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072-570-006
LYL UNCAN ��� rop Lane, ORoville er y78 ELEC v g _ GAS SUPPORT• STR.•REQ ~_ ✓JL.O COMPACTION TEST REQ y a 2 CO�� -SMH enter +"/+ � 7"� 00' -X � ` t PErinit#301-88MHI - 1' . I s sye� _ 86B ie 72-26-102 , Permit#2178-88B { screener(, porch/i-IH) t rn 072 570-006M 01"t `; 1 Y > kv r04 THOMAS} ROBERT » � :; ' x w,� - It 5�LOTHROP,LN; OROVILLE .:4',• - Cont OWNER'! 1R L7"1'PROPANE TANKS''w �'3 tr,1 I' d Is 1 t i r t IL"MR-SMI.Ell R IrA A ;c y PERMIT NO. 217$ $$$ PERMIT EXPIRES OWNER LYLE DUNCAN CONTR. owner ASSESSOR PARCEL 72-26-102 LOCATION 145 Lathrop laae, Oroville FIE Temp. Power Pole Called PG&E Temp. Elec. S Called PC Temp. Gas Se Called PC JOB FINALE[ Signature = OK 0 = Not OK MOBILE HOMES = No Ready MOBILE MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ;COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easements oning Requirements-Setbacks-Easements 2. Soils; Special MH Support-Sketcho 'ngs; Soils-Size-Depth-Spacing-Connectors=Steel 3. Sewer; Location-Test-Fall-C/O-Concrete ecks; Girders and/or Joists-Decking-Bracing-Stairs-Rails 4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete 6. Gas; Location-Test-Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-B1 Date Card-B1 Date 10. Roof; Shthg-Roofing Card-B1 Date Card-B1 Date xt.; Steps-Doors Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements Card-B1 Dates -9C and-B1 Date 2. Footings; Size-Spacing-Marriage Line Card-B1 Date Card-B1 Date 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 6. Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability 7. Water and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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 Card-81 Date Card-61 Date Card-131 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Tesi Card-131 Date Card-131 Date Card-B1 Date Card-B1 Date = OK 0 = NotOK RESIDENTIAL f Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date 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/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof 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 T -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-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date 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-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT iII ASSE OR PAM NUMBE ZONING BUILDING PERMIT OWNER— L LE TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER' MA NG A DRESS 1L15- 4 -OT tLLC g5 -;L°G U , 00 CONTRACTOR'S NAME OWN it TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER. UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' 9. Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L vrt I?aP L_ Permit fee .$ ..1 ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 tLL Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK New ❑ Addition ❑ Remod/e�l ❑ Utilities ❑ Installation❑ Other ` Describe work: SCf Ce�1ed, Pbry, t} Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00- 0.00Main Mainservice 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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.y\ ,h¢sgft OR ADDNS. ACG. BLDG$. / NEW CONSTR. MU TI -OUTLET 2,50 ea NON.RESIO BRANCH CIRC ITS APPARATUS e (SINGLE OUTLET CIR, / toe3oa Ex. Occup OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EJ 1 2.00 Temporary service 10.00 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 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. also agree to save, indemn' d keep harmless the County of Butte against all liabilities, judgments, osts, and expenses which may in anyway accrue against said my i co qu ce of the granting of this per X e Date Signature of Applicant — OwnerK Contractor p 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 $ 670 7�� OCCUP. CONST.TYPE SCHOOL oD ARCEL PD Ho 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which JI1;RN=13LIC By PERM( EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — _� Receipt No. 1-2 41 S I WNITL-O.P.W.. YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Y`s'"�;+.�r,i•+,:.f":,w,.f`+Y°''sy:4"l"K'�''+:T�.:ac'^ q+.ai-+�r,•�.a-�;err"—g'(+�s�••i.:t+'i'wtr'r��'sy{� 'ii1 ws.n..,..� r � / COUNTY OF BUTTE - DEPARTMENtf OF4RUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET I Permit No. OWNER �U � � e � C, I, Le A. P. No. -7 � - � L - I o 2 - Proposed Proposed Building Use V", N Cover` << Building Inspector A S Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . 2. Plot plans in duplicat /triplicate, signed by preparer of plans. 3. Complete plans i duplicate triplicate slVney preparer of plans. 4. Complete engineered p >1 and calcs, w isignaturelon 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. �`0. Sanitation approval from Health Dept.. . . 11. Planning approval for (A) Use: (B) Parking: . 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. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection foPre-Inspec. request to IDat r. Required. Building Inspector � 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses 'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: �KMail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. nrt,cr 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 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 —mal l—counter by date Plans checked by Date Plans approved by-�— Date % Sets of plans on hold in File cabinet AP folder Copy—DPW Ir I TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance L L t-�Mc OTH�Dp) Ixt. Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply �i Gv i7w Clearance for bedroom mobile home. Other V .� 11� PO —C. H- NOTE *** Sanitarian Dat r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I• (have ha.-;- i signed an application for a building permit fo a proposed wo . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone. Type of Work Signed: Property Owner, Social Security Date �1k-� 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. _. . NOTE:' , !4®I with Recognixedr Goo iProctie®s Aecordc.�� rescribed for the S e ified use in of a quaht p aad�"'G' Plumbing � Me . nical Cods , Uniform building, 0 i the National Electrical Code. _-t+f L :-r° �'f r c,�• jig , J �ct '�9 rv, <- fib �� /P-�%' This set of plana ana specifica ons MUST 6e ~' 7� kept on the job at all times and i is unlawful to f mcA,,- ame changes or alterations o some withoat +/ Ey« w�ri;ten permission from the Depq mentof Pub& Works, County of Butte. A setback of 5 ft. from th " r Property lines and a setback of 50ft. from the road 5 t y if � �Centertine shalt be clear of �;,A•v,,"''' - r ""�; - ` �� ; structures or equipment v� �" `•. ':, �'`` ';exce tn►. ' \ for,a 2 ft. eave overhan p c"`rt `` Uvnc.�Ns rP r �Z Gn 1 i CUR v 409,P, r72-2& /vZ �J lJrnv of- ?fie_...Z-/,/ nsy� A/ r r OUNTY DEPARTME�l1' AP ROVED :�j11�✓i�' SSSS V- MA'V4t'- la )5�r bl ,. Q'iC2LiAJ /.tlXyl ✓a1G5 airs Zx ZYcc zr 1Z 4 Fee I aPPr10✓r,� 1�OST C L , 5�1�-s/ �vrva -*Jq-%t'p POs f oZo d2p'(a��Co+N� lv r L� tt\ pay DIP J/yw 0v� /yS 4,e?fJI1,$AX o/vwo cry rej —S3 �rxH1►PDS1� ouR ��X ff AQCVZ (otic Aw Jrk vfIf r SAB. UTTE COUNTY,r ;ILDING DE PART/1' FRDrO- 6,*- Ab Vac, 1. 'i/ :- I � - - , m I 9-F 9 0 a Boor-- p I k. 12. Smovop-t& Oleo Oe -e- � ool 00 9 p US 56 514 ve 0 .5 -6 -An -e- 'rnl-A-) %q I M&n,�;S UNTY ��I,�Nb b''EPAT N& APPRbv�D VARIES 3G_Mlfd. t t v I x 4, � � p R m LIN n 6' C -3 m m rn i C o p X tt N N K -lkN X I M.r' '` 3 P I 6 m r,N i Uqp �I i o �- -4 p -n, O ' • MAX tt N N K -lkN X -A 67-q M.r' '` 3 P -4 p -n, O ' • CA • • • �_ 7q Q I I CS 9 N m LO j II -+� i rr► q� % i�30"- 34" o I I HAIJDRAIL F4EI G T Al y . • L Ji b MAX. rn -0&" MIN. STA(R �, �7 -4 W I DTF+ O 6 r, dAa d \ _7q S W n N ti >., 00 X `� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orodille,,,Californea 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RM)'T N . r/ td ASSESSOR PARCEL NUMBER "2_ _ � ZONING - BUILDING PERMI OWNER hI WVC &4 L L j✓ TEL E 383 8so3 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR SS58 7 776 L V bile -r- IS , o CONTRACT_O1R-5 NAME w! V TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER S XF_ UNKNOWN Total Valuation $ FilingFee $" LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a / OQ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - LO i LhIV E Q (ZO %Sclre6 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[] MobilehomeW' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ry I G W 0.00 ea 20-00 TYPE OF WORK New®* Addition[] Remodel❑ UtilitiesNT Installation[] Other ❑ Describe work: 3 31112. ' Permit Fee $ 30,001 Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 600V OR LESS 100 AMP OR LESS 10.00 00 Main service EA. ADD'L 100 AMP 2.50 .SO CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): j ❑ 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.aOR ACDNS. ACC, BLDGs. ) h¢sgft NEW CONST R. TI -OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 2ALO 30 eLa FIXED APP LHSR . O Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15100 Misc. Wiring 15.00 g iZ lf, RAW 6 WELL 2,00 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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, inovxknify and keep harmless the County of Butte against all liabilities ' 1dgm s, osts, and expenses which may in any we accrue against sal oun n co equence of the granting of this permi 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 $ TOTAL PERMIT FEE $ 4a OccUP. CONST.TTPC SCHOOL FLoo ARc PO 137SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR,01F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS a1t/e I I Receipt No. (386 -5 71 (d a WHIT!-D.P.W.. TELLOW-Ase CSS011, PINK -INSPECTOR. GOLDENROD-APPL CANT <. .. ;,: '*«-.`7ra"��v- 'Jt,,. r-4..'=.„'ry`: ..�i11'S�r`'1 .r+thy,-et Tile•..1 `l:l'tnll't JJ jy l.r'c'•iM..,,.. F,•h r- "d ��..`,w. .';._ -y y _" .. 10 COUNTY OF BUTTE - DEPPART°MERiVOFI'PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - Ola��G°ALIFOFE�IIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION .DATA SHEET _ Permit No. OWNER 4 &ycNe4,j , LY(,C ' tt-n.::. A. P. No. Y -26.10,F Proposed Building Use (Y.0 G It C No(ht - b( Building Inspector G -G Date 4-1- 88 At time of permit application, I was advised the follow.i_ng data must be submitted prior to permit processing and:/or issuance: - '` - DATE RECEIVED APPROVED 1. All items.have beer submitted .• . . . . . .. ' Plot plans in duplicate. tri licatesigned bylpreparer of plans. 3. Complete plans in d.lplicate./triplicate, signed by preparer of plans. 4. Complete engineerec plans and calcs, with wet signature on plans. __J_q!6 Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent fon Non -Heated and AC Buildings. 8. Fees of $ , , , , , . , . 9. ? 10. 11. 12. 13. 14. _.15. 16. 17. 9 ^" . 19. 20. 21. 22. Letter of signature authorization. Sanitation approval from QtZIE Health Dept. C', Planning approval for ;A) Use: (B) Parking: Certificate of Workmeri's Compensation Insurance. . . . Contractor's License I-iformation (no., name style, classif.) Owner -Builder VerificaVi,on (Given to owner0, Mail to owner ❑•) Improvements may be required. . . . . . . . , , , , Mobilehome Installation Data. . . . . . . . . . Pre -Ins ec, re uest to Pre -inspection for Required. Building InspectC (Date) or Recorded copy of Agricultural Acknowledgment Statement. /� g Driveway Permit. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). — A When you issue the permit, process as follows �2Telephone 3 and hold Other Mai I to owner, Mai I to contractor. plc up at o fice, Deliver w/inspector. Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be subnitted prior o emit • suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 6 Contractor, designer, owner, was advises of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Plans checked by Cate Plans approved byDate Sets of plans on hold in F le cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1; -0-�j ILP CA- my-fCo r �P. 0 C�.., Owner Locaxion AP# Plan Approved for: Sewage Disposal _ Water Supply. Hold final for: Final clearance O.K. for: Clearance for _ bedroo mobile ome. Other Water Supply, Water Supply - NOTE *** Sanitarian tante COUNTY OF BUTTE--DayartmecYt 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 mterials for construction of the proposed property improvement (yes or no)__. 2. I (have/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 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 ,ZaYZ�ft /(N0v �U/3o y a5'7 /3hiv c/� 9S9�y 6 �l'af 4Pv22t;n, dc'va�iti . 9G'/�b'zG nlv�P/1t� Signed: Property Owner, Social Security 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. f Return lc-, DPW AGRICULTURAL STA'T'EMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT RECORDED BUTTE COUNTY � I- At OV Section 26-8.1 of. the Butte County Code r UFF1 1,AL r.equi.res this acknowledgement be recorded ' prior to :issuance of a building permit. t4� � � �'.O The properly described herein is adjacent ID1 • fi, t V• Lo land or included within an area zoned C�i�iHUE J��' for agricultural purposes, and residents of. satin acLory evidence. o(* Lh.i.s pr. operLy may be subject ,to i neon- CLERK -RECORDER €EE ven:i.ences or discomfort arising from the names)Fee use of agricultural. chemicals, including, mh21,1992 b u L noL 1 _i.mi ted to herbicides, pesticides, and acknowledged that. and ferL.i.l.i•rers; and from the pursuit of agr:i.cu:l tural operations including, c purposes therein contained. IN WI'.I'0:SS but not l.i.m:i Led to cultivation, •plowing, WHEREOF, I hereunto set my hand and official seal.. spray -i ng, pruning, and harvesting which Paged occasionally generaLe dust, smoke, noise, and odor. Butte County has estab.l.ishcd agricul-- Lural. zones which have as a priority use for productive agr:i.cultural purposes, a'6d residents w -i Lh.in said zones and on/adjacent property should be prepared to accept such inc onvi n i me c or disconform from normal, necessary`farm operations .j ALI that real property situate_in,__the_Courity of /Butte, StaLe of Calif ornia, &Iscril,cd S 1. o l l o w s : ��.�,u,Z ��- ,tizzy ✓1 ��-� •�=� � �� �' -� r'' �� . �!yam j .<-� A:Zl-"'� Date: SLLfi<C of: Cid _) County of �T1Lram2,�ly) PROPERTY OWNERS. :�) a ` On this the (p0- day of ur;' , 19 before. me, SS. the undersigned Notary Public,pre sonally appeared, DLar, C- ,r, '2 Present A.P. No. /�`� n-I©� Notary Public N�:Y kAeLfct ke � l\e n ZxA scan - SEAL Jif Sotl Personally known to me. yALIFORNIA Proved Lo me on the Basi, { =P1Jr2LIC emvSHAROM'.A. of. satin acLory evidence. OUNTY o be the person(s) whose names)Fee mh21,1992 ubscribed to the within instrument and acknowledged that. executed the same for the purposes therein contained. IN WI'.I'0:SS WHEREOF, I hereunto set my hand and official seal.. '2 Present A.P. No. /�`� n-I©� Notary Public N�:Y P— AP # 7� —,2Sem-- o [•1 *V PERMIT lk [ d MH UTIL.CLEARANCE DATE�� INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . vice 23 Other Load Type Pipe Size Length YESI NO YES NO s r' Ir COUNTY OF BUTTS - U&ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P E IJ O. g ASS 55 R P)7 EL NUM�,E ZON j G • BUILDING PERMIT OVO4ER ca Y7 T�ELEP NE SO. FT. OCC. BUILDING VALUATION O. N M ILING DDR 5 1 I " f� CO R TOR' NAM TEL PHONE CONTRA 5 MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 yo Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ()oV Sol ar,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[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ mode ❑ it'tljties Install ti Other ❑ Describe work: f/' j"li Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service�oov OR LESS 00 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. �%/Vg No. sraP d Classification C—�/ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code . for this reason NEW OR ADONS. CONST. ACC. BLDGS. / DWELLING OCCUP.d` , �20sgft NEW CONSTR U LOUT LET NON.RESID BRA CH CIRC TS 2.50 ea / APPARATUS tr (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eALO 30 License FIXED APLNS Ex. Occup. OUTLETS-(RESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 penult 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'inany way accrue against said County in consequence of the granting of this permit. X - Date —�� Signature f Applicant — Ownerru Contractor ElAgent El; 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 $ DA OCCOP. CONST.TYPE SCHOOL I FLOOD PARCEL PD NO IS9U 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. IR CT.9R OF PUBLIC WORKS BY _ Date.2 PERMIT EXPIRES Date .�� " Receipt No. WHITI-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,.,,,,,-uix+-:r• .�rar.n+••� :.:K+�:iR'r�orS�s` ..._ .� .� rc-s,-� �.-f..,�.,. .,nn-.,•-:rte;:+tavi^:ytt'r+r-z,�fs2-:�*+'�"': �„` .. ' w, ;,wo i COUNTY OF BUTTE - DSPARTMENT OF' PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OfdO,VILIsE,pj&LIFORSIIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 4,1, K rlC- CC Y) � � . P No. Proposed Building Use lv `� Building Inspector nzte C o LU At time of permit application, I was advised the following data must be submitted prior to permit processing and:/�oriss ance: DATE RECEIVED APPROVED �. 1. All items. have beer 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 Euthorization. . . . . . . . . . . 10. Sanitation approval Irom Health Dept. . . 11. Planning approval fa- (A) Use: (B) Parking: . 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. Mobi lehome Installat on Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of :49 1 Engineered trusses'in duplicate (required prior to plan check). !nephone. issue the e roce as follows: Mail tt ww erer, Mail to contractor. �7� and hold for pickup at✓� (dffice, Deliver w/inspector. Other Applicant Date Copy of plans sent -iealth Dept., � Fire Dept„ Other Date The following data must be submitted prior t9�permit issuance: (Circle new item not checked above). 1. Index permit for above tems No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date -Plans approved by Date Sets of plans on hold ii File cabinet AP folder (Date) Copy—DPW x MOBILEHOME INSTALLATION ACCEPTANCE - COUNTY OF BUTTE 'IEPARTMENT OF. PUBLIC WORKS — 7 COUNTY CENT ER'DRIVE' OROVILLE, CALIFORNIA — 534-4541.• ti PERMIT NV 0. 0�! ® - a. Address or location of mobi lehome �� �i / �s-f7 ,.Lir—. r f � Owner's name _4W_/1 rOwner's address / Insignia or hud number Manufacturer's name aSerial number of V.I.N.? y ���Jr �%� Year of manufacture 1,7- -4 IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ''-ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink D.P.W. R .. .. .._ -..- - -- - _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER A routine inspection 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 additional explanation, please contact this office immediately. / / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS:. 196 Memorial Way, Chico — Phone: 891-2751 ------ 7 -County -CenteK:Dr.i.ve,,OroviIIe.- Phone: 536-75.41 747 Elliott Road, Paradise —.Phone: 872-6307 CORRECTION NOTICE OWNER T NO. A routine Inspection 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 Inspector Date —�—�! �;Z1 ( y� Inspector Date —�—�! �;Z1 ( COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 - RRECTION NOTICE OWNER ' _ PERMIT NO. A routine inspection 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 additional explanation, please contact this office immediately. Inspector- Date S OFFICE COPY Address DateTemp. Power Pcj�yer- -- -- _ 1, / J Meter By Dat !I Called PG&� I... , .- • - _Temp. Elec. Service ' Called PG&E / .. Temp. Gas Service Called PG&E A � JOB FINALED (Date)' r•; f. l'+' 21, r Signature a 1301 _`dV PERMIT NO. 978-88P,E(MH) PERMIT EXPIRES ` t OWNER LYLE DUNCAN } CONTR. owner ASSESSOR PARCEL72-26-102 LOCATION %T5 Lothrop Lane, Oroville . r l d _ ,� � � ��� � ( _ 1 (� moi✓ h OFFICE COPY Address DateTemp. Power Pcj�yer- -- -- _ 1, / J Meter By Dat !I Called PG&� I... , .- • - _Temp. Elec. Service ' Called PG&E / .. Temp. Gas Service Called PG&E A � JOB FINALED (Date)' r•; f. l'+' 21, r Signature a = OK 0 =Not OK Not ' = Not Ready MOBILE HOMES MISCELLANEOUS Date ' MOBILE HOME UTILITIES (Plans OK except #'s Date' DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s t4,2oning Requirements -Setbacks -Easements ' 1. Zoning Requirements -Setbacks -Easements e, . oils; Special MH Support -Sketch. . SeVer; Location -Test- all -C/O -Concrete 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Locati nITISAasement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Location -Test -Wrap: / /"L"ft. . / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date `ZS Card -B1, Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOB 14 ME INSTALLATION (Plans) OK except #'s 4o.Zoniag Requirements -Setbacks -Easements i Card -131 Date Card -81 Date ootings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date --vas• MH Test -Demand -Valve -Connector leSAricity; MH Test -Crossovers -Breakers -Clearances I Date POOLS (Plans) OK except #'s rai ; MH Test -Fall -Flex Connector , 1. Setbacks -Easements a ; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability z7. -Water and Sewer C nected-C/O to Grade -HD Approval f 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. _Qas—and EI city Tagged Exi nsP-Sketch SS:'r 4. Elec.; Receptacles and Lighting, Distances-GFI ert. of Occupancy '. 5. Elec.; Pool Lighting; 15 volts-GFI ( 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed l 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Dat / and -131 Date 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -81 Date ( 9. Health Department Approval ( 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date = OK 0 = Not OK - = glot.Applycable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, 3. Ftg., Garage; Soils -Steel.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service -Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Date 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/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -61 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor o Yes 79. Following instld.; Drive O Yes O No; Walks O Yes 0 No; Planters O Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) NOTE: --All Materials & W Accordance with Rccognizec of a quality pros--ribad for t: Uniform Building, Plumbing th® National Electrical Code_ kmanship ShaPA"r4 rz 7T,Ir/a�d :'D;VrV e'O-i3 Goof Practices and Specified use in the echanical Codes and tre Jitovo o� 5 � ,c1 z etback �� ck ar setbat`l �\ f\ ,\�e �0 aC orr t Pco pit. �tc�"" ��en� eX� r Utility connec 0 ??.� rtec�1�- joc PAo%.Jechaoq ovrz.r �. 4,ft. of the m ce ices �e ° � .� wow bectly behir Seo 52 dFa i s,yj.� half of- r �� 2A r coo ,s,F �}ilehome. 5n of the,;Mobileliome, } p��no sjle Fit nj�ae !f'Jm< �f in! set of plans and ' sp cifications MUST bo this tall times and it is unlawful to the lob a plera ions on same Without (opt on � Public rake any charges or a ; e artment of itten P ermisson from the P VT. Of ButtA; �l r WorkCounty S. t • i ! 172-1 6, /02-- ��jp� eL 3 I rd�:H.. of TSF � Tigv. iys� 7 ON /71 ON► /1 VTit' C u • wL �� If f � Ccs 3%� i0 �JitS n1vt Awve ions shall be within )bilehome, either d or within the rear 4vHeifefti of the BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? _w (If yes, furnish two plot plans.) Yes V No Yes F� _) OR No 1Z 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- atro Amps 7. What is the mobilehome site circuit breaker rating? ----- ) 00 Amps 8. Is there any other electric load to be served by the -------------------------------- F mobilehome site service? Yes No (If yes, identify the load and size: I ) 2 (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? -- .lam- ---. ---�---��`-��-=`-'=----- (ft.) . 12.' What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEROME SUPPORT DATA, If other than 5'ingle wide, Mobilehome Mfr. furnish Setup Model No. ,�_ Year Width (ft.) Box LengthLo (ft.) Tagalong or Expando Size -1 --ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)EIl. SUPPORTS (check one)®1. Wood -pressure treated or -foundation grade. 2. Concrete block. a 2. ' Other (specify) Pier Footing Sizes and Locations SJNCLE-WIDE MULTI -WIDE Line 1 Line 1 — — _ _, _• — — � Line 2 Main Beams d Line 3 Main Beams — — — — — — — — --- — Line 2 — Line 1 -- — — ---^---Line Tag or Triple Line 4 Line 1 Linc•. 1 Piers: Line 1 Openings: Other (specify) Size -Min• ------------ Size -Min- ---------------- "x Spacing -Max. '------- Each Side of Openings Fr -ii Kinds -Max. ------- ' " With Width Over--------- " L'ile 2 -Piers: SJr.e-Mln.------------ „ x (�„ SpacJog-Max---------- From Ends -Max. _ ---1-- K.Jne 3 W,of loads: Size -Min .------------ Location (From Front) Line 4 Plers: Line 3 Piers: (Under Bearing Wall Only) Size -Min --------------- --- 'x 'Spacing -Max.------------- From Ends -Max.------- ---- C,0-0 --- -foo /i dOric/u" Size-Min.--------.---- k Syncing -Max.--------- From Ends -Max.------- Line_ 5• Roof Loada: Size-Min.------------ 1A,cation (From Front) Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------ Y -,k Spacing -Max. -------------- 1. From Ends-Max.------------ "x ' -19 60'-0 - Size-Min.--------.---- k Syncing -Max.--------- From Ends -Max.------- Line_ 5• Roof Loada: Size-Min.------------ 1A,cation (From Front) Line 5 Piers: (Under Bearing Walls Only) Size -Min ------------------ Y -,k Spacing -Max. -------------- 1. From Ends-Max.------------ $0, "x ' -19 $0, �i 1 • 1 LIVE 30 PLV• ►.will X63 C -HALF MpOOEI 173 SIZE'21)(40 LOAD r.s.r. 1-mr 26 `a v- ,1 I ID►_3'' $r_p" I*on A.NAt► C A IT F3 r E p. 141-8"P 'r IO -3 8' -off .i.tUtr . KATI-VIDE MIKE HOMES REQUIRE 4DOUION4t SUPPORTS AT fEARIxC POINTS ALONG THE CEMTERLINt. THE SUPPORTS (JACtS) MUST tort A '.• CAPACITY THAT VILL SUPPORT TYE RIDGE IEA!t LOADS. TMC CNART INDICATES TUE'AIDC( ItAM LOADS IN P"os , 1 THE to. CATIONS rot rOOTINCS A SUPPORTS AT SCARING POIKTS ALONC THC CENTER- LINE. THE SIZE Or rOOTIMCS ARE SKvM IN SQ.IxGM[S FOR YARIOUS SOIL CONDITIONS. A SUPPORT PIEt SNOULO It SELECTED rot tACK tOC1TIOM INDICATED 104 TOUR YOM. IN( CAPACITT Or THE SUPPORT /IEE SNALL It EQUAL TO 04 GREATER THAN THE POUNDS REQUIRED IN THE RIDGE IEAA LOADS COLUMN ON THE CKA47 VOR ADDITIONAL ►0011x6 REQUIREMENTS Rt►E% TO THE 14UIE IRSTALLATICK MANUAL. , i. 1.� • LOAD In POUNDS' PIERS..REQUIRIMEXTS ��F, me Q tLU[M/LL MANUFP.{;IUKLU T...1 HOUSING CONSTRUCTION U & SAFETY STANDARDS } OCT 13 M7 = rl 29 Q XAUFM kX AND BROAD ROME STSTE.KS, PVC "''" a" ll �I""` SPAN CHART 0. rr B. M IT H L 1. 8 c- oo& � O✓ drL . `' !73 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043073 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under O provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: dol y� UN: 072-570-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 145 LOTHROP LN ORO Date: Contractor: Map Index: Description: install propane tankj OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THOMAS ROBERT E. JR. permit to construct, alter, improve, demolish, or repair any structure, prior , to its issuance, also requires the applicant for such permit to file a 145 LOTHROP LN signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, 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, Business and Professions Applicant: ROBERT E. THOMAS Code: The Contractors' State License Law does not apply to an 145 LOTHROP LN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA. provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-538-7226 proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am E under Arfi oftiness and Professions Code yympt Inf'-i Date: Owner: License #: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy #: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �/,5037 _ j/ 5C V !10 J `/ Applicant: WARNING: Failure to secure workers' compensation coverage is �}fu unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Cods 2n pr s t dowork indi ed ab for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �Resolutii oa� a yName: / �Dat^e: (] �! of Address: PERMIT EXPIRES ON: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of -the -California. Health and.Safety Code,:which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the uthorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance y off ' I form or document of Butte County. I hereby authorize repres lives of Butte County to enter upon the above mentioned property for inspection ftorros Print Name: i� �yji4T Signature: �7 Date:/ (� ^ cmc t5• 0 Owner 13 Contractor O Agent for Owner O Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last -Name I iorn-$ ame Address 45- Lo�N Cityo` S aL ZipF%Ub Phones, 1 2.2.r— F a'iS38 —10-71 E-mailg r"O"0U wkcz 'P..k APPLICANT NAME CONTRACTOR Name City Address Zig s 66 City F 4S a _Za,Z State Zip -Phone -Name -Fa E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zig s 66 City F 4S a _Za,Z State Zip Phone -Name Fax E-mail State Ucense Number APPLICANT NAME Nam T � �— r1�✓� Address l45 City Ste Zig s 66 Phone,3,A ,-� F 4S a _Za,Z E-mail "RTOOw•.n APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book i Page Lot # Planner Date Approved: PERMIT NO. BP07�0% BIN # LOCATION AN Z_ ?p _ d0 Property_ASd�dress/ lJ� Bldg Cross Stre t TQ -k Ar. WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Sheriff LENDING AGENCY -Name Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 a Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Other Date: /e> 2 / A11 Total 2 i RFI/ 7-27-n4 D Received bV Amount: 5 Bldg LVK-T-K) SRA Receipt #: 2 /3o/ 7 Sheriff SMIP Other Date: /e> 2 / A11 Total 2 i RFI/ 7-27-n4 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes:) .r ❑ 5.Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6.'. `Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. . ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B)'Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Ro61r" plans in triplicate. All of these must be stamped and wet -signed by the engineer: ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). El —13—Sa3itation_and-site plan-aFnvironm.entaLH.ealth-Deparlment_ Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process; contact a Permit Application Assistant at (530)538-7541. : s EXPIRATION OF APPLICATION ' Applications for which a permit has not been issued will expire one year after date of application. In order to, renew, action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION J� 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Re aea.1 7i`lfa-/ ASSESSOR PARCEL NUMBER D %Z - 5-70 -- OO O Proposed Building Use: / nr S7 A2L. 777 N/C Counter Technician: C C'S Date: 1012116 t Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................... ..:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 34. Man ufacture&home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.. ......... ....... ...... ermits........................................ ❑ 36. Deed Restriction......................................................................................... i� 37. ant Deed, ❑ M. H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have een in or _e , f the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index pe it ap is ion for thea ove items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- I 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. 42 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ] NO[ ]. 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 construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S :.CENSE NO. 4. I plan to provide portions of this work, but I have hired the following, person to coordinate, supervise, and provide the major work: _ NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S_.. 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 PROPERTY OWNER: DATE: GD- Ze — ®4- 1\ OTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: L 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance cow, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned C. Vie* C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 10/21/2004 08:37 MID VALLEY TITLE OROVILLE 4 5387071 RECORDING REQUE 0 BY Mid Valley Title & Escrow Y AND WHEN RECORDED MAIL TO: Robert E. Thomas, Jr. Revocable Family 145 Lothmp Lane Orovtile, CA 95956 NO. 286 X04---�rIQJ�aQl7?z Recorded (ficialyyRecords CoBUNOf CANDACE J. BRUBBS Recorder ROSEMARY DICKSON Assistant 02105M W-00-2004 Lino for Rem"MV19 Use only TAX A 165.00 Travis Page 1 of e A.P.N.: 072-570-00" File No.: 0403-1593061(AM) GRANT DEED The undarstgned C,rantn,(S) Declare(5): 000UMENTARYTRANSFER TAX $365,00; CnY7RANSMTAX 50.00; swwey MONUMENTfEEt X computed on the mnclderadon or Rill value Of propenY conveyed. OR computed on the alderat9on or NU ess value lvaluo of liens and/or encumAranaes rematning aC dme of sate, ans Y 1 untnodrporated area; I ) aH Of, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert Vardanega, a married Man hereby GRANTS to Robert E. Thomas, 3r. Trustee of The Robert E. Thomas, ar. Revocable Family Trust, Dated 11115/99 the following described property In the unincorporated area of, County of Butte, State of California: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAPr RECORDED IN THE OFFICE O IN RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ED MARCH17, BOOK BY OF MAPS, AT PA M) 7. PARCEL li: A NON-EXCLUSIVE 9ASEMENT FOR ROAD AND PUBLIC UTILI'T'Y PURPOSES (SHOWN AS INGRESS AND EGRESS) OVER T14AT PORTION OF PARCELS 1 AND 2, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BLrrM, STATE OF CALIFORNIA, ON MARCH 17,1981, IN BOOK 82 OF MAPS, AT PAGE(S) 71 LYING WITHIN SAUTES WAY. PARCEL III: A NON-EXCLUSIVE RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED DECEMBER 141978, IN BOOK 68 OF MAPS, AT PAGE 95, 1N THE OFFICE OF TKO RECORDER OF BUTTE COUNTY, CALIFORNIA, LYING BETWEEN PARCELS 1 AND 3 OF SAID MAP AND EXTENDING FROM THEN STRINGTOWN ROAD TO THE NORTH LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN DgED TO WADE BLANTON RECORDED OCTOBER 4,1977, IN BOOK 2216 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 34. Mal) Tax Staterwits To: SAME AS ABOVE 12- 10/21/2004 08:37 MID VALLEY TITLE OROVILLE 4 5387071 NO.286 D02 A.P.N.: 072.570-006.0 Grant Deed - continued File No,!0403-1593061 (AM) Date: 09/24/2004 STATE OF Coe /efIr—Olla } } 55. COUNTY OF 'q)0"'eda } an Se rllMd« Z N 2oay before me, _C ,qQL DE(.1irr',t11Rr Elf personally apRo Q r- -A personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(p)whose name(�j Is�/,are subscribed to the within instrument and acknowledged to me ihon �e he/spe Yent th mon(A� same a he In hIVhe��Ir authorized capacity(4es) and that hls/hegth& slgnature(� InArUlrn entity upon behalf of whlch the person(f) acted, executed he Instrument. This area for ofYba, WITNESS my hand and official seal. R ppZCom8gg dp nowrIa/sedl Notory Public -- Calltornlcl Alonladq County Signature MyComrr? firesPkv!1li2007 My Commission Explres: No It Notary Name;C4oefcf D. Dawes— Notary Phone:, Notary Registration Number' I y S / 2.Y o county of Principal Place of Business: 1 4 Ai`'E�,�J Page 2 or 2 4 � r x :1. •' '^r�� t r •' " { ' •