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Home My WebLink About072-310-04572-31- 3� 184-91P,E CHIRCO', ' Don 45 Saint Arlene ti Or_oville util)__.._ ELEC ZOO Am GAS LP& 3!d" COMPACTION TEST REQ .SUPPORT STRUCT REQ4-1 NO 72-31-45 -� Permit#3185-91MHI q (install- _mh) a �3 A� J :fig RESIDENTIAL �2-31-45 3184=91P,E ni •:1 CHIRCO, Don ' ;45 Saint Arlene Way;•Oroville (mh util) r 4 I I I i JOB FINALE Signature OFFICE COPY Address GAS Meter By Date_ ELECTRIC Meter By Date!` J=OK O = Not OK Not = Not Readyable. MOBILE HOMES ` Date MOBjj E HOME UTILITIES (Plans) OK except #'s , ,1'r_ZonLR6 Requirements -Setbacks -Easements oil Special MH Support Sketch a-le*,dor', Location -Test -Fall -C/O Concrete a r; Location -Test -Easement Needed (Sketch) - Elect ' ity; Location-Clearences-Grnd-/ /Amp -Concrete as; Location -Test -Wrap: / /"L"ft. / /' or/ /' L" ft. /"LPG 7 ell CI arance & Disconnect 8. ity Clearance /✓ 17 - f � �j Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s yZoning Requirements -Setbacks Easements .-2!footin s; Size -Spacing -Marriage Line 3 MH Test-Demand-Valve—Connector _j_,El6ctricity; MH Test -Crossovers -Breakers -Clearances _5.-�rain; MH Test -Fall -Flex Connector 6 ter; MH Test -Regulator -Connector ) 7 ater and Sewer Connected -C/O to Grade -HD Approval D,< -as ayd Electricity Tagged of Occupancy Date i. Card B-1 Date Card B-1 Date Card B-1" Date Card B-1 9 mob. MISCELLANEOUS ~ v Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ , -/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h'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 Card B-1 Date Card B-1 ----------- -------------------- ------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection ------------------ - - ------------------------------ --- - - 23. Dec. Receptacles Spacing -Lights & Switches at Doors - ----- ---- ------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------- --- --- 26. Equip. Ground made'up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI - -------------------------------------------------------------- 28. Subfeed Wire Size / / 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. -- --------- - --- - - - 30. Service -Riser Conductors & Ground -Main Disconnect ---- - --------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- ---------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33.. ----------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except h's 34.- A. -C.- Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------------------------- 36. ----------------- -- ---------- 36. Condensate Drain & Overflow: Size & Grade -------- ---------------------------. --- 37. _37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ---------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- -------------- ----------- -------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors - --- ------ ------ -------------------------------------------------------- 4 0 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 Angle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-roof Bra c-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- ---------- ____ -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------- ----------- 64. Bedroom Exiting ---------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- ----------- 67. Stairs -&-Rai-Is- 68. Rails68. 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-Mech. Protection ---------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------- -- 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------------ 78. Guard Rails & Deck -Const ruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes Cl No; Planters 0 -Yes -_0 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 ------ ----------- I -------- - --------- --- -- - Date Card B-1 Date Card B-1 ------------------------------------------- -- --- Date Card B-1 Date Card B-1 --------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE s COUNTY OF BUTTE ;+ DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVq OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541• ># PERMIT N0. Address or location of mobilehome { r; Owner's name �} a�C� es A,, 4 Owner's address 4/4 14 Dk Insignia or hud number % 7 3,iAr 7 >� Manufacturer's name E/" 1 WGI6 _ Serial number of V.I.N.Year of manufacture (Official ApprovinUstoIIation) (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION, ACCEPTANCE SHALL BECOME INVALID.JTHIS FORM SHALL NOT BE USED WHEN THE= MOBILEHOME IS INSTALLED ON A FOUNDA�ION'SYSTEMr', f 5138y White Owner YeliowYi lnstallen, P,nk^DPW w ,. 2 y «. _ .. x .. f COUNTY OP BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Cantor Drlvo • Orovlllo, Callfarnle-06006'• Te"Rono; 010/6318.7641 1 APPLICATION AND PERMIT �?m! vi 072_ BUILDING PERMIT NWR DON CHIR 458-3013 SO. FT. OCC. BUILDING VALUATION OWNS 'S MAILING ADORM50 416 W. CLIFF DR. SANTA CRUZ 95060 CONYRACTORT3 N OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONR UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS T AX u VC4 W* OROVILLE Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 �S S L. Ac E W Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition [I Remodel ❑ Uti litie Installation] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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. , /20sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup( OR FIXTURES 2ALCt eLe30 FIXED APLNS Ex. Occup. OUTLETS PK (RESID IEA.) 2.00 Temporary service 10.00 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. 1 shall not employ any person in any manner so as to become subject s 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 agairLst said Counky in consequence of the granting of this permit. r B ! Ql X Date Signature of App icant — Owner Q5 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE -- TOTAL FEE $ 70.00 ECDF HALcuA PARK cHL rlD I PAR ) HD• ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County -Code and/or resolutions.to do work indicated above for which fees have been paid. DIRECTOROF PUBLIC WORKS Qj�� BY Date-2—q-72---t4- PER EXPIRES Date Zt4—'l C7 Receipt No. 100739 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT AP # OWNER PERMIT .3 MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size- Other Load Type Pipe Size Length YES NO YES NO I 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 (have/have not) Lt,,k4 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construc ion: Name Address - City Phone ,rcctQ -Sri,' 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: 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 D i s 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet California 95,965 - Telephone: 916/538-7541 APPLICATION AND PERMIT -AMO PARCEL NUy� R -- f (J �' C� ZONIN BUILDING PERMIT y O h r 770 TE E 1 HONE SO. FT. OCC. BUILDING VALUATION OWN E 'S MAILINGDCE i. n h z SSD CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS UCTI,�ON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.W LENDER'S MAILING ADDRESS Permit Fee $ ARC ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARC 1 ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /,* Y10Permit we fee $ - PLUMBING PERMIT Filing Fee 10.00 Each Trap- 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome T Other r� SPECT FY Gas piping system 1 - 5 outlets 5.30 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition[] Remodel Utiliti s Installation Other ❑ Describe work: �/'IC�I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license _is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- 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.tr OR ADDNS. ( ACC. SLOGS. , /Z Esq ft NEW CONSTR. MULTI -OUTLET BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2AL@ eLo30 Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ L Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ. CUA I PARK scHL fLD coF PAR I Po ; 1-10,119SUE This permit is hereby issued unser the applicable provi- sions 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 Date Receipt No. 1 y �q WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILL E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1 ✓� A. . No. tJ o "�7� Proposed Building Use Building Inspector 6�6Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . Y' 5. Hazardous Material Form . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 11"M 9. Mobilehome installation data including manufacturer's installation Instructions........................................................7 7i 10. Fees of $ 11. Chico Urban Area fees paid ....................................... �- 13Park ees paid �1.......................................... 1�3j Y'r9 PIC-* Wl School District fees paid . '9 Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... _ 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of si a ure aut ri ation . pw�2s.. �A � a ra.�. .......................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi up at office. Deliver w/inspector. Other Applicant Date )69, 9� Copy of !-.az-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 submitte ,rto 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---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by sou Date !991 Plans approved by Date t�Zl J92 Sets of plans on hold in File cabinet AP folder Copy—DPW I W A R N I N G Each of the following conditions, if applicable to your job site, will require special setbacks and/or design requirements. 1. Excavation and Fills: (1985 UBC, Section 2903(a)) Slopes for fills shall be not steeper than 2 horizontal to 1 vertical. Cut slopes shall be not steeper than 2 horizontal to 1 vertical unless soils investigation report by registered engineer justifies steeper cut slope. Fills to support the foundations of any building or structure shall be placed in accordance with accepted engineering practice. A report of satisfactory placement of fill, (compaction report), will be required to be submitted to the building official prior to construction. 2. Footings on or Adjacent to Natural or Manmade Slopes: (1985 UBC, Section 2907(d)) The placement of buildings and structures on or adjacent to slopes steeper than 3:1 .shall be setback according to the sketch below, unless an investigation report from a registered engineer demonstrates code intent is satisfied. FOR SLOPES STEEPER THAN 3 TO 1 Top of slope but need not Face of Mill exceed 40' Face of structureToe of footing H H/2 slope but need not exceed 15' The above items are provided to call attention to special construction requirements for sloped building sites. Required setbacks due to sloped site conditions may differ from zoning requirements as stamped (or) noted on plans. If setback problems arise from these requirements, a registered engineer may be able to provide an alternate solution by designing for specific site conditions. Plans and details for alternate solutions (stamped and signed by the engineer) shall be submitted for approval prior to construction. i BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One -Form per Building) A.P. Number 6r%�-',-'-^()�I_SBuilding Department No. School District City County MA Jurisdiction Property Owner k )/) m ( fh ; Project Location/Address Subdivision Lot Number le, Residential Development: Sq. Footage # of Living MHI Addition (Group R) ' - Units Commercial/Industrial: a o Sq. Footage New. Addition (Including Exterior Roofed Areas) wa, - - - (7 // Building DdpcJrftment -Representative , Date (Floor Plans reviewed. by School District Personnelj)r?,,,, . District. Id• No. 391 School District certifies that (Applic/ant Na{ ') ( Phone Number) A .c,c ( Street Ad(Lt9 s) /7 (City) (State) (Zip Code) has complied with the requirements -of Resolution No. , DO by the payment of $ representing square feet. School District'Re esentative Date PAID BY CHECK NO. BANK NO PAID- BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) M I -,-f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 1-21-92 DON CHIRCO RE: MOBILE HOME INSTALLATION PERMIT 416 W. CLIFF DRIVE #3185-91 SANTA CRUZ, CA 95060 A.P. # 72-31-45 With reference to the above subject: f� Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. CaIcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced LL 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: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 Co4nty Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded.copy of agricultural acknowledgement statement. 77 OTHER 1. School fee receipt required before permit can be issued. Should you have any questions concerning the above, please contact of this office. B. WILDING Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 [)DN CtA J1zf_0 DATE 1/21 192 ,+1 (0 UJ - C0ff �2 5AtN'-Pc CQUZ ,CA• 950 0 RE: MOp,!l4-MOM F 1f•)OCUAnooJ �mIT -0 3185 —91 A. P. # '77-.31_45 With reference to the above subject: Ll Attached is: 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 OTHER e 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: 196 Memorial Way,' Chico 7 County Center Dr., Oroville 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. 1=/ OTHER( 1) r,,--HWL �, e�-fpj LEaUiPCo fear?E ;Fl? M 1T• Cflitl AC- Should AEShould you have any questions concerning the above, please contact of this office. - --�---' -�- Yours very truly, JFG/aj p� (YiH--1 William Cheff Director of Public Works .F. Glander Chief Building Inspector Vb E N too :77- �o e1w t . A setback of 5 ft: from thA �.. . i F property lines and a setback of` NOT : All M feria b Workmanship Shall. Be in 50 ft. from the road ~.x Accordce wi j Re ogni:ed Good 'Practices and centerline shall be Clear of of a qu lity pr s*rib d for the Specified use in the structures or equipment except Unlferm uildin !, `l6nbing $Mechanical Codes and for a 2 ft. eve overhang.t the Neal 8C +6& Code. clear a� all easemev►fs This se� of POM and s 6rifictions MUST be `� G kept on the job ` II V si' and it is unlawful to 3 }� make an�{ changE. or alt , tion on same withi. —� out written per is ion fr r;n'the Department of, Public Works, Ccii►ity of Bute. > Z. C� .yF 1 ! moo® IZri ��A� O ' 20VAL - For2. Z 2tX nis I rmiu - p- .. 562.96 BUTTE COUNT 4 i BUILDING DEPARTNI`NT APPROVED _ ALE Dopy Of n'tgtt .ft a to in A 'tri 0.1wivC Z tra 20it.' ytt3C(fJlq t C+I ^;ft moll s' 0d yu irN:) ad' ltsarie crilhlinea OW . , , i :i a�! {irsc9� grr9zrrerrsl�aE :4r.S��'o i IIA--.*3TOM 6ao i, .s:r:oo :�A r{itrr�n6_►�f� tti Ulu yfi'vvp u 3a �+� z9ktc+ ►n.zi»or{aa3ri x �ryidrrtut�i .cartiir"WO rri+alinil .9600 Pss;ji +isI3 lonoilow ori# e,d i?,tl.'t1 -tita!q jo tl2 ±i!fj 3t 11AV. Uin.r ri t� ':n� ? �ntft 4i3 is CIL! 01 no to -DA . '..lr? n1 1 ., ;4; 1s I:,- �:►;�_n rig `;ns 9�brn la tn9rr,tisc,,�G . rdl n!uit r:� �i�.,� >c� n'.lhilw tuo r Of n'tgtt .ft a to in A 'tri 0.1wivC Z tra 20it.' ytt3C(fJlq t C+I ^;ft moll s' 0d yu irN:) ad' ltsarie crilhlinea OW . , , i :i a�! {irsc9� grr9zrrerrsl�aE :4r.S��'o i IIA--.*3TOM 6ao i, .s:r:oo :�A r{itrr�n6_►�f� tti Ulu yfi'vvp u 3a �+� z9ktc+ ►n.zi»or{aa3ri x �ryidrrtut�i .cartiir"WO rri+alinil .9600 Pss;ji +isI3 lonoilow ori# e,d i?,tl.'t1 -tita!q jo tl2 ±i!fj 3t 11AV. Uin.r ri t� ':n� ? �ntft 4i3 is CIL! 01 no to -DA . '..lr? n1 1 ., ;4; 1s I:,- �:►;�_n rig `;ns 9�brn la tn9rr,tisc,,�G . rdl n!uit r:� �i�.,� >c� n'.lhilw tuo 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 -_o 0 3. the site currently under permit? Yes No eIs (If yes, furnish permit number ) OR Yes No Is the site an existing site? (If yes, furnish, two plot plans.) t 4. Will the mobilehome be'located'at`least 5 ft. away from septic tank and leach t fields '—� and clear of all setbacks and easements? Yes 3 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �ScS " Amps •� 6. What is the mobilehome site service rating.? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. �Is there any other electric load to be served by the n ;mobilehome site service? -------------------------------- Yes No !�I (If yes, identify the load and size: (Load) (Amps) at is the mobilehome site gas pipe size? -------------- y _ (in.) at is the type of gas service? --------------=---- Natural LPG t is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- What is the mobilehome gas demand? ---------------------- �,2 61 (ft. ) (BTU) *(This information not required if pipe length less thZMA-CZODNTY natural gas or less than 50 ft. on,LPG.) ' BUILDING DEPARTMENT APPROVED MIJIU LHUME: SUFFOKT DATA If other than single wide, �Iobi:ehome tifr. furnish Setup Model No. Year. Width Box Length _(ft.) Tagalong or Expando Size ft, xft. 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 2. Other (specify) F SUPPORTS (check one)1. Concrete block. El 2. Other (specify) ^^ Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE ,:..o t Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ „ Size -Min- ------------------ „x „ Spacing -Max- --------- Each Side of Openings From Ends -Max- ------- '_ " With Width Over --------- C- Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------IZ "x 24" 02 lZ",c 3� Size -Min- ------------------ ,k Spacing -Max - --------- 5 '.,- " (0l_ 8 Spacing -Max- --------------- From Ends -Max.------- '_ Q . 1� 'O From Ends -Max .------------- �- Line 3 Roof Loads; Size -Min. ------------ Location (From Front) e 4 Piert : . Size -Min ------------- Spacing -Max.--------- ,- From Ends -Max .------- „ Line 5 Roof Loads: Size -Min ------------- location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- ,k „ Spacing -Max---------------- r- „ From Ends -Max -------------- j COUNTY OF BUTTE - DEPA' OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � n%1 ASSESSOR PARCEL NUMBER 672-310-049 ZONING ' BUILDING PERMIT OWNER , DON 44bbiC CkIf'io TELEPHONE 458-3013 0 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 416 WEST CLIFF DR SANTA CRUZ 95060 CONTRACTOR'S -NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS I Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS j Penalty $ BUILDING ADDRESS T e KE u^ WBN T 1A cr OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 I 'i5 'S.9//v7- 4LC -, w f Each Trap 2.00 - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAGRCEL MAP. �- ` , Water piping -' 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex❑ Mobilehome[� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IP 10.00ea 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: 2 BDRM _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I ❑ 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,1as the owner, or my employees with wages as their sole compen- sat ion, will do the work, and the structure Is not intended or offered for sale. (Sec. 7044) ❑ IJ as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ACDNS. ACC. BLDGS. ,/z¢sgft NEW CONSTRESID. BRANCH NON.R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcupOUTLETS OR FIXTURES � 5AL@ eALo0 3 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EJI 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. 1 Ishal I not employ any person in any manner so as to become subject to the W. C. laws of California.Ventilation 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 10.00 Heating Cooling g Hood 3.00 El permit Fee . $ Contractor I certify that I have read this application and state that the above information is correct! I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County n consequence of the granting of this permit. -a— Date Signature of Applicant — Owner Contractor ElAgentwork An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ It CONST TYPE TOTAL FEE $ 92.50 Az. CUA- PARK SCHL FLD EDF PA11 HD. ISSUE This permit is hereby issued unoer the sions of the Butte County. Code and/or indicate above for which fees R. rT F PUBLIC ��? By i� .� PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS at ` 3eceipt -3 11 No. 100739 NITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT F IZ& *- lXT - ^Y'7 -r l . +,r• ;f„rru....ti � ._ ►�w..."_^f..`..`` ,.' !',_TM• � � '�` �i'i i �'�+.a'�.T �:i.4 i. ijii !%i�tzin+4.t�{.' �,.r' �.`., r 1 ,1,.:;� � � r . L 17 !`... �. t-.,. T r''.r. na• '.r� r. l f� COUNTY OF BUTTE - DEPARTMENT OF `P BLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLbE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A✓l I Y� P No. 'Proposed Building Use /T (tel Building Inspector -A ate 91, 19 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ' 1. All items have -been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by �preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) >t f 9. Mobilehome installation data including manufacturer's installation instructions.....................................................� r 10. Fees of $ 11. 'Chico Urban Area fees paid ....................................... 12. Park,fees paid .................................................... 13. School Disgr/ct fees paid .............. Sanitation approval from - (SOV l �/ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17.. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... f 22. Certificate of Workmans Compensation Insurance .................. -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 1 2 3. Owner nX-4. Recorded copy of Agricultural Acknowledgment Statement ......... ,/ D 7 7:� -� 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai l to owner. Mail to contractor. Telephone_ S-S�Sgr/_0 and hold for pi kup at office Deliver w/ins of -tor _ Other Applicant r-_ Date /0 /R Copy of ! .az-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: we a eC*L0_,&A oK cw-,- S -k. �- 4z 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 ll—counter by date j Plans checked by f1 ll i/3 Da1/3197-(4W Plans approved by Date 1%3192 Sets of plans on hold in File cabinet AP folder Copy -DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance "`— owner Location AP# i . Sewaqe Disposal ✓ Water Supply Plan Approved for: Hold final for: Water Supply 7inal clearance O.K. for: Water Supply Clearance for e2-- bedroom mobile home. Other NOTE,**� f Sanitarian D to �C l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A7t7iPPARCF pre^RQ _ CJc{ (1'i^ ZONING BUILDING PERMIT 077,70 ►`1 I I—(' �) M� Q 3 TELEPNE SO. FT. OCC. BUILDING VALUATION ' OWNF_R'S MAIL NG ADORESS st '. C TRACTOR'S NAME TELEPHONE W Ata. V_ CONTRACTOR'S MAILING ADDRESS Fireplace CO RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S M - -(LING ADDRESS Permit Fee $ AR HITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - - Penalty $ BUILDING ADDRESS ! k cr �F Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each :,as water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea Q Q TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti/lliities Installation❑ Other ❑ Describe work: _ U a Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 O Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. FlI, 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.N, OR ADDNS. ( ACC. SLOGS. /z esq ft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2 A 30 BLI Loe IXED Ex. Occup. OUT ETSPIRESID IAPLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fs1 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply With such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 1 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ .S^ HAz CUA PARK SCHL FLo coF PAR Po Ho. Issue This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive,"Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest 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) i signed an application for a building permit for the proposed work. _ _1 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 Chis 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 9-24-91 DON CHIRCO RE: B.P. APP: #3184-91 416 WEST CLIFF DRIVE SANTA CRUZ 95060 A.P..# 72-31-45 With reference to the above subject: " Attached is: 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 OTHER 1� 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: 196 Memorial Way,' Chico 7 County Center Dr., Oroville 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 copyof agricultural acknowledgement statement. OTHER Plot plan submitted Show a well across St. Arlene Wa without special provisions. If this well is to serve Should you have any questions concerning the above, please contact Dave Wasney of this office. Between 3 & 5 p.m. Yours very truly, JFG/a j William Cheff Director of Public Works .F. Glander Chief Building Inspector !v r F� Dec. 27, 1991 BUTTE COUNTY Building Dept. ATTENTION: J.F. Glander Re; Parcels:• 072-30-15, 72-30-14-72-31-044 Encl&sed is a copy of -the deed for Water Line, Well and Tank easement. Please file this with my application. �. Thank you', Don Chirco 1 V �i Order"Fr�__ Escrovv Loan -,No. WHEN RECORDED MAIL TO: Don Chirco a4fi -48 190 431 -*48190 1 Rec Fee I STF Recorded I Cash off idial Records I County of I Butte I Candace J. Grubbs 11 - Recorder 11:27am 19-Mov-91 1 XX SPACE ABOVE I HIS LINE FOR RECORDER'S USE 7.00 1.00 8.00 2 MAIL TAX STATEMENTS TO: IQ-eaSeMent DOCUMENTARY TRANSFER TAX $_222]a ................................. N/A easement only ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances ring at time qf4ale. AP# 72-30-14, 15 61-11-- Signistute of Declarant or Agent determining tax Firm Name AP# 72-31-44, 45 DON CHIRCO EASEMENT GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby! acknowledged, DON CHIRCO, an unmarried man hereby GRANT(S) to DON CHIRCO, an unmarried man as to an undivided 1/2 interest and BEN CHIRCO, an unmarried man as to an undivided 1/2 interest the real property in the)0309ba County of Butte State of California, described as DESCRIPTION OF EASEMENT ATTACHED EXHIBIT "A" Dated- November i9l, 1991 DON CHIRCO STATE OF CALIFORNIA Iss. COUNTY OF Butte On ' November 19, 1991 -before me, the undersigned, a Notary Public in and for said State per- sonally appeared ersonallyappeared:Don Chirco Personally known to ma (o val to me on S evidence) to be the persor rs). se names 10 be to "'se name(s, "' Pr S) w within instrument and ac DWIC4ged tome t the same. WITNESS, my a o cidl seal. Signature Daniel F. Hunt of.s'- cto ribs the NOTARY E: USLIC-CALIFORNLA 'the ecul Bull Bue &�'ty y may/ My Commission Expires Oct. 1, 1994 W (This area for official notarial seal) 1002 (6/82) MAIL TAX STATEMENTS AS DIRECTED ABOVE EXHIBIT "A Chirco Water Line, Well and Tank Easement An easement 10 feet wide for water line purposes lying 5 feet on each side of the following described centerline; beginning at the North ; of Section 13, Township 19 North, Range 5 East, M.D.M.; thence South 010 51' 58" East, 807.97 feet; "thence -South 020 36' 4V` West, 169.12 feet; thence South 780 32' 37" East, 86.95 feet; thence North 790 25' 28" East. 78.34 feet; thence South 810 27' 57" East, 98.65 feet to an existing water storage tank; thence North 37° 26' 18" West, 519.69 feet thence North 79° 27' 06" West, -68.84 feet to an existing water well and the end of this description. Together with an easement for water well purposes over *a circle of ground with a 20 foot diameter the center of which bears South 100 34' 46" West, 578.46 feet from said North I corner of Section 13. Also together with an easement for water tank purposes over a circle of ground with a 20 foot radius the center of which bears South 15' 35' 41" East, 1041.86 feet from said North } corner of Section 13. These easements include the right of grantee to enter upon said property for the purposes of inspecting, repairing, replacing, maintaining and servicing said water lines, water well and water storage tank.. The Basis'of Bearings for these descriptions is the same as shown on the Parcel Map recorded in Book 98 of'Maps at Page 5, Butte County Recorders office. , j �NNL LAN03, off:, Pip L. G •. �9L Q . F.c p •' it N• �•.• 6,30 .92 P OF C A��FO c'N® OF DOCUMENT