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072-550-020
_ " " � 072 55 0- 020 ES .COMPACT TEST,REQ- p UC ,SUPP STRUCT,�Ri2EQ GAS'Lin -lei r**ft I (�� I Ln I LO RESIDENTIAL 072-550-020 PERMIT#94-1747 y� POOLE, DOYLE 360 VIEWCREST DR., OROVILLE UTILITIES FOR TRAVEL TRAILER OFFICE COPY Address GAS Date Meter By j t �) ELECTRIC Date' Meter BY .. _ _ . �_-------- JOB FINALED (Date) Signature V=OK O = Not OK - = Not Applicable MOBILE HOMES ' Not Ready " :Date/initials MO ME UTILITIES Plana OK except #'a ng Requirements-Setbacks-Easements . Soil tial MH Support Sketch . Sew ocation-Teat-Fall-C/O Concrete ater; Location-Test-Easement Needed (S etch) le city; Location-Clearencea-Grn p-Concrete Gas; Lpcftion-Teat-Vyp: / /'}Pft. / Jonat. orUfl'1L" LP 8. Utility Clearance e.• Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat-Demand-Valve—Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 8. Water; MH Teat -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 l r, 'MISCELLANEOUS Date/Initial DECKS, COVERS, 'CARPORTS, GARAGES. (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easementa ' 2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Reale 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columna-Connections-Splice=Decal-EnclQsures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/initials POOL$ (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining Y 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. 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-Penelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Solis -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22: Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl In Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door•, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 85965 - Telephone (916) 538-7541 PERK3IT,NO. - APPLICATION AND PERMIT �? -Z 7 Y-7 ASSESSOR PARCEL NUMBER 072-550-020 ZFR10 ONING BUILDING PERMIT OWNER DOYLE POOLE TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 360 VIEWCREST DR OROVILLE 95966 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,0.0 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 V a D PERMIT FEE $ OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP ^ / 0 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome jX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home VX @20.00 So.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ElContractor Describe Work: TRAVEL TRAILER PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 REPLACES #93-1728) Main Service ( 10V OR LESS 0A OR LESS ) 23.00 Main Service 200AT0 t000A ( ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) , 3.50 SFT('. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) XI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. FIXED APPLNS. OR Occup. ( . ) OUTLETS IRESID.1 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i sequence of th anting this permit. a� Date �S/� Q SI ature of ApWant?<6wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 H Des IMP � F1000 CDF PARCEL PD " 11D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY if v �� v Dot PERMIT EXPIRES ON r (De el Receipt No. 167003 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l7 ._ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT,,QF DEVELOPMENT SERVICES 1469 Huniboldi Road, Chico, CA - , (916) 891-2751 7 County Center Drive, Oroville, CA'- (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 _ CORRECTION NOTICE OWNER PERM T NO. k , A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, .•J • 't 4a v7 f: E n s. S'. y� I�Y , Date // S Inspector Y� REV 10/92 V ' COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 / V PERMIT APPLICATION DATASHEET OWNER aeg le- Po/e, A. P..N o. '/d lao Oc�(_/ Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. . . . . .I . . . . . . . . . . . . . . . . . . . . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... + 11. Impact fees as shown on attached schedule. ....:.......................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ...... :...... 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development,about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... ... �Freanspedionreq.uesi E 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .. .......... . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: X Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 4� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W 4 PERMIT NO. 7 County Center Drive - Oroville, Cal.ifornia,95965 - Telephone: 9 38- 541 ®� APPLICATION -AND PERMIT _1I / Ci ASSESSOR PARCEL NUMBER 072-550-020 ZONING FR10 BUILDING PERMIT OWNER DOYLE POOLE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 360 VIEWCREST DR., OROVILLE CA 95966 CONTRACTOR'S NAME ITELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 360 VIEWCREST DR., OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 93-10 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK Newt; Addition El RemodelI Utilitie U Install,tion❑ Other❑ Describe work: �rgUe F/ra /ale r --Contractor ij;.'x yo Permit Fee $ 6 .00 ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.501 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, 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 ADONS. ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NON•RESID EI RANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED APPLNS. OR EX. Occup._CUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.0 Misc. Wiring g 15.00 Permit Fee $ 4r8.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen s, costs, and expenses which may in any way accrue again t s id Co onse ence of the granting of this per it1) Date (:9 Signature of Applicant — Owne Contractor ❑ Agent An OSHA EJ permit is required for excavations over S'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 $ 128.50 I I HAz I DFEES IMP FLOOD X I CDF I PARCEL PD HISsu This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees By PERMIT EXPIRES Dat applicable provi- � resolutions to do have been paid. ORK$ Dat t� 2 143961 Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Z M �"•Y K� - •'\r�J: T.�+�-..1ri7-�ti.•"'*'n.f•,• �� .r1''f'�'.�.-.> ,\.T ,y v! __ ��7.� -k. i r. .,, ... � r,.(ii ..\�.. ;� , rrv�ln< ".fit moi" r\�i ".4A�. r•.�,, V• .� !r iJ • fi . COU NTY&BUTTE-DEPARTMiENT OFDE I ME ITSER S BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER ��,A'ool ', Proposed Building Use Building Inspector Date At time of permit application, I was advisred the following data must be submitted prior to permit processing and/or issuance:' } DATE RECEIVED B; All items h been submitted ..: ....................................... 2. Plot plans sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. ........ .,.................................... 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non-Heated.and A/C Buildings. .... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood x Calif t is Engineer. . . 14. Sanitation and plot plan approval 7X ealth Department . ............ 15. City of Chico plumbing permit. ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A)'Use: (B) Parking: �18. Contact Land Development,a bout (A) Improvements (B) Drainage. ......... . 1Y!, riveway permit (construction approval required prior to occupancy). .. .. .. . 20. re -inspection for i required. o e °ia g Inspction ector '(Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ X-24. Recorded copy of Agricultural Acknowledgement Statement . ................. S 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. .......,..--. .............................. . 28. Mobilehome utility clearance. ....:`'� 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning .a�cea and frontage requirements.* ............... 31. Existing violations/expired, permits . ...................................... 32. Plan check list. ....... 33. .34. , T Whep you issue the permit, process as follows: Mailt owner. Mail to contractor. r' _ Telephone and hold for pi kup at_ office. Deliver with inspector! Other Parcel Creation Acreage Applicant C Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution""Date Copy of plans -sent Health Dept. k . Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by,_ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required daw'by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLiC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND 'PERMIT PERMIT NO. ASSES ,YAR N BER — 5 a ZONING BUILDING PERMIT owN o e TELEPHONE S0. FT. OCC. BUILDING VALUATION OWN'ER'S M ILI G AOORES5 C-, - r CONTRACTOR -5 -^NAME T TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C ONSRTIF UCTI(%OvN_ LENDER UNKNOWN Total Valuation $ Filing Fee $ j,S6fl- L NOERR''S MAILING ADDRESS Permit Fee $ ARCNTIlECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSPermtt (ee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP c> '-% Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomepo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 TYPE OF WORK New rAddition`,; Remodel L_: Utilities IX Installation[ Other ❑ Describe work: Permit Fee $ �00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1 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 OCCUPM OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW CONST R.ULTI-OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 76d 202 464 Ex. Occup. OUTLETS ((RESID IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 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. ❑ 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. MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date si nature of Applicant — owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ l� HAz 1 11 FEES I IMP I FLOOD I COF I PARCEL PD I HDISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date J !L� & 1 Receipt No. / / 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -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 labor and materials for construction of the proposed property improvement yes or no) 2. I hav /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed consNametruction: gi� _ 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,�rovide 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: Prope Socia 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. CLAIMANT: eouw* of ie uue OROVILLE, CALIFORNIA GENERAL CLAIM DOYLE POOLE ADDRESS: 360 VIEWCREST DR CITY & STATE: OROVILLE, CA 95966 IMPORTANT: 6/22/94 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 DECIDED TO CANCEL PROJECT AT THIS TIME. BUILDING PERMIT #93-1728, A.P.#072-550-020, RECEIPT #143961, DATED 6/8/93, OWNER: DOYLE POOLE. TOTAL AMOUNT PAID...................................$128.50 RETAIN REFUND PROCESSING FEE.............$25.00 RETAIN FILING FEES .......................$30.00 RETAIN PLAN CHECK FEES...................$20.00 TOTAL AMOUNT TO BE RETAINED....... .....:$ 75.00 TOTAL AMOUNT TO BE REFUNDED ........................5 53.50 d TOTAL $53. 50 I, the undersigned,' declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this ! ( claim is true and correct as stated. ?/at Dated this ........ 'c7.... day ot..Y.I C.` 1 ,, _..... 19/, et..L�,©VUL.4..... Calif . ..... .........g .....:.. ttt nature Claimant I, the undersigned, hereby certify that, to the best of my knowledge,_ the services ore le ecifi4abo ve b en performed or de- liveredand that there is a Budget Appropriation O or Speciiffic Board Approval ❑ (Check o e) e aDated this....... 2.2ND.................. day of .....UN.F............. 19.74' at •OROV-1 LE..... . Call . ... ......................... Deperor Authorized Deputy Code 440-002 t. Cde 4210500 PAYABLE FROM CONSTRUCTION PERMITS 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. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. N CA - utte Count a LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS f WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY Deputy Director RE: Workmen's Compensation Insurance A review of our records indicates that you do not have on file in this office a CERTIFICATE of Workmen's Compensation Insurance in a form approved by the State of California Insurance Commissioner. The data required on this document is: 1. CERTIFICATE OF INSURANCE heading or Title and approved form. Q 2. Expiration date of policy. Q3. Designation of Butte County Public Works Department, #7,6ounty Center Drive, Oroville, CA 95965, as the Certificate holder. 0 4. A statement that the insurer shall give the County at,least 10 days advance written notice of the cancellation of,the policy. Q5. A statement or designation that named insured ha6 Workmen's Compen- sation and/or Employers Liability for the 'statutory limits prescribed by California Law (if limits are shown). 6. Certificate of Workmen's Compensation Insurance on file has expired. Please be notified that your permit(s) are deemed to be null and void until the above required'Certificate is on file in this office. Do not.send or bring in the policy..Section 3800 of the State of California Labor Code requires that the CERTIFICATE of Workmen's Compensation be on file in this office. Should you.have any,questions concerning.this.matter, please contact.this office. Yours very truly, William Cheff Director of Public Works .F. Glander JFG:aj Chief Building Inspector W 14- COUNTYOF BUTTE BUDDING DEPT JUN z 199. Fttjll4 Fees , ��it. l!D pfuc- Fid V=OK - O = Not OK - = Not Applicable =Not Ready MOBILE HOMES ' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirementa-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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; Inap -Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Mein; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except 8'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except k'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials s FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-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 -3b Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggere 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 -Wal Is -Cel Zings 60. I of filtration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 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 & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yea 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg :Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Ordville, California 95965 - Telephone: 916.538-7541( -72 ' APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-550-020 ZONING Am BUILDING PERMIT OWNER �p DO1 Lli PW ,r• TELEPHONE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 360 VIEWCREST DR., OROMM CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total7VValuation $ LENDER'S MAILING ADDRESS Filing Fee $ �Ory Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS WC 360 VIEREST DR. ► OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP 93-'10 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 4S I G' I Wy @ 15.00 45 TYPE OF WORK Newts Addition _ Remodel/❑ Utilitie/s Installation❑ Other ❑ Describe work:+` �?�� l+ ' ' t !�' r " Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 T.-aU CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License :do. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is nct 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 Main service 200A TO tooOA) 37.50 NEW CONST.(DWELLING OCCUP.&) 3.6Q sq.ft. ACC. SLOGS. / NEW CONSTR ULT'.OUTLET NON -RE SID,BRANCH CIRCUITS @ 5.00 (POWER APPARATUS y) SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 `t• Misc. Wiring g 15.00 Permit Fee $ t3. — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmen�s, costs, and expenses which may in any way accrue again s id Count in•�consequence of the granting of this permit. X Date / Signature of Applicant — Owner ava— An OSHA 1111 Contractor ❑ Agent F! 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 FEES 128.5 HAz DFEES IMP FhQOD J� CDF PARCEL PO ryg Issu This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC-WORKS By�,ofDy-� Date 4yb'? PERMIT EXPIRES D�'� (� T 1439bi Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PfNK-INSPECTOR, GOLDENROD -APPLICANT li.li, 1111•: O\I.' I v, Ilan Plat Atlnd wed _ '� �• Fl(tnr Him Atindied 5omt 0 11.1)• e Buildinb Department �! FROM: Environmental Health i SUBJECT: Sanitation Clearance Owner '/ Location 1S , API/ !/ Plan A roved or: Sewatc l�isx�sal Water Supply: Public _ Private Well Pp f bedroon Clearance for mobile l� Other nce U.K. tor: NOTE Environmental Health S 8/92 P,Lurn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT , ---FOR RESIDENTIAL DEVELOPMENT' l'... Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the ' use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent -property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte,. State of California, described as follows: Date: �� ' % 3 PROPERTY OWNERS: " 11 State of c6h t f ) SS. County of �( ) On this the 6,1-H day of Iy N 19l, before me, the undersigned Notary Public, personally appeared DANIEL F. HUNT kJ Personally known to me. p Proved to me on the basis '` P10TARYPUBLIGCAUFORNlA ■ of satisfactory evidence. ��o be the person(s) whose name(s) /S ta; �1 yrV Dune County i eMy Commission Expires Oct. 1,19M Jubscribed to the within instrument' and cknow dged that ecuted the same for the ur oses.th e n c ta;ned. �Nl �cn®�®ea�w��a0®a®�®®�osOD�ml� P P WHEREOF, I hereunto set my hand and o fi is sea'1. Present A.P.' No. 60/1) Notary blit ESS � i' I - -..+t.-,..-- � • ' �...'..- .moi• � - .. o o 93-023665 93-023665 93-023665 O 93""0236651 mac, Fee .5.00 I Cash 5.00 Q Recorded 1. Official Records i County of 1 (� Butte 1 O Candace J. -Grubbs 1 r Recorder 1 1:34pm 10 -Jun -93 1 PUSL- X 1' OGo � D o (D�A a 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING 7 County Center Drive, Oroville CA 95965 Phone: .916-538-7541 RE: DATE: A. P. # With reference to -the above subject: DIVISION Attached is: -_Application for permit ___Mobilehome Utilities Installation Sheet wilding Plans _jrlobilehane Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm _-List of Codes Enforced We need the following information prior to permit processing and/or issuance Permit application signed and colleted where indicated with all copies returned. _blot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ___Jiazardous Material Form __JEzergy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Rigineered truss details and layout in duplicate. _Xobilehane data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. _Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. __Plot plan and business license approval from City of Biggs/Gridley. .planning approval for_ wand Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workman C nVensation Insurance. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehcm utility clearance. _Documentation of legal access. �octunentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: Should you have any questions concerning the above, please contact of this office. Yours very truly, David Purvis DP:ahb Manager, Building Inspection a e This set of puns and specifications MU3'T be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pubfic Works, County of Butte. P4� 7z Jo F o le— q_V-17'17 CD. WTD COURN 5 BUILDJNG DEPARTMENT APPROVED (a,4 612 ,/5_3 (D ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.. A SST BACK OF �_ i FT, FROM THE SIDE -AND FT. FROM THE REAR PROPERTY LINES AND rb SO .FT. FROM THE ROAD CENTERLINE SHALL BE . CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. V NOTE:_. ^" AA Materials & Accordance Workmanship Shan Be " � with Recognized In� of a qualify ti Good prand prescribed for the S Unifo-m Buildi, pecified use buse in the fha National Electrical Code. Codes and J This set of puns and specifications MU3'T be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pubfic Works, County of Butte. P4� 7z Jo F o le— q_V-17'17 TO, Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance DLE DD LE -1 MiaRSH 4 3�0 Vlcu1 �r �. ��;�a-_?# mo=o? -0 y A# Owner Location - Plan Approved for: Hold final for: Sewaqe Disposal is Final clearance O.K. for: Clearance for 2 bedroom mobile home'. Other Water Supply w-9/1 Water Supply Water Supply NOTE .u,.0 IZ _.ter.. ZI 2— Date — Sanitarian V j� � V�Ew c�rceSr o,er� -?Ma + . L�v �J s .tee l - -sip, i APPROVED Butte County Environmental Health Date - S gnature