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064-620-004
n `COMPLAINT GIVEN TO BUIE DATE: 6- &-- Q-2- S (� BUILLDIN.'G CODE VIOLATION: 0 101 0 '� - ARNOLD� EUSBORN 64-62-04 14424 Nimshew Rd., Magalia Permit #2714-88P,E(MH util) p ELEC._ AS ---------- ��'��� i SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. ✓jam y /, 64-62-04 America MGole 'Home :jermit #2715-88B(ins all MH) .ISSUED_:9 Permit#3465-88B.(new covered porches) MH 64-62-04 75�1B MEUSBORN, Arnold f 14424 Nimshew Rd, Magalia (open deck/mh) 064-620-004 02- GLASSER, Craig `r� " INALED 14424 N inishew Rd., M, gdl a� Cont`. -C'& C`Roofiirg -� 064-620-004 ` .02-1648_ GLASSER, CRAIG & BETTY 14430 NIMSHEW RD., MAGALIA. CONVERT CARPORT TO GARAGE t f 064-620=004 r GLASSER, CRAIG 06-1996 14424 NIMSHEW RD MAGALI n Cont: RELIANCE PROPANEµif/ GAS STVE&TANK SET q:Zp,ob 0 O v JAMES Ro er B. 1122-6' e/s Nimshew Rd. lst house so. of j Magalia (add carport) 411 0 0. a . a � L e �a. a o a r 064-620-004 06-1996 GLASSER, CRAIG '- NIMSHEW RD MAGA LIA• NOTES Cont:RELIANCE PROPANE GAS "T'E• " STVE&TANK SET RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit- y.. _ 1 _ i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERINrr REINSPECTION FEE PAID ENV HLTH CLEARANCE i. :DATE JOB F94ALED: � �� ► 0 SIGNATURE .i _ r . -rte i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERINrr REINSPECTION FEE PAID ENV HLTH CLEARANCE i. :DATE JOB F94ALED: � �� ► 0 SIGNATURE .=OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE 1 Lj PERMANENT FOUNDATION U SOFT -SET ----DATE D E C K S•C O V E R S'C A R P O R T S •G A R A G E S 1 ZoningSetbacks-Easements 1 Zoning -Setbacks -Easements 2 Soits; Special MH Support Sketch 2 Ftgs; SailsSz-DpthSpacing-CnnetrsSteel 3 Sewer Loctri Test; FaIIICIO-Concrete 3 Decks. GirderslJotsts-Dclting-Brcing 4 Wtr; Loctn Test -Easement Needed -Regulator Stairs-DuardlHandralls 5 Elec LOctri-DIrrics-Gmd 'Amp -Concrete 4 Wood Awn; Posts-Beams-Rfrrs-CnnctrsShthg. 6 Yard Gas;-Loctn Test Wrap Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnncbtsSplice-Decal-Enclsrs 7 Blckng; SzSpacing-Marriage Llne 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnncir 7 Electric 9 Elec MH Cntnty Test-Drossovers-Breakers-DImcs 8 Frmg; Sills-AnchrsStuds4btrs Trtisses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -CIO to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext Steps -Doors -1 andiigs 13 Tie Downs O Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD IabeUlnsignia Numbers Serial Numbers DATE 1110OLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnclns Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lxirtg;15 volts-GFI oar �a ar fir` 6 Elec.EncPsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal wlT CrGtng Egp-Htr 8 Elec Grndng; Eqp wIT Crdtng Egp-Pool Ightg Boxes-EnEIsrs-ppIbaards4nsulfi-to Main Conduit _ 9 Health Dept AplitM . 10 Ptmb; Cir Test Wtr Supply Test 11 U Niche 12 F11dsr; Fencing -Alarms 13 Bonding. Diving board or Slide Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth" " 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftp -Steel 9 DWV; Fall -Fitting -Test -2 -way C10Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupportansultn 14 GirdersSills-SillsBolts-Joists-Vnts-Cripples 15 Acc & Vntitn 16 Insulation o'er 0�s da ai DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls ovef Girders:flr Nalling 20 Draft Stop In Walls (iat Proof) - 21 Fire Stops; Fiirrea Ceilings -Stairs ChasersTubs 22 Headers & BeainsSi &"Bearing• 23 Hangers-P.osi'Caps-Anchrs-Cnnctns 24 Ceiling JoW-RlfrTes-Purlinti-Roof Brac TnissSMhg 25 Frplc Ties or Type A Flue=F ' Ic Throat Cimc 26 Attic AE; Sz Wkid Pitailr afi Stop -Ins Baffles 27 Bdrm Wndws orExiting Doors -Siff lit & Dimensions 28 Garage Fire Prtcbi Framing -RC Channel 29 Prprty Line Firewall & Opngs • . 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; YUidth-HdrTn4Use-Run-Land`ur9-Fire Prtcbr 32 Plywd on Roof Ovrhng Attic Vnts-Rftr O'U'" s 33 Siding -Naffing Veneer 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Are PrtctnSkyLfs-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-W alts -Ceilings 39 Infiltration Walls-Wndws _ DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Dts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up wlMech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cnddr Sz GFl 47 Subfeed Wire Sz Q,�CUorOAL AC Wire Sz ya CU or DAL 48 Range Ciic pa El CU or El AL Oven Circ Qa El CU orAL Insulated Neutral El Yes g No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 5o Eqp Clmcs pnts-Motors-Mech Eqp 51 Clothes Closet LI-Shwr Lt -Spa Lt 52 Smoke Detector DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Pr(ctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Acc & Pitfrm if Furnace In attic d DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl 8 Bath Fxtrs & Tub Acc-Spa 71 GFl Are Fault aS, rim & Subpnl, Breaker Szs & Labels GuardlHandrails or Stove, Clmc-Hearth LP 75 Elec Outlets at Wood Pn1. Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Dobr, Swing -Landing -Closure 79 AC Dud In Garage -Damper. 80 Wtr Htr. Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loc n 82 Elec Rcptcls in Garage (GF) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes ❑ No 87 Stucco Brown-Finlsh 88 AC Unit Dscnnck Elec-Plmb 89 Vnts abv Roof, PImb.Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnc% Elec, Pfmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Correction om previous Irtspdns 95 Gas -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD ApprA 97 Energy Cmpinc Cert -Other Certs 98 Address Posted G. ir 99 Fire Sprinkler d d BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PEKIVIII NU. BP061996 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter V (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 08/18/2006 APN: 064-620-004-000 effect. License Class ; License Number: Site Address: 14424 NIMSHEW RD MAG. Date: Contractor: _ OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5. Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (8500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and .the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of Q sale.). 16L I, as owner of the property, am exclusively contracting with / licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt tinder Article 3 of the Business and Professions Code WORKERS' COMPENSA'IWN DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: Ilk1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi h thos rovisions. Date: j Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance oLke wofk for which this permit Is Issued (Sec 3097 Civ.) Name: b Address: Map Index: Description: gas stove insert(replacing wood) & tank set Owner: GLASSER CRAIG D & BETTY 14424 NIMSHEW RD MAGALIA, CA 95954 (5300 873-3292 Applicant: GLASSER CRAIG D & BETTY 14424 NIMSHEW RD MAGALIA, CA 95954 Contractor: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 License #: 734318 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: permit is hereby Issued under llulfons II_ydo work indicated PERMIT EXPIRES ON: icable provisions of the Butte County Code and/or which fees have been paid. Date: r( V /l r-7 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Co/unity to enter upon the above mentioned property for inspection purposes. Print Name: L'�'''T c �1 a Signature:�— Date CLO_ wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor "I B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES t BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061996 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 5(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 08/18/2006 APN: 064-620-004-000 effect. License Class : License Number: Site Address: 14424 NIMSHEW RD MAG Date: Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am . exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ • I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and .the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam empt n;wner: Article 3 of the Business and Professions Code Date: l� WORKERS' COMPENSA%ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ - I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy A `I I certify that in the performance of the work for which this permit is '\ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply wi h tho(s/e�provisions. Date: (e a `� Applicant: of C '� WARNING:- Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the wofk for which this permit is issued (Sec 3097 Civ.) Name: b Address: Map Index: Description: gas stove insert(replacing wood) & tank set Owner: GLASSER CRAIG D & BETTY 14424 NIMSHEW RD MAGALIA, CA 95954 (5300 873-3292 Applicant: GLASSER CRAIG D & BETTY 14424 NIMSHEW RD MAGALIA, CA 95954 Contractor: RELIANCE PROPANE 6426 SKYWAY PARADISE, CA 95969 530-872-9200 x206 License #: 734318 Architect: Engineer: otal Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit is hereby issued under Res9lutions to/do work indicated 5' PERMIT EXPIRES y`'p0u4+,-,L<P,` ASKS, ov icable provisions of the Butte County Code and/or which fees have been paid. QDate: G1- /'n ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that -the above information is correct, and that.1 am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ¢Q a Signature: Date: b lil-0-ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name /� irst Name �[ C 'r`e Address q � N�3A_-- l D. City M �+ L Z State Zip%55'9'5 Phone%3 u 3_ 3z g l Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City /I'1�., StateC6 Address Z Phone ✓C3U 7 3 Fax City6 Subdivision Name State Zip b Phone _ 0 Lot # Fax E-mail Date Approved: Lic. # n 431 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City /I'1�., StateC6 Address Phone ✓C3U 7 3 Fax City Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name Address / O City /I'1�., StateC6 Zip �PSps Phone ✓C3U 7 3 Fax E-mail APPLICANT SIGNATURE X For o ce use only: Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT N l� Q= BP BIN # PROJECT LOCATION Property Address / 4 q 3 d /(/Z''15 ftp /�✓ lQ City �QP6fGy Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Pade 1 of 2 Description or Scope of Work: �a c� -e W a Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: �.--5, Gd Bldg SRA Receipt #: 1-166 K( Sheriff (�t'" a2 SMTP Date: Other Total REV 8-12-05 Xq SUBMITTAL & PERMIT REQUIREMENTS µ The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CAe (530) 891-2761 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE C, OWNER PERMIT NO. 1-,A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. IQ/ (6r)VeV-+f-0J gCA V -CL C 15h CGS Kpb Y REV 10/92 - �� BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: x s Additional comments from Inspector: x. 2 64-62-04 JAMES, Robert B. 1122-6-1 ARNOLD MEUSBORN E &. 14424 Nimshew •Magalia .r Permit • •4 I 1 1 e/s Nimshew Rd. 1st house so, Of SUPPORT STRUCTURE REQ. z"'�(add - carport)COMPACTION TEST REQ. 114" , ;. • - _ f � y ISSUED 9- 64-62-4 • • 64-62-04 756-91B 1MEUSBORN,• • 14424 Nimshew Rd, Magalia � � - "r.=++, (open ��„' e5i....-.+��.ret.Y deck/mh) J :9 �"r `� „�'?�''•bc':"y,.;tisrss f=; �, ,�--.. �..--.<.�...--+.-..-a.-..--+ s+.-�.a,,`•k.: `. a�•. '�}'.. - ., ,.. ...p^" =..J:.�..-•, y � — r'' ►� "#'..t . 064-020-004 02-0981 +• h , � 'ti ° � i „ _ a tea •. .• � - - S' rF r• ems.. k ``" { • ti - ' �. 1, F._ •' 1 .• ej �jr�R �C .Ifs 4 •. , ;' •{ f i 1� '�. • f 'y�• j ' 11 .G� t rp y .. _ •;- „ ,1 acY � - 1 , i - i S i ,i .nl {�• r S.'1+ � {. I 7 4 �a4i - t - -} ♦.y r - %j1 . ,,.': }. tly't f { ��• t .1� {j, ! .t� ,t.'o, ��`"c,.y • t'� }t�� d fi'i,$ f r ,,1. , � S } a - ," .. • ^ ` ,'.-.•f,.rt + i. f `i{, p � _. �,.-., ", t- .«'•;`p }��7t .i`.,... 4 L ��C'� z,' ��` � � �.xe,Fkt• . i�- �+ aye �� ; ` T • i�G`�t ^ `.#t. � r ,. `3, ' •`cam' •t�nt�x'• .rix .a-•., -`yS�« t r•. � __,3Z�.:r } , • .s ._ NOTES RESIDENTIAL PERMIT N0, 064-620-004 Q0;2-1648GL'ASSER;CRAIG &TY Y 14430 NIMSHEW RD:, MAGALIA CONVERT CARPORT TO GARAGE t SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ft . i a JOB FINALED (Date) Signature CHECKED BY r i i q. 4. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ft . i a JOB FINALED (Date) Signature CHECKED BY ./ = OK 0 = Not OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. Soils; Special MH Support Sketch, 3. Sewer; Location -Test -Fall -C/O -Concretes 4 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 Disconnect '+ 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. �v Date 11. Card B-1 Date �'` Card B-1 Date 12. Card B-1 Date .`Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements t Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1- Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector r+ Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M MI41. SCELLANEOUS ' Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s. 1. Zoning Require ments-Setbacks- Easements ._ 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors ' t r Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1- Date Card B-1 Date FINAL (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, Distance-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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date Un erfloor (Plans) OK except #'s Q onir18-Setbacks- Easements- Flood -Slope g--,P1-g., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth g., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date __-FRAMING (Continued) angeIs-Post Caps -Anchors -Connectors 4j.,einS. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. d"IeSolace Ties or Type A Flue -Fireplace Throat Clearance Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles d_rm. Windows or Exiting Doors -Sill Ht. & Dimensions Gar ge Fire Protection Framing 6. Werty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection �5 mod on Roof Overhang -Attic Vents -Rafter Outriggers idin -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic h r Walls; Nailing -Bolts race Interior/Exterior Wall Panels n -Walls -Windows Date Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 80. Guard Rails & Deck Construction -Post Caps Date 81. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 82. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 84. c. Receptacles Spacing -Lights & Switches at Doors 85. ize lapxes & No. of Conductors Stapled 86. omex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33, Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Comments at Final: 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s its Proper Materials & Anchors J,11<alls Studs -Nailing Spacing & Braces -Plates -Sound B aring Walls over Girders & Floor Nailing 4 graft Stop in Walls (rat proof) re Stops, Furred Ceilings -Stairs -Chasers -Tubs 4t' Headers & Beams -Size & Bearing Date __-FRAMING (Continued) angeIs-Post Caps -Anchors -Connectors 4j.,einS. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. d"IeSolace Ties or Type A Flue -Fireplace Throat Clearance Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles d_rm. Windows or Exiting Doors -Sill Ht. & Dimensions Gar ge Fire Protection Framing 6. Werty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection �5 mod on Roof Overhang -Attic Vents -Rafter Outriggers idin -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic h r Walls; Nailing -Bolts race Interior/Exterior Wall Panels n -Walls -Windows Date Date ( JUF L)%-," Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes 0 NoMalks J Yes J No/Planters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: N June 4 2002 . Mr. Craig Glasser: Ms. Betty Glasser: 14424 Nimshew Road Magalia, CA 95954 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 RE: Building Code Violation Address: 14424 Nimshew Road Magalia, CA 95954 AP # 064-620-004 Dear Mr. Craig Glasser and Betty Glasser:: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the conversion of a carport to a garage, shop and office. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, �r Scott Rutherford Chief, Building Inspector ONW cc: Assessor N 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • .Oroville, California 95965 • Telephone (530) 538-7541 PER T (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-620-004 1 ZONING BUILDING PERMIT OWNER - _ 1873-3292 TELEPHONE SO. FT. OCC. BUILDING VALUATION Jbu 7999 . OWNER'S IAAIUNG ADORES;^i CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTOR'S MAILING ADDRESS L350 LJ–R 11900-00 CONSTRUCTION LENDER — Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 11900.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING TMO NIMSMJ RD., MAGALIA Energy Plan Checking Fee $ $ ' PERMIT FEE $ 242.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 7,00 Solar or heat pump water heater 23.00 Water piping 15.0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT CARPORT TO /STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 PERMIT FEE $ 5 .00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 A oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lfor the following reason: I 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a ACC. Bins. 3.50FT; NNEW .R6D. OUTLET CIRCUITS @7,50 POWER APPARATUS & SINGLE OUTLET CIR. 20 @ 1'00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oF"„T,Et°�A RAID °� 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X Date 06- Sign a of Applicant J21 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 342.75 HAZ. — D EES IMP — FLOOD X CDF X PARCEL — PD — HD X ISSUE X 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. J ey w ate PERMIT EXPIRES ON _SQ 6'3 I t Date Receipt No. 74118 50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE PROPOSED BU11-DING USE d ONy zlV- &r�� '/"'7 Sir p -„e-- 1. BUILDING PERMIT FEES s --Balance Due ........................................................ $ z '-5 1, 9-S --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ..........................:...... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) .............. 4. URBAN AREA FEES Residential ............................ Commercial (Sq. ft.) ......... x $0.03 = $ Sq. ft. x =$ x =$ A.P. # DATE RECEIPT ##- � DATE REC. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE 0 lY Plot Plan Anachad Floor Plan A c d Sent to S.D. . Owner Location AP# Plan Approved for: Sewag osajl-�/ Water Supply: Public Private Well Clearance for dwellin . Other r%X•t (-C���$ PEE 0400 h ►LQ- 011i 4 I Hold final for: Final clearance O.K. for: NOTE: Envir nmental Health Specialist Date 8/96 OWNER: TY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET p(,?4- cD'?6. C6, Proposed Building Use: <-'�JT l�� I'� ;&'. `rC unte ecl�nicilan:� Hate: G Items required in order to apply for a permit. Mi toV4'NNFUST be checked'OR mArk`eek in order to apply. '1 -Plot plans, 3 or 4 sets, signed by the preparer of the plans. 'TO -3. , 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. t 1i Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the'plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate; et -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings........... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form................................................................................ ❑ 13. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) += C`14 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 7'�o'� Statement of Intent for Non -heated and A/C Buildings...............................((��'.��((.��...�.... 1 Sanitation and plot plan approval from the Environmental Health Department in`.J'y 2(� 7. City of Chico Plumbing permit......................!).................r" ............ l 18. California Department of Forestry plan approval paid. Sent by:* . .................. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) arcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ r ❑ 23. Contractor's license information. umber, Name Style, Classification) ...................... g�4. Worker's Compensation Carrier nd Policy Number ..............:............................... ❑�" 25. Owner -Builder Verification Given to owner, ❑ Mailed to owner) ..................... " ❑ 26. Letter of Signature authorization,................................................................... . ! ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... I❑ 29 Existing violations and/or expired permits......................................................... ❑Ar Grant Deed, ❑ M.H. Title/Stat9ment of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $` Other: e ' ! — n issued Telephoner _ _ and hold for pickup. IV - I have been informed o the above items nd'requirements for obtain` 'a'liuilding permit. , W A � Dat . ' �. 0 PPlicant: "V 040 'e .v(o `raqq ��; J. 1. Index permit application for the abov 't s numbe Plan Check Letter •' 2. Additional items required Contractor, designer, owner, was advised 4—the" a ove data .y one, ❑ mail, ❑ counter, by Date: Contractor, (20Fill owner, was advised of the abo a data by one, ❑ mail, ❑ coun r, b 46 Date: Plans reviewed by:' Date: 'Ly O `L Plans approved by: -Date- Structural ate:Structural reviewed by: Date: t Structural approved by: Date: Note transfer by: Date: . Yellow: Building Division ' 11 OWNER: TY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET p(,?4- cD'?6. C6, Proposed Building Use: <-'�JT l�� I'� ;&'. `rC unte ecl�nicilan:� Hate: G Items required in order to apply for a permit. Mi toV4'NNFUST be checked'OR mArk`eek in order to apply. '1 -Plot plans, 3 or 4 sets, signed by the preparer of the plans. 'TO -3. , 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. t 1i Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the'plan review line-up when required items are received. Date Received By 8. Flood Elevation Certificate; et -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings........... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form................................................................................ ❑ 13. Other emaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) += C`14 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 7'�o'� Statement of Intent for Non -heated and A/C Buildings...............................((��'.��((.��...�.... 1 Sanitation and plot plan approval from the Environmental Health Department in`.J'y 2(� 7. City of Chico Plumbing permit......................!).................r" ............ l 18. California Department of Forestry plan approval paid. Sent by:* . .................. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) arcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ r ❑ 23. Contractor's license information. umber, Name Style, Classification) ...................... g�4. Worker's Compensation Carrier nd Policy Number ..............:............................... ❑�" 25. Owner -Builder Verification Given to owner, ❑ Mailed to owner) ..................... " ❑ 26. Letter of Signature authorization,................................................................... . ! ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... I❑ 29 Existing violations and/or expired permits......................................................... ❑Ar Grant Deed, ❑ M.H. Title/Stat9ment of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $` Other: e ' ! — n issued Telephoner _ _ and hold for pickup. IV - I have been informed o the above items nd'requirements for obtain` 'a'liuilding permit. , W A � Dat . ' �. 0 PPlicant: "V 040 'e .v(o `raqq ��; J. 1. Index permit application for the abov 't s numbe Plan Check Letter •' 2. Additional items required Contractor, designer, owner, was advised 4—the" a ove data .y one, ❑ mail, ❑ counter, by Date: Contractor, (20Fill owner, was advised of the abo a data by one, ❑ mail, ❑ coun r, b 46 Date: Plans reviewed by:' Date: 'Ly O `L Plans approved by: -Date- Structural ate:Structural reviewed by: Date: t Structural approved by: Date: Note transfer by: Date: . Yellow: Building Division 0a,/6 Y00' Craig Glasser 14430 Nimshew Rd. Magalia, CA 95954 H- 530-873-3292 ��I° 530-873-1646 APN 064-620-004 07/2412002 County of Butte Department of Development Services Building Division . 7 County Center Drive Oroville, CA 95965 To whom it may concern: The purpose of this letter is to declare my intentions regarding the use of a portion of the structure at the address/APN shown above. I purchased the house on 08/0712001 In April of 2002 I had anew roof put on the house. During the inspection of the roofing the inspector presented me with a correction notice. A previous owner of the property had converted a carport into a garage without permits. I am currently applying for a building permit to convert the carport to a storagelwork-shop area. I have no intention to use the area as habitable space or to make any changes to the area which might . make the area into habitable space once I have passed final inspection. Craig Glasse cc: Mike Elliot, Environmental Health O`VNER-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. . . I 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 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: r ` / ADDRESS: ��-� ? �� CITY: l*g5ct l) ct PHONE:CONTRACTOR'S 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: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUIMBER: DATE: 6-- 7 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be -eompkted mrd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORivIATION I Dear Property Ow-.zr' An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IINvirely, el C. Vi Ifo, C.B.O. ger, Building Inspection NOTE: Tit is Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code - OVER *'J BV -RP roftwara Phone: 530-873-1646 Fax: 530-873-1646 orMess..a ., e Dear Russell: Here is the diagram showing the dimensions of the rooms in the house and the sizes and spaces of the windows in the room immediately adjacent to the garage area. Please let me know if it will server or if you have any questions. Thank you: Craig Glasser H: 530-873-3292 W: 530-873-1646 From: TO: Butte County Building Permits Craig Glasser ' Russell Date: 07/08/2002 Page(s): 2 Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Jul -26-02 10:19AM; Page 2/2 • 6 e(womoo '00140 200, y 7. 1nr , 4t1eeH I1alusu,u0jhu., Post4r ak Note 7671 Date fb. To Fro" N �! Phone R Phone 4 Fax 0 Fax e closet hallway o •5 h � V Q 3N .4 M M 0 U OIF �? A -15. 6„ —� e(womoo '00140 200, y 7. 1nr , 4t1eeH I1alusu,u0jhu., Post4r ak Note 7671 Date fb. To Fro" Cn./ngp1, � Ca Phone R Phone 4 Fax 0 Fax e bath closet 3' 7, 6„ laudry room ' Window - C bedroom kitchen / living room o windows =r ° garage 2 , 4x3' �= Window 2x4' HHH HH �---► - 3' 3' 2' 3' 3' 10 -14' 6" 4 16' V' Floor plan of house 14430 Nim shew Road Magalia, CA AP # 064-620-004 Owners: Craig & Betty Glasser BRANT NIGHTINGALE 07/10/02 09:39am P. 001 N ski x Iq D>7F =4z Ni f J.1 c1 NO e4t,(-- �3,e,4oV7 /�IEC�NTinl6Ay-& 77 7 71,1 1.9 Z i SLIT/�G d ©,El DcorA- l - ; -13W 664-620-004 02-0981 6LASSER; Craig 14424 Nin l'slew Rd.,-Magalia Cont: C & C R'00fing r COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER NO. (Rev. 12/96) APPLICATION AND PERMIT �'��� ASSESSOR PARCEL NUMBER /�'- (' ` /V 7 ( ZONING BUILDING PERMIT OWNER �' TELEPHONE .-. Sa. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11 CONTRACTr'S NAME - ,i TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ L/ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ �) PERMIT FEE S LOT NO. SUBDNIS IONS NAME PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ;k Duplex 11Mobilehome ❑ Other SPECIFY ' Solar or heat pump water heater 23.00 Water piping ;'',;" 15.00 Each gas water heater or ve'snV 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ! Describe Work: ifC /�'o L -,"yl,t + ''i} 1 . ,�., Gas piping system 1 - 5 outlef 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR tESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ''and my license is in full force and effect._ n t License -Class ] + Lic. No. '. 1 / y % C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 1;CUOOOA NEW CONST. DWEWNG OCCUP:. W:U OR ADONS. a ACC. BLDS. SO 3.5¢FT. pjON p�Ip. T. MULTBRANCI-OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 m 1.00 BAL 50 FIXED APPLNS. OR Ex. Occup. OUTLETSRESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,—I'have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ; ,.f - f Policy Number 'Z.__ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) '❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. -z_ X `' 4 l _/ Date Signature of Applicant - ❑ Owner p.Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL P6 1HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date % G JL ! vW . 7 (D. t ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J cid COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER�y No. (Rev. 12/96) APPLICATION AND PERMIT ��'�� x ASSESSOR PARCEL NUMBER C11' b /' 2s �� ZONING BUILDING PERMIT OWNER I i .C^ �! Q��1-7-5-3254 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER � MAIl,JNOr L SS � t 1S.,1lJ CONfRACT((91�1ll Mt� `OR�`MAILI• TE�I PjgE D / 7C 0 7� CONTRACT DRESS L��A CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEEREC�'�i�i ` i d Filing Fee $ 20.00 Permit Fee $ Z ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ 1 A� (/ ' JoA`f e- $ PERMIT FEE' $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF J,: Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is !Q full force and effect. /� License Class ' 3 ( Lic. No. (P �V SYS CJ OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. 8 ACC. BLD S. s0 3.50FT; NONNEW CONST. MULTI.OUTLET 97,50 POWER APPAUS 8 SINGLE OUTLETRATCIR. Ex. Occup. OUTLET OR FIXTURES 20 @''00 BAL @ .50 FIXI Ex. Occup. OUTLETS as o °Eq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure: for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insprance carrier and policy number are: Carrier `3 ( COPOA MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number �? L) (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any rson in any manner so as to become subject to workers' co ensation I ws f California, and agree that if I should become subject to the w ers' com ens do provisions of section 3700of theLa or Code, I shall fo with c y it provisions. X Date ? b Signatu of Applicant - ❑ Owner p000Contractor ❑ Agent An OSHA permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I CDF PARCEL HD ISSUE 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. By DateL-- PERMIT EXPIRES ON I De ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i RESIDENTIAL 64-62-04 756-91B 4 MEUSBORN, Arnold 14424'Nimshew Rd, Magalia , I (open deck/mh) 3_J.?- Qa - . It �• ' ' 1 a 1 JOB FINALED (Date) Signature i V = 0)C •* r O = Not -OK , • = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. -Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 , I I I MISCELLANEOUS 'Date DECW, COVERS, CARPORTS GARAGES, Plans OK except #'s '. Zo Requirements -Setbacks -Easements 2 o tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. _Decks; qders and/or Joists -Decking -Bra ng -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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. Aoof; Shthg-Roofing -, .Ext.; Stifps-Doors-Landings Date Lj Card B- Date Card B-1 Date ',1Z 2F Card B-1 �,S Data 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 V OK O = Not OK ' = Not Applicable ' =Not Ready RESIDENTIAL' (Singl'e & Duplex) ' Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL(Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ALj f/yl/ 7 County Center Drive - Oroville, ,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 64-62-04 ZONING ARMH3 BUILDING PERMIT OWNER Arnold Meusborn TELEPHONE 873-1237 S0. FT. OCC.1 BUILDING VALUATION 256.5 open 1,282.5 OWNER'S MAILING ADDRESS 14424 Nimshew Rd Ma alia 95954 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 22.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14424 Nimshew Rd Ma alfa Permit fee $ 47.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome(a Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition [�X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: deck Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BUslnes$ and Professions Code and my license IS In full force and effect. License No. Classification [�. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&` OR ADDNS. C ACC. BLDGS. / , 2/20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200500 e ALO 30 FIXED APLN5 Ex. OCCup. OUTLETS P(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. I 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 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 liabilities, judgments, costs, and expenses which may in any way accrue s County 'n ons q ence of the grnting of this permit. X ' Date ��/. —� Signature of Applicant OwnarA Controctor ❑ 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 $ 47.00 17�7c P"�'K � sc"y F� P� Iagainst This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY—Date.�) PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS -Z�£ /—�� Receipt NO. 7V Z- WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT y r~ Q-kw� TO '"Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewase Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other 0TeA4djaQ— N Ts *** L Sanitar an Date '-� COUNTY OF BUTTE-'DEPARTMigi O , 'BLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -.TELEPHONE: 916/538-7541 PERMIT APPLI.CATIONDATA SHEET 'Permit No. OWNER_ AIRA101-6/EUS� „/ A. P. No. G/' 6 Proposed Building Use o&c..r 466A i Builc�'ing"'Inspector CS—f"' Date 3 - / 5 - 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`fplans'in dup'licat&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 .................................................... Y3. ®. School District fees paid .............. Sanitation approval from /',94nol.sor Health Department . , 15. City of Chico plumbing permit ..................................... u ` 16. Plot plan and business license approval from City of (see City for other requirements) JI 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW s y 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) .Name 21. Contractor's license information (No., Style, Classification) ... Ce ate of Workmans Compensation Insurance .......... . wner-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 Appl i Date 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 i 1. Index permit for above items No. 2. Additional items required: ance: (Circle new item not checked above).*, r 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—mall counter,by ' date 19 Plans checked by Date Plp4sapproved by Date _Sets of plans on hold in File cabinet --L/—AP folder Copy—DPW t, -- COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until.this verification is received. I personally plan.to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors -License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Date _ /�2 9 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. I - PERMIT NO. 3465-88B 271 PERMIT EXPIRES OWNER ARNOLD MEUSdRN CONTR. owner ASSESSOR PARCEL 64-62-4 {LOCATION 14-424 Nimshew Rd, Magalia n y Temp. Power Pole _ Called PG&E— Temp. Elec. Service Called PG Temp. Gas Se Called PG JOB FINALED Signature j. r OK 0=Not OK = Not ReadiYable MOBILE' HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ PV ft./ /"LPG 7. Utility Clearance Card -131 Date Card -61 Date Card -131 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -B1 Date Card -131 Date I MISCELLANEOUS Date: DE K RS,CARPORTS,GARAGES, (Plans)OK except #'s g Requirements-Setbij k.I f�dsements I'lootings; Soils -Si -Spacing-Connectors-Steel 3!15ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. •,S!'Ffmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh . Roof; Shthg-Roofing xt.; Steps -Doors -Landings Card -131 Date d Card -81 Date Card -131 Date3 Card -81 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-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s' I; ate FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ' 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -B1 Date 67. Stairs &Rails Card -81 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 6. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -81 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 'Card -61 Date Card -B1 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -81 Date Card -131 Date Comments at Final: 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 (NOTE: An entry must be made each time you visit job site) ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICkTION AND PERMIT / O ASSESSOR P RCr NU BER — /T//LeP�NE ZONING BUILDING PERMIT OWNER S FT OCC. BUILDING VALUATION OWNE 'S f.AI�DDl�tE55 CONTRACTOR'S NAME ULING TELE HONE CONTRACTOR'S ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a 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 ❑ Mobi lehome ❑ Otheror SPECIFY /� ( Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00 ea TYPE OF WORK New ❑ Addition _Remodel❑ Utilities/❑ Installation❑ Other ❑ Describe work:/i �w� (P X� j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee ti10;00 Main service 600V OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD'L 100 AMP 2.50 i CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 'and Professions Code and my license is in full force and effect. License No. Classification V/ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.y OR ADDNS. C ACC. BLDGS. , /2tsq It NEW CONSTR U I -OUTLET NON-RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20050t DAL030 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 02/1 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 permit shal I 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 Countyof 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, . sts, and expenses, which may in any way accrue c e ence of the anting of this permit. against s C4in, X Signature of ApOwner �Controcror ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TY t/_,VN V SCHOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date G —L Receipt No. 323_3 3 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT cA TO Building Department FROM: f '-'Environmental Health SUBJECT: 4.' SANITATION CLEARANCE OWNER Plans approved for: Hold final for: Final Clearance O.K. for: LOCATION AP # Sewage Disposal Water Supply Clearance for bedroom mobile home., Other Water Supply Water Supply .�.,,..w w'�/VT1"'�_7Ai► '`"'%�,Ti•], -`+r.'�wr..:3j "`M^3`®'r`"6.ft►�''"iG4_'.+""w'�"""'�v..:a"+,wr'^�:i'^b.'.i�„'�c:"'°j�r,'�� yry � 7q�-a-;b►,'%''i`'iLLy r �. �..yr++.�� may. _ay 10 _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR64ICLl! CALIFORNIA 95965 -TELEPHONE: 916/538-7541 / PERMIT; APPLICATIDN+DATA SHEET " v_,. Permit No. OWNER ����/ Y A. P. No. r, Proposed Building Use C ( cif-! P�r�k Building Inspector iX� Date /U r,)2�#0' At time of permit application, I was advised the following data must be submitted prior to permit processing and pr 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. u 5. Plans with Energy Design Compliance Statement. . . . . . \ 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 4.,i _15. Improvements may be required. . . . . . . . . , , .` 16. Mobilehome Installation Data. . . . . . . . . „reP er-Inspect request to (Date) 17. Pre -Inspection for Required'. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 27°., Engineered trusses in duplicate (required prior to plan check). 22' When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone °�� /��3 7 and hold for pickup at �L (Office, Deliver w/inspector. Other UU 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--inail_counter�6y date Contractor, designer, owner, was advised of above required data b y g q y_phone_mall _counter b date Plans checked Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date /G/ - COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538=7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay,in processing and issuing your building permit. No building permit will be issued until this verification is.received. l.''I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work'.:: Name Address City Phone Contractors License No. •5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: NameAddress Phone Type of Work /f Signed: Property Property Owner 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. ,MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 7 PERMIT N0. Address or location of mobilehome Owner's name r� Owner's address Insignia or hud number,;` ! Manufacturer's name_ Serial number of• V.(.N. Year of manufacture (Official Approving lnstdIlotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. rp.. ..., yQ�„�..��,���'1_. �-.'..Az•.;}.aVt.•'.�'7R a:�..,fC �aa►r ; -\COUNTY OF BUTTE DEPARTMENT OF.PUBLIC WORKS 196 Memorial Way„Chico= Phone: 891-2751 7 County Cepter Drive, Oroville — Phone: 538-7541 747'ElIiott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE t OWNER 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. Inspect¢ Date \ PERMIT NO.9714-88P, E /F7 PERMIT EXPIRES v w 4. i OWNER AFN0D-MFUSBOR.N. CONTR. 11NKNCAW ASSESSOR PARCEL 64-62- LOCATION 14424 ' Nimshew-,—Nasal}e l Temp. Power Pole Called PG&E ! Temp. Elec. Service / Called PG&E Temp. Gas Service / Called PG&E / JOB FINALED (Date) signature • s = OK r 0 = Not OK Not Not Ready MOBILE MOBILE HOMES w Y MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CAR-PORTS,GARAGES, (Plans)OK except #'s .007koning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements oils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails A- Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing .5-�Iectricity; Location-Clearances-Grnd.-,eCO Amp -Concrete ,,A,' -Gas; Location -Test -Wrap: / PVft. / /"Nat. or/ /"L" ft./V"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-.Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 (^ DW2e !_1j2,eS Card -131 Date 10. Roof; Shthg-Roofing Card -61 Date i Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBIL ME INSTALLATION (Plans) OK except #'s ogRequirements-Setbacks-Easements Card -B1 Date Card -B1 Date . oo •ngs; Size -Spacing -Marriage Line Card -131 Date Card -131 Date r as H Test -Demand -Valve -Connector e icity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s t,Erraip; MH Test -Fall -Flex Connector 1. Setbacks -Easements q,Wa'j9r-VlH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ater nd Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining as aLpd Electricity Tagged K_Eit nsp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 1 ert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Dat47-,!O.-))? Card -81 Date Card -131 Date Card -61 Date 9. Health Department Approval -2 yx s" 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -B1 Date Card -131 Date I 9/ = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable 4jot•Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks, Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -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/Meeh. 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 Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -81 Date Card -131 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 -131 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 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 Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 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 -Meeh. 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 -Meeh. Protection 75, Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 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 -131 Date Card -131 Date Card -61 Date Card -81 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) / . COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N � 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-754 I APPLICATION RANO PERMIT ASSESSOR PARCEL UMBE /ICJ C/j ZOr G ! BUILDING PERMIT OW ER X&,// Meu5h r TELEPHONE �? SQ. FT. OCC. BUILDING VALUATION OWNF,-2 qr//,JG ADDRESS 1/ 4 - e' er CONTRACTOR'S NAME 0A14V4 W 4- / TELEPHONE 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 $ S -p Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult fee A..�� SAA pV � 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 S UCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS (GC/' 10-00e4' 0. TYPE OF .WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Pi r /- e- /OGa.'f L e le-c.fi-ita-1 Permit Fee Z Ae .,C - -Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 , v v Main service EA. ADD'L 100 AMP 2.50 a�s� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code . for this reason NEW CONST. ( DWELLING OCCUP.51 ,�2QSgft OR ACDNS. ACC. BLDGS. I NEW NO N.RESID R .BRAMULT CO CIRCT s 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUT OR FIXTURES DA 030 FIXED APLNS. EX. Occup. OUTLETS P(RESID )REA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, co ts, and expenses which may in any way accrue again County 'n o ence of th granting of this permit. �/ X ti Date�2.y'-'b � Signature of Applicant - 014.1N Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveer,3 stories in height. Mobile Home. Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5`� oc"P. CONST.TYPZJ ISCHOOLIV131 PARC PD ND SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D! T PUBLIC BY PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid: WORKS Date Receipt No. cp1- � WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT FA V,' . .. , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7T County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. or -;I '�l 1 _� APPLICATIONAND PERMIT ASSESSOR P RCZ NUMBER .- ZO ING BUILDING PERMIT O -TELEPHONE 73 12 17 SO. FT. OCC. BUILDING VALUATION ' DD M ESS Q A45- OR'S NAME et -;e_,,_ 1001);& TELEPHONE CONTRACTOR'SMAILING ADDRESS 1 F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation is _ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �-� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25, b—V PLUMBING PERMIT Filing Fee 10.00 / IM 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 USEOF ST SF [:]Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ RemodelT UtilitiesEl installation Oth r ❑ Describe work: 0 1 7111,"4 S /p�C. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS 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 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract-Misc. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a\/z¢sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. I.OUTLET 2,50 ea NON.RESID .BRA C CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA 930 FIXED APLNS Ex. DCCUp. OUTLETS PR (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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, cos.s, and expenses which may in any way accrue agains at Coun ' cons encs of the gr nting of this permit. ; X -Date X `Z �—r0 71 61 -El 1:1work Signature of Applicant - Owner-$ Contractor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ `70,&-10 occUP, CONST.TYPZJ JSCN7rlo PARCEL �- PD ND �— ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. ECT ELIC WORKS Date (—Z PERMIT EXPIRES Date r ( J Receipt No. vPaZ- a S 40BY WHITE-D.P.W.. YELLOW -ASB ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r TO: Building Department t FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit D has been issued for the above property. G/0�.2�'�wi IZ�P(iE si ature date TO: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE r lw2y -�wv A/a ' OWNER LOCATION AP # 4 Plans approved for: Sewage Disposal Water Supplyta V Hold final for: Water Supply '.' Final Clearance O.K.for- / Water Supply Clearance for _R� bedroom mobile home. Other 1Z. Movable insulation, z Floor Area . 13. Infiltration ( ndic to Standard or Tight) 14. Thermal Kass '9 - � cq- � - s'::•_� Wall Thermal Mass Area, Heat Capacity, R -Value . �ft Interior Thermal Mass rea,, Heat. Capacity,R-Value . 'Z�ft2 ��Tt��'�HV C Sste** } HC, R- �A5 ?_HC R- 15. 15. Gas Furnace Without Refrigeration Cooling . . . . . (Seasonal Efficiency) 16. Heat Pump (Energy Efficiency Ratio) ""// 17. Gas Furnace with Refrigeration Cooling • M46 SE [Seasonal Efficiency -(SE), Seasonal Energy µtN, Efficiency Ratio -(SEER)] 18. Active Solar.(Net Solar Fraction, %). . . . . . . . 19. Zonally Controlled Electric Res stance Space Heating (Yes/No) Ince. W oo.c 51��1e- . Sole. 5durce. Domestic Water Heating** 04e- Q4Wt0A+* SE d EER SEER - 4-6 sF <� 4-31 ... 41�.L' 4- 20. Solar With Gas Backup (Net Solar Fraction, %� % NSF 21. Other Water Heating (Describe type) Point System Compliance Total (must be greater than or equal to 0) k 6� -A ec s ,ems; not a point system measure. **Attach documentation for efficiencies and NSF. .�. � . COUNTY OF BUTTE DEPARTMENT BUILDING 61VISION roouwrvoswrsnon/Vs' s�mmeuo�o*�K ` ev��� ' ' ^ PERMIT APPLICATION ,DATA SHEET Permit 'Proposed Buil ding Use /V/� Building Inspecto Date- 0Z � At time of permit application, | 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 indup|icate/trip|hcate, signed by preparerof plans. , 3, Complete plans in duplicate/triplicate, signed by pnaparer of plans. _---_ 4. Complete engineered plans and ca|ca, with wet signature on p|ona. ' \ ------ 5. Plans with Energy Design Compliance Statement , . , . . .�---_ G. aid" Stamp on Floor Plan. -_--_ 7 Statem nt of Intent for Non -Heated and AC Buildings. --_--'^8. Feeoof $ , , , , , , , , , 9. Letter of signature author i . . , , , , Sanitation approval from ea|th Dept. , , 11. Planning approval for (A) Use: -_--_---(B) Parking:--_------- 1D, Certificate of Workmen's Compensation Insurance , . . . , . .t 13, Contractor's License Information (no., name style, daaoif.) . ______14. Owner -Builder Verification (Given to mwner| |. Mai| to mwnerEl) _15. Improvements may berequired . , , , , , , , , , , , ---__16. Mobi|ehome Installation Data. . , . . . . , . . , , p 17. Pre -Inspection f Requimd. a=/n��uilding ,��' to (Date) ------pector 18. Recorded copy of Agricultural Acknowledgment Statement. 10, Driveway Pe/mit. -_---_20. P|ck plan approval from city of 21. Engineered trusses in duplicate (required prior to plan chech).---_ 2�. � � �----- � ^- When you issue�he i� oo fn|\owu� —Mail —Mail to contractor. _---- -_L-c�e|ephone and hold for pickup oU�������i�ioe'_---_De|iver w/inapeo1or. ^ Otho , Copy o/ plans sent Health Dept F ire Dept., Other Date The following data must be submitted prior to punnh issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 2, Additional items required: " Contractor, designer, onmo,, was advised v/above required data ur-_phone---nui|—counter by— uu»u Cvntrucn,,, u=s/une,, vwne,, was advised o, above venu/,eu data uv---phvne—mal |—counter by— date '6 Date Plans checked by Date Plans approv d bf_&,�/, —Sets of plans on hold in —File cabinet _AP f 61'der-,' Copy -DPW .� * ..,.y r.�ua a,.:,... l,�ti "...sW'n.+• ^qt.+m :'�w.:tt�C �1`►�w.� ."Y...rL.lyv T"'y.;i '..S;Tr"'�:ii ".•�Yy;T!t.l.'a..'i�.'�: _ �.::w:�;�:: .',^'`3 i�•�'.lj'y sir.. �.�, •'�y.... �.F .may.:. f V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / I 7 COUNTY CENTER DRIVE - OROVILLE, CAk4lFQR19J6 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. OWNER e�.J �' A. P. No. Proposed Building Use M TT Building Inspector 15- Date �a3 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: dy DATE RECEIVED APPROVED r 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner,❑.) Improvements may be required. 156. Mobi lehome Installation Data. . • . , . • . • . /3 Pre -Ins ec�re request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19, Driveway Permit. h 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When issue issue the t, rocess as follows: Maill owner, -Mail to contractor. Telephone 37 and hold for pickup at1kt'fice, Deliver w/inspector. ' Other Applic )ate 7_�2_3'' �- Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri r 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 y Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked Date�Jans approved by S . Date- Sets ate Sets of plans on hold in Copy—DPW File cabinet AP folder v BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form per'Bu`i l.ding ) , A.P. Number (p` �p�'� -O&�-Building' Department No. School District City Q County ® Jurisdiction Property Owner Project Location/Address, Subdivision Lot Number Residential Develropment: z /3 Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition_:.(Including Exterior Roofed, Areas) Building Department Representative Date Distlict Id No. 0 School District certifies that Of - l�A cant Name) 1/1 , N e (Street Address) (Ci Ty) (State) (Zip Code) has complied with the requirementstof Resolution No by the pay ent of $. representing /9#_squiare feet. ScV01 District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL. FEE (5/88) , ?' 'Retur'n to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 1 FOR RESIDEMAL DEVELOPMENT Section 26-8.1 of the Butte County C(ide` requires this acknowledgement be recordetl J r prior to issuance of a building permit. f 138-027935 I R e c Fee 7.00 The property described herein is adjacent Cash 7.00' to land or. :included within an area zoned Recorded ; for agricultural purposes, and residents Official Records ; of this property may be subject to incon- County of i veniences or discomfort arising from -the Butte r) rn-7°, .u,`s;if use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 2:28pm 23 -Aug -88 BG 2 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 rn;,ric ul Lural zones which have as a priority use for productive agr:icul.Lural purposes, .111(1 rc r;idc.ivl o-: within sa i.d zones and on adjacent property should be prepared to accept surly i nriniv(•n i c nc r or-disconfor.nv from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cal.:i.forni:r, do scribcd :vti follows: M Date: State of'. ) County of/&6 PROPERTY OWNERS: fI V R�. On this the C -'Y' L-) day of LC. L_(.5 19c `'?y'�, before Ine, SS. the undersigned Notary Public, pefsona.11.y appeared Lt S 60 r n GI',•)-, c acts Personally known to me. Proved to me on the hrrsis OFFICIAL SEAL {� .of satisfactory evidence. BONNIE RAE GRIEFEN s'to be theerson(s) whose name '..� NOTARY PUBLIC -CALIFORNIA I p (s) (tet I""— BUTTE COUNTY ubscribed to the within instrument and acknowledged Lh,•v. My Commission Expires Jan. 19, 1991 txecuted the same for the purposes therein con ta-i ned . IN W I'I ON ,,-, g _= ='Q`- � HEREOF, I hereunto 'set my hand and official seal.. Present A.P. No4_T_J - �--�- � Nota u ,l,)-ric U V .. .. — .rte 1 • e ..1 EXHIBIT "A" ,I A1.1 that certain real property situated in the County of Butte, State of California, described as follows: Commencing at the Northwest corner of the Southeast Quarter of the Southeast Quarter of Section 22, Township 23 North, Range 3 East: thence Southerly along the county road, 210 feet to thePoint of ,Beginning; thence Southerly along said county road, 200 feet to the Northwest -corner of the land Deeded to Lester V. Atkins and Doris V. I Atkins on May 29, 1937, which Deed was recorded in Book 152 of Official Records, Page 471, Records of Butte County, California; thence Easterly along the Northerly line of said Lester Atkins property, 272 feet; thence Northerly 200 feet; thence Westerly 272 feet to the Point of Beginning. "ATTACHMENT TO DEED OF TRUST DATED APRIL 22, 1988." i�µlv►ab • 1 r? ERID OF DOCUPAENT AP'#IL OWNER AMM rA.� Q awl!/ PERMIT 7 MH UT IL . CLEARANCE DATE INSPECTOR_ ELECTRIC GAS Support Struc. Compaction— Test Re .- Service Size Other Load Type Pipe Size Len th YES NO YESI NO �60 LPG .. •'. `lir it -0, . tl.l^ h .' ' ' 198 MEMORIAL WAY. I COUNTY CENTER DRIVE °"^°'^ 747 ELLIOTT ROAD CHICO, CALIFORNIA #11.",.QROVILLE, CALIFORNIAPARADISE. CALIFORNIA .891.2727 534.4281872-2981. Ext. 68 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH yy3D SEPTIC TANK INISr CTI®NI CERTIFICATE / "— #11Wv1 11 rr The Septic T nk System was Instal led at ZVV_4d hoar4r A4, t.S�iC�cv bAA1__ I_ �r I B, / o 2- 0 FOR CG{ -! ns� .1 I �>rsifrr�6 o SEPTIC TANK LEACHING FIELD Length J 00 ft. • Q Size Gallons Width 2—Ltin. • � �! Material � No. of Lines -Rock Under Tile In. The above'd imens Ions meet the minimum requirements of Butte County Code, Article 19. ` Additional leaching area will be required if experience shows It to be necessary. 0 Remarks: Date S2 -778R Sanitarian ,�•- x.4.4 r -^W r ,. 1 1 tt., � w A i.. �f s Cyt,` r ♦ F �, 1 *r 1 i 1 1 Jt / A s Y ' i si � � 1 .r, a .+moi#"• _ i 4'A / .'. BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 685 OLEANDER AVENUE 7 COUIiTY CENYER DRIVE, CHICO, CALIFORNIA OROVILLE, CALIFORNIA 343-4211, Ext. 62 534-4281 747 ELLIOTT ROAD PARADISE, CALIFORNIA , 877-0852 -,v/-'// PQ, APPLICATION FOR PERMIT -TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name �D.�%2T .� �/9/�iE-s Assessor's Parcel No. 'Q,6� Appl icant's Name �` 47u_t� Phone71 Mailing Address Sy 1. Construction site��%s/`+��✓� �� C -�%� S.O. O�= CL°/VT�'Rl/iGGE "Cy) (Street and number or direction and distance to nearest crossrood) 2. Lot size 2 d 1/.3 feet x /Z 7Z feet. 4-6-5-5' 7A/71 1, acres,, . 3. Application for new system for new building❑ Auxiliary or secondary system El f, Repair of or addition to old system® New system to replace existing sewage disposal facilities❑ 4. Type of building to be -served by proposed system: Mobile Home® Length 11-5 Width 2® -t/;q7 `5 l Home ® Number bedrooms_L_ Number baths Other ❑ ( Specify) Garbage grinder Yes ❑ No 5. Water supply for premises: (Must be safe, potable water) Community[] Water supply for adjoining properties*'Community❑ Private well❑ 6. SCALE PLOT FLAN TO BE FURNISHED Private well ® Other Other Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. - e. Show direction and approximate amount of slooe. b. Location of all proposed and existing buildings, structures, driveways and parking areas.,. c. Location of large trees, rocks or other obstacles. d. Location of any well, spring, creek or other body of water on the parcel and within 100 feet of property line. f. Source of water, g. Water lines. h. Set back lines and easements. i. Proposed sewage disposal system and area for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the new building or dwelling before occupancy can take place. Date 1171 Signed i7�� rL4.1.����� FOR OFFICE USE ONLY ` PLANNING REVIEW Legal Parcel Yes ❑ No❑ Zoning Use Permitted Yes ❑ No ❑ , Comment By Date S4 -475R �. Water Plans Cleared Potable Water Permit Issued Permit Denied Comment Date By ' , 4 i -iJ-'� - IL a �'�• •'r'My.. �• Ste' ...... � •"•^•W - - ..�.. - T'TT �,.COi1N'i'�u`TITLE COMPANY ,. _ ; ,.• a. ESCROW STATEMF.NT, P. O. BOX 863, 194 EAST 6TH STREET t ,`1 , 4� X L'st p O. BOX.. E, 6402 SKYWAY CHICO, CALIFORNIA 95926' " c••1909.BIRD STREET" ''P! " `41=:,PARADISE; CALIFORNIA 95969 0 BOX 451, 40 OROVILLE CALIFORNIA^ 4 pate';`, �JenIparY.6, ;Order iso. 12297, P-1OS19• s BUYER -BORROWER Arnold F. d Rvth,M. Meosboxn"I., ADDRESS' 14424 Nimshew Road, Maga•lia.;-CA '95154 s -;' c:'.' - DEBITSCREDITS ' PURCHASE PRICE 800 00 6b4ib ti as33.100010 E PAID TO SELLER OUTSIDE OF ESCROW " vt ' , �~,; ; DEPOSITS TO ESCROW $in 6qq 53 BROK ER.$ FIRST DEED OF TRUSTto - 10 699 ;'•,'t, 23 000 SECOND DEED OF TRUST , w a.777-7.. .,• NEW LOAN CHARGES:4 t \IT.OTAL LOAN FEE INTEREST; CREDIT REPORT $ TAX RESERVE [ TAX SERVICE $ INS. RESE RVE $ APPRAISAL FEE $ F.H.A• MTG. INS. $ TRUSTEE FEE $ EXISTING LOAN BALANCE ASSUMED ' -,- LOAN TRUST FUND BALANCE ASSUMPTION FEE PRO -RATIONS , COUNTY TAXES 1/1/81 to 1/6/81 CITY TAXES . , �. " =, "`• INTEREST . , '� RENTS ' t FIRE INSURANCE RENT OR LEASE DEPOSITS TAXES PAID a IMPROVEMENT BONDS OR ASSESSMENTS TERMITE INSPECTION -F.EE _ MUNICIPAL REPORT 32 50E TITLE INSURANCE PREMIUM117 }' A_2 AR7_ _RECORDING 6' 00'. '� '148 88 ' FEES ,. 12 00 PREPARING DEED OF TRUST • NOTARY FEES 10 00 r - LOAN PAID: PRIN. $ Trainnfi►7 F'PP ' LOAN PAID: PRIN. $ CHECK HEREWITH BALANCE DUE We also enclose: 85 INT. $ INT. $ �" :. .. V , TOTALS $ , : 33 701 38 $,'- -33.701 b 8 BUTTE COUNTY.TITLE COMPANY ', ` Donald �Drivon'•,' Eeciow Officer A (i1r. � 11 .ii C it i> b(i�i s-moltit':,,.• •� ,• .�f1.i:;�J`J.' fit': .,� � t')i r `f ♦iq a . � � � r ft'C�tlf�w +"ftic.•: R!1 :'�•:�� , - � ; r ,; r � s - � � lc- 1. Owner's Name: 2. Installer's Nam 3. Is the site cur _ (If yes, furnish permit number d O ) OR Is the site an existing site? YesNo ew �x %1 a BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET (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 11 (If no, clarify 5. What is the mobilehome electrical rating? --------------- 10 Amps 6. What is the mobilehome site service -rating? ------------- Ie) h Amps 7. What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the 1 -------------------------------- mobilehome site service? Yes No �. (If yes, identify the road and size: (Load) (Amps) • r� 9. What is the mobilehome site gas pipe size?--------------- �c� (in.) 10. What is the type of gas service? -----r------------- Natural LPG LAJ 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 6AS �: n natural gas or less than 50 ft. on LPG-.) � .® MOBILEHOME SUPPORT DATA If other than single wide nn �Y Mobilehome Mfr. j`� - ��� o ?� furnish Setup Model No. Ds,-; 3 Year �?f Width— gy_(ft.) Box Length s�� (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. SUPPORTS (check one) lyj 1. S1NCLE-WIDE Wood -pressure treated or foundation grade. 1:1 2. Other (specify) Concrete block. 2. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE Main Beams Linc 2 — — — i — Main Beams � ine Llne 1 Piars: Size-Min.------------ Spacing-Max - ----------- Spacing-Max. F r, nn linde -Max. ------- '- Linc 2 I'iere: Size -Mill .------------ i Spacing -Max.--------- From Ends -Max .------- L.Ine 3 moot loads: Size -Min .------------ Uw ation (From Front) L_J- 4 tLers : S1z •-Min. ------------ "x Spdc ing-Max. - -- — ---- From Ends -Max .------- _ Linc 5 Hoof loads: size -Mil .__.._-------- IucaLion (From Front) Tag or Triple F_ Line 4 r Line 1 Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „ Spacing -Max.--------------- From Ends -Max .------------- _ Line 5 Piers: (Under Bearing Wall_ On y Size -Min .------------------ "x Spacing -Max.--------------- „ From Ends -Max .------------- " "x "x "x "x "x "x "x "x ' �n_L`1�627 Gad T p}�IVFJo L • — — 1 IVIIJ!`c"1't� j711.lIAF� 1-Ibl-�.4=Eir=i=rin—= yjerTfL• eaT+l -- 12 3 91, I I ' fl WbLK.IN-Wei-14=0' K 4y,-�'il Oo 1 .10 00 0 1 f i c Q 1 ri -�*r+Q�' -►-r yu.el7 %�.;T�-Cly _ .. � HIG7S,rl ( t•�I Ir�l_� Mlc�.r= �, , jhdx IBJ Izld r.?�' d �� Z i ® SUPPORT PIERS r t�Y ;�' GULMN WLSr C7 CAPACITY FOOTINGSIZE CAPACITY FOOTING SIZE ��� �°�'SQ�F�Y IIA L. WARL"M SL. 2000 Q 2"x2(111 u00l4,NV SAN FA ANA. CA. W05 80008 48"x24"' °i►iCARPET LAYOUT AND RIDGE vNonc:uulw.loo 4000# 24"x24" m 10 000 60"x24" BEAM FIELD SUPPORT PIERS jr-P5;;�46F`J I, 6000# 3 3 'x 24' DAAwN a• J.� I I ..19.£y, OAv.y No FOR 1<tELD SUPPORT. TAILS. SEE DWC'S. 5-1 and'S-3 OF INSTALLATION MANUAL'.. A4VI"oa', ��FrvlG ��►MF