ. Tye Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# Z ` Z L� - b t;_L- Property Address 6 d S uE 2ti City 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 T- Living Garage Open Cov ❑ 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 required. 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. Page 1 of 3 REV 8-12-05 Received by o— Amount: Bldg SRA Receipt Sheriff SMIP Date: 6—f ,3 0(Q 0 other Total Page 1 of 3 REV 8-12-05 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. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. Worker's Compensation Carrier and Policy Numbet. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 3 REV 8-12-05 ra!" tIl 1.10111- 1 1--l' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION A: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (5313) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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. 'R—,+ Ljg License.Class License Number: (( �J Date: Contractor: An9b_U [tbta JPa 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions'Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or ImprovesAhereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of. sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License, Law does not apply to an owner of property who builds or Improves therepn„ and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt underArticle 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number.are: Carrier: 77/il G/ Ob Policy #: 1) l3 - vyb� i I b�� ✓ ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: S _ Applicant: WARNING: Failur 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP061285 Issued Date: 06/23/2006 APN: 072-230-002-000 Site Address: 60 BREEZE HOLLOW LN ORO Map Index: Description: POOL MASTER #01-521 Owner: MORRIS RHONDA LYNN 60 BREEZE HOLLOW LN OROVILLE, CA 95966 Applicant: VIKING POOLS OF CHICO INC 4385 RAWLEIGH CT SUITE B 95973 530-345-4079 Contractor: VIKING POOLS OF CHICO INC 4385 RAWLEIGH CT SUITE B 95973 530-345-4079 License #: 823708 Architect: . Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: �, 55'4 �1+9L�.-q l This permit Is hereby Is ued under the applicable provisions of the Butte County Code and/or Resolutlo w�l Ind(cate bove for which fees have been paid. (), By: Date: 3 ) PERMIT EXPIRES ON: G �i I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, V handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substanci of any official form or document of Butte County. I hereby authorize representatives tie Counto enter upon the above mentioned property for inspection purpo s. Print Name*II'1 Signature: �_3d,-big Date: 0 Owner 0 Contractor 0 Agent for Owner )LAgent for Contractor Plot Plan Attadied E.H- USE ONLY `., Floor Plan Attadwd Sent to 8D/DS TO: Building Division = Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: Water Supply: Public Private Well Clearance for dwelling. Other I Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Building Clearance 9/2005 Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional -explaq tion, please contact the Building Inspector as indicated below. �i— a a �� � A/�✓� dp `�� w J �J n v , V Date d o �.i �o d Inspector .C�,�( .✓ l� REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 I loo, (Josvw& PEU� � M1 Th�� SRO /loll N i (E) 'BARN lS ►oL-- GRE WT40 Fc�„lP�nFM PAA �Avib IMcSaRis DkEf2E 14OQww 0/w/ur , CA 9-OUI "I - Z3o3 Ap -0 07 2 - 230 —007-- PLANNING ISION - BUILDING PLA APPROVAL Use: Date: v pg ng: • Landscaping: Other. Signature: I 0 TANK D l— 4rz-( & - t �s� --- ------ BUT—TE-GOUNTY-- BUILDING DIVISION APPROVED