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079-290-052
h,. U n U y .'r t D`7G1- SRO- QST- 1 514ZCSI 1 � a>? �r �: 1' l� � �� � I ��! • t RESIDENTIAL + 036-13-0-102 93-2801 B RICHTER, LARRY 44 NARANJA AVE, OROVILLE OPEN DECK/LSH JOB FINALED (Date) 4 Signature V=OK O = Not OK - = Nocable MOBILE HOMES ' =Nott Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -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. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size-Spacing-Marrlage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; 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/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4.Ftg., Porches & Decks; 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 -Neil Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled w' 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. 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 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Lending -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION �r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541h PERMIT NO. APPLICATION AND PERMIT ( ) 93-2801 '15TH PAjl�s.('1U111 62 2AR% BUILDING PERMIT L�RRY RICHTER 'WRY1 I T TELEPHONE SQ. FT. OCC. BUILDING VALUATI 308 2,156 OWNER'S MAILING ADDRESS 44 NARANJA AVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 44 NARANJA AVE OROVILLE PERMIT FEE $ 109.10 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 SFO Duplex ❑ Mobilehome 0 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 ❑ Addition Remodel ❑ Utilities ❑ Installation 1:1Other ❑ Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. 1 & ACC. BLDS. ) SO. 3.5C FT. 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 9p I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) `CSI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. 1 BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occu FIXED APPWS. OR (OUTLETS (RESID.) 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 4Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expens ich may in any way accrue against said County in c equence of the grantin X ate z / Signature of AD 'c t - Owner Contractor ❑ Agent An OSHA per - is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 109. . HA2. D. FEES IMP FLOOD I coF PARCEL PD O ssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date VQ J d PERMIT EXPIRES ON / ( Lt 715( ate/ Receipt No. 148184 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '„�� ' - �"i��"'�La,F.�i'.9.Y�:��`.'�',ti'+-•.,!'Ki"�T-;��Y�,�.f+'�4�-..-rtlf^n%td"^+i�+f"`'�...-.;_:.f�.i4.i:.:.�-�,-•y, r. ;� COUNTYOF BUTTE - DEPARTMENTOF D6VEL-OPMENTSERVICES -BUILD DIVISION 7COUNTY-e�`NTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER // A. P. No. 036 - / 3©- C6< Proposed Building Use Building Inspector Date Z 5 At time of permit application, I was advised the follawing data must be submitted prior to 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 . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings ........................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . 11. Impact fees as shown on attached schedule. . . 12. California Department of Forestry plan approval :: fO�j 13. Flood elevation letter (100 year flood by California Engineer. ........... - 14. Sanitation and plot plan approvalO l'IYtl ealth Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Fre-Inspection request p required. . to Building Inspector (Date) 21. Contractor's license' information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ....... .......... . 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use. ...... ` 28. Mobilehome utility clearance. ..... . 29. Documentation of legal access...................... ................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list...................................I. 33. 34 When ypri issue the permit, process as follows: Mail to owner. Mail to contractor. _,2 Telephone-I:r33 -02-3-5-and hold for pickup at office. Deliver with inspector. Other Parcel Creation /�� Acreage Applican OU Date g� Z- �� 93 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Kollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p itis u ce: (Circle new item not checked above). 1. Index permit'for above items No. 2. Additional items required: F 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 E.H. asci c)NI Hot Hat Attached Hour Phin Attached `�-- scnt to B.U. /x Buildinb Department FROM: Environmental Health SUBJECT: Sanitation Clearance L 4 Ownel Location Plan Approved for: Sewaoc Disposal "Isupply: Public Clearance for 110, Other LI/10-c� Final—c NOTE: final for: earance O.K. for: Environmental 8/92 lth Specialist N ��-- 13&1 -/oma AP# Private 'Well COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION.- Attention ERIFICATION.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 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 piovide .the work indicated: Name Address Phone Type of Work signed: Property Owner Social Security umber Date 2. 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. w COUNTY OF BUTTE - DEPARTMENT OF DEVELOMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541 OWNER. A.P. # Yw�-lap Oz PROPOSED BUILDING USE @Gly DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... . x =$ unit amt. Commercial (sqft) x =$ sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid.at District Office) .......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. J_A SRA FIRE INSPECTION AND PLAN CHECK = $89.00..::.. I ��� �Y P7� (paid at Building DepartmentT 7. OTHER - 8. OTHER _ At time of permit application, I was advised the above fees are -required to be paid prior to issuance of the permit. APPLICANT DATE R NQTg:.- Ali, .Mate. rtals & I Accordance with Rebng of a.QiWity Prescribed: in the Unifom- Builldhi� Codes and the National N 1'1UJ0A80'0JJ!A0J0 C66L p z 9nv '"e1,UU0J!AUa ST-bebe ob P8Gj:ftcP;UonSn, id S -ta to set Of . p1d,,j j�v . af! is out This job 8) t 8,U tim• 011 0esu deg 1;s 0 0of FUDU13 from fro sit I ApppOVED of Butt,3- wor3cs* 1.00unty Butte County t Health lv-� Shall Be in Envlro ?1,�ctices and w� C>? Mit d use & ��Aechaniad a Ll REVIEWED BY c. BUTTE CO. FIRE DEPT, dAUR- DEPT. -of FORESTRY ❑ approved as submitted &ap'proved with conditions per attached sheet -5 Signature ale 3w,17 6E .- ?;.�&4, X)($ p ea< pin m 3411 J/HNJORAIL HEIGHT ■1 Ilc "VARIES 36" MIN. b X � Q 0 rn 9 o • 4 ►I 53 r IN -I Cch O , x � I� it 7a • n a o II Z 7q v r o -< T� O • -I -c1 -4 O f 36"MIN. STAIR n -n03 m W I DTIC z Ilk 7< m� d m i c pin m 3411 J/HNJORAIL HEIGHT ■1 Ilc b X � Q rn 9 o • 4 ►I 53 r IN -I Cch O , D I� it n L' o II C z t� o -< T� • -I -c1 -4 f 36"MIN. STAIR n -n03 W I DTIC m� d m R„ M v I c o v' �Im;� \ 3 X o M;00 y Z oa At sun! d 6 Dft 6 � Ln 10� O N. pin m 3411 J/HNJORAIL HEIGHT ■1 Ilc Q 9 o N ►I 53 r -I Cch m ro I� it FE II � N � I -c1 ol 36"MIN. STAIR n W I DTIC Zlq c 3 X CDF FIRE SAFE REQUIREMENTS -2Lfd / AP # PERMIT # L NAM' Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of -this permit. These requirements are minimums and will be superseded -by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [ ] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access. to -conventional drive vehicles, includ- ing sedans and fire:.an_.paratus weighing up to 40,000 pounds. [ ] 1273.03 Grade. Not to. exceed --16 *percent unless paved. 1273.04 Driveway Radius-.- 1. adius-: 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius;,2 feet to those from 100-200 feet. [ ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ ] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [ ] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 i 4! AP # PERMIT # NA E r. [ ) 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. _[ ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ ) 1._ Gate entrances shall be at least two feet wider than the roadway it serves. [ ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ) 3. Where a one-way road with a single traffic lane provides entrance;:_a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Struct.are. Defensible Space. [ ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ ) 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuelscaused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 Tfi AP # PERMIT # NAM •- , Other Requirements ` yr Date Signatur Page 3 of 3 V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL = Date/Initials UNDERFLOOR (Plans) OK except #'s ' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3.Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth S. Stemwalls, Maln; 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 -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation r 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. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Datil/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. tles-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -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 Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. I nsu lation-Wal ls-Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V=OK O = Not OK No Applicable ,pdy, MOBILE HOMES Date/Initials LWBILE HOME UTILITIES Plana OK except M's 1. Toning Requirements -Setbacks -Easements MH Support Sketch Sewer; Location -Teat -Fell -C/O Concrete . Water; Location -Teat -Easement Needed (Sketch) `16 1 t 6. / P'Nat. os; LocatWLeft.l , LPG/„L"ft � 7 -Well Clearance & Disconnect ".'Utility Clearance Date/Initials MOBILE HOME INSTALLATION Plana OK except #'a o ing Requirements -Setbacks Easements F ngs; Size -Spacing -Marriage Line G H Test-Demand-Valve—Connector E ricity; MH Test-Crossovers-Breakere-Clearances D,pkC1aH Test -Fall -Flex Connector _ .� aM; MH Teat -Regulator -Connector Ll. V,( Aerand Sewer Connected -C/O to Grade -HD Approval and Electricity Tagged s; Insp.-Sketch 10. Cert. of Occupancy / s�4L 13"M01 yr MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs :Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) 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 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT 90. %S 'iJ / s° d Address or location of mobilehome_0.j�c Owner's name V' r Owner's address 3 % Insignia or hud number Manufacturer's name +� Serial number of V.I.N. i Year of manufacture T� • . IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THEA MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM d3�-13-0-/� d 4 5.138 Whita -,Owner .Yellow Installer�Pink D P W �i .. .. ..$ .[sc.%'_±. .. «..:«._-. .. Y. .._,r .,.a. .. f-: ... .-.:.. .. ...-.sa���.. "+?.�a.��...c °rte{stf-.�'i3t. t'?...:� �>�w.'�r: •`�.315 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT �JEitVECES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (91 C) 538-7541 747'Elliott Road, Paradise, CA - (916) 872-6307 CGRRECTION NOTICE OVAIER PERMIT NO. AzoutimebvgpecSon,indicates that the following violations of Butte County Ordinances exist at the above address andsbould'be corrected. Please notify this office when correction of work.' is completed. ffyoubave:any questions, pertaining to this matter, orneed additional explanation, Please contact this officeimmediately. DateI:ns;pecror REV 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -- Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT XN,,, ,ASSESSOR,PARCEL NUMBER ZONING AR -5 BUILDING PERMIT O;,NER TELEPHONE 533-0235 SO. FT. OCC. BUILDING VALU OWNE A LING ADDRESS IR CONT CTOR'S N ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS e Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home immW @ 15.00 45.00 TYPE OF WORK New AdditioniJ Remodell__i Utilities❑X Installation[ Other❑ Describe work: Mobilehome Utilities Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ 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) Erte!' I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP OR ACDNS. (ACC. BLDGS. .� 3.64 sq.ft. NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 764 Ex. OCCUp. OUTTS (RESID )REAJ j 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.001 19_00 Misc. Wiring' 9 '15.00 Permit Fee $ 42 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r I have placed on file with the County of Butte Building Department LJ a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstTO, all liabilities, judgments ts, and expenses which may in any way accrue agains id County i e-grartTing of this permit. Date S of pp Icant – owner Contractor ❑ Agent An OSHA p' It is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee OCC CONST TYPE ALF 128 0 HA2 0FEES IM I F o CD PA c PD H ISS This permit is hereby issued under the applicable provi- ; sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �1F�E$ R IC WORKS By '' D to PERMIT EXPIRES Da Receipt No. 141292 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r"'• _. Y�fi ��y�n%'+�:K""(L�'k�".C:�.�''RF'- T'T'�'�r"�+"`"�'i�' war.rig'Viii�'.J�;n�,�6�y..;dY�V�;'v7rW • d COUNTYOF BUTTE -DEPARTMENT OF DEVELOPtiEWSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALI FORNIA 95965 - TELEPHONE (916) 538-7541 PER ITAPPLICATION DATA SHEET /:�A�Lf"'`,f+OWNER `% t '�r -e V2— Proposed Building Use v� pA. P. No. C O(o - /30- /v Z (6 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 BY 1. All..items have been submitted . ........... . 2. Plot plans, 3V4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . Iq Flood elevation letter (100 year floodl by California Engineer . ................. . 4. Sanitation and plot plan approval l/1 //C Health Department . ............ 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: . ........ iA 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). Pm -Inspection reque� `C re -inspection for required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . ..................� 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................. . ........... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ............................'•........... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... - 32. Plan check list . ...................................................... . 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone Ca - aL3S' and hold for pickup at O Zc':�) office. Deliver with inspector. Other Parcel Creation d!�90 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Ilution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prioNyo per 't iss e: (Circle new item not checked above). 1. Index permit'for above items No. �P(( 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone —mail C unte y _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ELECTRIC GAS Support Struc. Compaction Test Re . ervice Other Pipe YESI NO YES NO ize Load Type Size Length 1 /7 i . This set of plans and specifications RUST I) kept on the job at all times and it is unlawful tc Environmental Health make any changes or alterations on same with. y;�_.r'• out..written permission from the Department of - MAY -10 1993 " Public Works, County'6tAutte. ' Oroville; California ,Accordance wish. Reco n• ins i�K p Sh y _offa_.. quo 1,R; 1Z _�Szc�.P�actiaes-arrd_ A'A _ q prescti a .for #ie S ecified use in the -_ - - the National Electri'ca[tm and • � ,; -.. _- - _ - _ Lomtxon of structures & _ ELEGTRICAL,.MECHANICAL,-ANDD.-LUMS 0-- -- ----equipment shall he as shown (NOT PLAN CHECK ) _ _ _ _ _ _ -clear-of aWeasements< —� — SHALL:COMPLY WITH CURRENT EDrfft— NBIC - f - -OFFi�P�- ---- - -- — -� _ _- ----"' -_ - _------- - ——STRUCTUR —A—EI�TIPTNENT INCLUDINQ 1GS-SHA SE -CLEAR OF -ALL- EMENTS. A ET BACK OF Er. FAQIR_ "S,%tDE AND t FT- FROM HE REAR PftOPERTY LINES AND ..FROM HE ROAD CENTERLINE SHALL BE A OF MU tiRE&Aft-E EXCEPT < < •• `a A2Fr- EAVE 41, Ab BePPRCounty - c ;--�nvironmentar twit • '� is - ] - Y ir CC� t 27i-! : end ,{! alr;'• - 1F �R6 ' Ji �'I '�i w., i"t. �/.�..:+-..+..,.,. �..:..+...i. ,��.w... _ mom � �.� _ .,'c'�jr � � �i _ Xt 17y�l-� ,'-. ,��•-+..•-r--ti'swS.a � �fn►c't-�*,.+—' +� y _ � `t—•� '•` � �• n 3 r �_� �. �:" z , ri i .S � . 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' _�_i-+.•--Cr t t• t� _ '�• '-� <' ./�' •I►� —_,�y,�R..'�'^'T�:..+:.-...JI••-+-~--�--.•s.••....,..�.r.-<i:..,KMi�w�-+—< • i, - 6 i x '.,� ,ti (, ... p.. -. , ' r , . •t`I�.M14�-,IF'. ` - , _ _ 4. 4.t..R.•..+aM+.n-`[y.Y�7...`-•+M•he'S+-1y'+i,iii•,'�i-•+.!^•—•-7i—•+r. �'.:'}T '•�'F.s+.*s 1••-"•`_ `---+�3-s:�..,. .."',+•-+a�•e.. _ ,r1,�<.al.:.•'•,�.y.---^�•e,•+ .� +.-•_ �! it lJhh 2n:fi �nciCi tt� tz c'F6Y� j < , �i • ,u .; z ,c'+r.' �(:i`Fr�.;; J :i ti i�fy6 ?smit ii,ra fG :ii °1j pit no t�,f.-.t no cn, lailla^Ti:it1310 Gsr..,.r!rd-,) i"i'::Gf �ti `Ji�# Cii��9+lOtwg iT�i�?I1Y37'3:J+ P3�+yHhtw tv,-) "74's}x <� 9�'.. ./�1- ti 6 L�r�•lyl yi'wtit S.Tt;;13.� 4l3•il ���..W R lu. ~.if. ..:_} ;.},y:.. >r'.7 li1:w 4! 3jF�' i:? ��;�i'i:�•:�". � '."ii!.i�tr: C% ,r.r ��i�( aMM"Yi�:�A.Y �s•�th'�'l.l�T>ti wl . �!k� r ti.ei�Vs j Eei tiab� (AtA ..A:�'. '�''.�'-,1.'j.a 4• .'�'',. ..i.�l�!`t`C1i i.}j.�%,±�!"�i'`.'�s'. . i3O Int .j+ ��T•::i :A?'�. f....G 4,';�Yl. ".f LlF��i..if� �jfit" It+�;ri � <°'t •.. 'Vyyl�t`Yili#.I t;.faa i a' CLAt:t,W-m la: 3Aiy»Sll e ,xv y 1.9+°d:Sr ♦ � i"t1 LI ta�i�� �•L ' ""r V�i.� � 7".A:"� 1>, aa. f i�:'ls' i� � � a b .3 tE'al!•1 .'J?�:�C.r . OqU QOA MOBILE;idME SUPPORT DATA _ v erf,GLZ. �� �'� Z3ZYg 0 If other than single wide, Mob.ilehome Mfr. ��}`f , J�`Ofe furnish Setup Model No. Width /Z (ft.) Box Length__6 0_(ft.) Tagalong or Expando Size Year / % 7 . 11 ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one) L. Wood -pressure treated or foundation grade: 2. Other (specify) SUPPORTS (check one) l.. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 — — — � Maio Beams ..+_Line 4 Tag or Triple - 1.1n, G .� Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ----------- ��J/ nn Size -Min. ------------------ 11x - Spacing -Max. Each Side of Opening's-.._ From Ends -Max.----:-- / �_ a �� With Width Over --------- Line 2 Piers: Size -Min.------------ _ Spacing -Max. From Ends -Max .------ Line 3 Roof Loads• Size -Min .-----------. Location (From Front) _ — -- Line -4 Piers. - Size -Min ------------- k Spacing -Max.--------- , From Ends -Max ------ -- Line 3 Piers: (Under Bearing Wall Only) Size-Mio.' Spacing -Max---------------- From Enda-Max.------ =------ Line 5 Roof Loads: Size -Min ------------- Location (From Front) e 5. Piers:,'. (Under Bearing _Walls.Only)._. ..._`_..... Size -Min ------------------- k . u Spacing -Max.--------------- ._ u From.Ends-Max.------------- ._ ..x ..x .k .x .. .k �7::.s.zo ._.,� .x ..x -_,iii -_d4 _ �y�. �� ,_ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 01 1 3. Is the site currently under permit? Yes No F] (if yes, furnish permit number ) OR Is the site an existing site? Yes NoInIvi (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 5. What is the mobilehome electrical rating? --------------- 4; Amps 6. What is the mobilehome site service rating? ------------- &10 Amps 7. What is the mobilehome site circuit breaker rating? ----- / v Amps 8. Is there any other electric load to be served by the El mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 IN (in.) 10. What is the type service? ------------------- Natural F-1 LPG X1. of gas. 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is.the'mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. CeUNTY 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 036-13-0-102 ZONING AR -5 BUILDING PERMIT OWNER LARRY RTCHTER TELEPHONE 533–U35 SQ. FT.-- -dCC. BUILDING VALUATION OWNER'S MAILING ADDRESS IS le 6 CONTRACTOR' SN ME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 44 Narania Avenue, Oroville Permit tee $ 35.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[:T Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition _ Remodel ❑ Utilities ❑ Installation Other ❑ D, -Ascribe work: MHI/(HUD( _ /11411 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 V OR LESS Main service 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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. Classification4� ❑ 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) R—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 OCCUPM3.66sq.ft. OR ACDNS. ACC. BLDGS. x NEW CONST"ES,., RANCH CIRCUITS BRANCH CIRC ITS @ 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. �. Ex. Occup(ouTLETs OR FIXTURES 20 76d Ex. Occup. OUTLETS (PRESID )FIXED APLNS.REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin 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 FilingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 sa' Count a of the granting of this permit. Date ( Si nature of g p cant — 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz OFEES IMP FLoo COF PARCEL P ' D I suE This permit is hereby issued under the sions of the Butte County Code and/or ated abov Ifo hich tees DI R PUBLIC MIT EXPIRES Date applicable provi- resolutions to do have been paid WORKS O.•% fZ>9 Da O/ ` Receipt No. 141 292P WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4h1w COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION �m 7COUNTY CENTER DRIVE -OROVILLE, CALIFORNIA 95965- TE. LEPHONE(916)538-7541 -PERMIT APPLICATION4DAT "SHEET - /3 d -I Z OWNER A. P. No. U3� 0 Proposed Building Use 7 (-A Building Inspector XIC> Date S:2Q7' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. . 2. Plot plans/4 sets, signed by preparer of plans. .......................... . 3.. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. . 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . mpact fees as shown on attached schedule . ............................. . 12. Ca rnia Department of Forestry plan approval/fees. ....................... . 13. -Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...area....o. r6qdest 20. Pre -inspection for required. . to Building Inspector (Date) _ 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ �- 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use . ...:.: .::::::::::::::::::::::: : :::::::::: =, 28. Mobilehome utility clearance. . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan checklist. .................................................. 33. 34. When you issue the permit, process as'follows: Mail to owner. Mail to contractor. Telephone S33 -Ozt and hold for pickup at c0)/L- office. Deliver with inspector. Other I Parcel Creation 1790 Acreage Applican Date 5" %3 Copy of Haz-Mat form sent , Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail -Counterby i Date Contractor, designer, owner, was advised of above required data by _ phone _ mail r y Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Fi Plod Ilan Attached Floor Plan Attached Solt 1.1 TO: Building Department FROM: Environmental Health SUBJECT: Sam n Clearance 41 q f— Ownel Location ORO. AP# > Water Su i �l : Public Private Well Plan Approved or: Se.. a` � Disposal � 1 ► y Clearance for bedroom ionic Other Hol nal for: Final clearance O.K. for: NOT . Environmental Health Spe Palist I ate 8/92 TO: .Building Department FROM: Encroachment Permit Section, RE: Driveway Clearance �U r locatio`b owner 26r- /, AP # 1 -da ` Driveway permit _ L l.at has been issued for the above property. � �. date si ature COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �U / �G%2 A. P. NO. vel 770 /6 Z PROPOSED BUILDING USED DATE I 1 / REC. # DATE REC School District Fees 0 (paid at District Office) Sheriff Fees (paid at Building Department) Residential ......... X = unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential.(per unit) % =$ # units amt. Commerical(per sq.ft.) R =$ sq.ft. amt. . 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application,'I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE . �7� t I �V ,� „rFT, . , .. •'YR'"�j'+'Yfai4+� '7 �''�, �`iVSo'•'.-,� ` ( `} BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �r'/v, Building Department No. A.P. Number Jurisdiction City County Property OwnerZA Property Location/Address Subdivison � Lot No. 1 Residential Development 01 -.- Commercial/Industria r 4 0 Sq. Footage 7777 , O ' HI Addition (Group R) J 0 " Sq. Footage New Addition (Floor Plans reviewed by_School District Personnel) (Including Exterior Roofed Areas) (, 4ZOA3 Date District Identification No. / 90V ca School District certifies that (Applicant) (Street (Phone Number) 1 - lt 916 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing /a square feet. School District Representative Paid by Check Number Bank Number Paid by Cash s -/• by.payment,of,, Remarks: 4-zo-9�� Date 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) r No. of Living ` Units r 4 0 Sq. Footage 7777 , O ' HI Addition (Group R) J 0 " Sq. Footage New Addition (Floor Plans reviewed by_School District Personnel) (Including Exterior Roofed Areas) (, 4ZOA3 Date District Identification No. / 90V ca School District certifies that (Applicant) (Street (Phone Number) 1 - lt 916 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing /a square feet. School District Representative Paid by Check Number Bank Number Paid by Cash s -/• by.payment,of,, Remarks: 4-zo-9�� Date 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) r •-n to DPW_ . AGRICU TURAL -STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT rection 26-8.1 of the Butte County Code requires this acknowledgement be recorded, 93_032844 1� prior to issuance of a building permit. The property described herein is adjacent mir. -1101 to land or included within an area zoned for agricultural purposes, and residents N07 - of this property may be subject to incon-�� discomfort from OR G PARED {^/rte NAL veniences or arising the , 9 QOCUMEN7. use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit gF of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All theft real':property:-situate in .the County of Butte, State of California, described as follows: Date: 0 PROPERTY OWNERS: �. State of -1 ) On this the o2day of197, before me, the S ) SS. undersigned Notary Public, person � y appeared County of Personally known to me. " Proved to me on the basis of satisfactory evidence. Auauunumc►ru�uuar+rtnmRnna+uurrrnrrurrr':ri�rnbe the person(s) whose name(s) 4J MOF icon_ SEAL s4scribed to the within instrument and acknowledged that 7r. ncer�; • 97'1527 tiCtVd[ CLARK exlicuted the same for the purposes therein contained. IN WITNESS NOTARY PUSLIC .. CALIFO{t COUNTY OF BUTTE 'WEREOF, I hereunto set my hand and official seal. h9 C:ommi..^,siren E>,;7Ires Sept. 17, 1996 !il!!ilU lla::l:IiJliNllA!CitlltirLCSIirOCtU 11 N 17rl rl r{f rliffrlfq� i'� Present A.P. No. 0 6_ 13 0_/04 Notary Public °1le�r. 93-032844 90-01595 D f•. S C R I P T I 0 M r;XH1I1IT "A" All that certain real property situate in the County of Butte, State of Calif- ornia, described no follows: A portion of Lot 124, as shown on that certain mnp entitled, "Official Map of Orovllle-Wynndotte fruit Lands Unit No. 4", which map was filed io the office of the Recorder of the County of RULtc, State of California, December 17, 1927 in Rook 11. of Mnpn, at pnges 27, 28, 29, and 30, bclnp, more pnrticnlnrly de- ncrlbcd as fullown: Commencing nt the Norl.hennt corner of said Lot 124; thence South 1.5"41' C•nRt, 41.0.0 feat to Lha Southeast carrier of Parcel 2, no described in the Dend re- corded In Ilook I312 of Official Records, at pnge 418, records of Butte County, Cnlifornio, said point being the true point of beginning for the parcel of land Iterrin described; thence continuing South 15"41' frost, 79.70 foot Lo Ole Nnrthenst corner of the land described in the Deed from Wendell Scott Rupp, of ur., to Daniel 1'. Roger,;, tinted Februnry 211, 1972 and rrcnrdrd Mnrrh .l, 1972 to Book 1741 of Official RecortIR, at page 778, recurdn of flutte County, Calif- ornia; thoor.r South 79"14'55" Wast, 221 feet to n point on thr Knnt line of lhr. Innd drvu•rlbvd in the Decd from James R. Tieltm, et ux, Lo Thomnn .I. Rogern dnlr•d Fr•brunry 26; 1972 and recorded March 2, 1972 in Rank 1741 of 0fficlnl Rr- cordn, nL fair• 260, rrcordn of Butte County, California; throcr tlorLh Wr•:L al.+ttg Hit, I:ttRt Hot, of nnld Rogers' Innd, n dlnlnnr:r. of 89.05 fret In n point .,it thr South Ilnr of the. land dencrlbed In the heed rrcnrdrd In nnitl I:ook 1.117 oI offlt•Ittl R!•cordn, nt pnp,e 41B; thr.nce Front -Ilonl; Lhv South llnr of t h.• land dr•... r lbod In Oil, Derd recorded In nnlrl Rank 1312 of of f inial Rtr- r.nrdn, .tl pnt(r /.lA. n dlntfill cr of 222 fret to Lhe tr-itr .polnl of bog Innlnft. END OF D0CUMrt4T 3 I emad*Of ` Utte OROVILLE,.CALIFORNIA GENERAL (CLAIM CLAIMANT: ADDRESS: 4200 Foothill Blvd. CITY & STATE: Oroville. CA 95965 IMPORTANT: SEE INSTRUCTIONS November 6, 1989 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work.(Bld-g-Permit A-ppin..�#3747-89BPEM, Receipt #48731, dated 11/3/89, A.PF #36.13-1022),____ ____1 Total fees paid- ----------------------------- $250.50 -building Retain permit filing tee------- Retain plumbing permit filing fee ------- $10.00 Retain electrical permit filing fee -----$10.00 Retain mechanical permit filing fee -----$10.00 mount retains -------------------- TOTAL REFUND DUE $210.50 $210.50 TOTAL $21 .50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ..... >-...... 190.1... et ra �.I.�.I.\ Calif. fre of Clalmlant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval (Check one) for a same. , Dated this,,,,,,,,,,,,,,,,,,,, de of ......... lq�?, at Oroville Calif. Atli r .Nov... ...... ...................... ........ .......................... ............... D artment Head or Authorize Dept. 0-002 Exp, 4210500 7 Const. Permits Code ............................................ Code .................:..............................PAYABLE FROM ......................................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ©a I COUNTY OF BUTTE - DEPAF.TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT N0� ASSESSOR PARCEL- NUMBERO. 11,01 4211, ZO ING BUILDING PERMIT O WNE� TELEPHONE SQ. FT. OCC. BUILDING VALUATION X C"01 OWNER'S MAILING D SS " 200- 2-5 I CONT aAPJ OR' A --- _ .._�.-..-�.,...........�.___. . CONTRACTOR'S MAILTTNG ADDRESS / [ v`� Fireplace CONSTRUCTION LENDER // ✓j' LENDER'S MAILING ADDRESS I -Total Valuation $ jFiling Fee ;Permit Fee - $ 10.00 $ ARCHITECT OR ENGINEER IPlan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRES: 1 jEnergy Plan Checking Fee I Penalty $ 1 $ BUILDING ADDRESE!� � - - ,y 'Permit fee t$ �.-� PLUMBING PERMIT Filing Fee 10.00 Each Trap —19 Solar or heat pump water heater 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 Gas piping system 1 - 5 outlets 5.00 SF Duplex❑ Mobilehome❑ Other Building sewer 5.00 S✓ Mobile Home S G W 10.00e SPECIFY TYPE OF WORK Newel Addition ❑ Remoddeel ❑ Uti lities ❑ Installation ❑ Other ❑ Permit Fee $ �j✓ Describe work: iCS��— Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 (�✓ Main service EA. ADO'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 ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST.(DWELLING OC OR ADONIS. ACC, BLDGS. 1/20sgft NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®006 9AL030 FIXED Ex. OCCUp. OUTLETS P(RESID.)LNS REA.) 1 2.00 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.(Sec. 7044) ors. Temporary service 10.00 Q.►� Mobile Home Facilities 15.00 Misc. Wiring g 15.00 11 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ ,— for this reason WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. - Cooling g �--� Hood 3.00 j✓ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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 occ CONST TYPE TOTAL FEE HAZ CUA PARK SCHL FLo D HD ISSUE against said ounty in consequence of the granting of this permit. X Date V Signature of Applicant — Ownerly Contractor ❑ Agent El I I I This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. DIRECTOR OF PUBLIC By WORKS Date y's Receipt No. � I WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date -.�.w.......=.M..r"wd'Srvrtis•.—.—�.. rrr•.gV.ac��.1:"►" 1''�'�� �, �r=.:ln,�"�i'.��":4�*:. COUNTY OF' BUTTE - DEPARTMIENT,OE• PUBLIC WORKS - BUILDING DIVISION ro 14 ,X.-.,,.4--9 7.COLINTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIGATION DATA SHEET ' Permit No. )C— OWNER OWNER Sor—Zint P_At - ,�S A. P No. 3e; —%3 IOaZ Proposed Building Use ea Ste- Building Inspector �Datel1'-3-20 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 . .................r.................... . 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 Tanufacturer's installation instructions CJ ... ................. 10. Fees of $ `... ..... ........ . 1 Chico Urban Area fees aid .............................. :........... 2. Park fees paid ' Y ' 13. 0a School District fees paid .........::f.... . 14. Sanitation approval from — Health Department 15. City of Chico plumbing permit............ ................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A)' Use: (B) Parking: ...... 18. Improvements may bet 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 ... �1 Certificate of Workmans Compensation Insurance .......... 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25.. Letter of signature authorization ................................... Y • 26. 27. ' .WWh ou 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 ) L/ 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: >5;r Contractor, designer, owner, was advised of above required data by—phone—mai by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW y Owner: Permit No. ENERGY CERTIFICATION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) 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 in conformance with the State of California Ener &,, Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNIER DATE TKS,CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 178'4