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079-380-048
. . .� ROBERT CARTWRIGHT Permit#3393-89P,E(util, MH) Store,feed tool GA .3 11 t) -s t ^ ' ,SU FORT STRUCTURE REQ - r -i o COMPACTION TEST REQ.� ' `#391 ` . . -Issued I 4155-90P. E' CAR GHT, Robert ELEC �GAS � -�_-_--� bert 'lop ecutive Homes). � . / � . | | . ' 1 � 1 ' . � . ' � ' � RESIDENTIAL 36-24-o'OEry4155-90P E -- • CARTWRIGHT, Robert 1875 Grimont Rd, Oroville (utilities/MH) Vz6o - Fb OFFICE COPY /�� Address % m '�.� 1 I GAS Meter By A Date'==-�, ' ELECTRIC Meted By Date=�-�C� L---- -- - -- - --- - JOB FINALED) � SIgnaIt r J=OK O=Not OK NbtReeaadyable MOBILE HOMES Date MOBILE -HOME UTILITIES (Plans) OK except #'s Ae Zoging Requirements -Setbacks -Easements MH Support Sketch �w , Location -Test -Fall -C/O Concrete atel(Location-Test-Easement Needed (Sketch) (Gas; Location -Test -Wrap: / /"L"ft. / Phat. or/ /"L"ft./ "LPG Ve"Utility Clearance Date" 7i Card B-1 Date Card B-1 Date Card B-1 / Date Card B-1 Date MOB ming ments-Setbacks Easements . ootin ize-Spacing-Marriage Line as; MH Test-Demand-Valve—Connector ty; MH Test -Crossovers -Breakers -Clearances DrainL.MWI-est-Fall-Flex Connector y. r and Sewer Connected -C/O to Grade -HD Approval of Occupancy Date f - Card 13-1 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.-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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2: Ftg., Main; Soils-Elec. Grnd.-/ /" 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. Piers -Fireplace Ftg.-Steel 9. D.W.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. 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. 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 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic 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 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be mac jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors ' 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm.`Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date _Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes t 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No i 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 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: e each time you visit job site) Y MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. q151 Address or location of mobilehome Owner's name (;n:- k2l b AZ �f Z— i Owner's address rC A77J��%� Insignia or hud number s►`\f/t t/ :5� — Manufacturer's name u rt iN(G,,OC [ Serial ,number of V.I.N.04 L %i i � z T Year of manufacture J ,� s�1-/1 i',...�.r ,� / � - � � (0fficKbliffp—provj,n-d Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT .BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. x COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER" -PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. AL 7J' `' cA- s T 449- CtAT / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ` PERMIT NO. ASSESSOR PARCEL NUMBER ZONING A RM -14 BUILDING PERMI DW ER Robert Cartwright Robert TEL SQ. FT. OCC. BUILDING UATION OWNER'S MAILING ADDRESS 185 Grimont Rd-, nrnvillp 99966 CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 15 QQ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 185 Grimont Rd. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ MobilehomeOther SPECIFY L4 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00ea 30.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities[ Installation❑ Other❑ Describe work: 3 BR _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 101V OR LESS t00 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification }Ex. 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 OCCUR.& OR ACDNS. (ACC. BLDGS. 2/2¢sgft NEW CONST R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050S .ALO 90 Occup. OUTLETS IIRESID IED APPLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities Ho 15.00 15.00 Misc. g 15.00 Permit Fee $ 35.00 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 accrueai t id o my in c�nsequenfthe granting of this permit. ag %� Date �� Q Signature of Applicant — Ow Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ c)A nn ALL E HAZ CUA PARK r��RP- o Iss This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DI E OR Q�-PUYLIC ZZ (/�/ PERMIT EXPIRES ate the appIica le provi- resolutions to do have been paid. WORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '�- COUNTY OF BUTTE,- DEPARTMENT OF,°PUBLIC WORKS - BUILDING DIVISION y7:QtQUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 } PERMIT APPLICATION DATA SHEET 5-•-�--- ` Permit No. OWNER 6 Y-\� ed Y" tW r ! A. P. No. A±t Proposed Building Use Building Inspector Date �� L19®r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... x°13. chool Dis }fit fees paid .............. 4. Sanitation approval from V/�` Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for;(A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 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 Acknowle gment Statement ......... 25. Letter ofs'ggVni autp atigql1n - - ., ter— d C> 27. When you issue the par It, roce s s follows: Maal Mail to contractor. Telephoned psi and hold for pickup atffice. Deliver w/inspector. Other Applicant r .Date 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--nail—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet I AP folder Copy—DPW aINDIVIDUAL ACKNOWLEDGMENT Q n— q{ Q g 7 No. 201 State of Als, n this the.leay of c 19_2"6, before me, SS. County of OFFtC' L SEAL PATSY L CARTER WLOYTARY PUBLIC CALIFORNIA BUTTE COUNTY comm. expires MAY 13, 1942 1680 UvW& Cmwg!k rA 95M the undersigned Notary Public, personally appeared v ❑ personally known to me X proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that _ executed it: WITNESS mvTibnd and official seal. Notary's ATTENTION NOTARY: Although the information requested below is OPTIONAL, it could prevent fraudulent attachment of this certificate to another document. ' THIS CERTIFICATE Title or Type of Document` Ii MUST BE ATTACHED Number of Pages Date of Document I , TO THE DOCUMENT ' DESCRIBED AT RIGHT: Signer(s) Other Than Named Above 7100-010 ® NATIONAL NOTARY ASSOCIATION • 8236 Remmet Ave. • P.O. Box 7184 • Canoga Park, CA 91304-7184 TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner #on AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Final clearance .R. for: . Clearance for bedroomobile home. Other HOTS * * Sanitarian Water Supply Water Supply Date Return to D:P.W. 90-051852 Rec Fee Cash Recorded Official Records County of ; Butte ; Candace J. Grubbs ; Recorder ; 2:39pm 3 -Dec -90 NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) 7.00 7.00 X 2 Applicant&�P n��� Date. O3 1L�Q Zone AP# v% 'V —Tp Building Permit # ny3j "89 I,do declare, that the dwelling &W4 (Building Permit # 3_566— at 'address (present) /Ps7 6wimm7- op on AP # �a � `to is intended for the sole occupancy of one adult or two adult persons who are 60 years.of 'age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly des- cribed in. -Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. .S Signed pp Dated ale Attach Notarization Form Z Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEV LOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. NOT LOWARED WITH ORIGINAL DOCUMENI The property described herein is adjacent in the County of Butte, to land or included within an area zoned OCT i i for agricultural purposes, and residents vn TA C.e,r•T&,t n of this property may be subject to incon- MO -P veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, o n I -i•0. c.C'M bar and fertilizers; and from the pursuit 89_039355 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as �' i I'a .1 follows: ClrGQ t HS Shown vn TA C.e,r•T&,t n Po...re-e,t MO -P �Utfr- P`i le. / o n I -i•0. c.C'M bar ,� t., 1 `3 G ►(�otiQo�op ! 1' A 0 >✓i v2 ►� - X t V �s r v e.. o. S �. w:�.�►'�-i' !=o r �'•¢��t.-"1 1 • ✓l lr� � 0� � c+1 / O��$ S � V,J �1... G (,>t -r��. A..:'r . • li "3'tt 4 �a4' e c, •Ce ea o� Gc,_I i �-orh iw� o►'� ✓-%fir► I ��� QQ� Date: (-noJ ca) t°ubI r e. u r•10os-e-.c- 4C is 'C' /-%.ri. o� o Of- ✓ 1 ae S/ 0.-1' OWNERS: State of CC-\ ) On this the I I t!�' day of Q cto ems 19 99 before me, SS. the undersigned Notary/Public, personally appeared County of'00 CIO of- ♦•°° GQ� P4 ,�� :�•� Personally known to me. ® Proved to me on the basis of satisfactory evidence. •°�°•....pp�a�0��°� •• to be the person(s) whose name(s) _e °° v,,�P� ••• subscribed to the within instrument and acknowledged that °® c�° F` •° executed the same for the purposes therein contained. IN W1TN2SS °°• t �� �• WHEREOF, I hereunto set my hand and official seal: Pr sent A. P. No. 036-ago•-Oqe Notary Publi COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1 OIJNER.-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) __ YE!�z_. 1/2. Iave have not) signed an application for a building permit for a proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -1 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 igned : Property Owner c Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AP # 3 b _ --.?-(j—�� OWNER PERMIT'lk��5����% MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Other. Pipe YES NO YES NO Size Load Tvve Size Length BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA •`�.� PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: eas� ueru 2. Installer's Name: 3. Is the site currently under permit? Yes No O (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and-leach- fields nd leachfields and clear of all setbacks and easements? Yes No F (If no, clarify 5. What is the mobilehome electrical rating? --------------- rmw to -0 Amps 6. What is the mobilehome site service rating? ------------- P-0Amps 7. What is the mobilehome site circuit breaker rating? ----- d Amps Z. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes FNo (If yes, identify the load and size: (.Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------ - Natural F LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------------------------'- * 12. What is the mobilehome gas demand? ---------------------- ,3� .- (ft.) (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) a ke 3 y MOBILEHOME SUPPORT DATA If other than single wide C Mobilehome Mfr.. furnish furnish Setup Model No. 5 Year Width 14 (ft.) Box Length(ft.) Tagalong or Expando Size Wk ft ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) _ . Wood -pressure treated or foundation grade.a 2. Other (specify) SUPPORTS (check one) E91 -- Concrete block.5+ . Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Line 2 Main Beams Tag or Triple t )_ Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - --------- „ From Ends -Max. ------- Line 1 Openings: Size -Min. -----------------tx 11 Each Side of Openings With Width Over --------- line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) l Size -Min. --- - --- „x ?�, Size -Min------------------- nx „ Spacing -Max---------- 1 c/ „ Spacing -Max .--------------- From Ends -Max .---•--- '_ " From Endo -Max .------------- Line 3 Roof Loads: Size -Min.------------ nx „ nx a „x a„x „ nx „ ux a nx Location (From Front) '- Line 4 Piers: �piers: (Under Bearing Calls Un y Size -Min -------- ---- ,k „ Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- ,_. .� Spacing -Max ---------------- From Ends -Max.------- ,_ „ From Ends -Max .------------- '- soot Loans: Size -Min. ------------ „x „ ,yL „ ,k „ „x „ ,k „ „x ,.x Location (From Front) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION- AND PERMIT PERMIT NO. C/ rte, ASS4�60 NA4§EL NUMBER ZO G BUILDING PERMI DW` obert Cartwright TS V'�114 SQ. FT. OCC. BUILDING VALUA ION OWNfg3 N� kIL,ING ADD SS (jrimont Rd., Oroville, CA 95966 CORAC TOFFS NA E txecutive omes T PH coN64LTEsplaanaNdeADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15-00 AR ITECT OR ENGINEER one LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BU'EI� GG ADDRESS rimont Rd., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeaX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationU Other ❑ Describe work: MM 4155-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV 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): 1 fYC=.A' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full for a and effect. License No.416 ��/� Classification _ _ `T J ❑ 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.E OR ADDNS. ACC. BLDGS. 2�2¢Sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POW ER APPARATUS e ) SINGLEOUTLET cIR.20 Occup( OUTLETS OR FIXTURES 0 50C BAL®3O FIXED APPLNS. EX. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 1 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 pehmit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabili ' judgme costs, and p which may in any way accrue agains ai oun ence a nting of this permit. X / �� Date Signature Applicant wner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 0I HAz cuA PARK SCHL F PAR PD Issu This permit is Hereby issued under _ions of the Butte County Code and/or work indicated above for which fees DIRECT R OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84694 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 74u�'�� k"'�,.�"s'�!1'V". ►rT "'f�r�' � -� � ., .. F'�y�'�i�-�s,,. x• � ; �t 1� !*t"�T�=•r'-;�,.d'.T'`""�� 5 • COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION w. '• .x 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/536-1541 $... " I I a PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. _No: _. � Date— At Proposed Building Use_, Building Inspector Date _ At time of permit application, I was advised the following data must be submitted prior to permit g and/ . TE RECEIVEDAPPROVED 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 paid: ............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:— - - • - - 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior ti) occupancy) Pre-Inspec. request to (Date) 20. Pre -Inspection for required ... Building Inspector 21. Contractor's license information (No., Name Style, Clas;sification)(... 22. Certificate of Workmans Compensation Insurance .............. 23. Owner -Builder Verification (Given to owner ❑, Mail to t)wner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Stateriient ......... 25. Letter of signature authorization ..................... .......... . 26. 27. hen you issue the permit, process as follows: M�lil to owner. Mail to contractor. Telephone c-391= ?0 and hold for pickup at _office. Deliver w/inspector. Other ,:-, f Appl i DaZ Copy of ! iaz-Mat form sent Health Dept. `Fire,/6ept. --Air Pollution Date Copy of plans sent -----Health Dept. —Fire Dept. - Other Date BY The following data must be submitted prior to permit issWince: (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 byi__phone_lnaiI_counter by ..date Contractor, designer, owner, was advised of above required data by—,—phone— mail counter by date Plans checked by Date _ Planss approved by � I,w► Date Sets of plans on hold in File cabi'net it AP 'fold! 11 Copy—DPW ;f ^..T :ii'i 4r:;"": "'r --. ' x .� �"7-:;?i� ;6i ' ?�-... :�.;F:.. s,,,.r J`•r`'! -.- ,w.. .. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM, (One Form per Building) A.P. Number Building Department No. School District QT6 City F --J County Q Jurisdiction Property Owner RQ�2ii•--%'_-" Project Location/Address / Subdivision Residential Development: # of Living MHI Units Commercial/Industrial: N Building DeTartment ReRflesg'nt'ative Lot Number Sq. Footage / Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id LNo. �Sh School District certifies that (Applicant Name) (Phone Number) ZL (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $,21,56 , Lk— representing /t2S`.;2— square feet. r School District ReprWentative Date PAID BY -CHECK NO. MWdfAmw V..— BANK NO PAID BY CASH white-applicant, white -applicant, yellow -building department,` pink -school district SCHOOL.FEE (8/88) E r��� Imo.•} � • 500 SQ. Fr. MINIMUM ?� permit Will 60 mea for a installation of the mobilehomw FOR MOBILES i. This set of plans and specifications�MUST be kept on the job at all times and it is un�ef'th- make any changes or alterations on sa out written permission from the Department of S publfcWorks, County of Butte. i t , NOTE:—All Materials & Workmanship ShmU Be in Accordance with Red f"o'� }Fte SpecifGood ied uses Ond in the U f quality prescribed Plumbing & Mechanical Cod" oed Uniform Building, Plum the National Electrical Code. 2gi 10 ° A setback 0104• Nom the property lines and a setback of 50. ft. from the road r of centerline shalt be me t eyzeOi structures or equip for a 2 ft. eave ovarb,%� ql�� -RCS BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1611v �-qljol--rd I MOBILEHOME SUPPORT DATA If other than single wide, / Mobilehome Mfr. 0 0 furnish Setup Model No. �p�{ Year WidthQ�� (ft_.) _•.Box Lengthl.5 4;:2 (.ft. ) _Tagalong or Expando. Size- - ft-. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one 0 1. Wood -pressure treated or foundation grade. 0 2. Other (specify) SUPPORTS (check one)01. Concrete block. F] 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams ie 2 — — — — — Main Beams — — — — r �^e — — — — — — — — — — +Line 4 Tag or Triple — — — — — — — — r i n e Line 1 Line 1 Piers: Line 1 OpeoinAs• Size -Min. ---Size-Min------------------- .k Spacing -Max. --------- � 7 Each Side of Openings From Ends -Max. ------- v With Width Over --------- Line 2 Piers: Line 1 Piers: (Under Bearing Wall Only) Size -Min- ------------ 1 . Size -Minn -------------------x n u Spacing -Max. --------- -1 Spacing-blax ---------------- From Ends -Max.------- From Enda-Max-------------- �- Line 7 Roof Loads: 24X30`, O V Size-Mio------------ J� X ..x ..x ..x .1xn Location (From Front) _ .2c - Q Line 4 Piers: Line 5 Piers: (Under Dearing Walls Un y) Size -Min------------- k Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max---------- .� Spacing -Max ---------------- From Ends -Max.------- From Ends -Max .------------- - ^ Line 5 Roof Wade: Size -Min .-------- ---- ,�xion Location (From Front) ' APPI 1 4, OV'ED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center --Drive, Orovillei.CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: . �L(,✓l/(//'= jj�Q.[�,,C s 3. Is the site currently under permit?. Yes © No (If yes, furnish permit number OR' �j C/ ) OR Is the.site an existing site? Yes F-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from.septic`tank and leach fields and clear of all setbacks and easements? Yes ® No . (If no, clarify 11. What is the gas pipe length from meter or tank to the * 12. mobilehome?=-------------------------------------------- (ft.) 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.) - U 5. What is the mobilehome electrical rating? --------------- Amps 6,. What is the mobilehome site service rating? ------------- Amps. 7. What is the.mobilehome site circuit breaker rating? ----- jQ Amps 8. Is there any other electric load to be served by the service? ------ -------------------------- � �: mobilehome site Yes No • (If yes, identify the load and size: (.Load) (Amps) `3/ 9. What is the mobilehome site gas pipe size? -------------- (in.) F 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the * 12. mobilehome?=-------------------------------------------- (ft.) 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.) 36-24-48 3393-89P,E(y) CARTWRIGHT, Robert rimont Rd _ -q 185 G ORoville (util, MH) i ,. PEP` _ R PERMIT EXPIRES 119 //Z :2!n OWNER CONTR. } ASSESSOR PARCEL LOCATION i 1 c. } C N i f Temp. Power Pole ` Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 1 Called PG&E JOB FINALED (Date) Signature = OK 0'= Not OK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 2. 'Is;eeial MH Support -Sketch e r; Location -Test -Fall -C/O -Concrete Water; Location -Test -Easement Needed (Sketch) tgUlectricity; Location-Clearances-Grnd.-/ / Amp -Concrete Gas; Location -Test -Wrap: / PV ft. / /"Nat. or�&/" L" ft./15%"LPG Card -81 Date�7112t Card -61 %f Date <i �Q Card -13 DotCard-B1 Date Date EHOME IN ALLATION (Plans) OK except #'s Pf Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line Gas; MH Test -Demand -Valve -Connector ectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval L,ebas and Electricity Tagged2 . Exits; Insp.-Sketch LK Cert. of Occupancy Card -131 Date -9Card-B1 Date i Card -131 Date Card -131 Date f ild 3 S 3? 0 - (-)�1 W M1 , 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -61 Date Card -131 Date Card -131 Date 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -131 Date Card -131 Date = utc 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3., Ftg., Garage; Soils -Steel-/ P' Ftg. Depth - 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date I Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s ,22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size'/ / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -61 Date Card -81 Date Card -61 Date Card -81 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILL- E,�CALIFORNIA — 534-4541 PERMIT NO. -- V 2 f Address or location of mobilehome e4 Owner's name Owner's addre r Insignia or hud number Manufacturer's name r 0 ^� Serial number of V.I.N. � (Official Approving Installation i Year of manufacture (Date) IF THE MOBILEHOME IS MOVED -OR RELOCATED, THE MOBILEHOME INSTALLATION `> ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN .THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone:,872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately.- r �r Inspector Date f `t 1 -: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville-- Phone: 538-7541 747 Elliott Road, Paradise — Phone:' -672-6301 CORRECTION NOTICE T A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additionAexplanation, leases contact this office immediately. 7/ 1 14 - Cu �' , °14lJj Inspector.. / Date / 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,�California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERT 0. d Al ASSESSO PARCEL NUMBER('� (xr ZON�G BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S _MAILI ADDF..ESS �g 5 e1ro CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 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 ^ - ,V( t (Id Permit fee $ Jill PLUMBING PERMIT Filing Fee 10.00 © Each Trap 2.00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PARCEL Mk& Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other /Mt4 U SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: _ (SQA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of 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) lJ 1, 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 ADDNS. ACC. BLOGS. / yz¢sgft NEW CONSTR. ULTI.OUTLET N ON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES ALv30 5AL@t FIXED AP Ex. QCCUp. OUTLETSPIRESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 r01D Permit Fee $ �Q 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. L� ' 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 yiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi hies, judgments, costs, and expenses which may in any way accrue agains i Cou t in onse uence of granting of this permit. /0 r _ 9a %� Date Signature of Applicant — Owner W Contractor ❑ Agent ❑ An OSHA permit is required for excavationsover 5/'0" eep and demolition or construct- ion of structures over 3 stories in heig SSA Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ -J 0,, .. HAZ `— CUA PARK F Pp PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B Y PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date %OSI Receipt No. iJ . � WNIT!-D.P.W., YELL W -A88 L890 R, PINK -INSPECTOR. EC TO R, 6 LDENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION do } 7 COUNTY CENTER DRIVE - OROVILCE, ,CALIFC'RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Ji`X4�LJlJ� A L4) A. P. No. -36.1 ` cQ " Proposed Building Use AA HUU Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 01: 4. 5. 6. 7. e All items have been sub ......... Plot plans in duplica / riplicate igned by preparer of plans........ Complete plans in du triplicate, signed by preparer of plans .. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees of $ ........................ Chico Urban Area fees paid ....................................... Park fees paid .................................................... School District fees paid .............. Sanitation approval from Cn LO Health Department _3 r City of Chico plumbing permit ................................. '... ' Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. 'Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 12d Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner email to owner ❑) ..... 1 q Recorded copy of Agricultural Acknowledgment Statement .......... Letter of signature authorization ................................... you issue the permit, process as follows:_ Mail to owner. Telephone and hold for pickup at office. Other Mail to contractor. _Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: Lircle !yew item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designe ,owner was advised of above required data by—phone--mai I counter by �t�date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by 422L Date J d — /�� Plans approved by �� Date Sets of plans on hold in —,,File cabinet AP folder ``i► Copy—DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance G �K. G-� 't yr, Owner Location AP# r P?an Approved for: Sewage Disposal Water Supply Bold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile Other c)ome AP # OWNER _( ., �[.J , At PERMIT `�� MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load .�Type Pipe Size Length YES ,NO YESI NO COUNTY OF BUTTE - 16ipartvent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/4ave—nod) 44W 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 t It Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to.provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit�3' Number Date f� lt� e 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. 94 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 9 - ASSESSOR PARCEL NUMBER ZONING P_M1+ BUILDING PERMIT'A/ OWNER (Zoisa- r2( T- TELEPHONE S3Q-S33 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 C'r_(ManfT_ CONTRACTOR -'S NAME Jv TELEPHONE CONTRACTOR'SfMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR E GINEER LICENSE No. Plan Checking Fee $ S. a� Energy Plan Checking Fee $ ARCHITECT OR EN INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G eN � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2I, V(« (L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeR' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is I 110-00ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal Iation§Q Other ❑ Describe work: Al (J- I k 13a2 _ �hIt 3IT-3 --go Permit Fee $ 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 Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ACC. BLDGS. / , 2/ xQsgft NEW CONSTR. ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t eALO 30 Ex. OCCUp. OUTLETS FIXED PNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. KKrshall 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab'liti s, ju gments, cost,,p, and expen es which may in any way accrue again sa' Cou t 'n 0 of anting of this permit. X Date I1r17 89 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 $ OD Energy Inspection Fee $ occ CONST TYPE TOTAL EE $ '? 8- co HAz CUA PARK ` sc FLD PAR D — HD ISS This permit is hereby issued under - - is of the Butte County. Code and/or work indicated above for wch fees DIRECT R O.EIRUBLIC By PERMI EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS 1 Date 7!—zin)`q _� L Receipt No. S 11 '-'� SI Z-7 0, 40 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,'�.......L r •i=r"�-'LsY�. :",C _ N il'Y :' ., r ` F COUNTY OF BUTTE - DEPARrTM't T OF'PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California95965 - Telephone: 916/538-7541 ate"- APPLIWONIAND PERMIT ASSESSOR PARCEL NUMB 'R+ 3._ .- ZONING' k M 4 BUILDING PERMIT OWNER -' a 21 a ,Nr '' TELEPHONE S3.44S331 r i SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 S G 2 I M a4T- g.,b •T.ELEPHONE CONTRACTORL'Sr NAME Fv CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 5• G Energy Plari`Ch'ecking Fee $ ARCHITECT OR EN INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G 2 o w 21� Permit fee $ �,s. -3a PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomek Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installations Other ❑ Describe work: A-14 1 l3D2, _ MNu (�rrrttklr !� 33c� 3-�� rr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS- 10.00 Main service EA. ADD -L 100 AMP 2.50, CONTRACTORS LICENSE LAW I declare under penalty of 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 �r as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& A ) New , �z2sgft CONSTR.( ULTBI OUTLET NON•R "..RES,., BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20050Q SALO 3o FIXED PLISIS REA.) Ex. Occup. OUTLETS (RESID ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ''-` ❑ The permit is for $100.00 (valuation)`or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Z2, -r shal I 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liab'fitias, Ju gments, costs, and expenses which may in any way accrue aga)��n���anting of this permit. 1e��7 �7 %� Date Signature of Applicant — Owner garZYContractor ❑ 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 $ Op Energy Inspection Fee $ occ CONST TYPE E TOTAL EE $, 8� HAZ cuA �.- PARK SC PAR ypD HD Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for w *ch fees ECT R O UBLIC BY�,R PERMI EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Vo Date / � `S-7 (J Receipt No. q 3 �1`7 O, Lp WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �' "'" - . ...f . h _ ... "�C •K ir ]N • �. �, r..Sy r q. -w it . x{�,r.., 1.-� _. f`r : v4 .. _ ,_ pG-aiRl.�._rN�..� ', �'7� .. .'fes ;.. �'. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING D ISI N 7 COUNTY CENTER DRIVE - OROVILL&RCAL'IP3rjiNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER CA 2r W 2( r, H r A. P. No. -46 Proposed Building Used (4 / Building Inspector G.G. Date I/-/7.81 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) lef d.Klobilehome installation data including manufacturer's installation Instructions....................................................... 10. Fees of $ ........................ .11. !Chico Urban Area fees paid ....................................... 12. Park fees paid __�CLYC5 n 20j t LL C' School District fees paid .............. t (- I 17- S! a s 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 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. When you issue the permit, process as follows: �' Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 1 Applicant _ Date/ / ' 1.3 '.. Copy of plans sent Health Dept., Fire Dept., Other Date The following data m t be submitted pr•! r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. , 2. Additional items required: ell Contractor, designe, owner was advised of above required data by phone�nail_counter by�.date Contractor, designe , ner, 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 \ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 36 -2.4,4 4 R Building Department No. School District n Ro&( fv City D Countyn Jurisdiction Property Owner (C o 3 ;-, r1 r C A !LT w 2.+G qT- Project Location/Address I S G Qf AA1WI- Subdivision Lot Number Residential Development:, a• qg S Footage �(pQ #. of 'Living MHI Addition (Group R) Units w Commercial/Industrial:.. Sq. Footage New Addition (Including Exterior ( Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District.Personnel) District Id No. �2 kP7 School District certifies that ApplMiy/(cant Name) U ( Phone Number) (/( }} (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No.�p-� by the 'payment of $ �Vo representing ,S6O square, feet. ';School District Rept e'sentative Date PAID BY CHECK NO. BANK NO 912 - 7 V 7 % PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, 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) S 2. I hav /have not) - signed an application for a building permit for the proposed work. t 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securityu ber -� Date I/-/7—Al 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. LAND OF NATURAL WEALTH AND BEAUTY PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 f November 17, 1989 Robert E. Cartwright 185 Grlmont Road Oroville, CA 95966 Re: Temporary Trailer, AP 036=240-048 Dear Mr. Cartwright: Please be advised that the Planning Department has approved your request for temporary use of a mobile home during the construction of your home located at 185 Grimont Road, Oroville, CA, at the above referenced parcel number on property zoned AR - MH -5 (Agricultural Residential Mobile Home - 5 acre parcels), pursuant to Butte County Code, Section 24-53, subject to the following conditions: 1. That the occupant has secured a building permit for residence. 2. That the occupant has. secured a sewage disposal permit from the Butte County Health Department. 3. That before six (6) months has elapsed from the date of the Issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence. 4. That the house must be completed within the one (1) year period and the trailer dwelling must be abandoned. 5. That a mobile home utilities and Installation permit be obtained from the Butte County Department of Public Works. s If you have any questions regarding this matter, please contact this office between.10:00 a.m. and 3:00 p.m. Sincerely, B. A. Kircher Director of Planning 9JU Kramer Planning Technician JK:lr CC: Building Department COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE;' CALIISORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT .7 �PERMI Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL N§41 _ 8 PARCEL ZONING IV n ow - OWN 122b E- c EJ 3 PHONE -S -334 OWNER'S ADDRESS i/ S D 0T LOCATION OF BUILDING S AIYW— USE OFJBUILDING '(- SIZE OF STRUCTURE t r, Q� X J _ ►�v SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAMEy STEEL CONCRETE OTHER (Specify) TYPE Pf SIDING ROOF COVERING FLOOR TYPE 70 t -ISS ESTIMATED COST OF CONSTRUCTION 5©0 $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT _,�o -.^ SIDES �� REAR % o AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date f/- 6- �"q Permit Fee - $25.00 Receipt No. G S Signature of Owner The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By S Date / —7— FLOOD PARCEL P.D. ROOFING ISSUE Director of Public Works By S Date / —7— _...�s'•�y+Sl"lN''c`t..,�,..�—...,'.`L.:'1"''Y'��...:77(M,{�+�rrrJc.irW ti"",�'.:*4,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION zp..44 7 COUNTY CENTER DRIVE - OR0VILLE,_CA'LIF_0RNIA:95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION -DATA SHEET 0 `OWNER Proposed Building Use Iding Inspector permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: `aDATE 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.e Chico Urban Area fees paid ....................................... '12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 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. When you issue the permit, process as follows: Telephone and hold for pick r%+ti„_ .Mail to owner. Mail to contractor. at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date i II with specifiod 3r�a4u`st Codes ana 1 MaHanal %iee € + s' 4 l s t { a ID; g IS{�4 ` ill ' C;.'. 1' Y a ° p"1 i'SGCiS t� T3 sE�i'�dL"s�i'iP7�111 i rP 10 i i i t .mac.�................��.xi.a.m.�.cs_» - _.mow_. � ��' .,,r•- .60' R1\N a P.U.E. TO ORO . sm ANGOR HWY TO BE RESERVED ,-- --� ;• � , 1N DEEDS IV i n 2 29 . .''2912 0 R 41 140 R ff6 . f . FD. 1/2 I.P R.C.E. 1.1553 60' R/W & P.U.E �. s %' . FSn N 00017. E 0:4 3.13" 'ooc SSE N� TE 1 FD. 1/2" I.P. R.C,E. 11553�j�'� �; D.. 1/2" I: P. CR ): ,.! -_ __— - _ _ N 0 ! 9 5 0 E 1320.2' t' Y� _, _ -- Q SCALA I i0 ►� 2 2Q5,I1' 30 N00"17' 13"' E 13?0.23'-/�'..' ..fo. /z't�s s¢�oz (R�) FD .3/4 I.P.30 8.711 ,.'rt-= 329.03' _-,,-' 3O� µ �� L.IS " 3625 (R) 30 C?3s 352 9 0 ART; .�. BE I _ S i 39 s 2, LADE R/w T0- RELOCATED N VAP 1 --I 76 M 69144 LOCATi ID` Y4�� . N.T.S. 49 M 25 � a iP. oo -aia 3 .Y x / O d' ,1 f _ - FARC ... -Tj S U 5.01 ACRE Vii, O r ro I , cLA T-1 a `° t } (oO M ,. w r� s SET 1/2 REBAR L.S. 4202 w P 4 R C 1.:--� o 0 30 , o PA R C E I._ 4 ,�' FOUND 3/4 � , ; � , � , ,� � „ I.P. RC.E 13062 (R) a 5.01 ACRES a 5.01 ACRES cy --- 0 CALCULATED POINT ONLY �. .. N 00017'14" E 662.78' % (RI) 76 FOUND �AS� SHOWN CR,) (R)`----�1141. 67 MADS 33 Ld ' f — O n � i f f #`� ```'• ` ,'w• 5 SURVEY 1 E rt r.. �' v1— BEARINGS to �_ _ _ Q Q c THE BAST OF BEARINGS FOR THIS �' TH 4 0 ro OD0 Lo _ -- F'ARC'ES_ � �' ��° � �1 � � � � 2 OF 76 OF MAP S,67 . COc�a - z .� � co, as EXTERIOR �3O,lNDARY OF I.OT r- ~ "' ROTATED 00°02'37" COUNTER CLOCKWISE AS z Z ,' 5.0,4 ACRES - I I , ESTABLISHED BYTHE FOUND MONUMENTS AS SHOWN. >v0 T inICL U.06,61 1,A1h 329.01 c/ 70' N 0000612:5" F,. 1323,26' N 0001 1'012 CR,) 1323.26 APPROX. CENTERLINE - �: 50' WIDE ERLINE E T PER EASEMEN . :., 1 141 O.R.96:, � I. THOSE PORTIONS OF T E HEREON SHOWN PARCELS LABELED 71 --✓Z ��'/�✓�/d;� ,�.t� ��'���' /�� C/4T �i��/�Gy' ��1��71'r%'IL�FeS�"�.7T" `J � 6O R/W 8i P.U:E.. ARE NON E,XLi Ua1VE� PUBLIC �I�SEi�/ENTS -INGRESSC�F .�.C�� 2� OF ;��'6 � :�� I��P ,�? , , EOR z �.. ;� �� EGRESS. R E SS AND ' °PUBLIC>. UTILITY I L I T Y �' U R P 0 S E S , --.r.'�-,� � ,� .�..� .., �"'IV P,�t.� 7Z7)�,�,rs,� i'��1 R`�'.�,C.,�� Q,-vc� xrn r � - , 7".4r IQR_ ✓� d"4s` t G'c,/ +d a d lis fG 1, fi G ?' ,r� ;,, ,ARE TO BE RESERVED IN DEEDS -AND ARE HEREBY OFFERED '-t OF SECTION -� 2 ,�,►�% I TH E..W II Q .E FOR DEDICATION TOBUT s h COINTY:✓ 7~� _ �� .., . '. 2 C=am. 71-4/4", ,, .� �/''% r_ i'?'�/' 1 , /C.� :+' �'fi rt%G a7�" ©/-t�'r5/ p --/'`' L. � �� �,!V y E. r. /` 2. 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