Loading...
HomeMy WebLinkAbout073-160-042'73-16-42 73-16-4 } -LEAH M. WINCHE LEAH M.__WINCH-ALL _.__. ...� -78 Mallory Lane, bestown 78 Mallory Lane Permit:.#155,E(.ut' MH) Forbestown, LEC- 20G % - -". a.�g. - GAS Ll G Permit#52-89A(AQricultural Bldg-Exemp; rermit/ nimal shelter SUPPORT STRUCTURE REQ.—ry f COMPACTION TEST REQ._ �� I } Permit# -8 Issued�I -�. _ .q -Q 1 , r i t - } o U 111117 W ' 0 1 c ' 1 PERMIT NO. } PERMIT EXPIRES OWNER LEAH V. WINCHELL H CONTR. unknown Ef ASSESSOR PARCEL 73-16-42 LOCATION 78 Mallory Lane, Forbestown « r t `y J Temp. Power Pole Called t f Temp. Elec ,s �« Called Temp. Gas 1 Called I JOB FINALI Slgnatu = OIC 0 = Not OK - = Not Applicable = Not Ready Date MOB 0 MOBILE HOMES HOME UTILITIES (Plans) OK except #'s g Requirements -Setbacks -Easements Special MH Sup rt- etch Location -T of /O -Concrete 4. W ter; L cation -Test- asement Needed (Sketch . le city; Locatiori-Clearances-Grnd.-/ / Am as; Location -Test -Wrap: 730 ft. / /"Nat. or/' /"L"ft./ LP 7. Utilitv Clearance I _ I �! MISCELLANEOUS v . 1 Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s .1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel I 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- �. Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 //I Date& --,7F Card -131 Date i 10. Roof; Shthg-Roofing Card -B1 Date _ Card -131 Date 11. Ext.; Steps -Doors -Landings Date AWBJLEHOME IN TALLATION (Plans) OK except #'s _ Z ning Requirements -Setbacks -Easements Card -131 Date Card -81 Date Footings; Size -Spacing -Marriage Line �_ Card -131 Date Card -131 Date MH Test -Demand -Valve -Connector f 14'Elgctricity; MH Test -Crossovers -Breakers -Clearances j Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability Watekdnd Sewer Connected -C/0 to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining and Electricity Tagged > Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy ( 5. Elec.; Pool Lighting; 15 volts-GFI r 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed t 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding' Equip. w/5' -circulating Equip. -Pool L ht g Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 ate and -B1 Date Card -61 SUI:tate/—and-B1 Date ) 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81. Date Card -131 Date Card -131 Date I = uK 0 = Not OK t - = Not Applicable RESIDENTIAL (Single. and 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-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5.,Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -Bi Date Card Date Date PLUMBING (Permit) OK except #'s -B1 16. Water Ht. Vent -Access -Combustion Air- Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -B1 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlAl 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91, Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 39. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit inh vital MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA — 534-4541 ( tPERMIT NO.. ' Address or location of mobilehome -7-7?'�Jl� 11 i7N i t ka�, Owner's name. �, �i V1^ Xn C 1 Owner's address AK�_ 1` of Insignia or hud number._�� Manufacturer's name + Ao A=A. +o Serial number of V.I.N. 1�~ii 7_�� Year of manufacture J9&Z j L j (Official-Approvingj stollotion) (Date) ` 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. 513B White - Owner, Yellow - Installer, Pink - D.P.W. . ¢ y.•--,--•�-'.,.'..w...��y.r.rns`:Jw.-w�sca..;r3�y�y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE W 9V 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. ` s 2a-�: Inspector. Date U `99 rs ---"�--"�^�^i't'MPi:,.�..c—'-----T--*-.—�.,..-.-�.��,.na.,A..ci*,�w.+c-�.•„"i11..;,9z,.,r,:.�r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ;? 7 County Center Drive, Orovi Ile — Phone: 538-7541 _ 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNE'A 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 ,T rc. COUNTY OF BUTTE T' DEPARTMENT OF PUBLIC WORKS x 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE kA)kWC-.�M ?? - OWNER PERMIT N0. 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. COMr71O�e_ UC' 2.1 ��,�,� Alec--. c (/ Inspector Q�"__ Date G Z ✓ $� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise —Phone: CORRECTION 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. eft L ­nA IQ Inspector. Date J. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC \ 7 County Center Drive - Ororville, California 11,rr5 -.Telephone: r APPLICATION AND• NX WORKS PERMIT 0 916/538-7541 ASSESSOR PARCEL NUMB °— 16— ZON N J� BUILDING P ' MIT OWN R, . TELEPHONE v' SQ. FT. OCC. B4kDING VALUATION OWNS 'SMA LING A RESS7 0 �+ 1 Cd ©,pC 70„R •5 AME TELEPHONE CONTRACT✓/OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i5 -9 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS I?(^� �4 Permit fee 5 PLUMBING PERMIT FitingFee 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[] Mobilehomek Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationb Other ❑ Describe work: C i 1 /,T-j'Z- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ® I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , OR ADDNS. ACC. SLOGS. h2Sgft NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRCUITS) Z.SOea - /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 200500 eAlO 30 FIXED NS. Ex. OCCup. OUTLETS APP (RESID )REA.) 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. ❑ 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 Coolin g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 my in co sequence o e granting of this permit. _ 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 $ Iq Energy Inspection Fee $ TOTAL PERMIT FEE .--� $ D OCCu P. CONST.TYPZJ ISCHOOLVLOOD, V PARCEL �' PD ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which RE OF PUBLIC By PER EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS .0 ate 2q -/ Receipt No. ���� WHITE-D.P.W.. YELLOW-ASECSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT `�ri •'"'4R�e re,•`�!.a 4•-.... y,�'�..Rrx:w+-G+�"h�:9�N/r'W"�Iy:t��11L,"�r`�—"�..,���''�'4�•"�r�,�1',��yf���t�����il�. t'- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION V' i 7 COUNTY CENTER DRWE - OROVILLE, CALIF ?NIA , 65 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. �✓ - OWNER`A. P. No. ®, Proposed Building Use Mkr Building'Inspector A-4) Date At timed f 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ •.......................... 10. Chico Urban Area fees paid i%11. Park fees paid ................................................... 12. T l�•3� d-� School District fees paid ................. 13. Sanitation approval from Health Department .:. 14. City of Chico plumbing permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Plannj:,ng approval for (A) Use: (B) Parking: ......... .)41h Imp ovement6-Agy be-req&Ni d. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred .... Pre-Insperequest to p g •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ........:.......1..... 22. Owner -Builder Verification (Given to owner ❑, ,Mail°to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25., 26. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at —I office. Deliver w/inspector. Other Applicata.2e.12,92 Date i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle ne item not checked above), 1.. Index permit for above items No. lwr 2.. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by A Date Sets of plans on hold in File cabinet AP folder Copy—DPW ,3``l• --fit a�lri�,iCt`�f�;� ils sP S�., ;t -t AccordoncO 'oyq?4; +(`�' �C"e�iS':?c � Good I�I'ac+ices a 16 34' C! G�Uglli�J :'�?e ai.�.£:�ci iE?d use in S e ;Jr.i'form Building, €�'lurabar:es �: ie2acr1e�19cq$ _..� file idb org1 O�Ctcicgl a 9 n G This .S �7'l.=i r;n:°y r .. .�± :F{ .6F ry n..n O-9 i e aP r kept o.. i� 304 ea. e.-. d ..a is is.�4. i Mce-ke e" C,^,£;"�1.,!k�.r� �� P±{�•!tTNP�^i7s .�".� �i�,ine written ermission from I. he Departme.ht 6 ®pks, Cr�tQr haat 1! A setback of 5 ft. { om Old property lines a !d a setback of 50ft. from he road centerli „ shall be clear of �t lures or equipment except f 2 ft. eave overha i1 BUTTE OOUN Y BUILDING DEPARTMENT lop dc-- y" yz4� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville', CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1: Owner's Name: \ Lpach CjinC-7p.`/ 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number 5,A 4-1 ) OR Is the site an existing site? Yes ® No , (If yes, furnish two plot plans.) 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 (If no, clarify 11. What is the gas pipe length from meter or tank to the mobilehome? --=--- --------------------------------------- � � (ft.) , g -------------------=-- (BTU) ; * 12. What is the mobilehome as demand? *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? - �Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the.mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served'by the mobilehome site service? -------------------------------- Yes No a (If yes, identify the load and X, size: /toad) � (Amps) 9. What is the mobilehome site gas pipe size? -------------- 7 (in.) 10. What is the type ------------- of as service? YP g -- ---- Natural LPG . 11. What is the gas pipe length from meter or tank to the mobilehome? --=--- --------------------------------------- � � (ft.) , g -------------------=-- (BTU) ; * 12. What is the mobilehome as demand? *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA �v2LC ,- I£ other than single wide, Mobilehome Mfr. %�v furnish Setup Model No. Year /] Width- A9 Box Length(ft.) Tagalong or Expando Size(/ ft. x__/S;L_ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)01. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block Other (specify) Pier Footing Sizes and Locations I i[ SINGLE -WIDE % 1" -1 — — - - - MULTI -WIDE — — _—�— — Main Beams — — — — Le2Lille Main Beams — — — — — — — Tag or Triple Line i Piers: / ©�j X /O voe 1 Openings: Size -Min. ---- /' ---- k �j�L V�-� ficr-► / Siza-Min. . ............... / ,,��%% ,,��'' n Spacing -Max. --------- /� �a � > C) CL -Each Side of Openings From Ends -Max. ------- '_ " [ � , With Width Over --------- Line 2 Piers: Size -Min .------------ Spacing -Max. --------- From Ends -Max -------- Line------- Line l Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: l/0"rte Line � 3 Piers: (Under Bearing Wall Only) ��)l 67, 'tVii"ze-Min. ------------------ nx u Spacing -Max - --------------- -- -------- -- nS From Ends -Max.------------- �- n Size -Min.------------ 'k 3 Spacing -Max.--------- From Ends -Max .------- �_ D Size -Min.------------ Location (From Front) Size -Min .------------------ „x „ Spacing -Max.--------------- From Ends -Max.------------- '- " Line l Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: l/0"rte Line � 3 Piers: (Under Bearing Wall Only) ��)l 67, 'tVii"ze-Min. ------------------ nx u Spacing -Max - --------------- -- -------- -- nS From Ends -Max.------------- �- n Size -Min.------------ 'k 3 Spacing -Max.--------- From Ends -Max .------- �_ D Size -Min.------------ Location (From Front) Size -Min .------------------ „x „ Spacing -Max.--------------- From Ends -Max.------------- '- " COUNTY OF BUTTE - DEPARTI''ENT OF PUBLIC WORKS 7 County Center Drive, (roville, CA 95965 PHONE: 9167538-7541.. DATE 5/24/89 Leah M. Winchell RE: Building Permit #1552-89 P.O. Box 129 A. P. F73-16742Forbestown, CA 95941 With reference to the above subject: � " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER LXL We need the following information: Permit application signed and completed where indicated with all copies -returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans, Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: _ _- 196 Memorial Way,'Chico -" _X 7 County Center Dr . ,- Oroville 7 Skyway & Elliott. Rd...,. Paradise - - - Planning approval from Butte County Planning Department, -7 County Center Drive, - _ Oroville, for Completed Owner -Builder Verification form-. _. Recorded copy of deed showing - _X Recorded copy of agricultural acknowledgement statement. = " OTHER Should. you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector k i 3 Return t�'JDPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -.� FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - - -- The property described herein is adjacent 89-019045 1 Rec Fee 7.00 to land or -included within an area zoned ' Check 7.00 for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs ; PARTY SHOW( and fertilizers; and from the pursuit Recorder of agricultural operations including, 2:48pm 24 -May -89 1 BG 2 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SA g r- ,&II-74.C,W 4a PROPERTY OWNERS: Y State of •) On this the day of 19q before me, ) SS. the undersigned Notary Public, persona ly peared County of Xof ) ki �. ua ffZ / J UJI-e'rsonally known to me. [] Proved to me on the basis. OFFICIALSEALof satisfactory evidence. a' CARALOUISELAM to be the person(s) whose name(s) F ° NOTARY PUBLIC- CALIFORNIA subscribed to the within instrument and acknowledged. that YUBACOUNTY executed the same for the purposes therein contained. IN WI 'SS MY COMMISSION EXP OCT 22.1991 WHEREOF, I hereunto set my hand and official seal. Present A. P. No. - gotary Pu lic 89-00185 �:�ti¢i►��i ORDER NO. BU -102745-3 'DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 21 AS SHOWN ON THAT CERTAIN PARCEL HAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 81 1983, IN BOOK 92 OF MAP:, &T PAGE(S) 59. RESERVING THEREFROM A NON-EXCLUSIVE PUBLIC EASEMENT FOR .INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES 07-7A MALLORY LANE, AS SHOWN ;!N THAT CERTAIN PARCEL HAP, REC"DED IN; THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNI:, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT PAGE(S) 59. PARCEL TT- A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS,AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 3 AND 4, KNOWN AS MALLORY LANE, AS SHOWN ON THAT CERTAIN PARCEL NAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT PAGES) ;59. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY 60 FEET IN WIDTH LOCATED IN THE SOUTHWEST QUARTER OF THE FOLLOWING DESCRIBED PARCEL: LOT 54, IN SECTIONS 3 AND 10, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. &'N., AS DESCRIBED IN THAT CERTAIN PATENT FROM THE UNITED STATES OF AMERICA TO BURLINGTON GOLD MINING COMPANY, DATED MARCH 23, 1897 AND RECORDED APRIL 27, 1897, IN BOOK !C OF PATENTS, PAGE 4308 RECORDS OF, BUTTS COUNTY CALIFORNIA, MORE PARTICULARLY DESCRIBED AS FOLLOWS: ALL THAT REAL PROPERTY SITUATE IN SECTION 10, TOWNSHIP 19 NORTH* RANG3 6 EAST, M.D.B. i M., BUTTE COUNTY CALIFORNIA, BEING A NON- EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF GROUND BEING MORE PARTICUI.ARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE SOUTH LINE OF PARCEL.41 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 89 OF MAPS, AT PAGE(S) 58, FROM WHICH THE SOUTHWEST CORNER OF SAID PARCEL 4 BEARS NORTH 70 DEG. 58' 12" WEST, 41.59 FEET; THENCE SOUTHEASTERLY ALONG SAID SOUTH LINE SOUTH 70 DEC. 58' 12" FAST, 68.94 FEET: THENCE LEAVING SAID SOUTH LINE NORTH 10 )EG. 29' 03" WEST, 55.44 FEET; THENCE NORTH 07 DEG. 51# 56" EAST, 115.09 FEETZ THENCE NORTH 19 DEG. 21' 47" EAST, 55.17 FEET TO A POINT. ON A CURVE CONCAVE EASTERLY THE RADIUS OF WHICH BEARS NORTH 85 -DEG. 47' 00" EAST, SAID CURVE BEING THE WESTERLY RIGHT OF WAY OF FORBESTOWN ROAD; THENCE NORTHERLY ALONG SAID CURVE HAVING A RADIUS OF 515.00 FEET, A CENTRAL ANGLE OF 09 DEG. 57' 15" THE ARC LENGTH OF WHICH IS 89.47 FEET; THENCE SOUTH 52 DEC. 031.32" WEST, 58.31 FEET TO. THE WEST LINE OF SAID PARCEL 4; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 19 DEG. 21' 47" WEST, 96.84 FEET; THENCE LEAVING SAID WEST LINE SOUTH 07 DF.G. 51,1 56" WEST, 130.81 FEET; THENCE SOUTH 10 DEG. 29' 03" EAST, 31.18. OF BEGINNING. FEET TO THE POINT ENO OF DOGUMEN7 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) �. 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: t 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 Signedv Pro xty Owner Social Security NjdKber 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. L MARYSVILLE JOINT UNIFIED SCHOOL DISTRICT CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES TO BE COMPLETED BY APPLICANT AND TAKEN TO MJUSD PART I 1919 B Street, Marysville Property Owner's Name: ` 0 1 / N C ( Owner's Address: Project Address: Parcel No.: P1 - a Building Dept.: Lot No. Permit #: City or County: C/04, 7 / TYPE OF CONSTRUCTION: Residential Construction Single Family Dwelling Residential Reconstruction Multiple Family Dwelling Commercial Construction No. of Units Commercial Reconstruction Mobile Home TOTAL NUMBER OF HABITABLE SQUARE FEET: ego 0 THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF,COMPLIANCE.,FALSIFICATION OF_,_,., I HE SQUARE'FOOTAGE AND/OR TYPE'OF CONSTRUCTION,IS CAUSE FOR REVOCATION OF " CERTIFICATION OF COMPLIANCE. s Applicant's Name: J—r-A l / r) } ,� r �, A ( Date:(�f c� 2 Applicant's Signature: ,' r t� ,[: r %%, �(/.L?+•' �� . ,-�. PART II TO BE COMPLETED BY BUILDINN/G DEPARTMENT (Optional) Total number of habitable square feet (O% C% City of Marysville County of Yuba Signature 'o �,� County of Butte PART III TO BE COMPLETED BY SCHOOL DISTRICT L� Certification of Compliance No. (Receipt No.): Fees Collected: SZ,d # (n 00 square feet x's $1.00 Exempt.from fees: Reason:' ., AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICAN/TT. Signature: Title: Original - School District Yeilow - Applicant Pink - Building Dept. SD: co 3/21/88 Date: [ C AP # rl�-J(o-� OWNER W k V%CIA PERMIT'��5�� ICI MH UTIL.CLEARANCE DATE INSPECTOR ___C —Q(a9t= ELECTRIC GAS Support Struc. Compaction Test Re . Service .Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovQIe, California 95965 - Telephone: 916/538-7541 APPLICATA AND PERMIT f �<<PERMIT NO. �v J ASS 0 !±ARCjE NUM 66 ZONING BUILDING PERMIT OWNS ` Q t TELEPHONE SO. FT. OCC. BUILDING V O ER' MAILINky4DDRESS - r O ACTOR'S NAME'^ •\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER ,4ZI V1 LICENSE NO. Plan Checking Fee $ �© Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS flor, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 0 SUBDIVISION NAME PARCEL MAP I - Z— - � Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F]Duplex❑ MobilehomeVX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G W 0.00ea, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies Installation ❑ Other ❑ �yV( Describe work: n[ i Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service 100 AMP LESS 100 10.00 - 0 Main Service EA. ADD'L 100 AMP 2.50 i CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 CodeOf for this reason NEW CONST. / DWELLING OCCUPM yz(Csgft OR ADDNS. 1 ACC, BLDGS. NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occupz ES OUTLETS OR FIXTUR200030 AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wring 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c nse uence of @ granting of this permit. !J' ; Date Signature of Applicant — Owner R Contractor El 11wOrk 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 $ t OCcUP. ��� CONST.TYPC SCHOOL PLO PA RCE D P;4 H 1 u This permit is hereby issued under sions of the Butte County Code and/or indicated ab V@ for which T9VOF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ,, 00 Date Receipt NO. � WHITE-D.P.W.. YELLOW-A38C33OR. PINK -INSPECTOR, GOLDENROD-APPL I CANT mer�t TO Puildina Deparat FROM: Environmental Health SUBJECT: Sanitation Clearance e OwnerL6cation APO Plan Approved for. Sewage Disposal _7;2� Hold. final for: Final clearance 6.K. for: Clearance mor bedroomobil home. �a Water Supply/ Water Supply �. Water Supply other -.. Sanitarian Date` / . f 04 .. i. ,1`/i'rY'^'K; s+•V r-.-.f..r ..�.;^`Y..f . ,7.. r+il:i�•' `•?...� �, � ��...i a1.:S �{✓�i'y'%'1✓ �..-t'�...J+4'"ii- "^. S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ; BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER(1 A. P. No. �T� C;k Proposed Building Use 'Building Inspector11� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:' DATE RECEIVED APPROVED 1. All items have been submitted . ............. r 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. Energy Design Compliance and supporting documentation ......... ' 6. Statement of Intent for Non -Heated and AC Buildings ,Y 7. Engineered truss details and layout in duplicate (required prior to plan check) . 8. Mobilehome.installation data including manufacturer's installation ainstructions '.:..... .....`........................................./.. 9. Fees of $ .......................... . ` 10. Chico Urban Area fees paid ........... 11. Park fees paid ..................................... .... . ..... 6 Z-43. 2. School Dis rlct fees paid-: �. .............. Sanitation approval from Health Department ... —S 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. r 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspen request to re p q 'Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance j22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ....... .41 x-23. Recorded copy of Agricultural Acknowledgment Statement ........... . qgz� Diu 24. Letter of signature authorization ..................................... 25. 26. • i When you issue the permit, process as follows: Mail to owner. Mail to contractor. Tele"phone and hold for p ckup at office. Deliver w/inspector. Other 1\ and _`1. Appl ica Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior 0 per�Xi - issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer own , was advised of above required data by_phone—Kail—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 3 Sets of plans on hold in File cabinet AP folder Copy—DPW ,t .. i. ,1`/i'rY'^'K; s+•V r-.-.f..r ..�.;^`Y..f . ,7.. r+il:i�•' `•?...� �, � ��...i a1.:S �{✓�i'y'%'1✓ �..-t'�...J+4'"ii- "^. S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ; BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER(1 A. P. No. �T� C;k Proposed Building Use 'Building Inspector11� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:' DATE RECEIVED APPROVED 1. All items have been submitted . ............. r 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. Energy Design Compliance and supporting documentation ......... ' 6. Statement of Intent for Non -Heated and AC Buildings ,Y 7. Engineered truss details and layout in duplicate (required prior to plan check) . 8. Mobilehome.installation data including manufacturer's installation ainstructions '.:..... .....`........................................./.. 9. Fees of $ .......................... . ` 10. Chico Urban Area fees paid ........... 11. Park fees paid ..................................... .... . ..... 6 Z-43. 2. School Dis rlct fees paid-: �. .............. Sanitation approval from Health Department ... —S 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. r 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Inspen request to re p q 'Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance j22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ....... .41 x-23. Recorded copy of Agricultural Acknowledgment Statement ........... . qgz� Diu 24. Letter of signature authorization ..................................... 25. 26. • i When you issue the permit, process as follows: Mail to owner. Mail to contractor. Tele"phone and hold for p ckup at office. Deliver w/inspector. Other 1\ and _`1. Appl ica Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior 0 per�Xi - issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer own , was advised of above required data by_phone—Kail—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 3 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -,,Department of Public Works 7 County Center Diive;.Oroville, CA 959.65 Phone:. 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner=builder".building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your .building permit. No building .permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit - for the proposed wo c. 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: QQ�� Property Owne &�'U(�' 'eLvl Social Security umber Date 5� % % — 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. ms lei7s�i ash cepa on An ja1 tisanes cm.. d. it is ern spice any chrir ;`-rartions on some w wi#en permisrom t epa0mea# oflo+18a; Ch NOTE:—AN Materials W&kmcnship Shoo Be in Good Prodices acid pe �Accordance�vi•t9z E� �s;a>e�,:.z�.d ofi.FS:;:'j� i T�? Specified USC In f6 to llni{carr:: r3 °std. e , �"j:+rn' & Mzc»anical Codes and U .+ a ' �- � 9 S. etbof 5 ft' a setback A ?. S.proprty lines end \ of 50ft. from the road -- centerline ghaii be cleer of vipmo"t ®xcaPt Of e4 ar9. \Structures ora. 2 ®ave or r 4,,�raa0�2h AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) ApplicantDate Zone AP #T ) Building Permit �� � �' � V J � )do declare, that the dwelling (Building Permit ��/� —� �i5 at address (present) on AP # T`/(O `�� is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the.Butte County Code. Signe Dated 73-16-42 JJ Permit#2006-`-89M& ;4"29sueD A— '' � COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER A ES OR•PggC ^L M ER ZONI G BUILDING PERMIT Own TELEPHONE - S0. FT. OCC.. BUILDING VALUATION OWN 'S LING DDRESS 2. s 9S CG RACTOR'S NAM TELEPHONE CONTRACT R'S MAILING ADDRESS ' Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ L NDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t 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[] MobilehomeFO Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition Remo el❑ Utilities❑ ILsta�llativ Other❑ Describe work: 1 of Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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.eI , OR ADONS. ACC. SLOGS. �2¢sgft NEW CONSTR. MULTI -OUT LET NON•RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. 000®505000 O X. CCUp�OUTLET3 OR FIXTURES E522ALO 300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.? 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 I Consent to Self -Insure. shall not employ any person in any manner so as to become subject '11 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 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 Count in conseque ce of the grantin of this/permit. %�- --�%�2%Vy , C� Date cP �a '-' � Signatar�ant — 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 D D OCCUP. CONST.TYP! SCHOOL FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.6_3 WHIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE :"DEPARTMENT OF PUBLIC WORKS � PERMIT N0_. / + I 7 County Center Drive:- Oroville, California 95965 - Telephone: 916/538-7541 "'� APPLICATION AND PERMIT // u A SES;zOR.P 4CE•L M ER / ///�9 ZONI G BUILDING PERMIT OW IR to..�... TELEPHONE S0.'FT. OCC. BUILDING VALUATION OWN 'S LING DCIRE55- S �s CG RACTOR'S NAME - ` TTELEPHONE*,J CONTRACT'OR'S MAILING ADDRESS Fireplace CON TUCTION LENDER UNKNOWN Total Valuation $ Y CEENDERIS MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARC T CT OR ENGINEER gn LICENSE No.Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ r BUILDING ADDRESS Permit fee $ ` J PLUMBING PERMIT Filing Fee 1000 Each Trap 2,00 �s 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❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home FSTG W 0.00 ea TYPE OF WORK New ❑ Addition Remo el ❑ U,tilities ❑ Ir snttallatio Other ❑ Describe work: tiyl/ VAT .� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BUsines$ and Professions Code and my 'license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- ,esation, 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP"' , OR ADDNS. AGC. BLDGS. �2¢Sgft NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID .BRANCH CIRC ITS /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES 20050Q 30dI FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 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. 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 conseque ce of the granting of this permit. a .r X Date n j Signature of Applicant — Owner E] Contractor ❑ Agent ❑ AnOSHA permit is required for excavations over 5'0" deep and demolition or construct- ,onof structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE D Q 10 Occup. CONST.TYP! SCHOOL FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date t3, /� Receipt No. 15 WNITE-D.P.W., YELLOW-ASSCSSOR. P I NK -IN SPECTOR7 GOLDENROD -APPLICANT �. COUNTY OF BUTTE ="DEPARTMENT OF�PUBtLIC WORKS . 1. PERMIT N0. - F 7 County Center Drive..- Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT A SES OR PELBER Ye '" ZONI G BUILDING PERMIT R oZ, TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNEj:'S LING DDRESS .,,+ P s 9sqyj +' CC TRACTOR'S NA Cr TELEPHON CONTRA OR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN C Total Valuation $ L NDER'SMAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARC T CT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee Penalty V $ $ BUILDING ADDRESS ;Permit fee A A9 V. I'm PLUMBING PERMIT .. Each Trap Solar or heat pump water heater ; 125.. Filing Fee 10.00 2,00 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 Remodel ❑ 1tilitiesR 00 J Installatio Other ❑ Describe work: f f r/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00° Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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) as the owner, am exclusively contracting with licensed contract-Misc. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SI , OR ADDNS. ACC. BLDGS. /zQsgft NEW CONSTESID R. U TI.OUTLET 2,50 ea NON.R.BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20090Q eALO So FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities t15.00I, Wirin 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or"this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidCounty in consegluence of the granting of this permit. 1 r -/This fl ,/ Date .aC� R9 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ AnOSHA permit is required for excavations over 5'0" deep and demolition or construct- ,on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q occu P, CONST.TYPEJ SCHOOL FLOOD PARCEL PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. S WHITE-D.P.W.. YELLOW-ASSE330M. PINK -INSPECTOR, GOLDENROD -APPLICANT _-,tiY'' Nar`"'Ensri -r.,c ,. •"�"'r"#ltT'y`Kri.ri.t�Y'T T-"T';'Tl`ilj.y '�Y'Pi1'"� S`.ii'`^,,�.t+''!4'•'1✓.�,r:u. ti.. .. .. COUNTY OF BUTTE ="DEPARTMENT OFPUBLIC WORKS .1 r PERMIT NO.. / G� - 4 h 7 County Center Drive.- Oroville, California 95965 -Telephone: 916/538-7541. APPLICATION AND PERMIT i �w y /,R PARN 7ER ASSES OCEL.' q7 ZO NI G ;; . BUILDING PERMIT OW E' / TELEPHONE S0. FT. ' OCC. BUILDING VALUATION OWN R'SA LING DORESS CO'S NAME ,' TELEPHONE , , CONTRAC'TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ L'ENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCH T CT OR ENGINEER r LICENSE NO. Plan Checking Fee $ �} Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,, It BUILDING ADDRESS I(/ Penalty Penult fee $ . $ � f� 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[] Mobilehomef (l Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I WT 10-00ea TYPE OF WORK New ❑ Addition Remodel[] ilities ❑ Installation Other ❑ Describe work: i ci0 ,'� Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of : P Y perjury Y lcheck one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- E:1 I, ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.11, OR ADDNS. ( ACC, BLDG -S. h¢sgft NEW CONSTR. U T"OUTLET2.50 ea NON•RESID BRANCH CIRC ITS /POWER APPARATUS eI (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 200099 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.7 2.00 Temporary service 10.00 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 f Consent to Self -Insure. 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 a MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 Countyot to enter upon the above-mentioned property for inspection purposes. 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°r�5 r', )�J.. l � ��� iz=-Y ��` ✓Date `� `� !`a t Signa re 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 $ C96Butte Z.1 Occup. CONST,TYPEJ SCHOOL FLOOD PARCEL P11 I No s9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. .5. 7 WNITE-a.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLOENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET % Permit No. OWNER kA /-` / A. P. No. Proposed Building Use4�% f Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans......... 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ i1. Park fees paid ... . . 12. School District fees paid ................. 13. Sanitation aper val from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... _ 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. ec Pre -Ins tion for required .... Pre-Inspec. request to Pre -Inspection q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pyckup at office. Deliver w/inspector. Other Applicant > ate —� 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--nail—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 COUNTY OF BUTTE = Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538.7541 OWNER -BUILDER VERIFICATION Attention Property.Owner: An "owner -builder" building .permit has been applied for in.your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued.until.this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) tlo&f signed an application for a building permit for the proposed work. 3.. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work., but I have hired the following person to coordinate, supervise, and provide the major.work: Name Address City Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verificationis sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I NOTICE Post job card In a safe, conspicuous place. Do not remove until all . required Inspections are made and building Is approved for occupancy. Plans must be available on job. A. P. No. 73-16-42 Owner LEAH M. WINCHELL Contractor OWNER Permit No. @))¢ *(MHI Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete,Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Fina_ I Building or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 538-7541 PARADISE - 747 Elliott Road - 872-6307 i-16-42 PErmit#2005-89P,E(util, MH) Unit #2 ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSEO P=RCE{ NUM - .-.ZONI (/O_ G ,•�o....,.�,. ., BUILDING PERMIT OWN R ` Q TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW 'S AI LI ADDRES 10 2 CC A 7OR'S ��AME W TELEPHONE CO A TOR'S MAILING ADDRESS ' Fireplace CONSTR CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A C ATrECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r_ Solar or heat pump water heater 20.00 LOT NO. IZ SUBDIVISION NAME PARCEL MAP I !— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[] Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer in 4n An5.00 Mobile Home W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Kr Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 100 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification las 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.S , ) �z¢sgft A uc B New CONSTR. OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS N (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES AL0 5 30 ALa 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g 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 FiIingFee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X ��Z O'C Date 5ignatuApplicant — Owner Contractor 11 Agent ❑ IN 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 $ occu P. CONST.TTPC SCHOOLFLOG PARCE P D S9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1 M6 WHIT[-D.P.W.. YELLOW-ASBESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. if .-i r � ,.. .t,. . y r• � n.. �-y., ,,,.,� .y.._. ��.-,c��►.�-.�.Y-^s-n ��. yry-vey,ia� v+�;v,r'-tm•-' »-r..... Ke-..,..-M•,�, .-.,�,�.. .�. v _� _ COUNTY OF BUTTE iDE4RTMENT;OF PUBLIC WORKS . PERMIT Nov A 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �/1 C � X APPLICATION AND PERMIT AS SE SOS PA CE NUM , 1 ZONI G i. BUILDING PERMIT OWN RI-e�} (A A C_ TELEPHONE � SQ. FT. O(.iCi. BUILDING VALUATION OWNE'R'S AILIN ADDRESS e CO NITRA" TOR'S AME r TELEPHONE' It :1 CO RACTOR'S MAILING ADDRESS Fireplace CONSTR-CTION LENDER UNKNOWN Total Valuation $ -' Filing Fee $ I" LENDER'S MAILING ADDRESS Permit Fee $ ARC TECT OR ENGINEERr ARI LICENSE No. Plan CheckingfFee $ Energy Plan Checking Fee - $ ARC CT OR ENGINEER'S MAILING ADDRESS --� Penalty $ BUILDING ADDRESS./t+ ©/ t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 i r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping tN 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome4( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 t Mobile Home ' VU 0 .00 ea,' TYPE OF WORK New ❑ Addition[], Remodel ❑ Utilities Installation[]Other E] Describe work: Permit Fee Contractor t ELECTRICAL'PERMIT Filing Fee 10.00 .... Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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- Xsation, 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- o qrs.' (Sec. 7044) []/,I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONST. DWEACCLLIN GS°.CCUP.m) '/zQsgft NEW CONSTR. U TI.OUTLET NON.RESID .BRA CH CIRCUITS) 2.50 ea /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup OUTLETS ORIFIXTURES 20050C SAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this /permit. ryG X R LC/�liJ'l, ��X. Date l;) ,a , 6 Signature of Applicant — Owner [Q] 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 $ Q 10 TOTAL PERMIT FEE $ occu P. CONST.TYPEJ JSCH00LJFt7]PAZ;�%P D ISSUEall This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT =�y,r:,,,.l�r.. i'Y r i •.•.. , .. : �-.J. , _ } r ^^'y ..' � ^•; ..^. �„�.+r�,-.,.�,�. /vTv-�`r"r'� ' ^i ;f COUNTY OF BUTTE ADEF'ARTMENT$F R�UBLIC WORKS .�,7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSE SO PARCE NUM F3/1y_/\ r ZONING BUILDING PERMIT OWN R TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNe r. 1AILIN ADORES It V' P Y CO TRA TOR'S AM ` TELEPHONE ' CO R TOR'S MAILING ADDRESS P' ' Fireplace t CONSTRUCTION LENDER UNKNOWN Total Valuation $ ` LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARC TECT OR ENGINEER, LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A C CT OR ENGINEER'S MAILING ADDRESS � Penalty, $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �. rr, 1,9Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SIA Pf YIN 0.00 ea, U TYPE OF WORK New❑ Addition[] Remodel[] Utilities Installation[] Other❑ Describe work: _ Permit Fee $ J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) E] 1, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ --I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.DI , OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR.U TI.OUTLET 2.50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS e t (SINGLE OUTLET CIR. I Ex. OCCUp�OUTLETS OR FIXTURES 20050t DAL03o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 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 g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned.property for inspection purposes. 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 con/sequence of the granting of this permit. ry X P�?�� (�C/�G'%'t-�� F Date.2 "" b Signatureture of Applicant - Owner F� Contractor [IAgent❑ 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 $ f1i 10. 0 TOTAL PERMIT FEE $ FP Occup. CONST.TYPEJ JSC.00LJFLOJPAZ;E D [ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ray,.+..z.s..4,�...•*--r3 '^'s`""-` ^ r +'»..�^.�{...v..+s-•,-.,.y.,.r..n..r..,,v � .. �.���7, j��.. COUNTY OF BUTTE 'DEPARTMENT,OF PUBLIC WORKS . ._ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT. N0 r ASSESSOR PARCEL NUMBf_ ZONING BUILDING PERMIT OWNER p AA rle 21 C U / I !.. TELEPHONE �y SO. FT. DCC. BUILDING VALUATION O_ WN.E'R'S MAI LI �G( ADORE S Q o r �y _ he CC 7RA /T OyN�R •5 �N�A)ME TELEPHONE CO RACTOR'S MAILING ADDRESS p` Fireplace CONST/RUCTION LENDER `{Filin UNKNOWN Total Valuation $ - LENDER'S MAILING ADDRESS g Fee $ Permit Fee $ ARC 1TEC�uTr! (OR ENGINEER, LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARC T"ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r tj Perm tee $ PLUMBING PERMIT Filing Fee 10.00 X Each Trap 2.00 o f `''? 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[] Mobilehome4 Other r SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home (i` W O.00ea , TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation El Other Describe work: Permit Fee $ Contractor t ELECTRICAL PERMIT Filing Fee 10.00 Main service soov O 100 AMP R OR LE53 LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ -1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.SI , ) h�sgft New A u 'TBI CONSTR.` OUTLET NON.RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS 6 , SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20080¢ DAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.� 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 1 15.00 Misc. Wiring g 15.00 Permit Fee Contractor $ r 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 g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of thfe..granting of this /permit. �y X c?°.r"t.f?i c�c/�'J't.� �fiL-t Date (C7'..� ` t5 Signature of Applicant — Owner EQ 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 $ 0 10 TOTAL PERMIT FEE *. $ OCCUP. CONST.TYPE SCHOOL P�ooa V PARI PD w ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / t) WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TtA" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. Gam_ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... ........................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. chool Distri t fees paid .................. 13. Sanitation approval from I,, Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. - Telephone and hold for pickup at office. Other Copy of plans sent Health Dept., Appl ica Fire Dept,, Mail to contractor. _Deliver w/inspector. �&filate ��r�/9 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. Z 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone__nail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Copy—DPW Sets of plans on hold in Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE.-.Departine nt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied-for.in your name and bearing your signature. Please complete and return this information at,your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building.permit. will be issued until this verification is received. 1.. I.personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for.the proposed work. 3. I" have contracted with the following person (firm) to.,provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone• Type of Work Signed: Property Owner Social Security iCmber 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. , FROM wu� p 'u EciOrKb r�,,,Ity Center Ddy -nville, Calltornla TO Leah Winchell P 0 Box 129 Forbestown, CA 95941 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS NOTICE Post lob card In a safe, conspicuous place. Do not remove until all , required Inspections are made and building Is approved for occupancy. Plans must be available on lob. A. P. No. 73-16-42 Owner LFAH WTNCHELL Contractor owner Permit No. 70Q5—RAP,E4MHI Expires PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete,Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat 4 Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Building or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOB'ILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2e7 OROVILLE - 7 County Center Dr. - 38-75 PARADISE - 747 Elliott Road - 872-6307 Dear Permi.tt.ee: r / UUUN I Y ULN I LH UHIVE t UROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7541 RE: Attached Building Permit RONALD D. McELROY Deputy Director plot Attached is your' building permit along with the approved set of plans and a job card. Please post thea job card on the job site in a conspicuous location for the inspector to sign (luring the various phases of construction, and also have' the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you,. please contact this office -- do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction .notice will list the corrections to be made and .a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a rem:i.nder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a t:et►porary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the"Final items" Listed on the job card must be signed by the inspector or special permission £i.ven. Upon completion of the work covered by this permit, please contact this office for final inspection. Should YOU have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Yours very truly, William Cheff Director of. Public Works J.F. Glander lrG:ahh Chief Building Inspector Attachments 1552-89P,E 2005-89P,E(MH) PERMIT NO. PERMIT EXPIRES OWNER LEAH WINCHELL CONTR. owner ASSESSOR PARCEL 73-16-42 LOCATION 78 Mallory, Forbestown #unit2 4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK ~ O=Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1.Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; 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: / /" L"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 -Bt Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -61 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/0 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 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -81 Date Card -1211 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -61 Date Card -131 Date Card -B1 Date = uK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 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 -B1 Date Card -131 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 -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture ✓4 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 -B1 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 -B1 Date Card -131 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. Ong. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 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 -Wal Is-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 -Mach. Protection 64. Bedroom Exiting 66. 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 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit lob site) AV CONTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFbRNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. '3IZOAJ ZONING j OWNER d OWNER' ADDRESS Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. '3IZOAJ ZONING j OWNER PHONE NO. OWNER' ADDRESS LOCATION OF BUILDING USE OF ELUILDING - SIZE OF'STIAUCTURE x - SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING , ROOF COVERING FLOOR TYPE` ESTIMATED COST OF CONSTRUCTION DAG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:C --j FRONT-_ SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and ,a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. 4 Date'— o'� 7 o Signature of Owner / &t -1)-.e Permit Fee - $25.00 The above described AG Building is exempt f om a building permit. FLOO PARC P.D. ROOFIN ISSUE � Receipt No. �L/� L Director of Public W s By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant ��-'d.[yxM.Y. y r.:r�e.+s.. M}fti:.7+-... a.-a+�f..,,��� �....i�+��"`�tiSrF'r4NSx�y.� . .. �C f . .'V++...+\�-�.f�4Lrv.•.`Y'; �,�,,,.:-..,.."ii'.�. � • .. .. . COUNTY OF BUTTE - DEPARTMENT-�91FUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET . . Permit No. OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitt d 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid .................. 13. Sanitation approval from Health Department �... '- 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of t (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... .. 19. Pre -Inspection for required .... , Pre-Inspen request to re l p q � Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index 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 Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date