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HomeMy WebLinkAbout072-280-00572-28-05 �Wl: BARBARA ULSHOFFER PIS Stri -9—to-w-n-IRTF, app 2 mi from urleton Rd, Oroville L-rmit#k727-81E (temp power hyo=1'e fo u�ur lot c�ev & mel ) 072-28-0-005' S THOMAS 93-1697 P,E 65 U LE MA RUN, OROVIL MH�- ELEC- GAS COMPACTION TEST REQ SUPPORT STRUCT REQ pev- 072-28-0-005-93-1699 B SCOTT, THOMAS r 6541 RUN, OROVILL /3ly y DECK/MH 072-28-0-005-- _ 93-259- B, E- DASHZR, STEVEN 65 MAIDU RUN, OROVILLE CONY DECK TO CABANA, COVER DECK/ 1 -- 072-280-005 PERMIT#94-2794 DASHZR, STEVEN, ` 65 MAIDU RUN, OROVILLE T RENEWAL BP#93-2659 ct 2, 5 1S f It 07.2-280-005 - PERMIT#93=1678 65 MAIDU RUN, OROVILLE MHI — 072-280-005• PERMIT5-2 22 - DASHLER, Steven 65 Maidu Run; Oroville . Plbg for Tub & Woodstove/Caba a V _ � y ow7Z d Z45 Ov [71 R oil ' . s J 1 � h 072-280-005 ,;PERMIT#94-2794 DASHER' STEVEN -4 65 MAIDU RUN, OROVILLE 1ST RENEWAL BP#93-2659 q 3--1(oc1 `71 `� 3- �(pS9 -219 1 4p _- A+ . 1 a .n t , z 11 1 1 1 f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 7 5V ASSESSOR PARCEL NUMBER D ZONING U BUILDING PERMIT OWNER I STEVEN DASHER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 65 MI DU RUN OROVII U CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 65 HAIDU RUN, OROVIL PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome a Other CABANA & DECKS SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S GW @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities ❑ Installation C)Other ❑{ ' Describe Work: 1 ST REMAIL RP#93--2659 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( `OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP, OR ADONIS. ( & ACC. BLDS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ElBAL. I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. t' L' nse No. Classification .as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) L @ 1.60 . 60 FIXED APPWS. OR Ex. Occup. (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20 00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Pertificate of Consent to Self -insure. 0I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all hfialilities, judgments, costs, and expensesywhich may in any way accrue against said nt in consequueenncce of the -granting of this/permit./+�Q a. 1 ��� �� / ` �" Date �b `7 mature of Applicant ❑Owner Contractor ❑Agent ! Ari 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 FEES 83.00I HAZ- D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By :,- s PERMIT EXPIRES ON /D tel provisions to do work paid. Date A) � 9 r� Receipt No. /) . WHITE-D.D.S.—B.Or. %--'CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovillercalif6;nia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION 'AND PERMIT ASSESSOR PARCEL NUMBER 2-280-005 ZONING U BUILDING PERMIT OWNERTEVEN HES TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS RUN. RQVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 61-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ 1710 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other CABANA & DECKS SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ElUtilities ❑ Installation ❑ Other CTS Describe Work: 1ST RENEWAL BR993_2659 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 8 ACC. BLDS. ) g0 3.50 FT,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. nse No. Classification .ISI, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPWS. OR p (OUTLETS IRESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a C ' Cate of Consent to Self -insure. Snot employ any person in any manner so as to become subject to the Worker's Compensation laws of California. k.tice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and exp which may in any way accr a against said o nt in copse uence of th rapping f his permit. (' �b X a Q' Date atur 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 $ DCC CONST. TYPE TOTAL FEE $ c>3.00 HAZ" D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby Issued under the applicable rovisions P Y� PP � P of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date AD t! 9 PERMIT EXPIRES ON /O l tel Receipt NO. WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COTJTNNTY=JF BUTTE Dgpartment'of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. 1 (have/have not) ' a �' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 Date /1v k 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. • RESIDENTIAL -o i2-- 2-8 -- P6 05 0-2659 B',E DASHER, STEVEN 65 MAIDU RUN, OROVILLE CONV DECK TO CABANA, COVER DECK/MH -c -3 JOB FINALED (Date) Signature V T V=OK O = Not.OK -=Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size-Spacing-Marrlage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 1.0. Cert. of Occupancy MISCELLANEOUS Date/Initial DEC",COVERS CARPORTS GARAGES Plans OK except #'a . Zo ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric mg; Sils-Anchors-Studs-Rftrs-Trusses '75 -siding; Nailing -Veneer -St cco-Mesh 10. Roof; Shthg-Roofing 5 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel-Connections-Thickneas Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall. -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainae & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,Califorrnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-2659 ELN �-0 ASSESSO6TY—2MBER-005 U ZONING BUILDING PERMIT OWNERT STEVEN DASHER TELEPHONE 534-9873 SO. FT. OCC. BUILDING VALUATION 120 R $6,144 OWNER'SJ,115 LII' IDU RUN, OROVILLE, CA 95965 360 C 4,680 CONTRAC6T�'fYT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 10,824 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 81.90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 65 MAIDU RUN PERMIT FEE $ 227.90 OROVILLE CA 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome XOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition Remodel ❑ Utilities ❑ Installation ❑ Other CX){ Describe Work: ENCLOSE, PECK TO CAIMNA - CC)VFR f1PFN DF.f'.K PERMIT FEE 1$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( ROOVORLESS ) 23.00 2OOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. so, OR ADDNS. ( 8 ACC. BLDS. ) 3.50FT• 4.20 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 5 1 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X { Date 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 hgigh l7 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 252.10 HAZ• 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIREC R OF PUBLIC WORKSnLo# ? �r By �` Date 16 O �3 �'R,,}4reL Q ee PERMITEXPIRES l6 7' 9� lOet 1 lel .9 p Receipt No. — §—/ a pp WHITE-D.D.S.-B.D. CAN Y -ASSESSOR PINK-INSPECTO GOLDENROD -AAL TO AL '�.�t^"'�'.,�"'"'"y�"ti".,�--.�Y-'+'�w.._fi'"i�*' ��'^'�.��++w..r^•*�/t-�'� �'n,t.^�.� �'�`�r'�,[� �"�""iy�.�'t�r+.-ti �..+�'t�.�«+v,r..•�t•,ra�►',.•.,.��-�-"r'�`i.,..,-�- COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER /-/ Proposed Building Use C4 epee Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. DATE RECEIVED BY All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ..................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. p. 11. Mobilehome data and manufacturer's installation inst uctions, 2 sets. ........... Fees of $ , .......... ......... Impact fees as shown on attached schedule. ..... , ..... . —12. California Department of Forestry plan approval/fees. ....................... . 3 Flood elevation letter (100 yeas flood) by California Engineer . ................. . 1 1T4. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. ```-- 17. Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: 18. 19. 20. 21. Contact Land Development about -(A) Improvements (B) Drainage. ......... . Driveway permit (construction approval required prior to occupancy). .. .. .. . st P re- inspection. for required. .. o Build 9 �spector (Date, Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 25. Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ . Copy of recorded deed of parcel creation and 60 right of way to a public road. ....,.' 27. 28. Letter of intent on building use . ......................................:.. i Mobilehome utility clearance . .......................................... ✓ 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows., I -" Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation y Acreage Applicant -- i Colj TO: Building Department ul�Gt)BpTr e FROM: Environmental Health UG 3 1993 SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewa-e Disposal "Vater Supply: Public _ t:.n, u, ri„t Plan Attarlt¢d Flour Pho Auadwd� Dent w B. 1), ��/ V -- — Private Well zy Hold final for: Final clearance O.K. for: NOT 8/92 �E7%�'121'��i�W r'��ti5�'V+�:�wj�S''f�i.��' �;...+iT+V�rh�,,e•�4..n.�.i�..-�,. . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Sri(/�/ fyL A. P 07, Proposed Building Usel^e4,J gp= A4 -t C -D 0 EA12EDM1inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ..... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4.Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. • �� .5. Hazardous Material Form. ............................................... -6. Energy Design Compliance and supporting documentation . .................. 4t) 7. Statement of Intent for Non -Heated and A/C Buildings. ...................... 8. ngineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome at anr1{d1 nufacturer's installation instructions, 2 sets. ......... . >�Fees of $ �.v� .......... .... . 11. - Impact fees as shown on attached schedule. �G 2. California Department of Forestry plan approval/fes./53.11... - .OQ....... Flood elevation letter (100 year flood) b California Eng eer. . .................. 14. Sanitation and plot plan approval U Health Department. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for P�a"�8 ns `eq0� regUlred. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .................. ' 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road impfovements completed and (B) Parcel meets zoning area and frontage requirements . ............... 'Al Existing violations/expired permits . ...................................... Plan check list. .. �. .34. When you issue theme er it, process as follows: = "Mail to er. Mail to contractor. Telephon )and hold for pickup at(F�/Z c5' office. Deliver with inspector. Other Parcel Creation T ' /l Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept Fire-136pt. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works e BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District LEM Building Department No. A.P. Number Q��-� S(-� -(� Jurisdiction City !;county Property Owner S-///��- Property Location/Address (O� '��� IDD RUA) 0/_6 Subdivison Residential Development Commercial/Industrial Ar Building Depah nent Rer 0 No. of Living MHI Units 0 New 1L?-1*`Sq. Footage /20 Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) Date (Including Exterior Roofed Areas) District Identification No. . I'1 S � q ()y-U,4't chool District certifies that /J`�.�ure-,.� ash t�•� (Applicant) et6c� tows 5'3 3 (Street Address) (Phone Number) (Sv 0 S g (Q S (City) (State) (Zip Code) has complied with the requirements of Resolution No. ;L_q 3 by payment of $ representing ) a 0 square feet. School D S? -Z1--\3 Date Paid by Check Number Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee .,,Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) c#0 \A\ � � \% �o�,® ll ..,6 OX es 3i o � 56 -\o s . 0 \ Of klo% re� PAN �( . SSN -k 02 ,(\I elvw vi ,\'.e � oc en wl re 016d C, J7o' Ir ler e -- ----------- 30 . .. . . ... ....... 00 ar J44 14 too Jcx UPG- t OW NIP . EA Of & 0 L Be 0V�L AD g�CK I 'nr omelkv s"p"LL or V%egEA votisov�! Ore -.r It Imie. 4, MAIC" 49F go v, Ile .11 IBUTI-F COUNII BUILDING DEPARMe"T .Xppp,OV,ED ga- Fj��-�7�j 0 tr ga- Fj��-�7�j 0 i I � ,� ,� r r• 1 ' �s ''+5 s Q i x i . 0., t .rt�r i�"• i t � ---- 1u � UA uj i st ,I D .a Q i . Q .• 3 '1. 0., t .rt�r i�"• i t � ---- 1u � UA uj i st ,I D .a Q � Q 0 — a- s np :- o� � Q 0 i III s o� i III s COUNTY OF BUTTE BUILDING DIVISION .DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. 9►roafi=eean indicates that the following violations of Butte County Ordinances exist at *eabwnau+&zMand should be corrected. Please notify this office when correction of work Fwcc=4AaMesLffy.ou1hsveany questions pertaining to this matter, or need additional explanation, gftmm cccaa= t l is orifice immediately. Iae Y-6 off-V:um COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 11469 Humboldt Road, Chico, CA - (916) 891-2751 i 7 C®aatty Center Drive, Oroville, CA - (916) 538-7541 747 Mott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 4 PERMIT NO. idrates that the following violations of Butte County Ordinances exist at Am alLwe Brims and should be corrected- Please notify this office when correction of work is =W questions pertaining to this matter, or need additional explanation, n � tis oQioe i�rrred;atehl- / \ '. G U Q E Date Inspector ,�� . ..,E � ► ia��5 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the aboveaddres and should be corrected. Please notify this office when correction of work is complete y u have any questions pertaining to this matter, or need additional explanation, please co act is office immediately. 1(-NiN)E C0/lu7-/tio/71 REV 10/92 'va �W.�Rh.'Tni!P�!.`.''✓4t��.FYR?e.i'iTF'i�'^alp(i�y'n+[v.i`a.':+�,y,�evs�r ". r. • �.�..+�.'v[a..w.RiAC�+OY-.. 'n-.- 07'2-280=005i P RMI495-2622 . DASHLER,' Steven _. 165 Maidu Run, Or6ville f Plbg for .Tub. & Woodstove/Cabana.'w. X13 :�3.�-�^►;,�ir,.n `Ysp `,pQ(:a�Fr�y:�.:4.8 t: �W. . .. � .. -v �'��� � jS COUNTY OF BUTTE- DEPARTMENT OF VEVELQPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT ASSE�;�f);AR�.."u4 "MeF 05,E-{ Zo"', , 731r_--• BUILDIN PERMIT OWNVb/"I'-VENN—{D)-ASUVR _ TELEPHONE r SO. FT. OCC. BUILDING VALUATION owNPs u X131094, OROVILLE CA 95965 CONTeAACC7OLR,�SUNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "Al' 1500 CONSTRUCTION LENDER NONE UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER NORE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 65 PIAIDU RUN, OROVILLE PERMITFEE $ 555.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.(X5 LOT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK ! New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Cr, Describe Work: _ P1311, FOR BATHTUB AND WMSMVE Mobile Home I S I GI W 1 920.00 PERMITFEE= 27. Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service 200A TO 1000A ) 46.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. 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: ;CJ• 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BUDS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) G9 SINGLE OUTLET CIA. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 SAL .50 Ex. Occup. OUT�s PES D.) R ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 PERMITFEE $ Contractor Policy Number. ti L (The above sections, need'not be completed 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 workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply'with those provisions. X . j I_! vt� �. �tA. Date__jl�__ l�_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction10/18/95 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 82.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISS 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^tin paid. B PERMITEXPIRESON 10/18a/96 (Dale) ReceiptNo. 186078 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calk ornia 65965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-28-0-005 ZONING BUILDIN PERMIT owN Lj,.,VEN DASHLER TELEPHONE �^ SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P 0 BOX 1094, OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace "A" 1500 j500 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 65 MAIDU RUN OROVILLE PERMITFEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _ PI -111G, FOR RATHTUR AND WOODSTOVF Mobile Home I S I GI W @20.00 PERMITFEE J$ 27.0( Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service( zooA oR LEss ) 1 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,( and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) zo @ 1.00 BAL 30 Ex. Occup. OUTLEETS RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. R �A , X /� � `� 064) Date �b� �� •— _ 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 Is OCC CONST. TV PE TOTAL FEE $ 82.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISS This permit is hereby issued under the of the Butte County Code and/ indicate ove for which ees hav B PERMITEXPIRESON applicable provisions Rescl ions to do work b paid. 10/18/95 Date 10/18/96 (Date) Receipt No. 186078 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I IL 'Attention Property Owner.. N ` c: An "owner -builder" building permit has been applied for in your name and bearing your - Mgnature. 1 Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the'. _ proposed property improvement: YES[✓] NO[ ]. 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed _. construction: NAME: ADDRESS: CITY: PHONE: 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: NAl1M ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: A __Y� IL SOCIAL SECURITY NUMBER: °° DATE: to --18 -a 45 - 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. r Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of propaw improvements sou should be aware that as "owner -builder' you are the responsible party of record For year protection, you to be signed by property owners tmless they are personally an such a permit Bolding permits are not required performing their own work. If your work is being performed by someone other than yourself. You may protecx yourself from possible liability if that person applies for the proper permit in his or her name. e licensed and bonded by the State of California and to have a Contractors are required by law to be also by lase to put their license number on all permits business license from the city or county. They for which they apply.tion of various trades that you plan to subcontract, You If you plan, to do your own work, with the excep 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 5300 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 taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. 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 Businessdmiof B refit• For more Payments and Division of Indc information ustrial your obligations under State Law, contact the Department Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allow 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 "ownezbuilder' ly implying that the property owner is providing his or her own labor and material building permit, erroneous personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. !iin-berel ; Nfichail C. Vieiza, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER C RESIDENTIAL 93-1697 P,E �f 072-28-0-005 OHOM UNS65MAIDUROROVILLE MxU S JOB FiNALED (Date) Signature 4 u. V=OK � O = Not OK °r • = NotNot Applicable ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES Plana OK except #'a r� ,j. oninuirements-Setbacks-Easements .2 -S'61 -1s; S -lal MH Support Sketch war; Locatlon-Teat-Fall-C/O Concrete 4 er; Location -Test -Easement Needed (Sketch) ectricity; Location-Clearences-Grad- p -Concrete at-Wrep:'/ P'L"ft / et. or/ P'L"ft./ /"LPG el earence & Disconnect ti�le littyy Clnceara ,� Date/Initials' MO8,ILE HOME INSTALLATION Plans OK except #'a �lng Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line 4' lectricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fell -Flex Connector C. errMH Test -Regulator -Connector ater•and Sewer Connected -C/O to Grade -HD Approval 8. Gaeand Electricity Tapped w Cert. of y MISCELLANEOUS DDat�e/1,•nitial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements I 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftra -Connectors Shthg-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftm-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test-Water'Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing pate/Initials FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3b Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 56. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66.. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californ+ia 95965 - Telephone: 916.538-7541 -:> /��� - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-280-005 ZONING I U BUILDING P R IT OWNER Thomas W. Scott TELEPHONE 872-3634 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1417 Towhee Lane, Paradise 95969 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filin g Fee ��yy77pp��yy $ !lY\}YYl MAILING ADDRESS LENDER'S MAILING Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $20.00 Ener Plan Checkin Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $20.00 PLUMBING PERMIT Filing Fee 15.00 65 Maidu Run Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 5.00 30,00 TYPE OF WORK New ❑ Addition J Remodel ❑ Utilities a Installation[ Other ❑ Describe work:_ MHU (2BEdroom) F2@1 Permit Fee $45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200AORLESS 1 18.50 18.50 Main service 200A TO IOOOAI 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 19 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.h` OR ADDNS. (ACC. BLDGS. I _37.50 3.60 sq.ft. NEW CONSTR. ULT' -OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 (POWER (POWER APPARATUS h1 OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 760 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.� j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 1 15.00 15.00 Permit Fee $ 4&50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi itie judgments, co s, a d expenses which may in any way accrue again ounty in copse uen of th anting of this permit. ea�4—Z s� J Date Signature of Applicant — Owner 9, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 113.50 HAz DFEES -limp FL00 CCOF PARC PD ;D ssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRE By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. KS ate -2 143193 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN R O O- A P P L I CANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County, Center Drive, Oroville, CA - (916) 538-7541 e 747,*Eiiiott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3-/11; 4i 3 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above add ss and should be corrected. Please notify this office when correction of work is complete F. If you have any questions pertaining to this matter, or need additional explanation, plea tact this office immediately. 0 07 /LO V c DZ -7 S T64-�—� r �t sir 7— C Date / (Z V / Inspector REV 10/92 { r r Date / (Z V / Inspector REV 10/92 1' ;,ri;:�� w4 N�YK �.` , s r -r �,.:w«y"il�f :. nt�'kl'''"r'Y '�J <4r •.i- y�f`"t7M y,[il-.r �v ;tri... �y. +r.�.�rYD., .._ ., n TTYti XOUNTYOF BUTTE - DEPARTMENTO,�F,,_DEVE �7PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALARNIA,,,"95,965 - TELEPHONE'(916)`538-7ZA PERMIT APPLICATION DATA SHEET OWNER homos S Proposed Building Use A P. o. 0 0/ "(� (?t/'0r Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. 2. DATE RECEIVED BY All items hXe been submitted ...................................... Plot plan 4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ...... :....................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... r't. 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. 15. Flood elevation letter (100 year flood) by Cnia Engineer ............. ::: . Sanitation and plot plan approval In U iiforHealth Department. . : City of Chico plumbing permit 16. . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ......... X18. Contact Land Development about (A) Improvements (B) Drainage. . �.' 19. Driveway permit (construction approval required prior to occupancy) . ........... . 20. Ireln,ection req at Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. 24. Owner -Builder Verification (Given to owner , Mail to owner ............ Recorded copy of Agricultural Acknowledgement Statement.A .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . " 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ........... . 32. 33. Plan check list . ............................. -34. INN-% Mail to owner. Mail to contractor. -- one Copy of Haz--MaFform sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by T--_ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1:.11. IIsH ON IN 19ut Han AttachedI Flour Han Attached sent l0 11.1). TO: Building Department. FROM: Environmental Health SUBJECT: Sanitation Clearance Owner, -ocation ► Plan Approved* for: Sewa e Dis )osaI Water Supply: Public _ Clearance for ;2—bedrowmobile Othcr _ old final for: Final clearance O.K. for: NOT . Environmental Health Specialist 8/92 ';� -e2?0 -oo S - Private Well Date COUNTY OF BUTTE - Department of Public Works 7.County.Center Drive. Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,, V -e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4/ Address City Phone Contractors License No. 4: I plan to provide portions of this work,.but I have hired the following person to coordinate, supe vise, and provide the major work: Named Address City Phone Contractors License No. 5. I will provide some of the work but I.have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work S ig r. NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. This set of plans and specifications MUST be ' kept on the job at all times and it is unlawful to (make any changes or alterations on same without 'Wriliten permission from the Department of Public Works, County of Butte. �o 'fir! NOTE:= -All Materials & Work / Accordance with Recognized of a'quaiity prescribed fort ie Uniform Building, Plumbin & the National Eder trical Cod . far _j.�— Dy "1 �C o ka YA,�lerd S�o 1 u 1^0 ?oft 1� I r4� 3 lip Shall Be in Practices and Pied use in the anical Codes and D�o �r- Dr0o%� t Oro a �P " e f' o Alf t� ALL STRU - AND EQU PMENT_ INCLUDING OVERHAND St. -CLEAR —A -M- CSF .� FT. FROM...Tk1�If6E AND FT. PROM THE REAR PROPE7Y41-I+NES AND est ePRp��D r�...0 FT.'FROM THE ROAD CENTERt_fi> aHALL &Wron Co��t CLEAR OF'STRUCTURES AND EQUIPMENT EXCEPT Ment N� FOR A 2 FT. EAVE OVERHANG. �o S�9nat ire 6UNTY 1G I7 BUTTE --BUILDING DEPARTMENT A P P R® V E D aj-f3 I/1 1 CAT. NO. NNO1500 TO 2930(12.90) (General Acknowledgment) J TICOR TITLE INSURANCE STATE OF CALIFORNIA COUNTY OF Cal if orni a ISS. On June 17, 1993 before me, the undersigned, a Notary Public in and for said State, personally appeared• **Thomas W. Scott** (or proved tome on the basis of satisfactory evidence) to be the person() whose namepg isEare-subscribed to the within instrument and acknowledged to me that hef9Fieoheyexecuted the same in his/her/their authorized capacity4es}, and that by his*ec!#kseiFsignatureS.a(f'on the instrument the personK, vl ,or the entity upon behalf of which the person(< acted, /*' executed the instrument. It WITNES y hand and officials Signa ur I .. Sandra M. Lin ille SANDRA 10- UWLLE COMM. #986551 NOTARB PSE COUNTY �� MY comm. EXpirea March S�1997 (This area for official notarial seal) rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 3 FOR RESIDENTIAL DEVELOPMENT 9:3 - 2 4 8:65 Section 2§-8.1 of the Butte County .Code rer!uLres this acknowledgement be recorded prior to issuance of a building permit. Ae property described herein is adjacent93-0248651 i to land or included within an area zoned 48 1 Rec Fee 11.00 for a ricultural purposes and residents 1 Cash 11.00 g of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Records I COUNT OF PT G De use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte 1 JUN, 2 2 1993 and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 10:56am 17 -Jun -93 1 PUBL XX 3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All `fitat .real .:property:'. situate in the . County of Butte, State of California, described as follows: i Date: June 17, 1993 OWNERS: ,State of California) On this the 17th day of , 19_, before me, the ). SS. undersigned Notary Public, pers ally appeared ,County of Butte ) K� ** omas** P sonally known to me. U1 Proved to me on the basis of satisfactory evidence. to be the person(, whose name(y) are subscribed to the within instrument arid` -acknowledged that he Y executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. J Present A.P. No. Sandra M. Linville Notary Public r19 2-169 3 , SCHEDULE C The land referred to herein is described as foiiows: 93-24865 Order No. 1-157072 All that certain real property situate.in the County of Butte, State of California, described as follows: A portion of the Northwest quarter of Section 11, Township 19 North, Range 5 East, M. D. B. a M., more particularly described as follows: COMMENCING at the point of intersection of the centerkine of the Lumpkin County Road with the West line of said Northwest quarter of said Section 11, from which point the West one quarter corner of said Section 11 bears South 0. 29' 03" East 1080.25 feet; thence along the centerline of said Lumpkin,.County Road,•North 770 07' 40" East 30.72 feet to a point distant 30 feet, at right angles, -from -the -West -line of said Northwest quarter of said Section 11; thence leaving said Lumpkin Road centerline along the centerline of a 60 foot road easement South 0' 29' 03" East 107.02 feet; thence North 78° 15' gest 97.46 feet; thence South 75° 54' 40" East 124.80 feet; thence South 874 35' East 129.70 feet; thence South 50° 18' 20" East 149.00 feet to an angle point in said road easement; thence continuing Northeasterly along said 60 foot road easement centerline to a point distant 340 feet, measured at right angles, from the West line of a parcel of land described in Deed from Leigh Visconte to Kent Kibbe, et ux, recorded October 23, 1970, in Book 1640, of Butte County Official Records, at page 533, and the true point of beginning for the parcel being described; thence North 00 07' East to a point in the centerline of Lumpkin County Road; thence Easterly along said road centerline to the Northwest corner of a parcel of land described in Deed from Robert L. Nadeau, an unmarried man to Neal C. Hovland, et ux, recorded January 13, 1971, in Book 1653, of Butte County Official Records, at page 601; thence South along the West line of said Hovland parcel to the Southwest corner thereof; thence West along the centerline of the aforementioned 60 foot road easement to the point of beginning. TOGETHER WITH a non-exclusive easement for road and public utility purposes 20 feet in width lying adjacent to the West.side of the following described lines, x. BEGINNING at the Southwest corner of the above described parcel; thence North 00 07' East 50.00 feet to a point and the end of said line. ALSO TOGETHER WITH a non-exclusive easement for road and public utility purposes 60 feet in width lying 30 feet on each side of the described centerline: COMMENCING at the point of intersection of the centerline of the Lumpkin County Road with the West line of said Northwest quarter of said Section 11, from which point the West one quarter corner of said Section 11 bears South 0° 29' 03" East 1080.25 feet; thence along the centerline of said .Lumpkin County Road, North 77° 07' 40" East 30.72 feet to a point distant 30 feet, at right angles, from the West line of said Northwest quarter of said Section it and the true point of beginning.for.this right of way (Continued) (WAness Acknowledgment) STITE 01 CALIFORNIA ...�4.e 93-Z466.5 0, Order No. 1-1570723 'description; thence leaving said Lumpkin Road centerline and along said right of way centerline South 01' 29' 03" East 107.02 feet; thence North 786.15' East 97.46 feet; thence South 750 54' 40" East 124.80 feet; thence South 87" 35' East 129.70 feet; thence South 500'161 20" East 149.00 feet; thence North 750 25' 50" East 155.40 feet; thence North 82° 59' 30" Eest to the Southeast corner of the above described parcel, and the end of said line. EXCEPTING any portion of said easement lying within the bounds of the .above described parcel:; 'AL80 TOGETHER*'WITH a non-exclusive easement 60 feet in width for hgrase;end,egresei more`particularly.deso=ibsd as follows: w a r .dam ra„ 5 BGINN1Nd a r a,f rftolihc�re the centerline .of <:.Stringtown Road and the - Section line`--inie=se+et ietween Section-10__and _Section. 11 in . Township. 19 North, Range5 East; thence Westerly along the centerline of Stringtown Road, a distance of 283 feet; thence a distance of 328 feet due East to a point on the Section line between Section 10 and Section 11; thence a distance of 150 feet.Northerly along Section 10 and ...Section 11 to the point of beginning.. AP No. 072-280-005 (W'tness Acknowledgment) 5T TE OF CALIFORNIA C NTY (EF^r ) S5. END OF DOCUMENT \ ` ri+: 1fS'k,•�is,C y'.s.1M- a^�t` ,. ,..,�jff,.,i'*!`'``_-W...oy`",'ir'','tq`'U',i':.�b•.."?C�.i,?''s'°a�Y."'..L.��;z:wort`rr�'!�"�i"#'"'4��t�Y"`F." • �'-,w/`:jw�G—r �{}" a1 072—;2b0--0=005 93-1.69�MHI :SCOTT, THOMAS. ' .65 MAIDU RUN, OROVILLE �4 MHI r . i t i.. ' y ,e r y - i 1 1 e"I - 0 X �_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO 7 County.Center Drive - Oroville, zCalifornia 95965 - Telephone: 916.538-7541 APPLICATION ANDjPERMIT ASSESSOR PARCEL NUMBER 072-280-005 ZONING U -w BUILDING PERMIT OWNER Thomas W. Scott TELEPHONE 72-3634 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1417 Towhee Lane Paradise 95969 CONTRACTOR'S NAME Otmer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN None Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $20.00 ARCHITECT OR ENGINEER NNe LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 S Maldu Run. Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Clas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex FT Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK ,, New ❑ Addition i_ Remodel❑ Utilities InStaliatlonlOther EJ Describe work: MBI (2 Bedroom) 111Contractor '?,.► Permit Fee $ ELECTRICAL PERMIT Filing Fee„ - - 15.00 • - Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ,I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason •NEW CONST. DWELLING OCCUP .OR ADDN3� M ( ACC, SLOGS. / 3.66sq.ft. JJEW CONSTR MULTI -OUTLET N 1J0 .R ESI0 BRANCH CIRC ITS @ 5,00 POWER APPARATUS e (SINGLE OUTLET CIR. ) ^,Ex. Occup( OR FIXTURES 20 760 Ex. Occup. OUED P TLETS (RESIDJ) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree -to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aId County in conse en a of the granting of this permit. �., �� Date f 7-5; S Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70•W Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $105.00 HAz DFEES IMP FLOOD COF PARCEL j PD HD ISSUE __I - 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. DIREGTORrOF-PUBLIC-WORKS BY %: -' e w'{�i= —`� �. Date Ile PERMIT EXPIRES Date Receipt No. 143193 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 13~A.%ay -. •� .,., .;..-__..fr. .wsjsE ul�Ez•: f"tiY- `M�L..ier. , J�1SC:pri�ti.tN�]�iI-+_J.'Y�fifii w: t:' ,? �.��ia'.i Y. - �_�_ :'_ �.' �..- t�R�a.J^'���.�riY'rsa{iG1ijYGLe.`.-icm1:Y MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: R -rho PERMIT NO.: Owners: S 77�3� C/ cF 110 A S 4F_Ae Name: Owner's: /' �( % Address: t� (/ U Mobilehome _ Yeaof / % 3 Manufacture: cture:Manufacturer Serial number Ll / `�-! Insignia or _ ` S or V.I.N. HUD number: Official approving inst tion: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall s not be used when the mobilehome_ Winstalled on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County CQnter.Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND, PERMIT PERM I '10 q8 ASSESSOR PARCEL NUMBER 072-280-005 ZO ING U BUILDING PERMIT OWNER Thomas W. Scott TELEPHONE 872-3634 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1417 Towhee Lane Paradise 95969 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $20.00 ARCHITECT OR ENGINEER NOne LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PE2outlets Filing Fee 15.00 69 Maidu Run, Oroville Each Trap 5.00 Solar or heat pump wat20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mob ilehome® Other SPECIFY Gas piping system 1 - 5.00 Building sewer15.00 Mobile Home S@ 15.00 TYPE OF WORK r New Lri Addition 71 Remodel EllUtilities ❑ Installation)-, Other ❑ Describe work: 4 MHI (2 Bedroom) Q_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification IM I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. II 3.6asq.ft. NEW CONSTR.ULTI-OUTLET NON-RESIO BRANCH CIRC ITS @ 5,00 POWER APPARATUS & (SINGLE OUTLET CIR. t, Ex. Occup(OUTLETS OR FIXTURES 20 76d � Ex. OCCUp. OUTLETS PIRESID IFIXED APLNS.REA.� I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cos s, and expenses which may in any way accrue agains ai ounty in conse e e of t granting of this permit. ,e --, 471:s Date — Signature of Applicant Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD COF PrEL PD HD ISSUE %/ This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIJJA By PERMIT EXPIRES Da �_/ applicable provi= resolutions to do have been paid. URKS ate `f Receipt No. 143193 WNITE•D.P. W., YELLOW-ASSE990R, PINK -INSPECTOR, GOLDENROD -APPLICANT - `-•�. • .•r-. v �.+. �.. �•... ...' �v.. -• ..��'Yr r wjy,. f,. f.` vc,.-. �41r^'v'r.•"nl+f.. ._•��\n,.w„r..vl•(�'^•�"..���.v�'...:.�•.�Lr�^-r r�r..{Y'-1•-Y. ,�- .. _ COUNTYOF BUTTE - DEPARTMENT 0 -f -QE -ELOPMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER nomas SCO (lam A. P. No. D/� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY �. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form. ......... .................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........ . 10 Fees of $ ......................................... . -91. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . Prean edion requ�- 20. Pre -inspection for required. .. to B�i�ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. _ 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ (24. Recorded copy of Agricultural Acknowledgement Statement . .................. t25. Letter of signature authorization . ........................................ .� 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... - 27. Letter of intent onIbuilding use. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ...................... :.......... 30. Documentation of 50%fsubdivision developed or (A) Road improvements,empleted and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, pp sej as follows: Mail w er Mail to contractor. Telephone �` nd hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applic '* o Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be,s: b 1. Index permit for above items 2. Additional items required:_ itted triiVo perm!!�npance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail 'Counter by _ Date Contractor, designer, owner, was advised of above required date 6y =phone _mail Co nter by _ Date Plans checked by ,N Date Plans approved by _ Date ZZ- 93 Sets of plans on hold in"� File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPAR114M OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �/l O 112 Cl� J cA A.P. NO . Q Z "cM 70 -005 PROPOSED BUILDING USE DATE (/0/l zz ZASchool District Fees (paid at District Office) Sheriff Fees (paid at Building Department) / Residential ......... �X J� =$�rOD unit amt. Commercial(per sq.ft.) % =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) % =$ # units amt. Commerical(per sq.ft.) R =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other REC. # DATE REC /7/1? /9�� / 43Vk6 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Depdrtment of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (kms/have not) Ye signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to..provide' portions .of this work, .but I .have hired -the following person to coordinate,upervise, and provide the major work: Name . . V,A-U0 -r,- Address City Phone Contractors License'No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated Name Address Phone Type of Work Signed: Property Owner Social Security Number Date lv — 7-7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: . 2. Installer's Name: �(j✓�/i/� 3. Is the site currently under permit? Yes V . No (If yes, furnish permit number &?.I --&!F ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5�ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 1z No [_� (If no, clarify 5. What is the mobilehome electrical rating? --------------- Z,Dp Amps 6. What is the mobilehome site service rating? ------------- 2D 0 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 F No (If yes_, identify the load and size: (Load) AIA (Amps) 9. What is the mobilehome site gas pipe size? -------------- A (in.) 10. What is .the .type of_.gas service? - -- ---====-"Natural.T LPG . �. N - 11. What is the gas pipe length from meter or tank to the mobilehome?---------- A -4A -------------------------------- 4-1A ------------- * 12. What is the mobilehome gas demand? ------------------ (ft.) (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY NEXT PAGE MUST BE COMPLETED TO PROCESS %&qK%pffKTIME11 I AP P R u'VED MOBILEHOME SUPPORT DATA If other tHa6 single wide, Mobilehome Mfr.–)– e) furnish Setup Model No. Year wp-3 Width— (ft.) Box LengthS_,55 _ (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetup sheets -(if not on file with the County of Butte). FOOTINGS .(check-.one)al. Wood -pressure treated or foundation grade. E2. Other (specify) SUPPORTS (check one)1. Concrete block. El2. Other (specify) 5���1� �£ W Pier Footing Sizes and Locations �. SINGLE -WIDE MULTI -WIDE ine 2 Line 1 Piers: Size-Min.------------ Spacing-Max. From Ends -Max. -------- Line ------ Line 1 Main Beams -- — — — — —' — — — — — • Lin Main Beams Tag or.A.riple Line 4 Line 2 Piers_ Size-Min------------- Spacing-Max: - -----------Spacing-Max.---------.. � �_ 8 40/0dE From Ends -Max .------- Line 1 Openings: Size -Min- ------------------ Each --------------- Each Side of Openings ' - With Width Over --------- Line 3 Piers:.(Under Bearing Wall Only) Size-Mio.------------------ Spacing -Max---------------- From Ends -Max -------------- Lin a ------------- Line 3 &oof.Load e:' - Size -Min. -------- --- x .,x .,x ,. k x y� x Location (From Front) Line. 4. Piers:- _-Line.5..Piers: .(Under.Bearing Walls.Only). Size -Min.------------ k Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,-. „ Spacing -Max .-------------- '- From Ends -Max.------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min ------------- x nx x yt x x pix Location (From Front) ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YES NO YES NO Size Load Type Size Length } ai i j. ° .48UTTE COUN,TY,SCHOOLS IMPACT FEE CERTIFICATION FORM .(On';; Form Per Building) School District �� L {i ,.-_ Building Department No. ` A:P. Number.Q %a v28 .,'. 0 �JurisdictionCit " [� �* 0 y County Property Owner Property, Location/Address,(p *ra ti P Subdivison } _ Lot No. Residential De elopment 0 �'� 4 Sq. Footage No. of Living MHI Addition (Group R) ,. AUnits Commercial/Industrial ,,.0 Sq. Footage New f Addition (Including Exterior ` Roofed Areas) Building Departmen epresent tive Date ,a E' 4= L � � (Floor Plans reviewed by School District Personnel) . i School Districi certifies thattiS�,J (Applicant) V6 (Street Address) (City) (State) has complied with the requirements of Resolution No. representing square feet. School District Rep Paid by Check Number- Remarks: Bank Number Paid by Cash 1 (Phone Number) 4 (Zip Code) by payment of $ % 45-7' 7 7/ Date ,el' 1 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California.Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmki (4/92) k%W ,) I MOBILE -HOME SUPPORT DATA % If other -than single wide, Mobilehome Mfr. �/ P �j�4® � furnksh Setup Model No. Year Width (ft.) Box Length., (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)❑ 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)�1. Concrete block.2. Other (specify) Pier Footing Sizes and Location SINGLE -WIDE i / MULTI -WIDE Una 1�-� / J� 1 Line 1 j f Line '2 r- - �! �'�' — Line 6.. �-/--e ONC, Main Beams 1� d ! Line 2 Y— �1 a B'�i��r �' / — �y .in Line 1 r — / _ line i — � Line 2 w Main Beams / — — — —— / — — s=Line Tag or riple -- -- Lina Line. 1 V A� 1 V Line 1 Piers: Line 1 Openings: Size -Min. ------------ k „ Size -Min. ------------��Y- x \ n u Spacing -Max. --------- ,_ Each Side of Openings ----- .From £nds-Max.------- '_ +' .With Width Over --'- Line 2 Piers:.Line 3 Piers: .(Under Bearing Wall Only)_ Size -Min. ----------`- „x Ij Size -Min--------=- . x Spacing -Max- --------- ,_ „ .Spacing -Max---------------- From Ends -Max.------- 3/ '_ From Ends -Max .------------- _ Line 3 Roof Loads. �. Size -Min.-------- ---- Location (From Front) 4 Piers.:.. , , _ ,, _. .� ., _ .... :- t Line .5 . Piens.: - .(Under_Bear-ing_Walls_Only) Size -Min.------------ k „ Size -Min -------------------- Spacing-Max --------- ------------------Spacing-Max.-------- ,_ „ \ Spacing -Max ----------------- From Ends-Max.---� -- „ From Ends -Max .------------- Line 5 Roof Loads: / - Size -Min ---- ----- Location (From Front) "x k "x "x "x "x BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name :�4 —/✓t '4 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 1 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? ----- aZ Q 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No i - .(If yes, identify the load .and size: .(Load) (Amps) 9. What is the mobile me site'—I pipe size? -------------- (in.) 10: What is.the type of as ser. --------------== - Natural' LPG11. What is the gas pipe ngth frometer 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.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. RESIDENTIAL - � 072-28-0-005 �_---''----___ SCOTT, THOMAS, 93-1699 g 65 MAIDU RUN,'OROV;LLE DECK/MH: ` ' JOB FINALED( ) D e Signature V=OK O = Not OK = NotReadyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/In tie C OVERS CARPORTS "RAGES, Plana OK except Vi Zo Requirements -Setbacks -Easements Foot s;'Soils-Size-Depth-Spacing-Connectors-Steel cks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nati Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Commonts at Flnal: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Coun • Center Drive - Oroville,'California 95965 - Telephone: 916.538-7541 &_' APPLICATION AND PERMIT �"= J:Jli ASSESSOR PARCEL NUMBER 072-280-005 ZONING U1 BUILDING PERMIT OWNER Thomas W. Scott TELEPHONE 872-3634 SQ. FT. OCC. BUILDING VALUATION 360 0 2,220.00 OWNER'S MAILING ADDRESS 1417 Towhee Lane, Paradise 95969 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS None Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 27220.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $82.50 PLUMBING PERMIT Filing Fee 15.00 65 Maidu Run, v lie Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New a Addition a Remodel ❑ Utilities [:1 InstallationE] Other ❑ Describe work: Open Deck (12 x 30) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200AOR00V OR LELESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. f\ OR ADDNS. ( ACC. BLDGS. // 3.6d sq.ft. NEWCONSTR ULTI.OUT LET NON .RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED Ex. Occup. OUTLETS PIRESID IREA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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. f5Z1 1 shall not employ any person in any manner so as to become subject �V to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I bilAies, Judgmentp, costs, and expenses which may in any way accrue a tains County in n ue of the granting of this permit. --7^(73 Date Signature of Applicant — OwnerContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heighf. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 89.5n HAz DFEES IMP FLOOD CDF PARCEL PO RD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY PERMIT EXPIRES CWe�� the applicable provi resolutions to do es have been paid. WORKS at �P Z �% 4 Receipt No. 143193 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,' r'• ,-Z._.�--'� - .. '^ ,,r._.-(F•�h. rr-:•ll .. r• •'"n a. �4'.aF'-. �`4 , �.-.«..;.,,.:%'`-rr-r�*�%TS'rv..n+l'1.�,,s.-ci}a.+�r%MTii'�"^'�•'`^•.....,�,r�.r , .,: •.. r .+ COUNTY OF BUTTE - DEPARTMENT`'OF_DEVELOPMENT SERVICES,*- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541A -1 / PERMIT APPLICATION OWNER Vome?s Si Proposed Building Use DATA S HE ET Building Inspector � Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. . Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on� lans. ............ . 5. Hazardous Material Form . ............................. 6. Energy Design Compliance and supporting documentation. .................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood) by California Engineer. .. ............ . 14. Sanitation and plot plan approval N Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . P�a"�peaIs req° 20. Pre -inspection for - required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed , and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, proce s as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup atOtt- office. Deliver with inspector. Other Parcel Creation Acreage Applicant _ Date 6/ 7/� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ ma' Counter by _ Date Plans checked by Date Plans approved by Date -Z Sets of plans on hold in File cabinet AP folder •� Copy - Department of Public Works J COUNTY OF BUTTE - Department of Public Works 7.County.Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention -Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name /V aAl 741 Address City Phone Contractors License No. 4: I plan to provide'portions.of this work,.but'I.have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work, Sig r Date (p 1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. v This set of plans and specifications MUST be kept on the job at all times and,it is unlawful to make'any changes or alterations on same without `-vVriven permission from the Department of Public (Z Works, County of Butte. kr� NOTE—All M Accordance w of a quality pr( Uniform Buildi the National E 5C o .00 /f f ler l , / .� 30 . / I _..1._._ All STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHILL BE CLEAR OF ALL EASEMENTS. A SET BACK OF . J— FT. FROM 17H NIDE AND S� FT. FROM THE REAR PROPERTY UNE : -100 5`d FT. FROM THE ROAD CENTERLINE SHAD BE CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. ;V & Workmanship Shall Re in gnized Good Practices and for the Specified use in the nbing & Mechanical Codes and Code. I0.0or 0 (r-A��'e��l. D��kb� 1 �11-1� FF i BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E & Workmanship Shall Re in gnized Good Practices and for the Specified use in the nbing & Mechanical Codes and Code. I0.0or 0 (r-A��'e��l. D��kb� 1 �11-1� FF i BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E VARIES 0 N no b_ Z n o O �7 o m d �m o Cl)0 aim; om;Ql� 00 0a fD z °- o W �o cn O _�oi� m X 36" MIN.. X . C 7Q D F 0 m 0 m 7q n� r � rn3 N r. 4�- �� m mo U-) N 7q c (T1 rfl N 7" x -P ; -7q cd� 4�. MAX. 4,1 -�I Ir- J,/HW)RWL N HT z X, BUTTE COUNTY o � � A 36"MIN. STAIR.— - W IDT4 N x s� BUILDING DEP�BTMENT a 3 oy r A A X 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 STEVEN DASHER SEPTEMBER 1, 1994 PO BOX 1094 OROVILLE, CA 95965-1094 RE: Building Permit #93-2659 Expiration Date: 10/7/94 DEAR MR. DASHER: A.P. # 072-280-005 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and zigned by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected pr-'10-9- to riorto permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in.error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments 11 Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 Thomas W. Scott 1417 Tohee Lane Paradise, CA 95969 Dear Mr. Scott: Suite Vi BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 September 28, 1993 RE: Returned Check (A.P. #072-28-0-005) Your check #119 for $170.90, which was written on Aug.11, 1993, was returned to us for nonsufficient funds. Since this check paid for plan checking fees for a building permit, replacement of the check plus service charge will be required within ten days of the date of this letter. Replacement of this check ($170.90 + $25.00 service charge = $195.90) must be in the form of cash, money order, or cashier's check. Should you have any questions concerning this matter, please contact Anne Brandel of this office at (916) 538-7541. Yours very truly, v" Scott Rutherford -6--' SR:ahb - Supervisor, Building Inspection /00,4 6 L ��o` --�' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIQN AND PERMIT ASSESSOR PARCEL NUMBER ` Z NIN ' BUILDING PERMIT OWNER T LEP ONE v6 SQ. FT. OCC. BUILDING VALUATION OW ER'S MAILING DDRESS -� /25 44 rA 4 oael t % C'1l,e•lt-1 ell. E c CONTRACTOR'S NAME / vA1AeA)6N A/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LER ` �{J'`` 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 S/IA/ A-0 PLUMBING PERMIT F iling Fee 10.00545 ' '��`�' h�Lk �� '� J• Each Trap - 2.00 Repair drainage or vent piping 5.00 V, (,( 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❑ PGwt LE Other �--� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Descriibe�'7jwoork: 61.CC/. 4)G k= e( CwLJ_ /^�'/V = �V /{/VC L C T 1/G l/1G.-� �j-/✓/ �f„!1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 100 AMP OROR LESS5.00 J • e),% Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCcUP.ai) OR ADDNS. ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR I POWER APPARATUS &) NON.RESID. %SINGLE OUTLET CIR. eo ® zea Ex. Occup ouTLETs OR FIXTURES BALp1 Ex. Occup.(OUTLETS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 40 7.50 `,, p WALL N/J co Permit Fee $ Z3• Ij0 Contractor MECHANICAL PERMIT FiIirig Fee 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. n I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said/County in consequence of the granting of this permit. X , i>.+. R 1k- '' C i'! LLA�C� Date - / �' Signature of Applicant - Owner ° v g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in<height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF ''UBLIC l / By i^ ' "� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �^ Date Receipt No. 4/� ���J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / CCJJ f. APPLICATION AND PERMIT ASSESSOR PARCEL N MBER - - z� 45 �v `NG BUILDING PERMIT OWNERT /->PN4,eA ' (/LSI-1OFFER LEP ONE lL F SO. FT. OCC. BUILDING VALUATION OW /ZSAIL �LSS Covzi/C E� 1r'�1o6� CONTRACTOR'S NAME VA&AJ©O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND RUNKNOWN Total Valuation $ Flling 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 $ BUIL ING ADDRESS 77JGa A/ APPP M / PLUMBING PERMIT Filing Fee 10.00 I`•- F� M1RL A) RD' Each Trap 2.00 Repair drainage or vent piping 5.00 ,QQu/(JC Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTPE SF ❑ Duplex ❑ Mobilehome❑ Other ' vALS SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describework: C—LECS— A,0P— 4A19 �ji '�' '�O�' ' ,�i/���a��C /-�' v�V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP LESS RSLESS 5.00 �.Qp Main service EA. ADD'L 100 AMP 2.50 NEW CONST. \ DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. 20 SG,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 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 NEWCONSTR -OUTLET 2.5Oea NON-RESID BRANCH CIRC TS NEW CONSTR I POWER APPARATUS 6\ NON-RESID. %SINGLE OUTLET CIR. J Ex. Occup OUTLETS OR FIXTURES BAL21 FIXED APP LNS. OR Ex. Occup.(OUTLETS IRESID•) EA. 2.00) Temporary service 10.00 Mobile Home Facilities 15.00 Mik. Wiring 7.50 p aiELI✓ " 14 Permit Fee $ 0 Contractor MECHANICAL PERMIT FiIirig Fee 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 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 again said County in/con a uence of the granting of this permit. =, Date 3— � _ � / Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories i height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR �OFUBLIC By ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid, WORKS Date—LTJ �- Receipt No. �� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7547RMIT NO. _ APPLICATION AND PERMIT J i ASSESSOR PARCEL NUMBER 072-28-0-005 U ZONING BUILDING PERMIT OWNER STEVEN DASHLER TELEPHONE 534-9873 SQ. FT. OCC. BUILDING VALUA OWNER'S MAILING ADDRESS PO BOX INNX 1094 OROVILLETE CPAD 95965 CONTRACTOR'S NAME OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 65 MAIDIT OROVILLE CA 955965) PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome C� Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20.00 TYPE OF WORK New O Addition 1:1Remodel O Utilities O Installation O- -Other Describework: TRANSFER OWNER #93-1698 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOv0"LESS I 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS I & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES P• ( I 20 @ 1.00 BAL. @ .50 Ex. Occup' ( FIXED APPLNS. OR OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence ofthegranting of this permit. X�� IJ� Date Signature of Applicant= Owner O Contractor O 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 CONST. TYPE , TOTAL FEE $ �/ HA2- D. FEES IMP FLOOD 79F PARCEL fb HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ,DIRECTOR OF PUBLIC WORKS By K/ / ate PERMIT EXPIRES ON l te) Receipt 7 O �- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PEN.(ELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovill&, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. R ASSESSOR PARCEL NUMBE— Z SOC/ S / 1 ZONING BUILDING PERMIT OWNER S R- r S L /� TELEPHONEG� Fr.�% SQ. , OCC. BUILDING VALUATION OWNER'S M NGJOORE O /--,e � �i•.� NAME `� CONTRACTOR'S TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ucFNSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE 1/ SF El Duplex O Mobilehome )( Other / \ SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ElAddition O Remodel O Utilities ❑ InstallationZ* Other O DescribeWork: ��Csi�' ®' - PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 _ / Main Service ( SOOVOR LESS ) 200A 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. OLDS. ) SO 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty'of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. I Ex. Occup. (OUTLET OR FIXTURES ) SAL.. @ 1.50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 2 X Date / Signature of Applicant - O Owner O Contractor O 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 S Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ• 1 O. FEES IMP 1 FLOOD I CDF PARCEL PO HDISSUE 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 Date I PERMITEXPIRESON (Date) /, /ri�� Receipt No. (� (J WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION: Attention Property Owner: Phone: 916-538-7541 An 'owner -builder " building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no)' LA . 2. I (have/have not) signed an -'application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan -to provide" portions of this work,.but-I have hire& the following person to coordinate, supervise, and provide the major work: Name ' Address City Phone Contractors'License No* 5. I will provide some of the persons to provide .the work Name Address work.but I have contracted (hired) the following indicated: Phone Signed: Property Owner Social Security Number Date —Ll3 Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the aermit . I- 3 -°3 t ] give a permission to Steven R. Dashler to transfer all building permits for 65 Maidu Run to his name.& Thomas Scott 072 -z Ra -ooS R STEVEN DASHER 65 AMIDU RUN OROVILLE, CA 95966 .��-'-....Eatte Count L A N G '> F �1 A. T :,i R:", L del =,, .. - H A iii �, c A U T BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916► 536-7541 FAX: (916) 538-2140 9/16/95 RE: Building Permit # 93-2659 Expiration ' Date: 10/7/95 A.P. # 072-280-005 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: EX Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner-builder.form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit. work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cafifornia 95965 - Telephone (916) 538-7541�p ,?E,PM� NO. APPLICATION AND PERMIT // ASSESSOR PARCEL NUMBER ZONING U BUILDING PERMIT —7 v"' OWNER STEVEN DASH#ER 534 NJ; -9873 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 1094 OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ C20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 65 MIAIDU OROVILLE CA 95965 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑� Other DECKS SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20. TYPE OF WORK New ❑ Addition ClRemodel ClUtilities 1:1Installation ElOther 0A Describe Work: TRANSFER # 93-1697 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OWNER Main Service ( 101 OR LESS 00AORLESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADONS. ( & ACC. BLOS. ) S 3.50 ST". CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) &SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ r.50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. XI shall not employ any person inanymannerso asto become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou��Onsequennce of the granting of this permit. X� 7 L �i Date q-343 Signature of Applicant. Owner El Contractor ❑ Agent An OSHA permit is quired 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 $ HAZ. D. FEES I IMP I FIOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Q By Date / qq /fir PERMIT EXPIRES ON V / l etel Receipt No. WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION: Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid* unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the major labor and materials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. !+. I plan to provide' portions of this work, .but' I have hired' the ' following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors' License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name. Address Phone Type of Work Signed: Property Owner C, Social Security Number Date /-3— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Co 00 -41 f4 PI 79 rr) XK AW 9j 7,cx- AlW OR P Lei I 7� ro 6, .7 At 20 %P Co 00 -41 f4 PI 79 rr) XK AW 9j 7,cx- AlW OR P Lei I 7� ro 6, .7 rri To V, 6, rri �� ' �� ��� �� � !�Q- z f�l�" � T�- 2 , T(� �