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HomeMy WebLinkAbout072-340-00172-34-01 72-34-01....,. GORDON COULTER ermit#83-88A (�Q�icultural Bldg Exemp• 10 Shenandoah Lane, Orovil� arm equ D2 l;.�A�, „tet) --� Permit#2876-88P,E(uti ) -- ELEC. GAS y, SUPPORTS _ CTURE..REn. C07AreTrN TEST REQ. Afe 72-34-01 ,FPermit#3 9-89P,.E(util,.rMH t' ELEC. GAS SUPPORT - STRUCTURE REQ. v COMPACTION TEST REQ. '��� � '�,Ii • � f I , Y 2-34-01 Permit 7 #4040= 9M?:;.I Issy.ed��� Permit #337:vl- 0 -- (stairs/MH).. „-•,_ / �G��d k#, �.f i • i t e I • a e 0 337-90B RESIDENTIAL COULTER, Gordon 10 Shenandoah Lane, Oroville (stairs/MH) JOB FINALE Signature J=OK O=Not OK Not Applicable Not Ready MOBILE HOMES ' = .L Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L" ft./ /"LPG t 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECIM COVERS, CARPORTS, GARAGES Plans OK except #'s Zon pg Requirements -Setbacks -Easements _ . kgs; Soils2Sixe-Depth-Spacing-Connectors-Steel _ AY'Decks; Gds and/or Joi ecWmj-§racipg t - ail 4..-1Need-Awn-,-Pdsfs=Beams-Rftnt.-Connectors Shthg -Rfg.-Bracing 5. m. wn.; Columns -Connections -Splice -Decal -Enclosures 6 s; ndows-Doors 7�Eleetrie- 8tfrmg-Stt --Anchors-Studs-Rftrs-Trusses 9r=9iAirrg-,- ding -Veneer -Stucco -Mesh LO�ioof -SFfwtig Roofing LI -1. Ext.; Steps -Doors -Landings Date ,/6I9 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 4 O O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 11 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes ❑ No; Walks ❑ Yes 0 No; Planters ❑ Yes 13 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except q's 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s' Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil(e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72-34-01 ZONING MR 91 BUILDING PER OWNER Gordon Coulter TELEPHONE 89-4702 SO. FT. OCC.1 BUILDING VALUATION (� - Est Cost _ OWNER'S MAILING ADDFESS #10 Shenandoah Lane, Oroville 95966 566 open 2830 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $2,830 Filing Fee $ 10.00 LENDER'S MAILING ADCRESS Permit Fee $38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS #10 Shenandoah La ne Oroville Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISICN NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other] Describe work: Bnr-k Poor itni rc _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS t00 AMP OR LESS 10.00 Main Service EA. ADO'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 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 unser Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. , 2/z¢sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 0 50 6 A L®ao FIXED APLNS Ex. OCCup. OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 t I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is fcr $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 f Consent to Salf-Insure. ' shall not emp oy any person in any manner so as to become subject to the W. C. lairs 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 Conlin 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 County of Butte to enter upon the a.:)ove-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment, cos.4, and expenses which may in any way accrue against s id CouLyin con( nee f the granting of this permit. _CSC) X ��/ Date c� / Signature of Applicant — Ownero Contractor ❑ Agent ❑ An OSHA permit is requires for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height.iptNo.�.,���By Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 67.75 HAz [I CUA PARK SCHL I FLO PAR I PD HO I S Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PE EXPIRES Date the applicable pro vi - resolutions to do have been paid. WORKS to��vz� !� 94 rio",Cof •D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO FROM: SUBJECT: Building Department_ Environmental Health Sanitation Clearance GarA c �, , �, � � y �_ n 3 V-62 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Wat er Supply Clearance for bedroom mobile home. Other &rt- - J r4.sa„.-.a.�rFS'.x.:'!•t7.`+1.yI".." -T f�'vy. -�pr i. -. :.y. I -.y. •• rt.r-c-r'w..'T'VjYP II p�O +}p,y�y' COUNTY OF BUTTE'- DEPAF�TMENT OF UBLIC ,WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPDC-TION -DATA SHEET D _ Permit No. OWNER ��Z 6�.�I�L_QJLT�. A. P. No. 17at`I,O ari Proposed Building Use Building Inspector Date G7 At time bf permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All iters 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) 9. Mobilehome installation data including manufacturer's installation { r instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park faes paid .................................................... 13. School District fees paid .............. 4. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 6. 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. Owne--Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone .5 Q 9Z and hold for pickup at d _office. Deliver w/inspector_k Other Applicant / Date Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index pe,mit 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 -mai I -counter by `date Plans checked by Date Plans approved by Date �� 7 Sets of plans on hold in . File cabinet AP folder Copy -DPW COUNTY OF BUTTE - Departaent :of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An ,'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) v signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address I 1 1. 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 02L "L 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. i Utility connectiani shall be w�j'f n S- 4 ft. of the mobilehome, either. directly behind or within the r a -- half of the roadside (left) of t e mobilehome. 500 SQ. FT. MINIMUM F05MQ$I9M 3r - A permit A be required kr Wo Wfalletion of the rnobilehoma. 9 O �P) to P' linin and a setback — o f 50 -ft, from the road centerline shall be clear of ; structures or equipment except ,EoI 2 ft. eave overhang. 1 sect aT oars ansa :peci iiaAans WST Se T ' X}epi o!1 -i'imi and tit is unlawful {c C.,a!ier:x ions On Sarno without fro;n':"r,o Lepactment of Pub- Itc words, of l:L;i;e, NOTE=—Aff Materials & WoArnarship Shah Is ir1 Accordance with Recognized Good Practices arod of c quaciiy ,orescriae:l ;ar tl�e SpaciT�ed use in the Lr:if,r- Euil,:ing, Plumbing -cc Mechanical Codes and the Nazicnal Electrical Code.. evv Ifs 4c4 01 4��+� R RTTAENi VIP COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS `.. 136 Memorial Way, Chico — Phone: 891-2751 7 Ccunty Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 tt CORRECTION NOTICE �v I�'Ie r T N A routine inspecticn indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need adlditional explanation, please contact this office immediately. Inspector -XI Date s ( � Z U �wf�,..ZYM4ii2F"�"""�1++lM��l'�7r"'"Y•K�•� :.r...Ta-e�' .l+p'* r ' COUNTY OF BUTTE ;DEPARTMENT OF PUBLIC WORKS, "`± r y 196 Memorial Way, Chico — Phone: 891-2751 '•.5�a 7' County Center Drive, Orovi I le — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER _ r PERMIT NO. A,routine inspection `indicates that the following violations of County Ordinance exist at the abe*'' illdress and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this tma.tter, or need additional explanation, please contact this -;office immediately. _j 7 1 �'y r1 -4 i. J i. • j; r # i Inspector 0 Date_ ' " �— �-0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome w' Owner's name �r Owner's address r � Insignia or hud number_ Manufacturer's name Serial number of V.I.N. Year of manufacture ` (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MO',ILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. �y 72-34-01 COULTER, Gordon � #10 Shenadoah Lane �D C��..•-�/ "•- (util, MH) Oroville PER. PERMIT EXPIRES le- OWNER A CONTR. ASSESSOR PARCEL LOCATION Rar Y Temp. P\PPol r Called PG&E— Temp. Elec. Service Called PG&E _ Temp. Gas Service _ Called PG&E _ JOB FINALED (Date) Signature i r =0K- " 0 = Not OK ' MOBILE HOMES MISCELLANEOUS yable = Not Ready Date MOB HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . Zo g Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se r; Location -Test -F --C/O-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r_ L2 er; Locatio - Easement Needed (Sketch) i 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- . Electricity; Locatiolea an-Grnd.-/ f�Amp-Concrete) Shthg.-Rfg.-Bracing Gas; Locatio - s / /"L"ft. } 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ���� / /"Nat. or ✓I�LPG 6. Carports; Windows -Doors _ 7. Utilit ,Clearance 7. Elec. — 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date[—/a Card -81 Date j 10. Roof; Shthg-Roofing Card -131 Datel -Zl_9 ( Card -81 Date { 11. Ext.; Steps -Doors -Landings SILEHOME INSTALLATION (Plans) OK except # s honing Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line Gds; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector Mater; MH Test -Regulator -Connector Water and Sewer Connected -C/0 to Grade -HD Appr Gas and Electricity Tagged 5xits; Insp.-Sketch Cert. of Occupancy Card -B1 Date Q Card -131 Date Card -Bt Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date i I Date POOLS (Plans) OK except #'s t 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability I 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed i 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.;Ground in E Equip. w/5' -circulating Equip. -Pool L ht 9: q P• 99 9• 1 Gnvnc_Cnnlnm ruc_D�nnlhn�rrlc_Ine fn KAoin in r n 4..ir I 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ICard -131 Date Card -131 Date Card -131 Date Card -131 Date =UK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped. 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59.Insulation-Walls-Clg. 20. Test Tub & Shower, 2nd Floor -Tub Access 60. Infiltration-Walls-Wndws Card -Bt Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs &Rails Card -B1 Date Card -81 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 8i. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -Bt Date Card -131 Date 92. Roofing Certificate Card -61 Date Card -81 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -61 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -131 Date Card -81 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DE; ENT OF PUBLIC 7 County Center Drive - Oroville, 95965 - Telephone: _-�APPLICATI .,�. PERMIT WORKSPERMIT NO. 916/538-7541. ASSESSORCEL l.%M ER Z NTNG BUILDING PERMIT OWNER inn TELEPH 519q -*69 SQ. FT. OCC. BUILDING VALUATION OWN S AILING ADDRES CON RAC OR'S NAME TELEPHONE t CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Penalty $ BUILDING ADDRESS 4t- / 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 qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 14 U SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 0.00e TYPE OF WORK New F-1 Addition[ Remodel❑ Utilities Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 D, 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 Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owler. 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 reascn NEW CONST. DWELLING OCCUP.8i OR ADDNS. ACC. BLDGS. ,h¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 1.20@50C eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 S�pO Permit Fee $ .S 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: It 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 Cooling g Hood 3,00 Ventilation. Permit Fee $ Contractor I certify that I have reed this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts, an ex enses which may in any way accrue agains aid COU ty in c s uen a granting of this permit-. "OU 'y %� Date �1 0 9 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and de lition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE zj­ TOTAL FEE AL HAz � cuA __- PARK L P HD (SSU This permit is hereby issued under sions or the Butte County. Code and/or work indicated a ove for which fees IR CTO F PUBLIC By -. PI RMIT EXPIRES Date. the applicable provi- resolutions to do have been paid. WORKS Dale - ..-Q Receipt No. �L ��� (t�� WNITE-D.P.W., R, PINK-INSPEC OR, GOLDENROD -AP PLICAN.T 7777wip�y ��� r•,' _�. �`'tr-t- '.F, r , • . COUNTY OF BUTI:T~E - DE`P�'RTMENT...O,F, PUBLIC WORKS =BUILDING, IV ISI N "�*• 7 COU Y CENT R DR V.Ea!-O iOVILLEr,CALIFORNIA'95965 - TELEPHONE: 916/538-7541-' PERMIT APPLI'CAT 0 'DATA SHEET 94 "� r. ;i# Permit No. OWNER x n 1-0 A A. P..No.-79- 31- d Proposed Building Use i 4 1 •Building.lnspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicater�replicae, Igned by preparer of plans ..... 3 - 86( 3. Complete plans in dup I cate, 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) 9._Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... I " 13. School District fees paid ............... 14. Sanitation approval from OK 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 -a 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. O ner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4.ecorded copy of Agricultural Acknowledgment Statement ......... Lette gnature au ation . ............... Q )IPCA cu !Zoe n__1y1rJ 12194 bee, When you I v the ermit as follows: Mail to owner. _ Telephone and hold for pickup at office. Other 416 - Mail to contractor. _Deliver w/inspector. Applicant- _��� ( 42:Z11Date��G�� Copy of plans sent ""Health Dept., Fire Dept., Other Date fr' { The following data must be submitted prior to permit issuancky/tircle-Ow item not checked above). 1. Index permit for above items No. 05 ` 2. Additional items required: ' Contractor, designer, owner, was advised of above required data by—phone---Mail _counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by - date { Plans checked by - Date Plans approved by �� Date A" Z 4, Sets of plans on hold .in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit �B� 2 has been issued for the above property. t a 'a l — ew si ature date TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 r-'&' L Owner Location AP# Plan Approved for: Sewage Disposal Water Supply.��' Hold final for: Water Supply r Final clearance O.R. for: Water Supply 0 Clearance for bedroom obile ome. Other NOTE * * * Sanitarian t.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RSIDENTCAL DEVELOPMENT Sccti.on 26-8.1. of the Butte County Code requires this acknowledgement be recorded - prior to .issuance of a building permit. All. that. real property situate in the County of. Butte, St:at.e of Cal:i.for. n i n, cic.•vcr i be d ;►v follows: SEE EXHIBIT "A" ATTACHED HEREWITH FOR LEGAL DESCRIPTION Date: September 6, 1988 Statef. Cal County PROPERTY OWNERS: _ Gordon Wayne Cou ter . On this the 6th day of September , 19. 88 , before n►e, SS. the undersigned Notary Public, personally appeared Gordon Wayne Coulter ElPersonally known to me. a.Proved to me on the basis of satisfactory ev:idcnce. to be the person(s) whose name(s) ;S subscribed to the within instrument and acknowledged that. executed the same for the purposes therein contained. IN WI'I'NI;SS WHEREOF, I hereunto set my hand and off.i_ci.al. seal.. Present A.P. No. 7%-' 3_/-00 Notary Public The property described herein is adjacent CID$-�J3 �1$ to land or included within an area zoned F for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of ogr.icultural chemicals, including, but not limited to herbicides, pesticides, and fert:i.l.:izer.s; and from the pursuit `??`,yr,_s►H of agr:icu.ltural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estab.Li sled ;igr i cn I Lural zones which _have as a priority use for productive agricultural purposes, oncl rc•:,icicw w.i.th.in sa i.cl zones and on adjacent property should be prepared to accept such i nc unveil i c.•nc e or disconform from normal, necessary :farm operations. All. that. real property situate in the County of. Butte, St:at.e of Cal:i.for. n i n, cic.•vcr i be d ;►v follows: SEE EXHIBIT "A" ATTACHED HEREWITH FOR LEGAL DESCRIPTION Date: September 6, 1988 Statef. Cal County PROPERTY OWNERS: _ Gordon Wayne Cou ter . On this the 6th day of September , 19. 88 , before n►e, SS. the undersigned Notary Public, personally appeared Gordon Wayne Coulter ElPersonally known to me. a.Proved to me on the basis of satisfactory ev:idcnce. to be the person(s) whose name(s) ;S subscribed to the within instrument and acknowledged that. executed the same for the purposes therein contained. IN WI'I'NI;SS WHEREOF, I hereunto set my hand and off.i_ci.al. seal.. Present A.P. No. 7%-' 3_/-00 Notary Public i'" All that State of EXHIBIT "A" certain real property situate in the County of Butte, California, described as'follbws: COMMENCING at the center of Section'24, Township 19 North, Range 5 East, M.D.B. & M.; thence North 89°15'59" East along the East-West centerline of said Section 24, 1125.004 feet to the true point of beginning for the land herein described; thence from said true point of beginning South 220.371 feet to a point in the center of an existing road; thence along the centerline of said existing road the following courses and distances; South 52°44'03" East 116.481 feet North 44°19'37" East 130.443 feet North 78°26'17" East 69.630 feet, South 58°52'08" East 183.218 feet South 69°37'43" East 194.995 feet and South 37°55'48" East 118.413 feet to a point in the center of Black Bart Road; thence Northerly along the centerline of said road to a point on the Northerly boundary line of'the Southeast quarter of said Section 24, thence South 89°19'21" West along said Northerly boundary line 871.33 feet to the true point of beginning. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet of each.side of the following described centerline: COMMENCING at the center of Section 24, Township 19 North, Range 5 East, M.D.B. & M.; thence North 89015'59" East along the Northerly boundary line of.the Southeast quarter of Section 24, 437.304 feet; thence South and parallel with the Westerly boundary line of said Southeast -quarter 225.588 feet to the true point of beginning for the line herein described; thence continuing South and parallel with the Westerly boundary line of said Southeast quarter 156.190 feet; thence along said road centerline the following courses and distances: South 07°56'32" West 354.17 feet; South 06°26'56" East 158.113 feet; South 25°19'53" East 114.072 feet; South 31°11'03" East 133.760 feet, South 18°45'33" East 130.050 feet; South 5°18'23" East 351.688 feet; South 33°11'43" East 103.260 feet to a point in the center of Black Bart Road and the end of said line. ALSO TOGETHER WITH a right of way for road and public utility pur- poses over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: COMMENCING at the center of Section 24, Township 19 North, Range 5 East, M.D.B. & M.; thence North 89°15'59" East, along the Northerly boundary line of the Southeast quarter of said Section 24, 437.304 feet; thence South and parallel with the Westerly boundary line of the Southeast quarter of said Section 24, 381.778 feet to the true point of beginning for the line herein described; thence from true point of beginning the following courses and distances; North 88°29'22" East 224.00 feet; South 67°17'08" East 118.824 feet; North 74°59'57" East 64.130 feet; North 49°33'57" East 162.691 feet; North 51°03'22" East 177.126 feet; South 52°44'03" East 154.892 feet; North 44°19'37" East 130.443 feet; North 78°26'17" East 69.630 feet; South 58052'08" East 183.218 feet; South 69°37'43" East 194.995 feet and South 37°55'48" East 118.413 feet to a point in the centerline of Black Bart Road and the end of said line. I eaunt* ,� Xuttz OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Cordon Coulter ADDRESS: PO Box 254 _ r CITY & STATE: Orovi lle CA 95965 IMPORTANT: 10/10/89 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Building Permit #2876-88B,P,E, AP#72-34-01 Receipt #22192, dated 9/6/88. Total fees paid -------------------------------------- Retain building permit filing fee ---------- $ 10.00 Retain plumbing permit tiling tee--------- - Retain electrical permit filing fee-------- 10.00 I etain plan checking fee ------------------ TOTAL AMOUNT RETAINED--------------------------'--'--$ 45.00 ' TOTAL REFUND DUE ------------------------------------- $ 37.50 TOTAL $37 50 ' I, the undersigned, declare, under penalty of perjury that the services or articles claimed have been performed or de 'veted, and that this 'claim is true and correct as stated. Dated this `0 .......... day of ..... .G.. ..... 19...... ......0A0...v!...11F Calif. . ..I t .......... .............................. ........................ Signature of Claimant I, the undersigned. hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for the sang. O / Dated this 12th day of ...... 1. 89at Oroville Calif. ..... ........... ........................... .......................... .............................. /Department Heed or Authoritsd Deputy 4210500 oust Permits CodeC de 44Q... Cody PAYABLE FROM FUND ........................................................................................... ............................�.................................................. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. % COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilte, California 95965 - Telephone: 916/538-7541 APPLICATION AND. PERMIT PE MIT NO. Yt / A JqMOR P-10 EL N67ER ' !(V��) ZONING BUILDING PERMIT OW R "' rO TELEPHONE .3 Z SO. FT. OCC. BUILDING VALUATION N •S MAILING ADC• ES D 66 oute S CONTRACTOR'S NAME TEL PHONE CONTRACTOR'S MAILIVG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1�- LENDER'S MAILING ACDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q -v Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V; 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 ❑ Mobi lehomeLJv'/Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 677 G f W 0.00ea TYPE OF WORK-- New ❑ Addition [:Remodel ❑ Utilities F,� Installation❑ Other ❑ Describe work: 3 6"e, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ,50 0 99 ji4t fAb Main service e00V OR LESS 100 AMP OR LESS 10.0 Ori Main service EA. ADD'L 100 AMP 2.50 CONTRACT04610CENSE LAW I declare under penalt-i of perjury (check -one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess ons 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. 7034) ❑ I am exempt ender Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCU1.e OR ADDNS. ACC. BLDGS. , /20sgit NEWCONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 200500 Occup(OUTLETS OR FIXTURES SAL030 FIXED Ex. Occup. OUTLETS PRESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,pyo 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. ❑ 1 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: It 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in 7�ranting of this per� X Date u Signature of Applicant — Owner l/I r-7( 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 $ TOTAL PERMIT FEE $ Occup CONST.TYPEJ NODIPARCEL.1 PD HD v' ISSuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -� - % % Z WHITE-D.P.W.• YELLOW-ASSE350R, PINK -INSPECTOR. GOLDENROD -APPLICANT --OUNTY'OF�~� 0��� � - DEPART�tul� OF PUBLIC WORKS - BUILDING DIVISION - rcoumrvoswrsA6�vs' p�owmooyo rs�spHows:mo�»o�o 1 _=~. I ' PERMIT OPU KCATUON DATA SHE ET permit No, Proposed Building Use av/ 0 Building Inspector R-13- Date At time of penritapp|ication. | was advised the following data must be submitted prior to permit processing and/or issuance: _ DATE RECEIVED APPROVED -----_ 1. All iUama.havebeen submitted . , , , . ---_-- 2. Plot plans in duplicate./triplicate, signed by preporar of p|omo. , ---_—' 3, Complete plans in dup|icote/trip|idatn, signed by pnopmrerof plans. ------ 4. Complete engineered plans and cm|oo, with wet signature on plans. 6' Plans with Ene}gy Design -Compliance Statement . , . , , 8. School District "Fees Paid"Stompnn Floor Plan. . .. 7 Statement of Intent for Non -Heated and AC Buildings. ------'O, Fees of 0 ` Letter of signature authorization. , , , . , . 10-1 Su�totionopprova| from Health Dept. 11. Planning approval for (A) Use: —_-----_(B) Parking:----_---_- 12. Certificate of Workmen's Compensation Insurance . , . . , . ------13. Con/:actor's License Information (no., name style, o|aonif,) . -----_14. Owner -Builder Verification (Given to mwnerEl. Mai| to mwnerR) ' ---__15, Improvements may be required . , , . . , , , , , , . -----'16, K1obi|ohome Installation Data. . , . , . , , . , , , Pre -inspection f p Required. a�~""�" Insp COMect --QC8' Reowrdnd copy of Agricultural Acknowledgment Statement. --_—__19. Driveway Permit. « ' 20. P|ck plan approval from city of ' Eng neered trusses in duplicate (required prior to plan check). hen y sue the e Olt C ss follows: —Mail to owner, —Mail to contractor. __��Teiephone. and hold for pickup atbrO, office, —Deliver w/inspector. — Other~ Applicant e Copy of plans sent Health Dept., —Fire Dept., Other—Date The following data must be submitted to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. — ptl. e--.?C;z 2. Additional items required: — (/ I Contractor, designer, owner, was advised mabove required data by—phone---mai I —counter by— date Contractor. designer, owner, was advised of above required data uv—phone ---mui|—counter by— date Plans checked by Date __--------_Plans approved by Date_ Sets of plans on hold in —File cabinet _AP folder Copy—DPW ' Flu 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) T� 2. I (have/have not) /,.,o 1 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, 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 Secu ity 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. v " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P PX ASSE OR glyR,C.EL NyiM�ER tfrJ, ZONING 4 BUILDING PERMIT ow R cyl 1'S TELEPHONE 72 3/ SO. FT. OCC. BUILDING VALUATION OWN MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1¢ -- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D'V Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 0--'7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PAREL MAP i(c Water piping 5.00 Each Qas water heater or vent 5.00 USE OF SJ,RUCTURE SF [I Duplex❑ Mobilehome,-vL(-/Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 4-'S7 G CW 0.00ea .1a TYPE OF WORK -- New ❑ Addition ❑ RemodelE] t' Ities I� I stallation❑ Other ❑ Des rib work: 3 6,e, _� - IF ' Permit Fee $ C) Contractor ELECTRICAL PERMIT Filing Fee 10.00 "V100 20 Main service 800V OR LESS AMP OR LESS 10.00 r'O Or Main service EA. ADD'L 100 AMP 2.50 U r0 C CONTRACTO ICENSE LAW 4 I dec re un It of perjury y I y (check one): ❑ I a li ensed under provisions of Chapt. 9, Div. 3 of the Business and fessions Code and my license is in full force and effect. ion 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.61 , OR ADDNS. 1 ACC. SLOGS. // �4sgft NEW CONSTR ULT' -OUTLET ITS 2.50 ea NON-RESID BRANCH CIRCU, POWER APPARATUS 6 SINGLE OUTLET CIR. zoeeoe EX. OCCUp OUTLETS OR FIXTURES .20@50t EX. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,p -O Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. 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 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 again said County in copse uence the granting of this per it. X Date t 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPI I LOOO , PARCEL PD ND Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By 000E11T CYDIOCC rletn the applicable provi- resolutions to do fees have been aid. bp WORKS Date Receipt No. oZ of Z • M= ., .. � P �23y�a � CjGfi C� 8� ---- - �S w:�. L T � � � � � � ` � .. C. � .. ^ w r w C, _ ? ` �', ♦ � , t •7 a _ a � v . ` -�: ' ... � r ` ,� • f > V c. !t .. 1. k,i�.. � ` .Y t � - - ! ;; _ .� � � � _ . . �� ,. _ " T-. !1 ` � � r �, � ` { + - � ! " •. • r utto county ;�I A N D O F N AT U R A L WE ALT H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIF .R"1A U965 Telephone:. (916)®538-7266 RONALD D. McELROY October 24, 1989 Deputy.Direc►or Gordon Wayne Coulter RE:- AP 72-34-01 P. 0. Box 254 App. for Determination Oroville, CA 95965 Dear Mr. Coulter: At the regular meeting of the Butte County Subdivision Violation Committee meeting held on October 24, 1989, the committee granted a conditional Certificate of Compliance for the above -referenced property. The conditions are: 1. Provide satisfactory evidence that a suitable site for the installation and replacement of a sewage disposal system for a single family residence exists on the property. .2. Provide.satisfactory evidence that adequate quantities of potable water are available for a single family residence on the property. There isa fifteen -day appeal period before this Certificate can be recorded unless you sign and return the enclosed waiver waiving your right to appeal the committee's decision. If the conditions are met prior to the end of the appeal period a "clean" certificate with no conditions will be issued. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works hn Mendonsa ssistant Director JM/ds attachment cc: Planning Department Environmental Health Department Building Department LI --11, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Gordon Coulter P.O. Box 254 Oroville, CA 95965 With reference to the above subject: " Attached is: PHONE: 916-538-7541.. DATE Sept. 8. 1988 RE: Building Permit Application #2876-88 A.P. # 72-34-01 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 OTHER 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 copy of agricultural acknowledgement statement. X/ OTHER Contact the Land Development Sectinn of Public Works and apply for a Certificate of Compliance fot the parcel creation. Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works j .F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BY LDING EXEMPTION PERMIT PET NOI� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR P CEL NO�_�' �/v ZONING OWNER r-��048 PHONE NO. a�a O NER'S RESS �1 r) (4 Le LOCATION OF BUILDING �P-iia k) doo 6 ),A r(�rnu; dy USE OF BUILCING J SIZE OF STRUCTURE 'X = 12 © D SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAMESTEEL CONCRETE OTHER (Specify) TYPE OF SIDING J ROOF COVERING FLO R AT�YPE e-© -VVI k.� ° ESTIMATED COST OF CONSTRUCTION $ t AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT y'�^--� SIDES d f - REAR ® r AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occu'pancy. f Date q16 Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No.��`��� Director of Public Works By. Date o White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant 'N�3 '-vS1"'..., ^.ni•.C7a`.°",S�•w t.—r ="+.:'Is'+1/" �2si i^"M"...-.... ... .. ......-.--... ..'tiv�,••.rr ..--ca _ .. COUNTY O1FeBUTTE - DEP- ARTMENtuOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE' CALIFORNIA 95965 - TELEPHONE: 916/538-7541 vr, PERMIT 4PPLICATION DATA SHEET Permit No. OWNER hZ�r V wU1� P..No. o9 __347- Olt Proposed Building Use Building}Inspector Date �P At time of permit application, I was advised the following atao%ust be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. Al'. 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: - j 12. Certificate of Workmen's Compensation Insurance. . . . . . ` 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner[]) . _`15. Improvements may be required. . . . . . . . . . . . 16. Mobil'ehome Installation Data. . . . . . . . . . ° Pre-Inepec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. RDcorded copy of Agricultural Acknowledgment Statement. 19. D-iveway Permit. ' 20. Plot plan approval from city of x:,.21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup atOY�. office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The fallowing 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: Y Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by' Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by_ Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder _ date — date Date COUNTY OF BUTTE -DEPARTMENT OF I'UBLI WOR S PERMIT NO. 7 County Center Drive - Oroviile, California 95965 - Telephone: 916/5 8-7541. +b -APPLICATION AND PERMIT ASSESSOR CEL NUMBERZO ING BUILDING PERMIT OWNER `� 1 V TELEPHONE ��q O� �7OI SO. FT. OCC. BUILDING VALUATION OWNER MAILING A DRE_ S CONTRACT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C T 14 jom- ,r+��'V4,t, 0 r���A 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 qas water heater or vent 5,00 USE OF STRUCTURE SF [IDuplex[]MobilehomeE Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationk Other ❑ Describe work: _ �3Cf,���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS__10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ElNON•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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ACC. BLDGS. , h¢sgft NEW CONSTR. ULTI.OUTLET BRANCH CIRC TS I 2.50 ea POWER APPARATUS & t SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES p 20®305 9ALe 30 FIXED APLNS.❑ Ex. Occup. OUTLETS PIRESID IKEA.) 2.00 Temporary service' 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 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. rLQ¢ 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 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 agains aid Co my in nse the granting of this permi XDate 2 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 F EE D HAZ CUA PARK Sy> FL D PAR PD I HD Is uE This permit is hereby issued under sions of the Butte County. Code and/or work indicatWabover which fees F nPL ByDate PERM EXPIRES 'DafV- 24n1411_) the applicable provi- resolutions to do have been paid. WORKS Receipt No. X WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ,7. ,Irz*a r ' COUNTY OF BUTTE - DEPARTM NT O fj PUBLIC WORKS - $UI 8 7 COUNTY'CENTER DRIVE -..ORoa iLLE CALIFORNIA 95965 - TELEPHONE: 91E u PERMIT APPL111"AftTinm DATA SHEET NG DIVI r Permit No. OWNER �2( L!�/�—'Y"cZ�� A. P .No.'T?— Proposed Builcing Use /M 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 APPROVED 1. All items have been submitted . ....................................' 2: ;Plot plans in duplicate/triplicate, signed by preparer of plans ........ A 3.1 Complete plans in duplicate/triplicate, signed by preparer of plans .. i 4.1 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. Encineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ........................................................ /_2 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 1 Park fees paid .................................................... Al�&. 42- . /�_ School District fees paid .............. /;Z1Saritation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plo. 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 QV1'Y 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. Ower -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ....:.... 25. Letter of signature authorization ............................ . . 26. 27. Whenyou issue the permit, process as follows: ;A�7Maill to owner. Mail to contractor. =a Telephone and hold for pickup at office. Deliver w/inspector. Cjdher Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri 1. Index oermit for above items No. -,e, 2. Additional items required: to permit issuance (ale new item not checked above). Contractor, design own was advised of above required data by_phone_mail_counter by�date °{ Y Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Fiie cabinet AP folder Copy—DPW Utility connections shall be wifhrn' 4 ft. of the mobilehome, either. directly behind or within the r r . half of the roadside (left) of t e 3 ,6 4• mobilehome. 500 SQ. FT. MINIMUM F0�2nCIJHLN moo. R permit will be required for W094tion of the mobilehoma. s.d�c- 9 a /U �+ g�tliacte of Sft, -thy p, lin" and a ntback of Soft, frog► the road centerline shall be clear of structures or equipment except -,EQ!�a 2 ft. eave overhang. '09e'9`" Trtis sit c{ p4ars ensf seiaefians 1T 6e ,k -pt On the ;ob et ail 114%v , and it is unlawful to aaW6. any ch-=^e'l"G o' a*ierations an Sarno without frfl;w the Department of Pub- rm Works, Ccianty of Dune, NOTE— Aff Materials '& Workmanship Shall Is iff Accordance with Recognized Good Practices and of a qua°ity prescribed for the Sppecified use in the Un*sfc;.—m Building, Plumbing A M©chanical Codes and .the National Electrical Code.. ,11 �b' ffU tjDjNG DEPAR 1 fV1EN r0�%® �� Y 5. What is the mobilehome electrical rating? --------------- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA �y0 PHONE: 538-7541 What is the mobilehome site service rating? ------------- MOBILEHOME INSTALLATION SHEET Amps 1: Owner's Name SC pOA : What is.the,mobilehome 2,. ,.Installer's Name: IDA1,C/ Amps 8'., ,.Is..there 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes F] mobilehome site service? ---------==--------------------- No W No (If yes, furnish two plot plans.) (If yes, 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 9. (If no, clarify is the mobilehome site gas pipe size? -------------- (in.) .10. What is 5. What is the mobilehome electrical rating? --------------- 10a Amps �y0 6. What is the mobilehome site service rating? ------------- Amps 7.' What is.the,mobilehome site circuit breaker rating? ----- X00 Amps 8'., ,.Is..there any other electric load to be served by the mobilehome site service? ---------==--------------------- Yes W No (If yes, identify the load and size: (.Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) .10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------------------=---------------- * 12. What is the mobilehome gas demand? ---------------------- -- ZI AUC/ (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LP(S ►! C®V%17y APpjq6 V ��j MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �1� L � furnish Setup Model No. Year_' Width(ft.) Box Length (ft.) Tagalong or Expando Size T-7 ft. x -L ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)k]1. Concrete block.(W2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max. ------- Line 2 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max.--------- ,_ o From Ends -Max .------- Line 3 Roof Londe: Size -Min------------- .1x "xto'k " Location (From Front) 11 11_ Line 4 Piers: Size -Min.------- -- - ,k Spacing -Max.--------- , From Ends -Max.------- Line 5 Roof Loads: 1_0 MIA Line 1 Openings: Size -Min. ------------------ nx n Each Side of Openings With Width Over --------- " Line 3 Piers: (Under Rearing Wall Only) Size -Min------------------- k to Spacing -Max .--------------- From Endo -Max .------------- �- u e -) rtors: (unser nearing walla uniy) Size -Min .------------------ „a „ Spacing -Max.--------------- From Ends -Max -------------- Size-Min.---------- -nx „x ,k a nx o ,k nx „ „x 11 nx ,,. Location (From Front)for .— to i k .. r ..rr.-- s•.,,,r... p.' :W,,,i:::..r,�... h..F ..r. � J.+......h�.•11v^C'i'- -s� W v ,..^t,.< .� _w .,•. _ -.. .. .. . ... a ,. _ L"'. •• BUTTE COUNTY SCHOOLS DEVELOPMENT.FEE CERTIFICATION FORM . (One Form per Building). . A. P . Number q -- Q Building Department No. r 'School District City D CountyJurisdiction LIV Property Owner GiOQMA% 0000-T( Projec= Location/Address `• Subdivision , Lot Number Residential Development: a Sq. Footage G%(?4 ~# of Living' MHI Addition ( Group 'R ) Units' Commercial/Industrial: a Sq. Footage New Addition (Including.Exterior Roofed Areas) /Lf�,�y'l/ F,uilding Department./R •ppresen tative `'/ Date' (Floor -Plans reviewed by.�,�chool District Personnel) District Id No. 7� School District certifies that (Applicant -Name) `� (Phone Number) 1 ,t • .f (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 964 by the payment of $ �`�g/-� representing square feet: /1 �f School District Representative -"-� Date PAID BY CHECK NO. BANK NO PAID BY CASH +� REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ! lam` LAND OF NATURAL W E A L T H AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 December 6, 1989 RONALD D. McELROY Deputy Director Gordon Wayne 'Coulter RE: AP 72-34-01 P. 0. Box 254 Notice of Compliance Orovillle., CA 95965 Dear Mr. Coulter: Enclosed please find the Notice of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on November 27, 1989. The Recorder's Serial Number is: 89-046862. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works J n Mendonsa Assistant Director JM/ds attachment cc: Bu' ding Department Environmental Health Department I RETURN TO: Public Works Land Development Section 99-04,6862 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:02am 27 -Nov -89 NOTICE OF COMPLIANCE Rec Fee .00 Total .00 , f AGENCY SHOWN , , Issued to: Gordon Wayne Coulter P. 0. Box 254 Oroville, CA 95965 This Notice of Compliance is hereby issued by the County of Butte to certify that the conditions imposed on the Certificate of Compliance; recorded on November 8, 1989 have been fulfilled to the satisfaction of the Subdivision Violation Committee on property identified as: a. Assessor's Parcel Number: 72-34-01 b. Property Location: DESCRIPTION: on the southwest corner of Black Bart Road and Shenandoah Lane. Black Bart area. All that certain property located in the County of Butte, State of California, more particularly described as follows: VS 1 COMMENCING at the center of Section 24, Township 19 North, Range 5 East, M.D.B. & M.; thence North 89° 15' 59" East along the East-West centerline of said Section 24, 1125.004 feet to the true point of beginning for the land herein described; thence from said true point of beginning South 220.371 feet to a point in the center of an existing road; thence along the centerline of said existing road the following courses and distances; South 52° 44' 03" East 116.481 feet North 44° 19' 37" East 130.443 feet North 78° 26' 17" East 69.630 feet, South 58° 52' 08" East 183.218 feet South 69° 37' 43" East 194.995 feet and South 37° 55' 48" East 118.413 feet to a point in the center of Black Bart Road; thence Northerly along the centerline of said road to a point on the Northerly boundary line of the Southeast quarter of said Section 24, thence South 890 19' 21" West along said Northerly boundary line 871.33 feet to the true point of beginning. TOGETHER WITH rights-of-way of record recorded in the office of the Butte County Recorder under Serial Number 88-30715. . Issuance of this Notice of Compliance is pursuant to Butte County Code, Chapter 20-167. County of Butte. Su division Violation Committee GJ END OF DOCUMENT END OF DOCUMENT Gordon Wayne Coulter P. O. Box 254 Oroville, CA 95965 Dear Mr. Coulter: suite Coullt LAND OF NATURAL W E A L T H AND BEAUTY a - DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7681 RONALD D. McELROY Deputy Director November 21, 1989 RE: AP 72-34-01 Certificate of Compliance Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on November 8, 1989. The Recorder's Serial Number is: 89-44678. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works A�lsIn Mend nsa istant Director JM/ds attachment cc: Building Department Environmental Health Department i RETURN TO: Public Works Land Development Section 44b18 i 89-044678 1 Rec Fee .00 Total .00 Recorded 1 Official Records f 1 County of ! Butte 1 AGENCY SHOWN i Candace J. Grubbs 1 Recorder 0 ' 8:01am 8 -Nov -89 1 GF 1 CERTIFICATE OF COMPLIANCE Issued to: Gordon Wayne Coulter P. 0. Box 254 Oroville, CA 95965 This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: on the southwest corner of Black Bart Road and Shenandoah Lane. Black Bart area 2. Assessor's Parcel Number: AP 72-34-01 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: COMMENCING at the center of Section 24, Township 19 North, Range 5 East, M.D.B. & M.; thence North 89° 15' 59" East along the East-West centerline of said Section 24, 1125.004 feet to the true point of beginning for the land herein described; thence from said true point of beginning South 220.371 feet to a point in the center of an existing road; thence along the centerline of said existing road the following courses and distances; South 520 44' 03" East 116.481 feet North 44° 19' 37" East 130.443 feet'North 780 26' 17" East 69.630 feet, South 58° 52' 08" East 183.218 feet South 69° 37' 43" East 194.995 feet and South 37° 55' 48" East 118.413 feet to a point in the center of Black Bart Road; thence Northerly along the centerline of said road to a point on the Northerly boundary line of the Southeast quarter of said Section 24, thence South 89° 19' 21".West along said Northerly boundary line 871.33 feet to the true point of beginning. TOGETHER WITH rights-of-way of record recorded in the office of the Butte County Recorder under Serial Number 88-30715. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499.35 (b), to protect tht public health and public safety: 1. Provide satisfactory evidence that a suitable site for the installation and replacement of a sewage disposal system for a single family residence exists on the property. I'' ' 2. Provide satisfactory evidence that adequate quantities of potable water are available for a single family residence on the property. '''" . County of Butte Subdivision Violation Committee D END OF DOCUMENT END OF DOCUMENT i AP�� OWNER LO r A ID PERMIT 3 9 M i UTIL.CLEARANCE DATE INSPECTOR. ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES1 NO YES N0