Loading...
HomeMy WebLinkAbout078-120-0350 36-75-35 Wynoka Homes 2381 Via Laton,lot #35, Vista Del Cerro#3, oroville Peun'it #3669-81B,P,E,M(new single ' family) 36-75-35 4384-90B,P,E,M DAVIS, John - 2381 Via Laton, Oroville Contr: Caton Const, J-9 1 (addition/sf) 1 036=75-0-035, 93-3887.BPE DAVIS, JOHN &.SANDRA' i X2381. VIA LATON; OROVILLSF & CONV 'GAR TO LVG/ ADDN +4.fes+ .� ._._.�.. _ t✓ ��� 07%", 120 . � 74 ' 036-75-0-035 SANDRA•'DAVIS ADMINISTRATIVE PERMIT DAY CARE, 8/24/94 63 6=:Z0 ■ V=OK O=Not OK NotNo Applicable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements , 2. Footings; Size-Spacing-Marrlage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Inap: Sketch 1 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Gridera and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10.'Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane lboards-Ina. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) V,'x)P1 LV Fig., Mein; Soils-Elec. Grnd.:W' Fig. Depth -9.-Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Ele.c Receptacles Spacing -Lights & Switches at Doors C Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FR NG Plans OK except #'s bf�9.Islls, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4 ng Walls over Girders & Floor Nailing Dr ft Stop in Wells (rat proof) ! ire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearina Date/Initials FRAMING (Continued) 5. Hangers -Post Caps -Anchors -Connectors Ing. Jgist-Rftr. ties-Purlin' roof Brec-Truss-Shthng.-Ring. . Fir les or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles :-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing . roperty_Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits . irs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer -fie-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----57:-Glazing Area -Glass Protection -Skylights -Plastic ear Wells; Nailing -Bolts Insulatio ell Ceilings filtration -Wall inclors Date/Initials FIN Plans OK except #'a ?O Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 63. Furnace• Vents -Clearance -Comb. Air -Connector - n arage; Above Floor -Ducts -Mach. Protection Bath Fixtures & Tub Access -Spa f . Elec. Trim & Subpanel; Breaker Sizes & Labels e or Stove; Clearances -Hearth tog.-fiec. Outlets at Wood Panel; Int. & Ext. �Appliance; Grnd.-Air Gap -Cooking Clearance CPr.-Elec. Outlets & Receptacles at Kit. Counter 74--44"tr.,-VenT§=C ea ance-Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection ec . quip. Listed for Location 411 Elec, a teoles4n Garage; (G.F.I.)-Romex Protection twirInsulation-Foam-Looked in Attic ❑ Yes 7 tEu tion -Post Caps 7 n a raw o e o-Drainagge & Wood -Earth Clearance Looked under Floor O Yes tiff'© -Yes ❑ No; Walks ❑ Yes ❑ No; PI ers ❑ Yes ❑ No 11.81"-Stugco; Brown -Finish Electrical, Plumbi replace. -Clearance to ( sconnect, Electrical, Plumbing . x!#4or Elec. Trim; G.F.I. Receptacle -Underground 8 entilation Throughout House Vass �(I _ _rr"^t.^^a }Tom Previous Inspections 89"Gas-Test=Meters Tagged; Gas -Electric 99=Wa4er & Sewer Connected -C/O to Grade -HD Approval A 91. erav Comoliance Certificate-C)ther rartificatwn Commonts COUNTY OF BUTTE - DEPARTMENT.OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERM o. K. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-750-035 ZONING R1 BUILDING PERMIT OWNER JOHN & SANDRA DAVIS T 34-1183 SQ. FT. OCC. BUILDING VALUA ION 315 M -7R 6300.00 OWNER'S MAILING ADDRESS 2381 VIA LATON OROVILLE 95966 60 R 3240-00 CONTRACTOR'S NAME OWNER 1� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER i UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee .$ 117 nn ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 9,1 no ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2381 VIA LATON PERMIT FEE $ n OROVILLE, CA 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ClRemodel ❑ Utilities ElInstallation ❑ Other CK Describework: CONV GARAGE TO FAMILY ROOM & PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ADDTIONAL• SQ FTG Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW OCC OR ADDNS.T ( D LLIN&EACCGBLOSUP ) 3.50 F°: 13.10 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification W1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ l.50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. (01 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 33.10 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 6.50 Cooling EVAP 10.00 Hood 6.50 Ventilation PERMIT FEE $ 36.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and xpenses which may in any way accrue against said County i co s uence of the ra ting of this permit. X _ Date CZ6 ,3 Signet of Applicant Owner ❑ Contractor ❑ Agent An A permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 occ CONST. TYPETOTAL FEE $ 351.65 HA2• D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS l` By Date I�7 PERMITEXPIRESON l tel Receipt No. 1 533798 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Insulation Certificate ''; BUILDING OWNER: BUILDING LOCATION: BUILUiNG PE R Yl, 4 Description of Installation. ROOF ' Material Brand Name' Thickness (inches) Thermal Resistance (R -Value):' CEILING ' . Batt or Blanket Type i �,/� 6r� ` I J Brand Name #1 iv t%, U,/1 Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor`s*minimum installed weight/ft lb . Minimum thickness inches fi• Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) ` EXTERIOR WALL Material - /3 6 L Thickness (inches) -3 `? RAISED,FLOOR Material Thickness (inches) SLAB FLOOR Ma!_-ri-1 Thickness (inches) Width (inches) _ FOUNDATION WALL Material Thickness (inches) Brand Name fhA;\jVL (illi. Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) B rand, Name Thermal Resistance (R -Value) .'t i Brand Name Thermal Resistance (R -Value) _ Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the Califomia Administrative Code. I'M vl � f1i o. rze General ontract uiidcr) �,' Y. License Number _ 1 � 9- moo- .9 Signature and Title �':k M Date r;t Sub -Contractor (Insulation Installcr) `r License Number S i gnature and Ti de Date 111IS CERTIFICATE MUST 13E PROVIDED TO 711E BUILDING RrPAR'1MENT r1'RIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITIIIN '111E BUILDING. } JANUARY 1993 yr *4 -5, r COUN,TYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVI)_LE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER h Q ra ! ✓ t A. P. Proposed Building Use c2n 74 IZ Lo y^ 4 ilc inp Ins ctor Date �_ At time of permit application, I was advised the following data must be submitted prioyo permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. . \ .... F ...... 5. Hazardous Material Form. ........................... ! ...... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2'sets. ........... ` 10. Fees of $ . ............ . 11. Impact fees as shown on attached schedule. Sc11001 a ate. 12. California Department of Forestry lanaPP roval/fees......................... P Y P 13. Flood elevation letter (100 year flood by California Engineer . ................. . �.JA14. Sanitation and plot plan approval St, WC v' Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. . . 20. Pre -inspection for atorea"eO�O" `eq0 required. . . BuildingsDInspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. .L ter of signature authorization . ......................................... Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 7. Letter of intent on building use..........................................S- 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list . ..G .......... ..................................... . 'rrZvsS �o�twr✓�-�u� ��2 - When you issue the permit, process as follows: Mail to ottner. Mail to contractor. Telephone . -/ and hold for pickup at ()n office. Deliver with inspector. Other Parcel Creation Acreage Applicant �' at.✓h Date '2 X1,3 Copy of Haz-Mat form sent Health Dept. Fire Dept. ___jZ Air Pollution Date Copy of plans sent Health Dept. Fire Dept. t Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of -Public Works 7 County Center Drive,'Oroville, 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) E f- 2. I (have/have not) Hrq V1= 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 NOPA). A DAv�s ti %7 Social_ Security Number - Date r2 -1c, 19 3 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. Department of Public Works 7 County Center Drive Oroville, Ca 95965 To the Dept. of Public Works, January 3, 1994 I am converting my garage into a family room for the purpose of adding more living space to our home as we have a large family and need the extra room. Sincerely, GLvvl . John A. Davis BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM V �Goe�1?F (One Fornt Per Building) c 91993 School District(`) 11m;on jq S Building Department No. �. A.P, Number Jurisdictipn Cit ' Count �55d- per` ' 0 ;,. y °' F y Property Owner.t Pj h S n 1" Gt ✓ i-sv 01 Property Location/Address . ��� fD h r0y i e. Subdivison Lot No. Residential Development Sq. Footage C3 No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) Z�Date District Identification No. 9140083 IA& I'M -School District certifies that h A 7 (Applicant) VuL (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. �D�j—�D by payment of $L�'� representing _ square feet. School District Rep 1- -I 14,� Date Paid by Check Number Remarks: �,�vt Si�, . �V • Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) . . . .... �,. Eutte Count PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 August 24, 1994 Sandra Davis 2381 Via Laton Oroville, CA 95966 Re: Administrative Permit, AP -036=750=035 Dear Ms. Davis: Enclosed is your validated Administrative Permit No. 94-121 to allow a Large Family Day Care facility for up to 12 persons on property zoned R-1 located on the northwest corner of Via Laton and Autrey Lane in the Oroville area. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the. Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact Lisa Purvis Wilson of this office Monday through. Thursday, between the hours of 8:00 a.m. and 4:00 p.m. Very truly yours, BKH:bd Enclosure ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DIVISION August 15, 1994 DATE 94-121 PERMIT NO. 036-750-035 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Sandra Davis is hereby granted an Administrative Permit in accordance with application filed: June 20, 1994 to allow a Large Family Day Care facility for up to 12 persons on property zoned R-1 (Residential, 1 acre parcels) located on the northwest corner of Via Laton and Autrey Lane in the Oroville area. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the permittee. SPECIAL CONDITIONS: 1. The facility is a single family residence that is the principal residence of the provider and the use is clearly incidental and secondary to the use of the property for residential purposes. 2. Properties proposed for Large Family Day Care shall be located at least 500 feet driving distance from any other Large Family Day Care property and the granting of the permit shall not result in any residence being bounded on more than one side by a Large Family Day Care. 3. Large Family Day Care homes shall meet the following traffic control measures: a. In addition to providing the required number of parking spaces for the residential use, one off-street parking space for each employee of the facility and one off- street parking space/loading area shall be provided. The driveway area may be used to meet this requirement. b. Large Family Day Care homes located on principal or minor arterial roads as designated by the General Plan Circulation Element shall provide drop-off and pick- up areas which prevent vehicles from backing onto such roads. C. Properties proposed for Large Family Day Care homes shall have frontage on and access off of a paved road. Roads that are constructed for the purpose of meeting this requirement shall meet the RS -4C standard as contained in the Butte County Improvement Standards contained in Chapter 20 of the Butte County Code. 4. One sign, not to exceed 3 square feet, shall be allowed. 5. The applicant shall be licensed by the California Department of Social Services, Community Care Licensing for a Large Family Day Care facility. 6. The applicant shall meet all State Fre Marshall regulations pertaining to Large Family Day Care facilities. 7. The applicant shall connect to Oroville Wyandotte Irrigation District for water service and Lake Oroville Area Public Utility District for sewer service. 8. The applicant must meet all other applicable County and State ordinances, statutes, and regulations. NOTE CONCERNING ALL COUNTY CONDITIONS OF APPROVAL: "Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for an amendment." NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. K. Jlo�a0, =Buo County Planning Manager cc: Land Development Div Building Division Health Department Department of Forestry 1 AVTRt7 Sov-nW 3 ~ L � M b � r rt a r 3 a �1 Dr,M 6�urJ in ROVED DEVEL OPMENT PLAN N Davis Family Day Care 2381 Via Laton Oroville, CA 95966 Attn: Sandra Davis LAID OF i4ATURAL WEALTH ASID SEAUT BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 August 11, 1994 RE: Day Care Fire Inspection A.P. #036-75-0-035 The Department of Social Services Community Care Licensing in Chico has made a request to this office for a fire safety inspection of your proposed day care facility (maximum capacity, 12) at2381 Via Laton, Oroville. Your property is located within an R-1 zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916)538-7601 between 8:00a.m, and 4:00p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the Special Inspection we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not notify the Department of Social Services of any clearances until you have been issued a use permit. and complied with both the Planning and.Building Department requirements. Should you have any questions concerning this matter, please contact this office. MCV:dms cc: Department of Social Services Planning Department Yours very truly, Mich el C. Vieira, C.B.O. Manager, Building Inspection .. 4 Eutte ft- 90� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 23, 1994 Davis Family Day Care RE: Day Care Fire Inspection 2381 Via LAton A.P. #036-75-0-035 Oroville, CA 95966 Attn: Sandra Davis The Department of Social Services Community Care -Licensing in Chico has made a request to this office for a fire' safety inspection of your proposed day care facility (maximum capacity, 12) at 2381 Via Laton, Oroville. Your property is located within an R-1 zone which requires a use permit from the Butte County Planning Department prior to business operation. Please contact them at (916)538-7601 between 8:00a.m. and 4:00p.m. for information on how to proceed. When you have made the application for the use permit and paid the appropriate fees, you may apply to this office for a Special Inspection for the fire inspection. For the. Special Inspection we will require a plot plan showing the building location on the property, a floor plan showing room uses, windows, doors, mechanical equipment etc., and the appropriate fee and the application signed by the property owner. After we make the Special Inspection, we will write a letter advising you of any improvements and building permits that may be required. We will not, notify the Department of Social Services of any clearances until you have been issued a use permit and complied with both the Planning -and Building Department requirements. Should you have any questions concerning this matter, please contact this office. MCV:dms cc: Department of Social Services Planning Department Yours very truly, Mich el C. Vieira, C.B.O. Manager, Building Inspection d4Z�. STATE FIRE MARSHAL 0I0C CACCTN lklQ00f%TV11J n=f% T COPY DISTRIBUTION: 0,3 73, 7� 4 O 3 SEE REVERSE OF COPIES 2 AND 5 FOR 1_'1_cTAT= GID=- LAADcuAI I_ INSTRUCTIONS FOR COMPLETION 2 -FIRE AUTHORITY1. REQUEST DATE PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 13/1V94 12. 3. AGENCY CONTACT 4. TELEPHONE NO. .. DSS/C01111•fUilIT CARI'- LICE SIN,. '916) 595-5133 I.S.EVALUATOR 1:105/i' SEXTON 6. SFM REGION 7. SFM I.D: NO. - S. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041375776 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE ' 2. RENEWAL B. LIFE SAFETY F 3. CAPACITY CHANGE DEP.-RTMENT OF SOCIAL SERVICES 4. OWNERSHIP CHANGE 10. AGENCY COPIMUNITY CARE LICENSING S. ADDRESS CHANGE NAME 520 Cohas5et. Road, Suite 6 t;:. 6. NAME CHANGE AND Chico. CA 95926 r:I PREVIOUS NAME ADDRESS L 7. OTHER G� / DATE OF ORIGINAL REO. .11. AMBULATORY .. NONAMBULATOORY - TOTAL -CAP. DATE OF LAST FIRE CLEARANCE CAPACr Y AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO 18 18 TO 65 AND CAPACITY TO 18 18 TO 16S AND CAPACITY 19. FACILITY 65 1 OVER 1 65 OVER 1 CODE ' 12 X 6 U 1. 13/FDC/810 12. FACILITY NAME 13. NO. BLDGS CODES DA V l S F :A.MMY DA"l' CARE 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 2 3 i> 1 i' Ir"1 LA O I 'D 3. SH 9. ADHC 4. APH 10. CLINIC CITYZIP CODE 16. HOURS uRG1'?LL" , CA �3J.:6 G k. YS 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL SA'�.--,IRA DAMS (916) 534-1183 13. OTHER " TO BE COMPLETED BY INSPECTING AUTHORITY ,B. FIRE F 26. CLEARANCE CODE h7��T°iE , CG. BUILDING ILDING DEPAR�i?' AUTAQR COUNTY OF sine 7 COUNTY CENTER i)!Z_Lb'J BUILDING DEPT CODES NAW.- AND ORO`'ILLF., CA. x;5965 � AUG Q 9 W+- 1. FIRE CLEAR, GRANTED 2. FIRE CLEAR, DENIED ADD;'ESS 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ` _ ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY 20. REGION. DEPARTMENT OF SOCIAL SERVICES OFFICE COM'••'UNITY CARE LICENSING AND 5.'C Cchasset. road, Suite 6 ". ADDRESS L CYI,' c0. CA 95926 STATE FIRE MARSHAL COPY DISTRIBUTION: SEE REVERSE OF COPIES 2 AND 5 FOR FIRE SAFFTV INC0F:f%TInN Rl=nl IFCT 1 -3 -STATE FIRE MARSHAL INSTRUCTIONS FOR COMPLETION 2 -FIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM STD 850 (REV. 8/86) 4 -5 -LICENSING AGENCY 3/18/94 3. AGENCY CONTACT 1 4. TELEPHONE NO. S. EVALUATOR DSS/COMMUNITY CARE LICENSING. (916) 895-5033 �0105/P. SEXTON 6. SFM. REGION 7. SFM I.D. NO. 8. REOUESTING AGENCY, FACILITY NO. 9. REQUEST CODE 041375776 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY • > - _ T f _ {1j 3. CAPACITY CHANGE DEPARTMENT OF SOCIAL 'SFVwC /-� 4. OWNERSHIP CHANGE 10. AGENCY _ 3G /:_ ` L':lMM i ITl ry ICENSIIIG I��,. !'A,.L I S. ADDRESS CHANGE NAME 520 Cohasset !?(,ad, S.ui' e 6 AND - Q 6. NAME CHANGE PREVIOUS NAME Chico, CA 95926 _ 1 -IA---_ ---�- "- ADDRESS I L r 7. OTHER DATE OF ORIGINAL REO. ' 11.AMBULATORY NONAM13ULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE , CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO 18 18 TO AND CAPACITY TO 18 18 TO AND CAPACITY 19. FACILITY 165 65 OVER, I 16S 65 OVER CODE , 12 X 6 0 12 13/FDC/810 12. FACILITY NAME 13. NO. SLOGS CODES DAVIS FAMLY DAY CARE 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) - P.O. BOX 15. RESTRAINT 2381 VIA LATON NO 3. SH 9. ADHC 4. APH 10. CLINIC CITY Z IP CODE 16. HOURS OROVILLE, CA 95966 DAYS 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL SANDRA DAVIS 1(916) 534-1183 13. OTHER TO BE COMPLETED BY " INSPECTING AUTHORITY 26. CLEARANCE CODE 18. FIRE BUTTE CO. BUILDING DEPARTMENT AUTHOR 7 COUNTY CENTER DRIVE CODES NAME OROVILLE, CA 95965 1. FIRE CLEAR, GRANTED AND 2. FIRE CLEAR, DENIED ADDRESS ' 3. FIRE CLEAR, WITHHELD 27. DENIAL - CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM , 24. INSP. DATE 2S. INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL. USE ONLY OF SOCIAL SERYL CES 20. REGION. I)"EPARTMENT COMMUNITY CAI E LIC'ENSINB OFFICE 520 Cohasset Road, Suste 6 AND Chico, CA 95926 ADDRESS L , •.. • 3 "k,' STATE FIRE MARSHAL COPY DISTRIBUTION: FIRF RAFFTY INSPFC_TlnN RFnlIFST 1 -3 -STATE FIRE MARSHAL SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION --- -- - ---- --"-'---" 2-FIRE AUTHORITY 1. REQUEST DATE 2. PROGRAM STD, 850(REV.8/86) 4 -5 -LICENSING AGENCY 3/18/94 3. AGENCY CONTACT 4. TELEPHONE NO. 5. EVALUATOR DSS/COMMUNITY CARE LICENSING (916) 895-5033 0105/P. SEXTON S. SFM REGION 7. SFM I.D. NO. 8. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 041375776 3/A CODES 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY I 3. CAPACITY CHANGE 4, OWNERSHIP CHANGE 'DEPARTMENT O� SOCIAL SERVICE°s 10. AGENCY COMMUNITY CARE LICENSING S. ADDRESS CHANGE NAME 520 Cohasset Road, Suite 6 6. NAME CHANGE AND' PREVIOUS NAME ADDRESS L chiCO, CA 95926 / 7. OTHER DATE OF ORIGINAL REO. 11. AMBULATORY NONAMBULATORY " TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY AGE RANGE (YEARS) PREVIOUS CAPACITY AGE RANGE (YEARS) PREVIOUS TO 18 18 TO AND CAPACITY TO 18 i18 TO 65 AND CAPACITY r 19. FACILITY � 165 65 OVER 65 OVER CODE 12 x 6 (i 1 1r'ia('. R 1 12. FACILITY NAME 13. NO. BLDGS CODES T)AVTC FAMY T)AY rARF 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 14. STREET ADDRESS (ACTUAL LOCATION) P.O. BOX 15. RESTRAINT 2381 VIA LATON NO 3. SH 9. ADHC 4. APH 10. CLINIC CITYZIP CODE 16. HOURS OROVILLE, CA I95966 DAYS 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL SANDRA DAVIS1(916)534-.1183 13. OTHER ' TO BE COMPLETED BY INSPECTING AUTHORITY 18. FIRE F 26. CLEARANCE CODE BUM CO • BUILDING DEPARTMENT AUTHOR 7 COUNTY CENTER DRIVE CODES NAME OROVILLE, CA 95965 1. FIRE CLEAR, GRANTED AND 2. FIRE CLEAR, DENIED ADDRESS 3. FIRE CLEAR, WITHHELD 27. DENIAL CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY r r �DEPAWrKENT 20. REGION. OF SOCIAL St'RVICE4. OFFICE CO"ill-UNITY CARIB LICENSING AND 520 Conasset Rodd, Suite 6 ADDRESS Chico, CA 95926 '• INSTRUCTIONS This form is designed for use with a window envelope. To use, fold at marks indicated in the left margin. Licensing or Requesting Agencies -Complete the following 20 sections on this form before submitting It to the State Fire Marshal 1. REQUEST DATE. Enter the'*d `fe FFequest was prepared. 2. PROGRAM. Licensing agency use. 3. AGENCY CONTACT, 4. TELEPHONE NO., 5. EVALUATOR. Enter the name and telephone number of agency contact person. 6. SFM REGION. Insert one of the following 3 numbers for the SFM Regional Office in whose area the facility is located: 350 Coastal, 330 Northern, 370 Southern. 7. SFM ID NO, This is the SFM Identification Number and initially will be assigned by the State Fire Marshal. Licensing Agency -Insert this number on all clearance requests subsequent to the initial request. 8. REQUESTING AGENCY FACILITY NO. This is the file number assigned by the licensing agency. # 9. REQUEST CODE. Use the seven codes shown and insert the appropriate number in the box following "Request Code". If NAME CHANGE, please list previous name. Insert date of original request when request is other than an original. 10. AGENCY NAME AND ADDRESS. Enter the name and address of the licensing facility requesting the inspection. 11. AMBULATORY -NON-AMBULATORY. Capacity: Insert, in the appropriate section, the capacity of licensed ambulatory or non- ambulatory occupants covered by this request. Age Indicate the age range of the licensed Range: occupants Previous If request is for renewal or capacity Capacity: change, insert capacity of previous clearance. Total Show total licensed capacity. If the facili- Capacity: ty is intended to house part ambulatory and part non-ambulatory, show the total of the two types of occupants. S Z. 12. FACILITY NAME. Insert the name of the facility as it will appear on the license. List identifying sub name if known (i.e., Hacienda Corp/Medina Lodge). 13. NO. BLDGS. Insert the total number of buildings to be used for housing of the occupants covered by the license. 14. ADDRESS. Insert street address and city. only: A. post,office box is not acceiptable as only location. 15. RESTRAINT. indicate if .physical'restraint (locked in a room. or the building is to be used in the housing ofthe occupants. - 16. FI'OURS Indicate the number of ' hours the occupants are housed at the facility (less than 24 or 24+). 16a. SPECIAL. Use to designate persons who are determined to be non-ambulatory for reasons other than a physical handicap. 17. FACILITY CONTACT PERSON -TELEPHONE NO. Indicate the name and telephone number of the responsible individual at the facility to be contacted by the fire authority. 18. FIRE AUTHOR, NAME AND ADDRESS. Insert the name and address of the fire authority where the facility is located. 19. FACILITY CODE. (1) General. Acute Care Hospital (GACH), (2) General Acute Care Hospital/Rehab (GACH/R), (3) Special Hospital (SH), (4) Acute Psychiatric Hospital (APH), (5) Psychiatric Health Facility (PHF), (6) Skilled Nursing Facility (SNF), (7) Intermediate Care Facility/Other (ICF/OT), (8) Intermediate Care Facility/ Developmentally Disabled Habilitative (ICF/DDH), (9) Adult Day Health Care (ADHC), (10) Clinic, (11) Jail,. (12) Intermediate .Care Facility/ Developmentally Disabled Nursing (ICF /DDN); or (13) Other. 20. REGION, OFFICE AND ADDRESS. Insert the name and address of the State Fire Marshal Regional Office in whose area the facility is located. FIRE AUTHORITY CONDUCTING THE INSPECTION -COMPLETE THE FOLLOWING: 21. INSPECTOR'S NAME. Print the initial of the in- spector's first name and full last name; insert the telephone number where the inspector may be con- tacted. 22. CFIRS ID. NO. Insert the fire department's number assigned by CFIRS. 23. TITLE 19 OCC. CLASS. Use Title 19 occupancy classifications and insert the occupancy determined by the inspector. 24. INSP. DATE. Enter the actual date of the in- spection. 25. INSPECTOR'S SIGNATURE. To be signed by inspector conducting the inspection. 26. CLEARANCE CODE. Use the three codes shown and insert the appropriate number in the box follow- ing "Clearance Code". NOTE: If Code 2 (Denied) or Code 3 (Withheld) is used, explain. 27. DENIAL CODE. Use only the seven codes shown and insert the appropriate number in the box follow- ing "Denial Code". If No. 7 "Other" is used, explain at Item 28. NOTE: Fire Clearance cannot be denied for other than lack of confor- mance with the provisions of Title 19. T, 28. EXPLAIN DENIAL.. If'Cleararice,�ode No. 2 or 3 is used,.briefly explain reason. This space is also to be used to explain Denial Code item noted. 86 96650 0 -.- ^-"? STATE FIRE MARSHAL FIRF AAFFTY INSPF[_TInN RFQllFCT COPY DISTRIBUTION: 1 -3 -STATE FIRE MARSHA[ SEE REVERSE OF COPIES 2 AND 5 FOR INSTRUCTIONS FOR COMPLETION - -- -- ` -- - - - -- --- - - - - - - - ---'"--- " 2 -FIRE AUTHORITY REQUEST DATE 2. PROGRAM STD 850 (REV. 8 / 86) 4 -5 -LICENSING AGENCY 11. 3/18/94 3. AGENCY CONTACT 4. TELEPHONE NO. ' S. EVALUATOR DSS/COMMUNITY CARE LICENSING 1(916),895-5033 0105/P. SEXTON 6. SFM REGION SFM I.D. NO. B. REQUESTING AGENCY FACILITY NO. 9. REQUEST CODE 17. 041375776 3/A CODES - 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY ' 3. CAPACITY CHANGE 4. OWNERSHIP CHANGE 10. AGENCY DEPARTMENT OF SOCIAL SERVICES S. ADDRESS CHANGE NAME COMMUNITY CARE LICENSING, 6. NAME CHANGE AND' 520 Cohasset Road, Suite 6 ADDRESS CA 95926 ! PREVIOUS NAME 7. OTHER DATE OF ORIGINAL REO. 11.AMBULATORY NONAMBULATORY TOTAL CAP. DATE OF LAST FIRE CLEARANCE CAPACITY 12 AGE RANGE (YEARS) TO 18 1 18 TO 165 AND 65 OVER X PREVIOUS CAPACITY 6 CAPACITY - 0 AGE RANGE (YEARS) TO 18 18 TO 165 AND 65 •OVER � PREVIOUS CAPACITY , 12 19. FACILITY CODE 13/FDC/810 12. FACILITY NAME 13. NO. BLDGS CODES DAVIS FAMLY DAY CARE 1 1. GACH 7. ICF/OT 2. GACH/R 8. ICF/DD 3. SH 9. ADHC 4. APH 10. CLINIC 5. PHF 11. JAIL 6. SNF 12. ICF/DDN 14. STREET ADDRESS (ACTUAL LOCATION) 2381 VIA LATON P.O. BOX 1S. RESTRAINT NO CITYZIP OROVILLE, CA CODE 95966 16. HOURS DAYS 17. FACILITY CONTACT PERSON TELEPHONE NO. 16A. SPECIAL SANDRA DAVIS (916) 534-1183 13. OTHER TO BE COMPLETED BY INSPECTING AUTHORITY 18. FIRE F BUTTE CO. BUILDING DEPARTMENT 26. CLEARANCE CODE AUTHOR 7 COUNTY CENTER DRIVE NAME OROVILLE, CA 95965 AND ADDRESS CODES 1. FIRE CLEAR, GRANTED 2. FIRE CLEAR, DENIED �J 3. FIRE CLEAR, WITHHELD 27. DENIAL .. - ..._ _.. } .. .;f.. ....-, _ .CODE TO BE COMPLETED BY INSPECTING AUTHORITY CODES 21. INSPECTOR'S NAME TELEPHONE NO. - 22. CFIRS 23. T-19 OCC. ID NO. CLASS 1. EXITS 2. CONSTRUCTION 3. FIRE ALARM 24. INSP. DATE 25. INSPECTOR'S SIGNATURE 4. SPRINKLERS 5. HOUSEKEEPING 28. EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS 6. SPECIAL HAZARD 7. OTHER STATE FIRE MARSHAL USE ONLY f 20. REGION. DEPARTMENT OF SOCIAL SEM..d= OFFICE COMMUNITY CARE LICENSING AND 520 Cohasset Road, Suite 6 ADDRESS Chico. CA 95926 - • ,Ii�,�1f3�� I W21 M4 1'1�F7 2 1 4 ..•�_ .. -sir;,- _. w G ISi 0 U.S..POSUOc"* DEPARTMENT OP SOCIAL sEI?v►CEs, CCL 18'94 ]� � 0,2 9 -FE is MAR 520 COHASSET ROADS m - C111CO, CA 95926 H METER 445301 {' CA �r _ �: RESIDENTIAL 36=75-35 4384-90B,P,E,M ---", t DAVIS, John 2381 Via Laton, Oroville ' Contr: Caton Const (addition/sf) is JOB FINALE Signature d=OK O=Not OK Not =NotReadyable MOBILE HOMES Date • MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /' L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracirig 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) ngers-Post Caps -Anchors -Connectors ng. Joist-Rftr. ties -Pullin -roof Brac-Truss-Shthng.-Rfng. 47. fiat r T ,pe A Flue -Fireplace Throat clearance 4 . ccess; ize & Romex Protection -Draft Stop -Ins. Baffles 49. barm. indows or Exiting Doors -Sill Hgt. & Dimensions r ction Framing Firewall & Openings Doors -One T -Check Garage -3rd Story, 2 Exits ,93 -Rise -Run -Landing -Fire Protection 54rpt7Vro_od on Roof Overhang -Attic Vents -Rafter Outriggers er ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 457 s Protection -Skylights -Plastic wiling -Bolts 5+ -Walls -Ceilings Date UNDERtEMR Plans) OK except #'s on1ag-Setbacks-Easements Flood -Slope g., Main; Soils-Elec. Grnd.-/Jt- Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pier ireplace Ftg.-Steel 9�-6W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Wa r Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Datd2,- 52!!_?/ Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ec. R ceptacles Spacing -Lights & Switches at Doors ize s & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. ircuts in Kitchen & Conductor Size/GFI 28.-Subfeetr9'O1TU-3ize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al e irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 3 nductors & Ground -Main Disconnect 31. earances Panels-Motors-Mech. Equip. 32__Qo44e&.G4o&" Light -Shower Light -Spa Light daSmoke Detector DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. D-qcts Ins ion & Support 35. Vent Fa ; E aust above insulation 36. Condens a Drain & Overflow; Size & Grade 37. 1`6rna a -V t; Access -Comb. Air -Return Air Vent -115 outlet 38. Att' Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING, (Plans) OK except #'s 3 i s, Proper Material & Anchors allsStuds-Nailing, Spacing.& Bracing -Plates -Sound aring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) ire tops; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing 60. Infiltration -Walls -Windows Dat Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date FIN (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings S Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection oom xi m fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels at s 6 ve--&earances-Hearth d�anel; Int. & Ext. -7 . t . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance u ets & Receptacles at Kit. Counter ju-n-r-e-goor; ing-Land ing-Closer 73 ge-Damper 7 encs- rance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 quip. Listed for Location 7,6-EEec. Receptacles in Garage; (G.F.I.)-Romex Protection Looked in Attic ❑ Yes t s Deck Construction -Post Caps oor-Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 0 owing instld.; rive Yes No; Walks Yes No; Plan!ers ❑ Yes ❑ No j�a. tucco; Brown -Finish 8 . U 't; Disconnect, Electrical, Plumbing ,8 ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8. ect, Electrical, Plumbing i ec. ; G.F.I. Receptacle -Underground entilation Throughout House lass Pro n erections from Previous Inspections 89. Gas -Electric a e & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date Card B-1" Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) ENERGY INSTALLATIONrCERTIFICATE Building Owner \C- (4- V,/ s Building Permit # �e ;; S.—Y, Building Location cs? 3g I tree 2-, -,r�'' DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material C-4 4 _ Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name ©LU't�!-v •� �i%�ltiY ..Thermal Resistance(R Value).3i ) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, 2s consistent with approved building department plans--and-attachments-and-con= forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. cot S ILDING CONTRACTOR/OWNER (Please Print) (F N ME) IGN RE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. 1z 127— L'/ DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.- SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT _PERMIT NO. / ASSESSOR PARCEL NUMBER _ _035 ZONING BUILDING PERMIT owN TELEPHONE 534-1183 SO. FT. OCC.1 BUILDING VALUATION 190 7600 OWN I PIUNIGSADDRESS Q59 66 CON T N M TELEPHONE CON O I NG ADDRESS 95914 Fireplace -CA CL ND ffir'UNKNOWN ONS RU Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 68.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 34.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2381 Via Laton, Oroville Permit fee $ 137.75 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 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FG M7710-00 ea TYPE OF WORK New ❑ Addition ®X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: add laundry and bdrm. _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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 BuslnesS and Professions Code and my license is in full Orce and effect. License No. classification F] 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 GOCCUP.&� oR ADDNST ( DWELLING / '/z¢sgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. E Ex. Occup(OUTLETS OR FIXTURES .20050t 20@SOS ALO FIXED EX. OCCUp. OUTLETS �R E LN SI DIRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 14.75 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating basebril e ec. 6.00 Cooling Hood 3.00 Ventilation Permit Fee $ 16.00 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 keep harmless the County of Butte against all liabilities, judgments, cost and expenses which may in any way accrue against sArM in cons fice of the granting of this permit. e� X Date %Z�Z /-% Signature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 OCC CONSTTYPE TOT218.50 A AL FEE ,$" HAz CUA PARK - F PA PD H Issu Th:,; Permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which fees DIR C eevOF Lt. 17 BY PE IT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date / Receipt No. a9�iJ( WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ".4 . -•Y , ' .. -.. ,...n Ya .,�i' V.; ` iJ... •4,�. .7r- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE; 918/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Vt S Permit No, .o. i lding Inspector Date 2 5d At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � � DATE RECEIVED APPROVED `—^'"1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................................� 10. Fees of $ .......................... 11. Chico Urban Area fees paid ....................................... Park fees paid .......................................... School District fees. ..............—;Z Sanitation approval from 1 Department 15. City of Chico plumbing permit. L—� ...................... 16. Plot plan and buses* els license approval from City of (see City fo rotf;er requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required; Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. { WheZniu issue the permit, process as follows: Ma* to w r. Mail to contractor. Telephone JQVq and hold for pickup at Fice. Deliver w/inspector. Other Applicant 1/-- Date /7' 7 0 Copy of Haz-Mat dorm sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuanc . (Circlen w i m 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__nall_counter by ..date [ Contractor, designer, owner, was advised of above required data by—phone—mall co ter by date Plans checked by Date PI s approved by Date143 R E Sets of plans on hold in File cabinet AP folder Copy—DPW ec;`7�"n"�S^�.st"acs�iyrt►7p.�Ty13'�,e``CY"N'u•s'�"�+�*�S'Xrtii�''ai;�sY"4'�'A�;"'v'�v"'crr"'� � 'ZCi•`r"�yv,a ',�. '�;�' �a"4''.?�"��:« . vis c�'�►ll�...�e^r�� rytc� t -•r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number_ '�? C_ n3! Building Department No. School District 0,00_�/Qy?_ City County*T9 Jurisdiction Property Owner Project Location/Address 23 / p ri O ` Subdivision �ghg ,,�pp� (,r,.�Y �►. Lot Number Residential Development: Sq. Footage 70 # of Living MHI Addition (Group R) Units. Commercial/Industrial:- a Sq. Footage New Addition (Including Exterior Roofed Areas) 4 -- `;� -- 9/ Date ******************************************************************* (Floor Plans reviewed by School District Personnel) ,D�trict Id No. A A A 7 fit r (ApplicantName) (Street Address) School District -certifies that Phone Number y -1/ F-C/ r LX -X I -J . , (City) (State)(Zip Code) has complied with the requirements of Re of on No. b t payment of rep •tin square feet. Y P Y � P g q Schodl Dis ric, Representative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH S l white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR C L NUMBER ZONI B_ULLDING PERMIT ., OWNELi TEL. EPHo NE/ SQ. FT. OCC. BUILDING VALUATION O OWNER' AILING A DRESS ^ CON CTOR'��gt.1E TELEPHONE CONTR CT R'S MAILING A DRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking -Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBOIVISION NAME PARCEL MAP Water piping 5.00 ,�Q 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 S Mobile Home S 10.00 TYPE OF WORK New 1] Addition Ia\ Remodel ❑ Utilities ❑ elnstallation Other ❑ Describe work: /f/f DSD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 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 BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADONS. (ACC. BLDGS. , h¢sgft NEW CONSTRESIO, RANCH CIRCUITS) NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 L°70e 0 AL 9 30EA.) Ex. Occup. OUTLETS P(RESIO IFIXED APLNSR 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 D G Cooling g Hood 3.00 Ventilation Permit Fee $ r 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- f structures over 3 stories in height. irReceipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST PE Ur TOTAL FEE $ O f HAZ I CUA I PARK SGML FLD PAR PD Ho ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees, DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date No. -O.P.W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLOENROO-APPLICANT FOR M 7• ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner cj�+wl ,4 Climate Zone / Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. X ZONE 11 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 SLAB R-7 GLAZING U-.65 (Dual) SHADING B SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST. - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 (Dual) INFILTRATION CONTROL (Weatherstrip.doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING'KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER .Amp.' 13 *1 ❑ ❑ *2 ❑ HEATING VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas.Furnace (brand and model number) SE Btu/hr (heating capacity) .Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collectgr brand and ft model number solar fraction collector area . collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe). DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 67 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *l Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Su er­design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. 0 DESIGN COMPLIANCE STATEMENT: The above building design meets he requirements of Title 24, Part 2, Chapter 2-53 of the California d istrat Code. 7 MOO ` N.<; SIGNATURE OF BUILDING DESIGNER OR APPLICANT IIA -jib Ay A of 'tans'and specifications MUST be' . _ sis & Wot�ip Shall Be to Tfiis set p NOTE:- Maters kept o the job at all tunes and it untavifut to ._ Accords with Recognized Good Practices ✓'LOT nL AIS/ matte any changes otr alterations on• same with-:-*.'- cf a qu06fy prescribed for the specified use in i% �� A LA-TOrV Uniform �ulding, PI_wnbing & Meelkernical Codes emd o? ,� S out.vsrritten permission from rise Department c,f , +Heal Cods- Puhlic Works. County of Buttp.. the ldatiommt _ Q,e o ✓ i /. L C . C' A . - - - _ s-3 $4— 1/.E 3 SA Ni TA A L /, /dF BINE COUNTY o, LA,nia�/ 13UILMNG DEPARTMENT APPROVED 1 bw � X/3 �= X/57 x � � L _I I A setback of 5 ft. from the property lines and a setbad< ut mi ti0 ft. from the road Centerline shall be clear of l� struMires or equipment exoept k (� for a 2 f1. save overhang. " N -,4c: K OF -� OP Au- &xud-qGgy5 14 , 1 AI iti3 i'atic' gl.�!rtttae�t�ftel�i >b �'s73fc?tij �--..�„�7�Yi batt sea:Mme both bcsittpb�aA t��iMr �x►D�ias:,.� iti oru i�sitizagZ arifi tar boli-rotnq yricuo r7 n� 42600 tDoinattsa l a tSrudfmlq ,�ArWhk ern. ii rt i .06o0 65i-43--Q7lands, ;: f, , +T�� 3t`IU8 1 M3MTRAi3C} c��1MJ'.!ltlta C3xv/0,rP.qqA -d RUM z(jciitf3ifii3,,*ga bntt enRiq 10 !" tirir P;t iulwsinu a, ii bns emmit lis is doi rsrft no tqs,# -rtfi�v smst no tno3tm3tis 10 tognerb ym O)itun rrwlf noiezirmsq n9ttinar tuo ^t'+tr8 io vtnuco .p4.fcw aiidug -ino-`.svo ovss .!i S s,c1 } 4 ST UCC O F9 O Po S6�-A) y4a /-! 4rc /4 E5 T S TuCCO 5 5 0 Z Fc r_ • Fi4 T C� / i Nc �LL&PJ6D v/ -S �70JSc pZ3 8/ VIA '. L A Tor O ✓/LLCM' CA W At is I' CA -re-D Dyt,t ' p� zzO,j } D �r �NA,N � /�s•IT � � R�NTO✓�" �1S/ST Py7-)D J20O K 14 3 // S �'Z 7-0�s T SC,,Jcr2 f�T i�• � i i iZL ,-'--X i -s 7 //_ iii ii iir� rn ii .. r : � /z 7/ (�% � �h i h Q2i *-PO' �� � P P� O � J f� i n �IS %ire -5 J -6f 7Lf Gni Y, 3 6 f&J BUTTE COUNTY WILDING DEPARTMENT APPROVED' p 3669-81B,PE,M PERMIT NO. PERMIT EXPIRES OWNER W9noka Homes CONTR. owner ASSESSOR PARCEL 36-75-35 i; LOCATION 2381 Via Laton,' lot 35,Vista Del Cerro#3 Oroville Temp. Power Pole l Called PG&E Temp. Elec. Service i Called PG&E r ' Temp. Gas Servick k � 6 5' ) JOB ALED (Date) Signature j. J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME. UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date 'DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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.-Rfge 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. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector ' 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances -GF] 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date - Card _131 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK r' 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready J Date UNDE OOR P s OK except #'s Date FRAMING Continued oning requirements -Setbacks -Easements 4 Property Line Firewall & Openings g., Main; Soils -Steel- - / /" Ftg. Depth 48—Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3 ., Garage; Soils -Steel- /" Ftg. Depth 3trfitairs'OPidth-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. pth SLrPlywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 walls, Main; Steel-Blockouts-Wrapped S 52r-81rITn-NaiIing-Veneer %wSTemwalls, Garage; Steel-Blockouts-Wrappe tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pi -Fireplace Ftg.-Steel 5%, -Glazing Area -Glass Protection -Skylights -Plastic ZooTW.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. as Pipe; Size -Anchors 10. ater Pipe; Test -Anchors -Regulator -Service Test 11. lectric; Underground 12XPlenums & Ducts; Clearance -Material -Support -Ins. 314Girders-Sills-Anchor Bolts -Joists -Vents -Cripples CarfrBI Date ' 7iCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d-BIDate ✓ • and -BI Date _ Date FINAL (Plbrs) OK except q's Card-BIQ. Dare ��_�r g� Card -BI Date ki Date PLUMBING (Permit OK except q's %e -Ext. Steps -Door & Sidelight Protection -Landings EF --Smoke Detector 14. Wqjw Ht , en Access -Combustion Air urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection bg-sedroom Exiting 1 . ater Pipe; Test & Anchors- it Protection D.W.V.; jpd-FtVCs & An ors- ail Protection W!'SFower Pan; Test, First Floor -Tub Access 0; F.I. & Bath Fixtures & Tub Access V8.-�ub-& Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size & Anchors rs & Rails 6 ve; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. C d- I Date- ?/Card -BI Date ' 6 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance rd -BI • Date - rd -BI Date lec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pe OK except N's Garage Fire Door; Swing -Landing -Closer uc n Garage -Damper 2 fixture & Transformer Clearance -Ins. Protection 6 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ./ Q3Elec. Receptacles Spacing -Lights & Switches at Doors _ Ib., Elec. & Mech. Equip. Listed for Location ,g_' --Size Boxes & No. of Conductors -Stapled 7 Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. mex Installed Close to Edge of Studs & C.J. 22r Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic �T- 7 Construction -Post Caps . 2 Appliance Circuits in Kitchen & Conductor Size 74. Drainage & Wood -Earth Clearance Looked under Floor Yes _ 26. Subfeed Wire Size L / aa. Cu or AI-A.C. Wire Size / ga or Al 27. Range Circ. / / ga r AI- ven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes o 75. Following instl : Drive Yes [-]No-, Walks Yes E) No; Planters es E] No Service -Riser Conductors & Ground -Main Disconnect S cco; Brown -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. A Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet lothes Closet Light -Shower Light 7 . Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 7 ; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ate �rd-BI Date ntilation throughout House Card B -I Date Card -BI Date ss Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts: Insulation &Support 880.0' Corrections from Previous Inspections G st-Meters Tagged; Gas -Electric C� / _ & Sew necte - /0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade .�04. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic BI j129t Date - - 'Card -BI Date Card -BI ate l Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plass OK except q's 3 ._Sills; Proper Material & Anchors 3 •Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 3 Baring Walls over Girders & Floor Nailing 3 Draft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub 44/ Header & Beam -Size & Bearing _ 4 Han s -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. 44—EirzOace Ties or Type A Flue -Fireplace Throat - 4ke-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46A;Birrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47• erage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) RF.S TT)F.NT TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Gam) 5'5 (loca ion BU ILD ING PERMIT NO. -3 4p6AF ' j61 —P> pOC—/lil A -.-P. NO . j THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: A Slab Edge RSA Fdn: Walls P% Floors h% Wal.ls R-- Ceiling/Roof il- Ducts Circulating Pipes tf" APPROVED HEATER APPROVED WTR.HTR._L,-- GLAZING : Single Glazed Special (Insulated) (/ CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES 42vt CERT. APPLIANCES I'll' I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name— ( ame Signature of (please print) Insulation Applicator State Contractorsl D �, License N 3L General Contractor/Owner Name e pr' t) Signature of General Contractor/Owner Date ZP State Contractors Q License No. B —1 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS,,�eRJutlo Telephone 916/534-454 � APPLICATION AND PERMIT /' ASSESSOR PARCEL NUMBER • 36-75-35 ZX " UILDING PERMIT OWNER WYNOKA T40MES1120 TELEPHONE SO. FT. OCC. BUILDING VALUATION 35840.00 OWNER'S MAILING ADDRESS 3 5 3150.00 CONTRACTOR'S NAME TELEPHONE CON ACTOR'S MAILING ADDRESS P.O. Box 1600, Oroville 95965 Fireplace CONSTRUCTION LENDER s None UNKNOWN Total Valuation $ 38990.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 154.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 10.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 174.00 BUILDING ADDRESS 2'500 PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.0( Repair drainage or vent piping 5.00 Water piping 5.0( LOT NO. 35 SUBDIVISION NAMEPARCEL Vista Del Cerro #3 MAP 1 Each qas water heater or vent 5.00 5.0( Gas piping system 1 -5 outlets 5.0 USE OF STRUCTURE SP-t]Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 0 Lawn sprinkler system 445-00 TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Master #50-76 Permit Fee $ 46.0( Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 5.001-00 Main service EA. ADD'L 100 2.50 saAMP NEW CONST. DWELINGOR ADDNS. �ACCLBLDGS.C1`f3 22 sq it 28.70 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. `�)� &. ' - License No. �?• Classification I / ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I.OUTLET 2.50 ea NON-RESID BRA CH CIRC TS NEW CONSTR POWER APPARATUS S NON-RESID. SINGLE OUTLET CIR. / 50 @ 25C Ex. OCCUp OUTLETS oR FIXTURES BAL�1 EX. OCCU /FIXED APPLES. OR p•\OUTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 43.70 Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. El 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. Heating 50,000 5.00 Wall Cooling Evap 5.00 Hood 3.00 3.00 Ventilation Permit Fee $ 23.00 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j gments, costs, and penses which may in any w y accrue against said C ty in cons the granting of this perm' . X Date Signature of pplicant - Owner�Contra or � 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 $ TOTAL PERMIT FEE $ 286.70 O P. GROUP TYPE OF CONST. PARCE PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - J� V Receipt No. JrO WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Telephone 533.2000 North'Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 111-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: WYNOKA HOMES TNC,- Applicant Address: P Q. BOX 1600, OROVILLE, CA 95965 Applicant Phone No.: 533-2738 Property Location (s): 2381 VIA LATON OR 5818 UTREY LANE VISTA DEL CERRO - UNIT `3 - LOT 35 A. P. No. (s): 036-75-0-035-0 Fees Paid:' X250.00 N B P 1 D GONNF.CTTON FEE AND $900-00 Application for service approved: SEPTEMBER 28, 1981 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: By: 0 r� This se•; of pions 0-1rl sp^^ificati^^s MUST bo !:n •-� - r*nd it is cil'.cVrful t0 .�pt on th^ jo'� r'r �� ' rite 1':i��.out rira.:e cny c,:a�q^.� c,+P on s-. 0 7aH,rm:.r. cr Public ovrii-1ren p^rr.i_:,ian ��rv. ti �..., Wor�-., CiounfY Gf 264--c- 0 64--C• /11 4Q,/ y,,JVAL-IC Gv 2Q NOTA:—All Ma�t -iiols £r V`!or!•rlrnship Shall Be in Acccrc.'anCe �:`.'iil i;^r.,ncn'--r,' C-1 Prec;i,:"'s and C'r ..i�� -'fie,] us#, in thn L - :s �.. �• ei 'L', J_ + . - .a r i�C ��»-. f i (1r� ^ i crncl _ OL r f • I oo.00 I I 7oxi See Mosier Plan on file for building � u 72 KIZox ( $ PAD -78.0 (^ 0A a_ AT o N A setback of 5 ft. from the property lines and a setback of 50ft. from t:ia road ct,n Ir- dine shcII be clear of or equipment except )v4rhang. I C4 (0 I �� 3 W 2 Q J 34� 4; ?_CV BUTTE COUNT`t tJ?LDING DEPARTMENT V l7C i� 3y20ylt,L6 C3vTT � i't SUBOIVISION I CITY COUNTY LOT NO. Ngpop SEWER.'%10JOB NO. W IM HOMES,INC. WATER Pr 6Y N 0 1 ,= 2O GAS r�1, OROVILLE, CAL. 95965 f P.O. BOX 16 SCALE imm ELECTRIC 916.533.2 7 3 6 AGRICULTURAL STATEMENT OF ACKNOIJLEDGEMENT i FOR RES IDENT'LAE'DEVELOPMENT J` F `(J`1 Y ^ Y Section 26-8X of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building. permit. A 3 21 ph The propertyt E,RK.RECO described herein is adjacent to land or included CLARK A',;ILSRDcr� O ' Fq within an area zoned for agricultural purposes, and residents of -- FEE this property may be subject to inconveniences or discomfort arising —' from the use of agricultural chemicals, including, but not limited to herbicides, pest icides,_and fertilizers; and from the pursuit of agricultural, operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting, which occa- sionally- generate dust, smoke, noise, and odor. Butte County has established-agricul- tural'zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: r LOTS 1 THROUGH 61, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 'tVkjI U U 17% IAV LT I'd 311,. WHICWMAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE- COUNTY OF BUTTE,- . STATE'OF CALIFORNIA, ON /AUGUST 20, 1981, IN BOOK 85 OF MAPS, AT PAGES 3', 4, AND 5. NOT -COMPARED WITH ORIGINAL DOCUMENT Date: PROPERTY OWNERS: W0041.4 C. Iffe s, & ^^pp OrOVillej Calif. 95965 Phones (916),033-2738 STATE OF CALIFORNIA ss couNTr -� E On � � / before me, the ndersigned, a Notary Public in and for u � said State, personally appeared ~ known to me to be the President, ewe• c of the corporation that executed the within instrument, E and known. to trte to be the persons who executed the within instrument on behalf of the corporation therein named, and ac- /eanauueeuuuaauemm�renaeueeeeeneeeneneaeti� cknowledged to me that such corporation executed the within OFFICIAL SEAL instrument pursuant to its bylaws a a resolution of its board of = DANIEL. F. HUNT d = NOTARY DUaLIC — CAL1fORMA odirectors. Ya PRINCIVAL ORICa IN THE U = � . d cou NTY Of burr, — C4 WITNESS my hand nd fficial a is Comm. Exp Oct. 1, 1982 $ �atnnmlaaauwueeueuanneueunmunamemau® E Signature 7��tl Name (Typed or Printed) (This area for ofiiciai notarial soap. i, personally I - I I Le(s) acknowledged ie purposes .ind and official eount* 4 i' ut be OROVILLE, CALIFORNIA GENERAL CLAIM JOHN A. DAVIS CLAIMANT: ADDRESS: 2381 VIA LATON CITY & STATE: OROVILLE. CA 95966 , IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE-SIDE- SUBMIT EVERSE-SIDESUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT. OWNER HAS DECIDED NOT TO DO PROJECT . (BLDG. PERMIT #93-0051, A.P. #036-75-35, RECEIPT #153757, DATED 11/29/93, OWNER JOHN & SANDRA DAVIS). TOTAL FEES PAID.. 100.00 ................ TOTAL AMT REFUNDED........ sloo.ob 100 00 TOTAL 100100 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. l Dated this ©�.lr:............... day o[ ............".............. 19,(, et...S.l�eo.v...4is:(=..... Calif. .......... ....... ................ `J�i{t'kR............... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or a cle p cified1bove sen erformed or de- livered and that there is a Budget Appropriation O or Specific Board Approval 0 (Chec/ one) o . e Be p i7 T� I+�M�L U t�T 1 Dated this.........°TII.................. day of ...DCE.. 19...(J'.3at ......... ODO.'.TL1,E Ceilf. .. �..�,...... .... .. .... . .......... .. ........... Department H ed or Authorized Deputy Dept. 440-002 Exp. 4210500CONSTRUC ION PERMITS FUND sl Code ............................................ Code ................................................ PAYABLE FROM............................................................................................ DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ' i i COUNTYµ,OF'WTTE - DEPARTMENT,#OF PUBLIC WORKS ^' 7 County Center Drive, Oroville',California 95965 3r1 Telephone: 538-7541 / APPLICATION FOR SPECIAL INSPECTION Owner _- DH V4j c VAQA -E)A V r S A. P. No. 0 36 Mailing Address c2 3 lei V1 A 1,A-rVA./ '00- Telephone No. a • � �� Cir �, , p cant >0 � � � - :� `�v� /� VA v r � Telephone No. `Y . Mailing Address VIA Building Location �'✓ r, I hereby request a special inspection of the following building.: 1. Dwelling (if only a portion, specify) Q 2. Apartment House (if only a portion, specify) Q3. Commercial (specify present occupancy), / Other (specify) /� L�.�� / 6 ! V/ 66—, VAI! "A2 -E I am requesting a special inspection for the purpose of: Q 1. Moving the building. 2. Financing (specify agency) _" Case No. ��3. Change of occupancy to Q 4. Other (specify) I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this. application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. q Date �� 2Z 3 Signature of Owner Fee Paid $ /'00. 00 Receipt No. 7 ' lst-DPW/2nd-Inspector/3rd-Applicant V QUILT NOG I§ rfE PT COUN OF BUTTE PT BUILDING DEPT 1:3 I -i i S i w � , :: - . ., 1 ` ' • t l 1 � 1- 4 4 - �. _ J� } � �1 l _ � .. � t .. 11 ;i NI li 11 � ;, I