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HomeMy WebLinkAbout072-570-013} ,� �_ - - _ _ - - _ - � J� �� t, r ti ., �•, `� ` ,, � + - 1 -� . � r e I? o �! r _:� - - .� - __ _ _ _ _ _ a,.�, _ � - - -- - -- -- .._— __ . — _ - ._ — _. — �-k. ni � �� 1 �' � � ��� �y� O l� Y:� �` ' [1 �J , � r. s ; ; 1� a) 5° � is '. � . e /��� I /" 'Ir ��' _---� b rift% T umi RESIDENTIAL 72-26-82 ' 480-91P,E TAYLOR & LARSON1 33 Empire Pointe Dr, Oroville. i. Contr: Michael Evans (utilities/mh) I � #6 N b �j, S c.(� o- 7 --,s /� o ti �c JOB FINALED (Date) Signature j+ t A J=dK O=Not OK - =NReaicahle MOBILE HOMES ' =NoOt Ready ' 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 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 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable RESIDENTIAL (Single & Duplex) = 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-Elec. Grnd.-/ /" 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 3' -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 - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 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. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 77. Insulation -Foam -Looked in Attic 0 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 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor 0 Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 0 Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'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. F6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 68. 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 B-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 (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIOWAND PERMIT rte. ASSESSOR PARCEL NUMBER 72-26-82 ZONING U BUILDING PERMIT OWNER Robert M. Taylor/L.B. Larson 714 TELEPHONE 953-4040 SQ.FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 901 W. Civic Center Dr. #340 Santa Ana CA 92703 CONTRACTOR'S NAME Michael G. Evans TELEPHONE 589-5198 CONTRACTOR'S MAILING ADDRESS 1 Nice Place Oroville 95966 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS E .33 m ire Point Drive Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 41 M 44 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 110.00ea 30.00 TYPE OF WORK New Add ition❑ Remodel❑ Utilities Installation❑ Other [:1 Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 10-00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW n I declare under penalty perjury check one): p Y of perjY ( ) 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. 05(f9Z-64 Classification. 4- El 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.d OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTFL ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURE SEA.) eAL030 Ex. Occup. OUTLETS IIRESID )R 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to s indemnify and keep harmless the County of Butte against all liabiliti dgm sts, and expenses which may in any way accrue a ' t s C my ' c s quence of the granting of this per it. Date Z ZZ 9 S gnature of Applicant — Owner ❑ Contractor's Agent ❑ A 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 $ 92.50 .50 HAz. cuA _ PARK SCHL FLD cDF PAR PD l �I9 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. =1EOR O PUBLIC WORKS BY �f �jn ,te Z 94/_ PERMIT EXPIRES 61ate y w Receipt No. 83858 WNITC-D.P.W.. YELLOW-ASe[330R, PINK -INSPECTOR, GOLDENROD -APPLICANT M Z A OWNER .COUNTY OF BUTTE - DEPARTMEN,T OF PUBLIC WORKS - BUILDING DIVISION a' ; 7 COUNTY CENTER DRIVE - OROVILLE!4LIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT KOPUCATION DATA SHEET A' Proposed Building Use (� Permit No. A. P1 N' -2:7,K Building Inspector I&I Dat At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ......... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. _ Ok-14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 0(G 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 .................. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 4 Recorded copy of Agricultural Acknowl e S meet �.. - 25. Letter of signature authorization ............. .--r ............. . 26. ' ` 037 27. When you issue the permit, procpslS as follows: Ma�owner. Mail to contractor. Telephone`: and hold for pi.ek atice. Deliver w./inspector. Other / I Applicant Date"'L- Copy 9 ( Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By (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 data by—phone _mail—counter by date Plans checked by W Date 1,- ZS 91 Plans approved by I (W Date?, -09-9/ Copy—DPW Sets of plans on hold in File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locat' n AP# Plan Approved for: Sewage Disposal Water Supply b`e v` Hold final for: Final clearance O.K. for: Clearance for bedroo m ile me. NOTE * * * Sanitarian Water Supply Water Supply Other + T0: Building Department Encroachment Permit Section . RE: Driveway Clearance -Lt�b r G towner Driveway permit si ature to ation AP # has been issued for the above property. date Rersrn to DPW AGRICULTURAL STATEMENT OF AC'2ICSJUDGE]"04T FOR tRESIDENTIAL DEYELOP.'ENT Secr,i ad 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 ��91 to land or included within an area zoned 9 r for agricultural purposes, and residents e of this property may be subject to incon- veniences or discomfort arising from the 9 1_ Op625 4 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 'Eh -at real property 'situate in the County of Butte, State of California, described as follows: PARCELS 1, 2, 3 & 4 as shown on that certain Parcel Map filed in the office -of the Recorder of Butte County, State of California on June 3, 1972 in Book 41 of Parcel Maps, at Page 44. �Z- Date: Fen. 5, 1991 PROP'2'4rNERS: -arson or Xot,ert M. Taylor State of ) On this the day o 19 before me, the SS. undersigned Votary Public, personally appeared County of ) Personally known to me. Q Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. %Z—Z6 `8i e� g� SS Notary Public r.. 1 � r r z:, a f :JS}R-�°°>t?•t�� a.. v _ �. r :. {J� i, 11"A l 1 X = l WQQ- now 0, ..1''.. ( i } Y J ? twill I r ,12 .4J rs r g •,,.. ..;r .l'...•' d Y�J -fr r _ T. r 1, 7,t M� y'S { t f 7 4� J J J 0 q `:r 1 p i• 5 •� V .i �t t N F2 rSJ ,� 1} .,5. a �` ,f 1 e Lr r + { a �",� .I r:.a 3 7.a �''•' S- T r� s..�. �.. a e 9 r' J i',.r � h. � ,`� .' � } c `r r R.r+�. Ji !+.�F .:d Lr '-• i h.i ..l ps:.4 'C'� G''i� J `,rt."ti..:, a,•i.iCS� =r �S9 i i ; � h- 1 r7it Yt r y °,,ip,• � 'f „}':�Ya ba Y 2� z,��:r y ri' a; dF '+a�:�J i ��s.:; b'S�,s ra' rf7' .a� F.?�+•.1•� y�,�. f.�Rhaa�, y :�' c y'to Y r�.L;, .�.• � ':N, ` �' .n .� 1 ^1.n Ji�^Y e :,3 � �. r!' a r. C , t r,•. ..M1.;r � -,yc 1 ,''ti a �� :4,. R it f r r ..� �L�: ,. �. J ta�>, ,ir++.f _ ..�+-.r;'ai f � •�� +�.f . .. �. - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 916/535-7541 APPLICATION AND PERMIT ASSESS 2- 2l� 70NING BUILDING PERMIT O WN67MPHONF1 6,6q'f3 S0. FT. OCC. BUILDING VALUATION OWNER'$ MAILING s 90/ w, CIvlcC6_n11_rJ0— '*3 0 � S," /%/4 C4 9270 CONTRACTOR'S NAM M IG1{^-L G . f _0�r TELEPHONE 15e9 -1, 98 CONTRACTOR'S MAILING ADDRESS / All Lc' t*6CC_ O" '✓t wt CA- 9 S 9IOb Fireplace CONSTRUCTION LENDER N—.4- UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10 Permit Fee $ ARCHITECT OR ENGINEER N - /I° LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Eitel P) JZr POJAITF 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 tai M 4L1 Xaliffpi 5.00 qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome(K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 0.00ea TYPE OF WORK- New ❑ Addition[]. Remodel ❑ Utilities E Installation❑ Other ❑ Describe work: - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - service 100 AMP S00V OR LE SLESS 10.00— CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Coodee and my license is in full force and effect. License No. 51(115t`1184' Classification. A ❑ 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 Servl EA, ADD'L 100 AMP 2.50 S N CONST. / DWELLING OCCUP.8, oR ADDNS. C ACC. BLDGS. , /20sgft NEW CONST R. U'TI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea .--• POWER APPARATUS e SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS RESI0.)R EA.) 2.00 Temporary service 10.00 o ile orr� acilities -MIs iring 15.00 -� 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: 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE S� — TOTAL FEE $ HAZ. CUA 1 PARK SCHL I FL D I COF PA I HD• ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.�Sx WHITE-D.P.W., YELLOW- SeESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 901 W. Civic Cent COUNTY OF BUTTE vDE PARTMENT a 59650 TeepBhone 9 6o/R3 S5a1 7 County Center Drive O oII APPLICATION AND PERMIT BUILDING PERMIT OCC. I BUILDING VALUATION PERMIT ANO. n `/'J 14 CA 927 ELEPHON SO. FT. MICndtJl 13• Fireplace .O NTRAC70R'S MAILING ADORES OrO Ville 95966 $ 1 Nice Place UNKNOWN Total Valuation ^_ONSTRUCT­ON LENDER Filing Fee D -BUILDI LOT NO 1 1 SF ❑ S MAILING ADDRESS Permit Fee LICENSE NO. Plan Checking Fee CT OR ENGINEER Energy Plan Checking Fee .CT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee G ADDRESS _?JrEm ire Point Drive PLUMBING PERMIT Each Trap Solar or heat pump water heater PARCEL MAP Water piping' SUBDIVISION NAME 41 M 44 Each qas water heater or vent Gas piping system 1 - 5 outlets USE OF STRUCTURE Building sewer Duplex ❑ MobilehomeQ Other SPECIFY Mobile Home S G W TYPE OF WORK permit Fee INew❑ Addition❑ Remodel❑ Utilities Installation❑ Other r,.nntrartor Describe work: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): v. siness - I am licensed under provisions of Chaense tis s9inDlful3 forceof handueffecL and Professions Code and my License No•�'Z�LF 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) ❑contracting with licensed contract - I, as the owner, am exclusively ors. (Sec. 7044) ❑Business and Professions Code I am exempt under Sec. for this reason Y $ $ S — FilingFee f2.00 10.00 i 15.00 15.00 10.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service jppVAMP OROR LESs10.00 0-00 Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.al S ACC. BLDG. 'h2sgft OR AOONS'.' .. NEW CONSTR. ' ULTI.OUTLET BRANCH CIRC ITS 2.50 ea NON•RESID APPARATUS SINGLE OUTLETCIR.e / ( ` Ex. Occup(OUTLETS OR FIXTURES zooaos eAL030 FIXED APPLNS. OR Ex.OCCUp. OUTLETS (REST D.) EA• 2.00 10.00 Temporary service Mobile Home Facilities 15,00 15.00 Misc. Wiring 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, must forothwiuld th Comply withou become bsuch to the W. C. provisions of the Labor Code, y provisions or this permit shall be deemed revoked. 1 certify that I have read this application and state that the above in is correct. I agree to comply to all County Ordinances and State Laws relating to Bus of the te to ter upon the above-menand tioned property authorize f or inspection purposes. of I also agree to s indemnity and keep harmless the County of t. Butte accrue II liabiliti ainst dgm sts, and expenses which may in rI any y ag t s C my ' c s quence of the granting of this P�� 9 7 Date S\gnature of Applicant - Owner ❑ Contractors- Agent ❑ Art OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Permit Fee $ X7.51 Contractor MECHANICAL PERMIT Filing Fee I10.00 Heating Cooling 3.00 Hood Ventilation $ Permit Fee Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ — OCC CONST TYPE 92 . 50 ' TOTAL FEE $ Z This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid - DIRECTOR OF PUBLIC WORKS By - Date .4 a k— z 0 Subsci;bing Witness STATE OF CALIF RNIA SS. COUNTY OF' / pp// On -,�� - �S 19�, before me, the undersigned, a Notary Public in and for said County and State, personally appeared_. f c a Ak 'E"'t%.S , known to me to be the person whose name is subscribed to the within instrument as a witness thereto, who being by me duly sworn, deposed and said: that he resides at ©ledy/LL Et CA that he was present and saw fK oDE� M.2A Lal jA)1# Ayd9jz/y Rg2 0.11 Z-At9 Sd personally known to him to be the person described in and whose name is subscribed to the within and annexed instrument, execute the same; and that affiant sub- scribed his name thereto as a witness to said execution. WITNESS my hand and official seal. Noy Public in and for id County and State 1133; 84) 65 Notary Seal ®H4®Bi "iptBDlB®®Si S: k7a®®®®®®®m�m)3� FAYE H. NEVEM 99 NOTARY PUBLC-CALIFORNIA to Butte County 6 \gas; .. v My Commission Expires is Sept. 21,11992 CA r to 1E END 60 DOCUMENT All 'that real .property.'.situate in the County of Butte, State of California, described as follows: PARCELS 1, 2, 3 & 4 as shown on that certain Parcel Map filed in the office of the Recorder of Butte County, State of California on June 3, 1972 in Book 4.1 of Parcel Maps, at Page 4.4. Date:Feb. 5, 1991 (,PROPERTY OWNERS: arson or- o.er't Taylbr State of ) On this the day 19 before me, the SS. undersigned Notary Public, personally appeared County of ) F] Personally known to me. F] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. 7Z -Z6`�j'2. �3C�`� $S" � Notary Public :�° �2 1 -0625-4 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded -----r - - .,. prior to issuance of a building permit. ` 91-006254 ., , ; Rec Fee—, The property described herein'-, is adjacent Check : 5..00 � to land ..or included within -aft area zoned w Recorded ; for agricultural purposes., ` and residents Official Records ; of this property may be subject to incon- County of veniences or discomfort arising from the i Butte ; use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, Recorder 2:10pm 19 ; and fertilizers; and from the pursuit -Feb -91 ; XX 1 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: PARCELS 1, 2, 3 & 4 as shown on that certain Parcel Map filed in the office of the Recorder of Butte County, State of California on June 3, 1972 in Book 4.1 of Parcel Maps, at Page 4.4. Date:Feb. 5, 1991 (,PROPERTY OWNERS: arson or- o.er't Taylbr State of ) On this the day 19 before me, the SS. undersigned Notary Public, personally appeared County of ) F] Personally known to me. F] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. 7Z -Z6`�j'2. �3C�`� $S" � Notary Public :�° �2 WC �? p7 cog li a 00 oa CNI LL. m =0 LLJ ft Uw L4- O 2 e,. I ' r 0 P. 4 41- TFZ 0, _11r �_ I /VO TIE,_) ., V ,YO I 4/7,4-s/ r-FeixWev 7-1e_'),A1 70 &,,5' ZOCA T10,11 7-0 6,5- /0 " /_!C 0117 r4 C 1Z 7/,5 TO P1,CZZ 717W ro zcc, J/ 6. 6YITIV5 e.OAj_T*1+_e� ;F. 75,( 6 Z- 9� Z--/I-9t c e 'd fc�rihe Sp`cifj,;d 11V5 7Xt I k quiliN pte'� rib" U v Uniforming, Plumbirig,&-AAe,ha Co I Build, r nica I A -4 Or 6P,4 11,C- 4 f�OAPWAY OM Naticina thi t APPrr V �A 4 C 1141- V5R 7' 6; 57A setback of 5 ft. from th D PA RTN 5 -71 Property lines grid a setback PROVED � fitcenterfine of 50ft.'from the road shall be clear of structures or equipment exce pt .7, L E for a ft. nave o\/-,F'-Irhancia f - Cf e" 0 C(. 0 WIVE.. MAL)P14/S -77 PL A VA T R 0�4 Q_ i i,-11V.D1Y1DUA i� fQ J- _,CYi ir • 4( X, 4- T� 077'• 1' Dc f L NO T,4F H1, 4p FC�' 76 '-,c6, 7i `0,- V 7_0 PRO /0 lwol,17 C 4 V) 7-6 Plr4Z :17T- ro /. F Z` Co,u-- nZA-Cf-09- 0 ptan's and, s*if ic6fici` MUST Ai" is I , ei� 0ann. on fi fhe job afl fi nd s la�,ihl k� MC COAL ny ,)ns r u on tame vithoid e- ��sixNrs 6 �r -Pd L£" en permission 4rcim,fhe Deoarfi�cnf of Pt+* 77, --co um� Fr i --- - -- 11,15 7,4 /l? , , , N&E:--�All 'SE(f ROY /0" T I qIVI 44.1 4 R 4r -A `�IJTTE (f O-OlvITY f E , VIVC L"A -IF u, ED 6r 1016114EL G. EVANS L)Al, IVI Cr PZ A Ce f0 PO 1// 4 4 et CIA. C? 9