Loading...
HomeMy WebLinkAbout072-300-001072-30-0-001 93-2679,P,E CHIRCO', DON,,(. `a 3�� 150 ST ARLENE CT, OROV LLE q� MHU ELECGA �y pp COMPA ^ ION TEST -REQ ~ � � !• SUPPORT STRUCT REQ:p3 072-300-0 1 s PERP•4 T,#94-2443; CHIRCO, DON,ey.�t� 150,ST ARLENE CT., OROVILLE g, MOBILEHOME INSTALLATION 0 07 9�,ww-,O 'le� 0 o 072-30-0-001 93-2679,P,E CHIRCO', DON,,(. `a 3�� 150 ST ARLENE CT, OROV LLE q� MHU ELECGA �y pp COMPA ^ ION TEST -REQ ~ � � !• SUPPORT STRUCT REQ:p3 072-300-0 1 s PERP•4 T,#94-2443; CHIRCO, DON,ey.�t� 150,ST ARLENE CT., OROVILLE g, MOBILEHOME INSTALLATION 0 07 9�,ww-,O 'le� 0 - Cy �' ..4'ca bfi �: �:} r .: �.. r-: , :. { ` ., y � r`r:��: 1 %'�x.' tw . -.:,;� a .+-''-;;�ri`" }•� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE a DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVEZi OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT JNO. Address or location of mobilehome �I��1— Ayy��—d.-/ Owner's name Gr�,�_%7�G✓ Owner's address Insignia or hud number / f,. 1..q Manufacturer's name )O / e,*/ (4-11!� Serial umber of V.I.N. ZT5 3 2-5Y Year of manufacture Appro�Wg Installation) I /(Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION a ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE",' MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. jl 1313 White - Owner Yellow - Installer, p , Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, 'Califorhia 95965 - Telephone (916) 538-75 APPLICATION .AND PERMIT ASSESSOR PARCEL NUMBER 072-300— 001 ZONING YN BUILDING PERMIT OWNER DON CHIRCO TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 416 W. CLIFF DR SANTA CRITZ , W60 CONTRACTOR'S NAME OWNER YELEPHONIE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONF LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 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 ❑ Mobilehomeq Other SPECIFv 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 O Remodel ❑ Utilities ❑ Installation RJ Other ❑ Describe Work: REPLACES #93-2680 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceIII OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & 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) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Coda forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) - @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 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 1 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. 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 ' onsequenc of the anting of this permit. 0 X Date 0 ` Signa ure o 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 $ 100.00 Energy Inspection Fee $ occ CONST. TVPE TOTAL FEE $ HAZ• 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi ted ove f r which fees have been paid. Q'Z BY Date PERMIT EXPIRES ON 7y C5' 30 le (Detel Receipt1 Ei7546 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �' '...r"'r�`'vn'"G�"!i'`y'�'d�.y}'"'CFr�'�'FvF"x"i4%A�'1i�'f"�`;��x �'i�'n'�'�^^'".f►L.�"``�T+'"�-'1"�.,pf'�i1'�7'�tr^+C�'_.�4 ''�`�'Y"'`ti.+�"="`r`ri�_� :COUNTYOF BUTTE - DEPARTMENTOF ..D..,, ��,,0 . OPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1 �•� r (_ OWNER lA 1 r'C _ C) A. . o. / ' (�q t� 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 RECENED By 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... ...... ........................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. 10. Mobilehome data and manufacturer's installation instructions, 2 sets. (' (' t,� , Fees of $ .......... S. ' -� 11. Impact fees as shown on attached schedule. ^�.................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . • •Fre 20. Ins.... Bq- --- Pre -inspection for required. .. to Bu;;d;ng Inspedor (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 . ................... i ................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. '�.. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must,be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items -No. 2. Additional items required: ' r Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ounte _ Date Plans checked by Date Plans approved by I Am Date�`T Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY QF BUTTE Department 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. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ind X-216 '2. I (have/have not) signed an application for a building permit for the proposed work. 3. J 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. 1 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 Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. r - BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) y / �/ /71e,1C School District Building Department No. A.P. Number ?Z. ^ 3co Jurisdiction 0 City ®A'�County Property Owner Z�)oN� C Property Location/Address Subdivison Lot No. Residential Development Commercial/Industrial 0�Sq. Footage No. of Living N1HI Addition JGrou R) Units 0 Sq. Footage New Addition i ive (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) 3vA� ' Date District Identification No. �D 9 zhz,_La School District certifies that L4r_� (Applicant) 40 (Street Address) ;(Phone Number) (City) - r: ,, a (State) (Zip Code) -� has complied with the requirements of Resolution,No. % �— 9�`'—/y by payment of $ representing ` square feet. School District Representative Paid by Check Number Remarks: Bank Number Paid by Cash • Date �i 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) feeformmkt (4/92) APN 12--30-- _oo� W Mo�iL H^�t /0 " TA N. APPROVED Butte County � Enviral H lth�� - a -- ure C uiv-p N : Myrre MAY 1. Owner's Name: i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET on C �, " r 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number /� �G % 9 ) OR Is the site an existing site? - Yes No Z 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------.3 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than natural gas or less than 50 ft: on LPG.)B ``u���,c GOf�l ' N;y NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT fW DEPARTMENT A P P P 0 V E D (If.yes, furnish two plot plans-.) 4. Will -the mobilehome-be'-located at -least -5 -ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- & Amps 6. What is the mobilehome site service rating? ------------- 00 Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the '. F/4 mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?--------------� (in.) F-1 10. What is the type of gas service. ------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------.3 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than natural gas or less than 50 ft: on LPG.)B ``u���,c GOf�l ' N;y NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT fW DEPARTMENT A P P P 0 V E D I - J ] 0j'_5J f — MOBILEHOME SUPPORT DATA y If other'than single wide, / Mobilehome Mfr. Qi ►''n1 :tn l furnish 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) FX] l. Wood -pressure treated or•foundation grade. 2. Other (specify) SUPPORTS (check one)®1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE in ,Line 1 _ — _ — Line 2 Main Beams ne2 ------ — — —---- . in n Line —._— — — — — — —_ — — — — — —; 4r L 2 Main Beams -----_----- — r tine 2 Line 1 -- — — — — — -- — Line Tag or Triple r Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ Size -Min- ------------ ------ Spacing -Max. '-------- ,_ Each side of Openings From Ends -Max --------" With Width Over --------- Line 2 Piers: �j Line 3 Piers: (Under .Bearing Wall Only) Size -Min- ------------ , '� O „ Size -Min. ------------------ ...Spacing-Max ---------- -------------...Spacing-Max.--------- �„ Spacing -Max--------------- '- From Enda-Max.------- '.- " From Ends- Max .------------- Line 3 Roof Loads: Size -Min „ " - x "x 'k "x' "x "x "x 'k Location (From Front) Line 4.Piers: Line 5 Piers: (Under Bearing Wails Only Size -Min------------- Size -Min------------------- Spacing -Max.--------- Spacing -Max ------- ------ , „ From Ends -Max.------- , „ From Ends -Max -------------- Line 5 Roof Wads: Size -Min ------------- x „x „x „ „x ,LX „x „ „x „ „x Location (From Front) A ,5c) ��-30- A ar ,Sv be �d spectiecafionuntaWiut to sNo e tans a`!t�mes and's'on same pub c t1on the t° n9� ov at thetCpaAment of keP anY cha from make ArmisSfonB�he. Written G0ynty o{ Woks' _ no Kma�ASO? aGt�ce�. ,. :o atet`at� lr\2ec °Vec;�fi�e�ir Goo� oeo c°Cp��ng, P�U4 \ ae of a 4 gv�ta t�tnca '010 "01 ! the j < d0 MOBILE HnlfE /o — 1 v 1d0' ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE OLEAR OF ALL. EASEMENTS. A SET BACK OF A-- FT. FROM THE_ SIDE AND a FT. FROM THE. REAR PPOPERTY LINES AND S-0 FT. FROM THE: ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURE113 AND L-IQUIPWNT EXCEPT FOR A 2 FT. EAVE OVERHANG i .0��' I '10,off �a • TA 0, h/£;.:, REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY [] approved as submitted a0prcvo \ti'itil conditions oe'r ldlC- S. �iy±+atur3 Date COUMa y Cr_ BUTTS GU1LDfNG CcFT Xf �kyY. } ` RESIDENTIAL�� Alyr I- 3 F-072-30-0-001_ — - -- p, E --v CHIRCO, DON 16-0 ST ARLENE CT, OROVILLE t mliu m A - i El ,r j I t st t i , IOFFICE COPY Address +GAS Meter By Dat��cT ' r ELECTR / Meter By Date JOB FINALE�/�B� Z 77�- Signature/ V=OK O = Not OK - = Not Applicable Not Ready - MOBILE HOMES ' = Date/Initials MOBI HOME UTILITIES Plans OK except #'s ` Zoning Requirements -Setbacks -Easements [ j2. Soils; Special MH Support Sketch L ---r Sewer; Location -Test -Fall -C/O Concrete �pter; Location -Teat -Easement Needed (Sketch) 5�Iectricity; Location-Clearences-Grnd-/ /Amp -Concrete �Gas; Locat est-VVy�ra �' /' /"L'Yt. / /"Nat. qL"tt.,(s/"LPG 7. Wjfl Clearance & Disconnect I—Zonina-Requirements-Setbacks Easements 2�P6oting ; Size -Spacing -Marriage Line WTest-Demand-Valve—Connector ,41elEfe—ctri ity; MH Test -Crossovers -Breakers -Clearances rain; MH -Test -Fall -Flex Connector 7. -Wald Sewer Connected -C/O to Grade -HD Approval ketch } 4 I MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Pians)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. 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 -Lendings Date/Initials POOLS (Plans) OK except #'s i 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-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-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 -Nail 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. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat 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- Puri ln=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 -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 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-i3Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. q -:? 0� — c) .•--�'" APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-300-001 ZONING BUILDING PERMIT OWN Efl DON CHIRCO TEONE I5 7/ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 416 W. CLIFF DRIVE, SANTA CRUZ., CA 990610 CONTRACTOR'S NAME OWNER TELEPHONE r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee £ $j7C 20'. LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 2:J30 0 oRnyTT.T.F., 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. l SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE O Duplex O Mobilehome PX Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation CIOther 1:1Contractor Describe Work: 1 BDRM - PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 OV OR LE S Main Service ( 200A0 LESS ) 23.00 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCC UP. OR ADDNS. ( 8 ACC. BLOS. ) so. 3.5V 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) ❑ 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 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2 @,00 BAL.. FIXED (RESID OR Ex. Occup.UT (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 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. ❑ 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 $ 63.00 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 . consequence of a granting of this permit. p ry X jjyL�b ` Date I q I Signature of Applicant EI 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 S Energy Inspection Fee S occ CONST. TYPETOTAL FEE $ 00 •ISSU HAZ• D. FEES IMP FLO CDF pAflC PD HD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic ab fo which fees have been paid. OF—PUBLIC WORKS L/ By /'�`^ a Date A7 _2'-97T 7 _ ZX— PERMIT EXPIRES ON �� (Da tel ReceiptNo. 148318 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF EUTTE" 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 ), C 4(f,cy .. Y3- z 7f OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. ff you have any questions pertaining to this matter, or need additional explanation, ct this office immediately. t---' Date Ql � I Inspector REV 1OF92 r;��,�T'Wi�7-. T, �,""•'t..-a►ru.�iti.'rt �"xT'h't`^.iq''r"rM'+" .,�.t�y, �a �COUNTYOF BUTTE - DEPARTMENTOFbEVELO,PMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER n L/� rte` - A. P N 3D -00% 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 1. All items h e been submitted . ......:................................ . 2. Plot tans 3 4 sets, signed by preparer of plans.00 p ....................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . A. 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. ........... 0. Fees of $.................................. 1. Impact fees as shown on attached schedule. ............... ...... t ' 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flooA by Calif9mia Engineer. .. ................ 14. Sanitation and plot plan approval V' V eHealth Department. / - 15. City of Chico plumbing permit. .......... Ian and business license a......................... . 16. Plot p approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for P�a"�e�ns actor {� required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .......... . 22. Certificate of Workmans Compensation Insurance. Owner -Builder Verification (Given to owner , Mail to owner _)............ 4. Recorded copy of Agricultural Acknowledgement Statement . ..................:Z � 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. .... �d ....... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34 When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone S and hold for pic up at office. Deliver with inspector. Other Parcel Creation �/ Acreage Applicant �s�� Date 9 Copy of Haz-Mat form sent 1, Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ,Fire Pept_ 4 Other Date By The following data must be submitted 1. Index permit for above items No. 2. Additional items required: 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 data,by._ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder tv erg l6of�oNt u)h" Copy - Department of Public Works ?IhAJS C0,4f e z'N V'sl y Lf& "ELH. USE ONLY 00, Plot Plan At A -A Pbw PLa Att4chad Scat to B.D: ' % 4 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 7c -3o-01 Owner Location AP# / Plan Approved for: Sewage Disposal Water Supply: Public Private Well y Clearance for bedroom mobile home. Other 8/92 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538-7541 OWNER. Yl �' C, O A.P. PROPOSED BUILDING USE DATE �/ % / 9V REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sgft) x =$ %sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. RAINAGE DISTRICT FEES (Contact Land Development Division)........... A FIRE INSPECTION AND PLAN CHECK = $89.00...... ( SRpaid at Building Department)` 7— OTHER :8- OTHER - At time -of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I E(hav)ehAve not) signed an applicationfor a building permit foproposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I.have hired the following Person to coordinate, supervise, and provide -the -major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner (1� Social Security Number' Date 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. c 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 m*or labor and materials for construction of the proposed property,improvement no) 2. Ihav /have not) signed -an application for a building permit fore the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work_: Name Address City Phone Contractors License No. �- 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work indicated: Name_ Address Phone Type of Work Signed: Property- Owner (�- Social Security Number Date 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. lens and speci��ations This set of P and it is ur+1Z:�afut to an the joky at alt time � without© kept ci'an3e� aY a;tPr�.tior;s *- same Ftako any . tha' Department of puW� wri°•ten p�rrnission ft Warks, County of Buttelo ' -�tt 6e in i & NorlcrrtaaC Iry-`r��c�S:ai°Y �aJ 1 �ater;atis ed Goo ,�►t1ed u5e�e5 an ,NiYh F�ec :FJe •aJi �hari�cal osdance cri'aed �, Me O' E;3y Pies �;v,r11��r9 of a �%J uitdin5, E. a\ code. Uloot at e1�' the � d0 + ..._ �: MOB I L E - i V �a�e Gole 1P-. J3R0. APPROVED - — r ^i into ALL STRUCTURES: AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET @ACK OF 30 FT. FROM THE SIDE AND go FT. FROM THE ;HEAP PROPERTY LIMES AND SD FT. FROM THE ROAD CENTERLWI3 SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY 0 approved as submitted 5g -approved w:ith candiiions per attacheq sheets', Signature gate Coux . of: BUTfE EPT MAY'1�199 F— I L4'�f '-7 Z-3 v --too AP# M CDF_FIRE--SAFE-REQUIREMENTS-- l �2e AJ PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [,041 1272.00 Maintenance of Defensible Space. .To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 64 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app_,rtenjant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. M 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 0 2. The length of ver=i^:1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 0 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. } 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . :?.-, 7 2 —_� 0, 00 1 . 4? 3 - 26 ?<7 Ci 2e -'o bO nJ AP # ' PERMIT # DAME [] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than.400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all _.building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates (�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. V0 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. ] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping,.burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall -be completed prior to completion of road construction ,r fi_ial inspection of a building permit. I Page 2 of 3 7 Z -30 „ oo ( 47- 3- 26'7<% AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves Interior automatic sprinkler system per NFPA 13D — Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 94-031916 94-031916 194-031916 X03 1 9 16� I Rec Fee 9.00 ` y I Cash 9.00 �-,v� R corded I Ofl Records I - County of I - _ Butte ! ` Candace J. Grubbs I_ - Recorder I 11:36am 27-Jul-94 1 PUBL XX 2. 'Re turn oto �u Id(N9 D i v : AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sect omf26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. .The. property described herein is .adjacent ...to land or included: within an- area. zoned' 94-031916 for agricultural purposes, and residents of .this property may be .subject to incon- veniences or discomfort arising -from the A use of agricultural chemicals,- including, 199�t but not limited to herbicides; ;pesticides, 1U` and fertilizers; and from the pursuit J of - agricultural operations including, but -,.'not limited to cultivation, - plowing, spraying,-- pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations: All . 'fifat .meal :property:.'situate in . the County of Butte,' State sof .California, described as follows: SEE.ATTACHED LEGAL DESCRIPTION PROPERTY OWNERS: State of CA ) On this the 27TH day of . JULY SS. ndersigned Notary Public, persona County of BUTTE ) �, .194, before me, the appeared [Ac Personal known o me.[:] Proved to me on the basis of satisfactory evidence. to be a person(s) whose na s) su ribed to the within instrum and acknowledged that ecuted the same for the purposes t in contained. IN WITNESS WHEREOF, I hereunto set my hand and_offic seal. Present A.P. No. 0) '300- bo DESCRIPTION ORDER NO. BU -137106-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I•. THE NORTH HALF OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. PARCEL II: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH ALONG THE WEST LINE OF THE EAST HALF OF THE NORTHWEST QUARTER OF SAID SECTION 13, A DISTANCE OF 1980 FEET TO A POINT AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 13; THENCE EAST ALONG THE NORTH LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE NORTH HALF OF SAID SECTION 13, A DISTANCE OF 3960 FEET TO A POINT ON THE EAST LINE OF SAID SECTION 13 AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B: & M.; THENCE EAST ALONG THE NORTH LINE OF SAID SOUTH HALF OF THE NORTHEAST QUARTER OF THE.NORTHWEST QUARTER OF SAID SECTION 13 AND THE NORTH LINE OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF -THE NORTHEAST QUARTER OF SAID SECTION .13 TO A POINT IN THE CENTERLINE OF PONDEROSA.WAY AND THE END OF SAID CENTERLINE. STATE OF Cq. WEQRNIA )ss. COUNTY OF c E on ��� before mec._�\^�1�5�2`�,��� mpersonally appeared��� `C\ \� �� personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within LL instrument and acknowledged to me that he,'sheAhey executed the same in his/her/their authorized capacity(ies), and that by his/herAheir signature(s) on the instrument the person(s) or the entity upon behalf of which the • person(s) acted, executed the instrument. e 0000• ..... OFFICIAL SEAL ANGSA Q MABTLRDTT0 r. Q:natur H my hand and tficial seal. NOTARY PUBUC-CALiFbMIA PrMtdpal 0111m In BUTTE i My C�omrtdastop Ef—hea SEFr.1'4. • __ _ " _• . _ (This area for official notarial span __ ____• _ ..., _ ..._. (3) 30 =ol ORDER NO. BU -137106-3 MID VALLEY TITLE AND ESCROW COMPANY PRELIMINARY REPORT POST OFFICE BOX 1068 2295 -FEATHER RIVER BLVD., STE. A OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 533-6680 ALL POLICIES OF TITLE INSURANCE ISSUED BY FIRST AMERICAN TITLE INSURANCE COMPANY YOUR NO. ESCROW OFFICER: RE: KAFOURE/CHIRCO IN RESPONSE TO AN APPLICATION FOR A POLICY OF TITLE INSURANCE, THE ISSUING AGENT, BRANCH OR SUBSIDIARY OF FIRST AMERICAN TITLE INSURANCE COMPANY, A CORPORATION, DESIGNATED HEREIN AS "ISSUING OFFICE" HEREBY, REPORTS THAT IT IS PREPARED TO ISSUE, OR CAUSE TO BE ISSUED, AS OF THE DATE HEREOF, A POLICY OR POLICIES OF TITLE INSURANCE DESCRIBING THE LAND AND THE ESTATE OR INTEREST THEREIN HEREINAFTER SET FORTH, INSURING AGAINST LOSS WHICH MAY BE SUSTAINED BY REASON OF ANY DEFECT, LIEN OR ENCUMBRANCE NOT SHOWN OR REFERRED TO AS AN EXCEPTION HEREIN OR NOT EXCLUDED FROM COVERAGE PURSUANT TO THE PRINTED SCHEDULES, CONDITIONS AND STIPULATIONS OF SAID POLICY FORMS. THE PRINTED EXCEPTIONS AND EXCLUSIONS FROM THE COVERAGE OF SAID POLICY OR POLICIES ARE SET FORTH IN EXHIBIT A ATTACHED. COPIES OF THE POLICY FORMS SHOULD BE READ. THEY ARE AVAILABLE FROM THE OFFICE WHICH ISSUED THIS REPORT. 1. AMERICAN LAND TITLE ASSOCIATION OWNERIIS POLICY FORM B - 1970 OR 1992 2. AMERICAN LAND TITLE 'ASSOCIATION RESIDENTIAL TITLE INSURANCE POLICY - 1987 3. AMERICAN LAND TITLE ASSOCIATION LOAN POLICY - 1970 OR 1992 4. CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY - 1990 THIS REPORT (AND ANY SUPPLEMENTS OR AMENDMENTS THERETO) IS ISSUED SOLELY FOR THE PURPOSE OF FACILITATING THE ISSUANCE OF A POLICY OF TITLE INSURANCE AND NO LIABILITY IS ASSUMED HEREBY. IF IT IS DESIRED THAT LIABILITY BE ASSUMED PRIOR TO THE ISSUANCE OF A POLICY OF TITLE INSURANCE, A BINDER OR COMMITMENT SHOULD BE REQUESTED. DATED AS OF AUGUST 30, 1993, AT- 7:30 -A.M. ROGER BUTTOTI, CHIEF -'TITLE OFFICER z l C PAGE 1 ORDER NO. BU -137106-3 kT THE DATE HEREOF IS VESTED IN: THE' ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS: A FEE AND EASEMENT AT THE DATE HEREOF EXCEPTIONS TO COVERAGE IN ADDITION TO THE PRINTED EXCEPTIONS AND EXCLUSIONS CONTAINED IN SAID POLICY FORM WOULD BE AS FOLLOWS: 1. GENERAL AND SPECIAL BUTTE COUNTY TABES FOR THE FISCAL YEAR 1993-94, A LIEN, BUT NOT YET DUE OR PAYABLE. 2. THE LIEN OF SUPPLEMENTAL TABES ASSESSED PURSUANT TO CHAPTER 3.5 COMMENCING WITH SECTION 75 OF THE CALIFORNIA REVENUE AND TAXATION CODE. A REPORT HAS BEEN ORDERED TO DETERMINE IF A SUPPLEMENTAL TAX BILL HAS BEEN SENT OUT. IF A BILL HAS BEEN SENT, A REPORT WILL.FOLLOW PRIOR TO THE CLOSE OF ESCROW. RE -CHECK -SUPPLEMENTAL TABES PRIOR TO THE CLOSE OF ESCROW. 3. A RIGHT OF WAY AFFECTING THE PORTION OF SAID LAND AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES FOR: ROAD PURPOSES RECORDED: APRIL 8, 1968, IN BOOK 1512, PAGE 606, OFFICIAL RECORDS. AFFECTS: THE EASTERLY 30 FEET. 4. A RIGHT OF WAY AFFECTING THE PORTION OF SAID LAND AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES FOR: ROAD PURPOSES RECORDED: MAY 13, 1970, IN BOOK 1613, PAGE 600, OFFICIAL RECORDS. AFFECTS: THE SOUTHERLY 30 FEET. 5. IT WILL, BE" NECESSARY THAT THE SPOUSE OF THE VESTEE, IF MARRIED, SIGN- ALL DOCUMENTS (OR EXECUTE A DEED) IN ORDER TO ELIMINATE THEIR COMMUNITY INTEREST. CONTINUED PAGE 2 PURCHASER: CHIRCO.. DON EF:LTH AUGUST -22, 1993 (STR-NO) t PAGE 3 ORDER NO. BU -137106-3 .SCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: ' PARCEL I: THE NORTH HALF OF -THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. .< PARCEL II A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH ALONG THE WEST LINE OF THE EAST HALF 'OF THE NORTHWEST QUARTER OF SAID SECTION 13, A DISTANCE OF 1980 FEET TO A POINT AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 13; THENCE EAST ALONG THE NORTH LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE NORTH HALF OF SAID SECTION 13, A DISTANCE OF 3960 FEET TO A POINT ON THE EAST LINE OF SAID SECTION 13 AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER. OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE EAST ALONG THE NORTH LINE OF SAID SOUTH HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 13 AND THE NORTH LINE OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 13 TO A POINT IN THE CENTERLINE OF PONDEROSA WAY AND THE END OF SAID CENTERLINE. PAGE 4 1 J' fS3 i !! 12 N89°13'52 C 2553.bf N 1/4 Cor. ` O X 14 13 y a .b i 6d�' /2 : /613 i a A p IA 1 ++ • \ N � O 'i N V ? cD 0 m ? In N N t0 N u m 1 r-, C �.7 ► �� 1�-► �� D7 1i 'a000 n � — cD co r < m -• o 3 ID ~ aE • V ' (D 0) C C R? D a e to N :1 C -gag CD } 0 w O CL' 2 o O i----- -� --- -- /9---- -- ®; O 0 0 ti i 1 to CD CD N 0 CL a 1 i• 1263.64 I 335 334.50 334 334 1 � T O o b 1 u V c 24 0 4 2B S o 27 2 0 26 f 0 25 Mo N 36.92AC I I0.01AC e10.01AC 10.01AC a u10.01AC o •,I O (b 4 A . C H 1 1 y pMlll-38 I REX LANE /4 13 335 : ` 334.50 I- 334- -I- 734 - (w} c 23 24 NB9°25�15'E 2628.13 0 I C) N • V ' L E //2, SEC. /3, TWP. /9 N., R. 5 E. 72-3/ This map may or may not be a survey of the land depicted BK 73 hereon. You should not rely upon it. for any purpose other ' than orientation to the general location of tha War - f' cels depicted. Mid Valley Title and Escrow Cpy ex - 0 '� pressly disclaims any liability for alleged loss or damage ° 91 Noo • J7' •s • t•.J..t E v4 coR. Noo•a7' which may result from reliapce. upon this map. �� � . :.aB.91 4'r• JO ! .l , I ! 1 •, 3e.96 / r 6.09AC b 1 - 636.76 6�•82f .. .. I 35 '. ->: ' • e.SJAt Ov 730. 442Ae 1 ! :. ► 2 . 2 4• 1 'O of b Q b N O34 d 1 H 6 431AC 1% J ! ' 6rIAC A8O 1 637.77 b a �772 •O\ 10 l ' 65 Cq 'i o`. 9'111 68.37 Al .� ' N' 1 21 N o O q q O m M o ! e 637.03 O R In IQOJAC � ' 't QI v "� Jtt• Ot ' t � •' � h I � q RI O q � W: • o/Ir 62.90 V- O i o •'+ n 4- o ry b 2 � • �'1 • ' 636 .33 ♦ • b 49 N � J79�6 �Ao h O QO s .. . 29 ;: b SAO2AC m 1 IBJ_ 36 u - N N 1 I H f sl J4.. r7 A.IJN 47a, J t N 3 b b .'�♦ A "to v,..a • 0 413.30 264.!7 130.9 J,y 3.uAC S O \Q. I• Sly �•� ���..� •�a t 1 \ sa• .al • 4 141 Q h ,, �� N •.t• e . , 1 ♦ 'P� 1� 0ut. a'1 1Q q O i N • { 5/ 10 9� I ! '.' N �� 6 le IJ © b ly BOO 1 ti '•tr. i' 3 0; I.OIAC q i• s ,Ip�`PQ ,r1 iW b h rl) (2:.• - O 50 O „• 3 I 4 u I A PO ! 1 I �o N ' A 4.0IAC / 4• a, o q6 I O 47 O m S ♦ is tit. 71 Ot © p ru..a N('O• n � ; AW98-e �'S.OIAC 14.41AC a dJo 633,1o It' - yl •Ih ' m o b ••o o :.1 � 1 i� 44 45 �� R574.26 1 0 b '�•o m, u l 6.57AC 123AC q °� � I a tr7..a m N ' •~ vw 9e-5- 644 562.96 225.8 48625RS 47.70 1 376.76 a + _ i ;�� S.C. 73 s.t.z4 ` r re r -t r'd01 `y•>< Assessor's Mop No. 72-3/ O.M-R ORMf.NO.000JI-04-62 R/M Al op. .� 1011. l 0, COU/Jij7 of BUii6, COI ORO -7968 a REw3E0+ 2-90 � .b ,1'•:,. ORDER NO. BU -137106-3 .SCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:. PARCEL I: THE NORTH HALF OF -THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M. A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH; THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF -THE EAST HALF OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE SOUTH ALONG THE WEST LINE OF THE EAST HALF OF THE NORTHWEST QUARTER OF SAID SECTION 13, A DISTANCE OF 1980 FEET TO A POINT AT THE NORTHWEST. CORNER OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 13; THENCE EAST ALONG THE -NORTH LINE OF THE SOUTH HALF OF THE SOUTH HALF OF THE NORTH HALF OF SAID SECTION 13, A DISTANCE OF 3960 FEET TO A POINT ON THE EAST LINE OF SAID SECTION 13 AND THE END OF SAID CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS: BEGINNING AT •THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 13, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.; THENCE EAST ALONG THE NORTH LINE OF SAID SOUTH HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SAID SECTION 13 AND THE NORTH LINE OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 13 TO A POINT.IN THE CENTERLINE OF.PONDEROSA WAY AND THE END OF SAID CENTERLINE. PAGE 4 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET , t OWNER o. OG -UG 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 1. All items have been submitted . ............. `.......................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. .........'..............�... . 3. Complete plans, 3/4 sets, signed by preparer of plans . .................:...� . . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. Cg44; Feesof $ ......................................... 11. Impact fees as shown on attached schedule -5c. .� 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). . . Freanspedion request 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. ...... .y .............................. . 32. Plan check list ....................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DON CHIRCO 416 W CLIFF DRIVE SANTA CRUZ CA 95060 DEAR MR. CHIRCO: With reference to the above subject: / / Attached is: OTHER DATE 8/18/93 RE: MOBILE HOME UTILITY PERMIT APPLICATION A.P. # 72-30-01 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in ..Complete plans and calcs.in" by,registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section. (DPW). sets of plans in accordance with.the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center. Dr., Orov'ille Skyway & Elliott. Rd-., Paradise - Planning approval from Butte County Planning Department,* 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form Recorded copy of deed showing .Recorded.,copy of -agricultural acknowledgement statement.. . THER r_um M. TJev Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. Yours very truly, William Cheff Director of Public Works /,/J.F. Glander JFG/aj COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oros ille, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -3- ASSESSORPARCEL NUMBER 072-300-001 ZONING BUILDING PERMIT OWNERDON CHI CO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 416 WSANTA CONTRACTOR'S NAME OWNER I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NnNTF. LICENSE NO. Plan Checking Fee $ 23 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS t5no Penalty $ BUILDING ADDRESS ST- ARLENE COURT PERMIT FEE $ DROVIIIE, 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 ClDuplex ❑ MobilehomeXq 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other 1:1Contractor Describe Work: ATILITES # PERMIT FEE $ 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. 8 OR ADONS. ( ACC. OLDS. ) $ 3.50 FTO,, 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 10 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 ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2L @ 1.000 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 1 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. `C 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 certifythat 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 in consequence of jhegranting of this permit. XDate " r% 42 /? P_1 Signa ure 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 $ 100.00 Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. O. FEES I IMP I FLOOD I COF PARCEL PD HO 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 Date PERMIT EXPIRES ON /Date/ ReceiptNo. 148318 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET 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 RECENED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . ................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . 10. Fees of $ . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation. letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .-4 est 20. Pre -inspection for required. .. a °ia nspe(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, process as follows; Telephone and hold for Other Parcel Creation Acreage Mail to owner at Applicant Mail to contractor. _ office. Deliver with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4_ 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541 OWNER. IwJ�9.11 �,1 �GCi A.P. # a/� -30000 PROPOSED BUILDING USE r �/ % l DATE D l /C�- 2 �?'5 REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... V-2. SHERIFF FEES (paid at Building Department) Residential......_x =$ 0 unit amt. Commercial (sqft) x =$ tsq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office).................. ..... 5.- DRAINAGE DISTRICT FEES (Contact Land Development Division)............... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department` 7. OTHER 8. OTHER At time of permit application,.I was advised the above fees are required to be paid_ prior to issuance of the permit. APPLICANT