Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
056-080-096
26^ 4_rP,E 56-08-9 SORENSON, onald Cohasset Map Creek Ranch Rd, (utilities/M ELEo0� C a % GAS COMPACT ION%TEST RE SUPPORT. STRUCT'RE . • "R F. 81-91MHI 56-08-96 +.• r) 056=080-'096 7�� �� J 94-1110P,E(M1q) 3' y "l I q� --- SORENSON, Dona •SORENSON, DONALD 150 Maple, Cr ek Ranch Rd, Cohasset MAPLE CREEK RANCH -RD: , ,COHASSET -/ ' ' MOBILEHOME UTILITIES(CARETAKER UNIT ( I) - - __,� _ 89-91P 56-08-96 ELECTRIC. o' QC) f �,lDD -,yn /g� GAS LINE � /06 �' `j / SORENSON , Donald Coh t 150 Maple Creek Ranch Rd, ) COMPACTION TEST REQ AQ (propane/mh) SUPPORT STRUCT .RE 056-080-096 PER11141IT#94-2153 HALL BRIAN &'DONNA ;MAPLE CREEK R.0CH RD. , COHASSET A CONT: EXECUTIVE. HOMES MOBILEHOME INSTALLATION rAjj LsJ cfli o f: ca RESIDENTIAL 056-080-096 94-1110P,E(i�IIi) SORENSON, DONALD f MAPLE CREEK RANCH RD., COHASSET (MOBILEHOME UTILITIES(CARETAKER UNIT) F i Vt� . j } i. JOB FINALED (Date) FA Signature V=OK O = Not OK -=NotReadyApplicable MOBILE HOMES ' Not Ready Date/Initials MOBILE NOME UTILITIES (Plans) OK except #'a VZoning Requirements -Setbacks -Easements 2r/Soils; Special MH Support Sketch 3.iSewer; Location -Test -Fall -C/O Concrete 4/Water; Location -Test -Easement Need td (Sketch) §!Electricity; Location-Clearences-Gr d -AO Amp -Concrete as; Loceti�nest-/"L"ft. / /"Net. or', P'L"L 7. Well Clearance & Disconnect Utility Clearance // hK cam./ r Date/lnitials MOBILE HOME INSTALLATION (Plans).OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat -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 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Sizr; Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Cell ings-Stairs-Chasee-Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rttr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows I Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Land Inge 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O 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 -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobi lehome ' •�� IL CA '� J - Owner's name Owner's address Insignia or hud number AAD -� -J�2 / Manufacturer's name -fit er iv V.I.N. Serial number of 1 & 1 ,% Yeifof manyfacture tial Approving Installation) a� ate) IF THE MOBILEHOME IS MOVED OR RELOCATED# THE MOB(L&OME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SOU'Sk"N BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r i 51313 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE' OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. ` Address or location of mobillehome r ���� C='nr 's �� Owner's name Owner's address ? >� r 1 r X9. 0 /e,c r Insignia or hud number �' `� N ,t Manufacturer's name— Serial ame Serial number of V.I.N. t- A L Year of manufacture ��✓� �K (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMEMT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 County Center Drive - OroAle, California 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT 94 - /) / C) ASSESSOR PARCEL NUMBER 056-080-096 ZONING TP160 ILDING PERMIT OWNER DONALD SORENSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR165 MAPLE CREEK RANCH RD CHICO, 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLI NONE CENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ MAIL: ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I -7�G CREEK RANCH RD MAPLE PERMIT FEE $ CO SET PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome Xl Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S @20.00 60.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities Ck Installation ❑ Other EIContractor Describework: CARETAKER UNIT PERMIT FEE $ 80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11001 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC UP. OR AODNS. ( & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. $1 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 FIXED APPWS. OR Ex. Occup. ( OUTLETS IRESID.1 EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0, 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. ee to save, indemnify and keep harmless the County of Butte against all T liabilitie udgments, costs, and expenses which may inZ','V,4/W y way accr4e against said Cou in cons a ce f the granting of t s ermi � Date Si nature of pylic t 70- Owner Con ractor ❑Agent An OSHA permit is squired for excavations over 5"0" de an demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ• D. FEES IMP ^—' FLOOD XX COF PARCEL PD D U This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indi to a for hic; fees have been paid. Q CL BY Date PERMIT EXPIRES ON ` � V (Date) Receipt No. 162400 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT � 4+nr"'{�irW6�y°�a{(�%'�R j���rJ'TY.:�..:.^`.--Y � ��'7it="^`� �1#:.�'�..�"YYI.+,�T•�niwyiitYsrt�1'�:':`:"•�MKI�"'.cw� \ Al COUNTY OF BUTTE - DEPARTMEISTOfIDEVELOPMENT SERVICES -BUILDING DMS ON- 7 COUNTY CENTER DRIVE - OROVILM4CAdFORNIA 95965 - TELEPHONE (916) 538- 1 PERMIT APPLICATION DATA SHE OWNER On a✓ °L n SD P. o.ate Proposed Building Use Building Inspector D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. ........... .1s .................. . Plot plans, 3/4 sets, signed by prepare`r of plans .� FIS . .[,v i.41 '�. _ 'ct!-tog Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4: Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................. .:.......................... 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 1 Impact fees as shown on attached schedule. .... �- :-..... . California Department of Forestry plan approval/fees. pq. 1, 466.)..........:: al Flood elevation letter (100 year floo ¢y, California Engineer.................. 4 Sanitation and plot plan approval �l c0 Health Department. . City of Chico plumbing permit . .......................... .—...... . 16 Plot plan and business license apprpval from City of Biggs/Grid) + Planning approval for (A) Use: t/ (B) Parking: of s, 18 Contact Land Development about (A) Improvements (B) Dr 'nage. ........... -3 �'t'l 19. Driveway permit (construction approval required prior to occupan .. . est 20. Pre -inspection for required. ..►osu; ' I meq" 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ....................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use .......................................... r; 28. Mobilehome utility clearance . ........................... ............. 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed -� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. _ -34. , 1 E'S r, a n I I a XX� 3&1- ou issue the permit, pr ss as ollows:K Mail to owner. it to contacto . Telephone,an Ld..f rspiEt office. Deliver t < c r Other FOIA /V milm Z9 W,� Parcel Creation' -6WAcreage Applicant Date c! 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 1. Index permit for above items No. _ 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by .� phone —mail Counter byA!L/Date S Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �S• Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works eo TO: Building Department FROM: Environmental Health E.H. USE ONLY rwt PI. au.&.a �— Flo. PI.. Scut to B.D. / SUBJECT: Sanitation Clearance Bre` a n H64) e x ecer Sorensen 7.5" Rod Cie o,ye _�_ "6-080-090 Owner Location C'o zSSCf AP# Plan Approved for: Sewage Disposal Water Supply: ' Public . Private Well Clearance for C _ bedroom mobile home. Other 7Gvo Co r- e) &4waA, %onze Hold final for: Final clearance O.K. for: iAILOX I i RVI4 7 r�- Inter-Departmental Memorandum TO: L o21 Co.J. FROM: UL4n& /* AilAiii {�1'VIS:J� E"VVIRONl.1EVTAL HEALTh JUL 9 1994 C"/CO, CALIFORNIA l�- SUBJECT:-rpa,1R,1> batt-1,LirJG+ 0 $,.C.0 jk DATE: , 0 F A -p p� — 5�0� — ogL, C)wKv6,0 0 TDoN 4-4-P2° pAuvey i 5 so 7 PZ - ti o '(fit. A7v nj wv G 4WIU 01: B0trE _ �,V9 0 31994 COUNTT,Y OF BUTTE Departmer ,of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: 4 An "owner -builder" building permit has been applied for .in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)hpj-L_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 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: Property. Social Se Date 6) G poz, Y"/ -C_/ VSOv� 0 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 permitted to issue the permit. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,,Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. "O"I"OV J C ed /! L. A-- 011 0r Date Q Inspector _ REV 10/92 , FROM: SUBJECT: Buildina Department '-Environmental Health Sanitation Clearance owne Sewaae Disposal Plan Approved for: Hold final for: Final clearance O.R. for: . /- Clearance for bedroom mobile .home. Other Water Supply Water Supply Water Supply ! NOTE *** D 4te Sanitarian -9e. RESIDENTIAL ops Ib, vele, CAew-L 4AW JOB FINALED (Da Signature V=OK O = Not OK Not yable MOBILE HOMES Date/Initials MOVILE HOME UTILITIES (Plans) OK except #'a arl"Zong Requirements -Setbacks -Easements 9118; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete . Water; Location -Teat- ment Needed (Sketch) lectricity; Locatio learences-Grnd-/ /Amp -Concrete Gas; Locatlo -Wrap: L"ft. / _ /"Net. or/ . /'L"ft./� Y. Well Clearance & Disconnect tllity Clearance 1✓32! ing Requirements -Setbacks Easements 2 o tings; Size -Spacing -Marriage Line 3.. 01MH Teat-Demand-Valve—Connector It'Ejectricity; MH Test -Crossovers -Breakers -Clearances ¢!Dr ; MH Test -Fell -Flex Connector er; MH Test -Regulator -Connector 7 iter and Sewer Connected -C/O to Grade -HD Approval 8!-4as and Electricity Tapped SP) MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except Va 1. Zoning Requirements-Setbacks-Eaeements 2. Footings; Soila-Size-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs: Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 8. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except 4'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 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings &Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Cepa-Anchors-Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 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-Ceilinas 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct In Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -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; Pibg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County.Center Drive - Oroville, CalifoPnia 95565 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT qq ` C / S� ASSESSOR PARCEL NUMBER ZONING TM20 S BUILDING PERMIT ,,n056-080-096 OWNER BRIAN & DONNA HALL TELEPHONE - SQ, FT, OCC. BUILDING ON OWNEIYSMAILING ADDRESS LANE, RENO NV CONTRACTOR'S NAME EXECUTIVE TELEPHONE - CONTRACTOR'S MAILING ADDRESS ESPLANADE, CHICO 95996 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS MAPLE CREEK RANCH Rn, COHASSET PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehomej(, Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation PX Other ❑ Describe Work: MHI MHU# PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( 2111V OR LESS ODA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. ) SO, 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ]!�'1 I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No. l2`'I 0SZ � � Classification (7 -� L i O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) ( & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 FIxED APPws. oR Ex. Occup. ( OUTLETS IRESD.) EA. ) S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. c I have placed on file with the County of Butte Dept. of Development Services, � Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of th granting of this permit. q—, X Date 1 Signature of Applicant - ❑ Owner ❑ ontractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 H D. FEE IMP FLOOD CD PARCEL PD HD ISSUE This permit i ereby i sued a er of th utt County o e an /or in 'cafe a ve for is fee h B PER EXPIRES ON the applicable provisions s lutions to do work e an paid. toY D [Date) / 2 Receipt No. `7✓ ©' V WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a --m-a. ., . JCOUNTYOF BUTTE -DEPARTMENT OF DEQ ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 44 iaJ H lA. P. No. - C� - O 9 G r, Proposed Building Use /��� �~ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............................... ; ........ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... . Fees of $ . ..................... ........ Impact fees as shown on attached schedule. S 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements ' (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 'P;n -4nspection-reyuest 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23._ Owner -Builder Verification (Given to owner Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 7. Letter of intent on building use . .......................................:: Mobilehome utility clearance . ....................................... . 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. r� When wO issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -W 6 S`f L and hold for pickup at office. Deliver with inspector. Other Parcel Creation WaR19V Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per 't 'ssuance, w item no checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 0�1� DateT- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARIMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE Cd 95963 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE 1. :(paid CHOOL DISTRICT FEES at District Offic.e)......................... HERIFF FEES (paid at Building Department) Residential...... � x 2.G -C_> 3 G unit amt. Commercial (sgft) x ,sq.ft. amt. A.P. # 6.5x4 DATE_ REC. # DATE REC 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x �$ units am—t —'-' '—'— Commercial (per sq.ft) x sq.ft. amt. 4. REC.MTION DISTRICT FEES (paid at District Office) ......................... a 5. DRAINAGE DISTRICT FEES (Contact La5d Developcaent Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECX = $89.00...... (paid at Building Department] 7. 0THER 8. OTHER Z9� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE;7/I� 096/ t a. pot bf.pJA= and 8pe✓ificati0nB e�pt cii �hmjob M, 81.1 tunes 11nd �t ie urd&wful to ttt �s t� ,c�1►iaix X38 or �1�. rr o�� ca same vdt-WU; c�.� �f IT APPROVE® Butte Coun,1/ Environmental Hg. i.t T�vo�or irc� �i�orr� /JIad���orne - �� 3, / 191 50'M.All-Yaterlata & Workmmp�,��, R•,,�r +� Accordance with th R� eap of +� Ia71 gnina (hoc' Prescribed for the 8p: it 6t•v 14Yaorm Building, Plumbic. -fAaoj AfidZ a. 8ttoiial, ". 10 t r., ..cv- GO thy 4 ALL STRUCTURES AND EQUIPMENT INCLUDING Q OVERHANGS SHALL BE CLEAR OF ALL CASEMENTS, A SET CLACK OF 30 FT. FROPA THE ME AND FT. r' -ROM THE REAR PR. OPERTY UNRES AND O FT' FROM THE ROAD CENTERLINE SHALL 8E; CLEAR OF STRUCTURES AND EQUIPMENT EXIC.E,V- FOR A 2 FT. EAVE OVERHANG. t P L C+�� K �a r2 4, /?� P' r pfp ry -ego 1096 44 � VIROW-IENTAL HEALTh Jul 2 8 1991 VIPs OALIFORNIA Pr's, on 11+ tU,C/ 0 lk - Till) Pl- v J . ' IPa • 4/ loAc� / N 13'li.l�i N 1 I> 115 5 ZAC 35 ` /0 Ac 7/ 11 � 'l0 � 1339.81 o 116 5.2Ac 1.51 y '60 12 MI(r'1 22 �l4 31.'T3 1. At „ '413 a ,yp� 7 Imo° a 13 ►II 0 40 AC. �" 1384.09 ►17 n , e 20 47 1 _ 21 .� N 15.,,�r o V yQ�Y. J -20-52 _ 112 o �/u O X7672.39 �1t PM roa/ 7 est 1779.56 32.03 if v ' / 118 3 2 _ 76-'6G r Q b 41 o 1397.1 io co y 133 •,r , IRAN3 FROM U� lU�.' lSSSK �20.49AC ,l p ^o / /35 ./ u 7 1 12 •0 10 / J / N 173944 , ". 11 a a �v �� 40.80AC n I / ` a K 3 .^ 1 2 7 I c �0.49Aq 1 4 r- ?9 100AC. 2 r O J��.L�ll J/'l[`-I I 10 •� 7-- 32 �. °PM9B`IU )39.37 I �.�rlJ9.37 '3 10.oac. Q 197-5647?. 42 " _ . 26.5AC Iszo , 73-07681 ^^ i c s± / l6 11 1 ' 1414.45 25 AC. 1/ I) 31 A // MANN d xrOL'A RIDGE / ROAD 0Ns _ // 6 1320 K /6,17 AC 101 �hSF'N 13 a 20AC 3/ Ac !0 11 . JO ro6�9 1?GAC 320 i. 2 SII ; - �, �♦ 36 JdOj 401 .I b v 20AC 1391.45 IfK q 1310 :354 91 96 321 y PM6 .:... �� 1 U ; 36.26 A- ® 125.2 fl 124 I a • ! 16c5.1 �— // O N y '! 143.67AC. h 48.96AC. ., CY 34, 35 T 20.06 N�'A'Q4 17.32' i^ 1003./0 b /323.33 /0J� I v � PARCEL 4f e M/ 0 @26) 3 N 43.5 1?� q♦ S'''; eg 1348.66 n ti 19s76AG o 142D6AC. 4 127 40.55AC. / r► PARCEL �_® b ° 'Assess- is dP ��7 / 56 G 1 13 39. o1? �.3q ►mPM i` 4f a • 55-17 YP� _ I O.0)� � "' ROS96-2 n�`,� 1 Butte, / PARCEL BLOCK 2° b PM 94 •70 /�,o u 1 109 ES C)R S �/ T 1341.78 1472.63 R Y, • f.� i ' .'r,till ± fOr 9%N fit19 y •.,� a;, `. _ ,'. , .,. 1331.06 133;'Ds s . ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3y FT. FROM THE SIDE AND y FT. F130M THE READ PROPERTY LINES AND �O FT. FROM THE ROAD CENTERLINE SHALL BE �k3s ,riK f/�lr CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. f�P56 -oBo-o 27 04 -ado-�o96 REVIEWED BY --- - BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions per attached shuts. Signature r a ^ �CDF F RI E SAFE,REQUIREMENTS .Sl _o AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of.Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteZant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves. of 50- 100 feet radius; 2 feet to those from 100-200 feet. �] 2. The length of verti^,U curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. j 1273.05 Turnarounds. If required; will have a minimum turning radius of 40 feet from the center of the road. l 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 ,feet long with a minimum 25 foot taper on each end. 1210.10 Width. All driveways shall provide a minimum 10 foot - traffic lane and unobstructed vertical clearance of 15 .feet along its entire length. Page 1 of :?.-, S7o �O k.- q � q q -1(( 0 ' ,M' 6vse4 o Z)2. % AP # PERMIT # NAME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [N 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [)C] 1. Gate entrances shall be at least two feet wider than the roadway it serves: �(] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 0/1 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. K] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial inspection of a building permit. Page 2 of 3 5Z , O,?- `i % c! (�, t//0 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAM [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials �, 0 Z/ Date Signature Page 3 of 3 ;.. 4 - 1 >Y f .^^^•Y�^cT.•-.-vr{v r+ --.: • ` -.. ...r s..�+ai,a r r �..,,,.,3+•.-r„1'�...H '_ _ _ _ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA._.___ PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET_'.: 1. Owner's. Name: k"AN-L 2. Installer's Name: 3. Is the.site currently under permit? Yes � No . (If yes, furnish permit number OR .• Is.the site an existing site? Yes 1-1— No FYI (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 a No a (If no, clarify 5. What is the mobilehome electrical rating? --------------- AM'ps- 6. What is the mobilehome site service rating? ------------- '�� Amps 7. What is the mobilehome site circuit breaker rating? ----- `� Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes © No (If yes, id&ntify' the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size?(in.) 10. What is the type of gas service? -------------- 7---- Natural a LPG i ..-... _ ........... . 11. What is the gas pipe length from meter or tank ..to ',the mobilehome?•=---==-------.------------------------14,- ;:.. * 12 • What"'i the' Wobilehome'gas 'demand? -.•.a (BTU) snformation.`not required `if 'pipe aength less ;than 6ftft ;on naEural .`gas -_'or ``hesi0than-50 -f t'. 'on MPG.) : - •U C!0 VIM: c�.n��z to •r,r._ _C�r,.�. j�{,.,� sr.t `-}, ..__,..__...'r:. �•t_: T r,; t Ms 5""�:..;... fT,o �^ _ tr _ .. 1.D CPQ,.>r r r . - -rte F, IyY.�rl.=s .�_ •.,:•-rhrr\\ 21- s aa;i .. �i..�•.., :.4:6niT+-reti.;i:�i.`ri, iir�_.y — _ MOBILEHOME SUPPORT DATA'`'.; �� If other than single wide—jc Mobilehome Mfr..;��.�1� �'a'� furnish SetupMho. Year Width )3 —I (ft.) Box LengthjCjSL(f t. ) Tagalong or Expando Size ft. x ft. On all mob ilehomes''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) 1f.�'� -Wood pressure treated or foundation, •grade. 2.'—bther:'.(specify) SUPPORTS` (check one) 1'. Poncrete block.2. Other .(specify)"'' .Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE ine 2 Main Beams Line 2 � Line 3 i Line 2 Hain Seams -- m Line 2 Line 1 -- -- -- — Line Tag Tag or Triple Line 1 Line 1 Piers Llne 1 Openings: ... Size -Min.------- -- �k Size-Min.---------------- Spacing-Max - ------------Spacing-Max- , „ Each Side of Openings From Ends -Max ------ With Width Over --------- Line 2 Piers: Size -Min. ------------ jZ "x3d , s Spacing -Max .----•---- From Ends -Max -------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) „x Line -4 Piers: .. T.-------- Size-Min-- �k .. Spacing -Max.--------- From Ends•Max.-. -• , Line 5 Roof Loads: Size -Min .------••---- Location (From Front) "x 'k " 'k ii o n Line -3 Piers: (Under Bearing Wall Only) Size -Min .----------._ .. Spacing -Max.--------------- , From Ends -Max -------------- ,- „ ux a nx a nx „ Line 5 Piers: (Under Bearing Walls only Size -Min. ............... .- 'k u Spacing -Max----------------- ,. „ From Ends -Max.- ............. 1®®®� J M I OI �11 !! ),A -1 OV ACfRAN! FROM " ® w 6 66 1 1 P4 9` � • 2 2 J1 1 ij 14 N�'3d112 NS a 2A� 4© 95 c '►o ac 13 13. A 1 � 40 M 119 355 0'', ` 116 s:At 31.73 AC 413 Sr 9 `� 384.0953 1 rT P�' 7 c IJB4 09 2/ 79.15 Ac. 20.52 Q O O 32.03 AC 1672.36 18 e.o9A� �lk�f / I PM 1020 V 139T. J 76— ,a, 6- 3 •n I TRANS FROM /O �qQ O 4 ' • • y 128 3 ► 12 I4 10 �� 17e SK m e M 20.1 .5 Q 129 IaOAC. 2t a a �StCLnBf'D 1 _ ; „ n J 11 1`1 32 m �� O 13 10.OAC _ s_ .? ,r— �A ® GPM98'U 200 AC. P,W1957isa'+I ISs _ — � 1414.43 -JICLLCW—QAX- 2RJX lazo p IF 1G,Sr 0 JI PMlll-83 31 ZS .. t /.. /6 !1 IooIAC. A setback of 0 r,,. sY�y�, the `' 1 25,4C. U �• ij X� rt,lin.. and a setback st 33`; SLM prrope' ti ' of 50;t. fro the road — 1 1720 11 y I centerlines ,all be clear of " a >t /� entexcept �O� 20ac 1 USA structures o r' "_ 6 for 8i 2 ft. e ive ove han - O �� za AC a IC r,( ros�� a ZOAC ]eos p 11 Iw51e �� � - 49.E e 530 ►�?�l 4613.1- a 20AC FSK 1w WO 1.3J4.91 96 -:� If i8vU }� �• ��' 7-4 t q 35 is n taos V /Z lu•fl.bb I , ' \`, h �' A PARCEL I a Q �jT� Q iPN17d1ti 11 /9. ~ 99 �' i J I%u a,gsls,lc c . 1 4, r „j4 W4% ILP Re "2� a 1 to 2,/ w 20 0] 1 •+ 0.07A� • RO w A �/ 1 98 2 �� 1 flat" vM 1]]x.06 13 f7]xO6 \ 1 AUG 02 '94 03:43PH AT&T FAX 9015PF BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District . 6 Wr � A. P. Number () �_ (- p 8 c;. �y �risdiction Property Owner Property Location/Address l_Z_�_?% ,•� ,r, �G Subdivison Residential Development No. of Living Units - P.2 Building Department No�- C,;ty -Lot No. - -- !_-7 Sq. Footage _ c.r Addition (Group R) - Comrrercial/i ,dustrial i - Sq, Footage Ad-oltian 0ocluding Exterior ofed .Areas) fiu ng C�grtment Representati --- --- _-_ - �- Cate (Floor Plans revev:ed 1 suet Ps,sorrel District laenti ;cation No. �sC 4L �? _School Dis#r „# cerVies #hal (Applicant)OIL ('S#teat ACdreSS) (Phone Number) . (City) — ---- —_.�_. (State) (Zip Code) i has complied wit,, the requirements of Resolution No, by payment of representing —_- square feet, Ctr.eck here if fee received represents ut! Mitigation". I `. School District A r sentative--- Date Paid by Check #� -- Remarks; Sank Number - - Paid by Cash - — If, subsequent to the School District Representative signing this Butte County chools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to WHY mi i ate its impact on the school districts schools. White*plicant), Yellow (building department), Pink (school district) looform.wk, tuoal Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT . I FOR RESIDENTIAL DEVELOPMENT 9 1 a Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded —,- - - - prior to issuance of a building permit. 91=003989 ; R e c Fee 5.00 The property described herein is adjacent Cash 5.00 to land or included within an area zoned Recorded Official Records j for agricultural purposes, and residents County of of this property may be subject to incon- Butte veniences or discomfort arising from the Candace J. Grubbs ; use of agricultural chemicals, including, Recorder ; but not limited to herbicides, pesticides, 9:55am 31 -Jan -91 ; XX 1 and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discon orm from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: The East half of Section 23, Township 24 North, Range 2 East, M.D.B & M. EXCEPTING THEREFROM the West half of the Southwest quarter of the Northeast quarter thereof. ALSO EXCEPTING THERFROM the following described parcel of land: Beginning at the South quarter corner of said Section 23; thence North along the North and South centerline of said Section 23, a distance of 1320.0 feet; thence East and parallel with the South line of said Section 23, a distance of 1320.0 feet; thence South and parallel with the North and South centerline of said Section 23, a distance of 1320.0 feet to the South line of said Section 23; thence West, along said South line, a distance of 1320.0 feet, more or less, to point of beginning. PARCEL TWO: The West half of the Southwest quarter of the Northeast quarter of Section 23, Township 24 North, Range 2 East, M.D.B. & M. Date: PROPERTY OWNERS: Donald Sorenson 165 Mlaple Ranch Creek Rd, Cohasset, CA 95926 State of calif fnrnpa On this the 10th day of August , 19 90 before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) Donald Sorenson E3 Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS - WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL ELLA L. RICE : NOTA RY PUBLIC — CAUrORNIA r /'J BUTTE COUNTY Present A.P. No. MYcommission expires lamr30 t9 otary Public END OF DOCUMEN76 co A R ov 1 JO O � Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL" DEVELOPMENT Section 26-8.1 of the Butte" County Code requires this acknowledgement be recorded ----- --- --- prior to issuance of a building permit. 91-003989 The property described herein is adjacentd to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from theBUT-� C®�. � F_Cv�7-- use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying; pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should' be prepared to accept such inconvenience or disconform from normal, necessary farm operatirns. All that real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: The East half of Section 23, Township 24 North, Range 2 East, M.D.B & M. EXCEPTING THEREFROM the West half of the Southwest quarter of the Northeast quarter thereof. ALSO EXCEPTING THERFROM the following described parcel of land: 7, Beginning -at a�i;� Scuth quarter corner of sai- Section ence: North al an the North and South centerline of said Section 23, a distance of 1320.0 feet; thence East and parallel with the South line of said Section 23, a distance of 1320.0 feet; thence South and parallel with the North and South centerline of said Section 23, a distance of 1320.0 feet to the South line of said Section 23; thence West, along said South line, a distance of 1320.0 feet, more or less, to point of beginning. PARCEL TWO: The West half of the Southwest quarter of the Northeast quarter of Section 23, Township 24 North, Range 2 East, M.D.B. & M. Date: "P //-0 / -� o PROPERTY OWNERS: Donald Sorenson 165 Maple Ranch Creek Rd. 10th Cohasset, CA 95926 State of (_ali fnrnpa On this the day of August 9 , 19 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) Donald Sorenson Q Personally known to me. [] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. n OFF- ICIAL SEAL 1 ELLA L. RICE 9' NOTARYPUBLIC— CALIFORNIA Present A.P. No. o5(c-p$`�""�qio BUTTE COUN. L 4) My commission expires Juno 30.1991 Notary Public OWNER SCJ�2"tFiJ�o.✓ PERMIT MH UTIL. CLEARANCE DATE Z /`�� 37/: INSPECTOR (S. i ELECTRIC GAS Support Struc. YES NO Compaction Test Req. ervice �ize Other Load Pipe Size Length YES NO -Type 3Lc ReeWing requested by and when receded mail to: ATTORNEY OR PARTY WITHOUT ATTORNEY /Name and Address/: TELEPHONE NO.: LeClerc & LeClerc (916) 533-5661 _ FOR COURT USE ONLY Attorneys AT Law P.O. Drawer 111 Oroville, CA 95965 ATTORNEY FOR (Name/: Brian L. Hall L E 1) SUPERIOR COURT OF CALIFORNIA, COUNTY OF But t e STREET ADDRESS: One Court Street MAR S 1994 MAILING ADDRESS: 25 County Center Drive . CITY AND ZIP CODE: Orovllle CA 95965. ' �ANDACE J. GRUBBS, Butte Co. Clerk BRANCH NAME: Deputy ESTATE OF (NAME): DONALD SORENSON aka DONALD V. SORENSON aka DONALD VILAS SORENSON DECEDENT AMENDED LETTERS CASE NUMBER: F7 TESTAMENTARY Q OF ADMINISTRATION O OF ADMINISTRATION WITH WILL ANNEXED O SPECIAL ADMINISTRATION 31233 LETTERS 1. ® The last will of the decedent named above having been proved, the court appoints (name): BRIAN L. HALL a. ® Executor b. 0 Administrator with will annexed 2. = The court appoints (name): a. 0 Administrator of the decedent's estate b. Special administrator of decedent's estate 11) Q with the special powers specified in the Order for Probate (2) Q with the powers of a general administrator 3. 0 The personal representative is authorized to admin- ister the estate under the Independent Administra- tion of Estates Act .® with full authority Q with limited authority Ino authority, without court supervision, to (1) sell or exchange real proper- ty or (2) grant an option to purchase real property or (3) borrow money withthe. loan secured by an encumbrance upon real property). WITNESS, clerk of the court, with seal of the court affixed. Date: March f , 1994 Clerk, by (SEAL) M. JOHNSON • • • f SEAL 1' Form Approved by the Judicial Council of California OE -150 )Rev. July 1, 19881 , Deputy AFFIRMATION 1. Q PUBLIC ADMINISTRATOR: No affirmation required (Prot. Code, § 1140(b)). 2. ® INDIVIDUAL: I solemnly affirm that I will perform the duties of personal representative according to law. 3. Q INSTITUTIONAL FIDUCIARY (name): solemnly affirm that the institution will perform the duties of personal representative according to law. I make this affirmation for myself as an individual and on behalf of the institution as an officer. (Name and title) 4. Executed •ori (date): March 2, 1994 roville ,California. L B r i n L. Hall (SIGNATURE) CERTIFICATION I certify that this document is'a correct copy of the original on file in my office andthe letters issued the personal representative appointed above have not been revoked, annulled, or set aside, and are still in full force and effect. LETTERS (Probate) Date: Clerk, by (DEPUTY) Probate Code, 11463. 465, 501, 502, 540 Code of Civil Procedure, 12015.6 7�..4•�..t w'�!',p T`-li,�^:7+wtt'°�iti}•i,{a 56-08-96 2589-91P SORENSON, Donald 150 Maple Creek 'Ranch Rd, Cohasset (propanq'/mh) -T'..•fI.'M'f!�� •,..,4 ,,,.�p�?,f ♦�^�^±.pe • '.w-..�v","�'t +! rv�p•:_ 6"..✓4�.�' c",�i''.. "+.�"''?+,,4'YS' _'�','Y4 .�_ ` .. / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Z APPLICATION AND PERMIT --' ASSESSOR PARCEL NUMBER , z0 C+ ` BUILDING PERMIT OWNER TELEPHONE _ t OWNER'S .D ALD 150 MAPLE CREEK RANCH RD 009ASSU SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME MSS 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 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 150 MAPLE CREEK RANCH RD Permit.fee $ PLUMBING PERMIT Filing Fee 10.00 COHASSET CA 95926 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❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.Q0 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: PROPANiNE GAS PERMIT MIN 25 Permit Fee $ 25.00 , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, Or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW.CONST. I DWELLING OCCUP.& OR ADDNS. % ACC. BLDGS. ,/20sgft NEW CONSTR.ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. I ( Ex. Occup\OUTLETS OR FIXTURES 0050t 2AL0 eLo30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 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. 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 shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date I �b �Q Signature of Applicant — Owner ❑ Contractor ❑ Agent., An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ - Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E - 25•� HAi cuA PARK SCHL FLD PAR Po I HD. Issu This permit is hereby issued unoer tree applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS C By Datey/%1 PERMI XPIRES Date / ���� / ?r Receipt No. 96683 WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANP PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZOfJI G BUILDING PERMIT OWNER TELEPHONE OWNER'S 150 MAPLE CREEK RANCH RD COHASSET SQ. FT. OCC. BUILDING VALU ION CONTRACTOR'S NAME 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 ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 150 MAPLE CREEK RANCH RD Permit tee $ PLUMBING PERMIT Filing Fee 10.00 COHASSET CA 95926 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[] MobilehomeQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I 'N 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: PROPARNE GAS Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd OR ACDNS. (ACC. BLDGS. , h2sgft NEW CONSTR. U TI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO3t eLao FIXED APPLNS- OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject 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. 1 also agree to save, indemnify and keep harmless the County of Butte against17T77 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X���� cL(c Date Signature of Applicant — Owner ❑ Contractor ❑ Agent-O' gent 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 $ 25.00 PARK SCHL FLo coF PAR PD I HD• ISSU This permit is hereby issued under the applicable provi- Bions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PFPUBLIC WORKS BY Date 7-7 ? PERMI XPIRES Date Receipt No. 96683 WHITE—D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORIA:95965 ;TELEPHONE: 916/538-7541 r PERMIT APPL16 TIWDATA'SHEET / e Permit No. OWNER [/ 1i�i� A .56-1 -Z —� } Proposed Building Use �//V/ � f 6 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in,duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ....' ... . 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and>b_usiness License approval from yzf �Q(B)(see City for other req,ucn,ts). �17. Planning approval for (� rParking: ...... 18. Improvements may be regdi eld. Contact Land Developm�ent Section DPW 19. Driveway permit (construe ion approval requir� prior4to,occupancy) 20. Pre -Ins ection for r Pre-Inspec. request to p act ' ' ' Building Inspector (Date) 21. Contractor's license information (No., Name�ty.[e, Classification) ... �2ertificate of Workmans Compensation Insur -R, .... �2.. Owner -Builder Verification (Given to owner 13,, Mailbto-o"wner 10—q 24. Recorded copy of Agricultural Acknowledgment Statement ... . 25. Letter,of signature authorization ................................... 26. 27. t When you issue the permit, process as follows: Mail to owner. Mai contractor. Telephone and hold for pickup at office.Deliver w/inspector. Other f'`r% Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data- must -be .submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone Contractor, designer, owner, was advised of above required data by—phone Plans checked b, Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder by ..date by date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS N foury�y Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 (/� 6/ APPLICATION AND PERMIT PERMIT NO. 3 ASSESSOR P RCEL NU B — ZOMING BUILDING PERMIT OWNER Ekac+ra. i'ULLER2 SDRE�,S0� �zJ�,t. TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'SMING ADDRESS �oAIL M�, CONTRACTOR'SAMF_ I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G JW I 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Othe Describe work:Ur1 Penult Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service a1OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON.RESIO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 ADONS. ( ACC. BLDGS. 21AOsqft NEW CONSTRMUL '.OUTLET BRANCH CIRC TS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. 1 / Ex. OR FIXTURES 0050 sAL*3t eALe 90 FIXED P Ex. Occup. OUTLETS IRESIR D )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $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 d.eemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAL. I CUA PARK SCHL FLo I COF I PAR PD i -HD-. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. _�5 WNITC-O.P.W., TELLOW-ASOE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 7�A-1�1-e -*-,� V-� f COUNTY OF BUTTE - Deoartment`of Public Works 7 County Center Drive,-OYovIlle', CA 95965 Phone: 916-538-7541' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not _464� 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 Co provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: A Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Sec u ity y1 �tuber Date 7 V? /I?/- 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. 6EWMIgNTIAL OUT---) �lb� SORENSON, Donald r � Maple Creek Ranch Rd, Cohasset (utilities/MH) { 3C/3 y�zS 0, O c'�K• E _ t, 'Pzea gd�e i 1 v OFFICE COPY Address �Zn GAS Meter By Date ELECTR p e N Meter i JOB FINALED (Date) Signature i . J=OK O = Not OK = Not Readyable MOBILE HOMES ` Date MOBILE HOME UTIUTIES (Plansl OK exce t #'s oning Requirements -Setbacks -Easements . oils; Special MH Support Sketch SOISF22r; Lo ion -Test -Fall- Concrete ater ocation-Test- Bement Needed (Sketch) ctricity; ocat' n-�learences-Grnd-/ /Amp -Concrete tP Gd ; Location -Test -Wrap: / P L" ft. / P; t. or/ /"L"ft./ /"LPG ity Clearance Date Z_ 9 -fif f Card B-1 Date Card B-1 Date 2 l Card B -1 =0A,-- Date Card B-1 Date MOBI MYANSTALLATION (Plans) OK except #'s n_ equirements-Setbacks Easements Z 8! ec ity; MH Test -Crossovers -Breakers -Clearances Of ain;,fAFj Test -Fall -Flex Connector W1MH Test -Regulator -Connector 1• and Sewer Connected -C/O to Grade -HD Apprc nd Electricity Tagged Insp.-Sketch of Occupancy Date'1✓ LI 1 I Card B-1 —%-7 Date -&-Z r,71 Card Date'L LI�7.,-'S/ Card B-1 d!1 Z Date •2.7-6 —?/ Card B-1rP"y • W 7-42-. 9i - P"�-, 01 s _t/_1jj ©lC� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frm9; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r ✓ = OK - 0 = Not OK f + t = Not Applicable ' = Not Ready RESIDENTIAL (Single & 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 3' -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 .;6MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE " OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobi lehome /50 /,774h /e 14' R4 , C ,,,, k l ca Owner's name Z') 0 A C. n / Owner's address /SU Mr oA C' /-r ek /?,7" e h 11 Insignia or hud number �G L 1.2 6 2X12 Manufacturer's name Ile 'S /- Al Nn tv <S Serial number of V.I.N. In 0`'/ 9/ �%�_ Year of manufacture _If % S? A-, (Official Approving Installation) (Date) IFS THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, YellowInstalls , Pink - D.P.W. I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number _ Manufacturer's name Serial number of V.I.N. Year of manufacture —' (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOM,E IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. iF COUNTY OF BUTTE DEPARTMENT & PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 I ` 7 County Center Drive, Oroville — Phone: 538-7541* 747.E I I iott Road, Paradise — Phone: 872-6307 r CORRECTION NOTICE 6 f/4' 9y OWNER t` PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this 1 matter, or need additional explanation, please contact this office immediately. -Y 1 59• i� un /tl/h0 j jjj IN ICJ9 A n i+, ./ ip � + i l f Date 2 — Z % Inspecto` � i 3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phorie: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 s ' CORRECTION NOTICE ER � 6 16 PERMIT 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. � C j e M C Ilkn -f 93 f -e s S tai -4__ n✓ r ZT_ < /Z tjtz,-1 CQ AZa SX r !✓G �.o r- T' ?. / A / / SC , 6!Y 7 21T��-oma r /rr1 o �P % r 2 cz /� ®G 24 4� e) O u •c c G� � t aC �i %�/SSLC�-4- `70 �Gi ee�n e.e. ; d *%dpa .-es s -ie ,2-t i A Jrss �-�"�,...ti A. Date 2-� Z 6 —�� Inspector M,©lLP h t x a i OWNER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi I Id — Phone: 538-7541' - 747 Elliott Road, Paradise— Phone: 872-6307 r CORRECTION NOTICE f`Qw-KO n. 2 6 7 6 MIT NO. A routine inspection indicates that the following violations of County Ordinance r. 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. f' r s ra) AKi «HG2S x. 't Date% —� ��� Inspector A07 099. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r• 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phdne: 538-7541' Y' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 9/ :T OWNER PERMIT NO. ; A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be 'corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -F-g!2>/ W1 - L - Date Z— 2 in ' 1F/ Inspector d/'l- '3! ' �p COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 s 7 County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise- PhonEr 872-6307 ' CORRECTION NOTICE SoQV- 214a -qo OWNER PE 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 come on of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. Date 2---4- Inspector A,:�(,�..-,✓l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Groville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT n/ ASSESSOR PARCEL NUMBER 56-08-96 ZONING TP • 160 BUILDING PERMIT OWNER Donald Sorenson ftni—ne-rurTe!r)343-4625 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 16 Ma le Creek Ranch Rd. Cohasset 95926 CONTRACTOR'S NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $15.0-0— 15. 0ARCHITECT ARCHITECTOR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $25.00 — PLUMBING PERMIT Filing Fee 10.00 190 Maple Creek Rqnch Rd., Cohasspt 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❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation® Other ❑ Describe work: _ MHI / 1 Bedroom Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE ;000 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.Misc. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. / DWELLING OCCUP.(f ( OR AODNS. ACC. BLDGS. 2�,4sgft NEW CONSTR ULTI-OUTLET NON-RES'D BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030C e AL® 30 FIXED Ex. Occup. OUTLETS (PRESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 lyirin g 15.00 E I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information . is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in consequence of the granting of this permit. -�.This Date 3 Signature of Applicant — Owner ❑ Contractor ❑ Agent.Rr 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 $45,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAZ -- CUA — PARK - I SCH FLD PnR -[PD HD Issu permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees I TOP, OF PUBLIC I ey I 41) PERMIT EXPIREV Date `� �i the applicable provi- resolutions to do have been paid. WORKS ate 2 Z� lal Receipt No. 83351 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �r;.i�..'P"'�'S'r�N.��"r%'vrL'.'+�:�'�'+�l'.l.-. r.� r")iN..�.�1J'tivC-�^�a,.�'�"'rAK"li"i".: R.$i 4. � .'c` ,�,._..... r,,, 4 •�pp���� FF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - ORO,,VILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 } PERMIT APPLtPATION DATA SHEET C Permit No. ` OWNER (JOII/ �nG, /i GC �.f/ A P No. Proposed Building Use /y/ Building Inspector Date At time of permit application, l was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material`Form......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8 ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 0 instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid, 13. t� School District fees paid .............. . :7, 14.1 Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:- 18. arking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (bate) 21.' Contractor's license information•.(No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification`(GivenXto owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature .D-.. ..... ... V�26. 11 L 1 27. _►- When yq issue the permit, prgccess follows: Mail o owner. Mail to contractor. Telephone -�� Sand hold for pickup at office. Deliver w/inspector. f' Other Applicant �Q .. S Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. t� 2. Additional items required: t Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date ` Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date o Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW U �vT'.RF,Fi,H�ii"i'�s�' sem.°'��VF`�'3sS°'St�FtTu`s��'7T''-.°'•.,ga�'r!!F`'"s�;,''€"�'. .. , BUTTE COUNTY SCHOOLS DEVELOPMENT -FEE CERTIFICATION FORM (One Form per Building) A.P. Number 9(0 Building Department No. School District `-i-�-� City D County Jurisdiction Property Owner 7 CL5�. Project Location/Address S'f , CA - "Subdivision Lot Number Residential Development: a Sq. Footage C/ 0 # of Living MHI Addition (Group R) t � Units DCommercial/Industrial: New 0 uilding'/Department Representative Dt Sq. Footage Addition (Including Exterior Roofed Areas) DatEy (Floor Plans reviewed by School District Personnel) : District Id No. 1b o� • `` u ,j'% o_c) r O School District certifies that (Applicant Name)' (Phone Number) keg ("h Rd, (Street Address) -90 (city) (State) ( Zip Code) has complied with the requirements of Resolution No. by the payment.of $ o?3a7•CC) representing square feet. School District Representative Date PAID BY CHECK NO. � BANK NO #,'� PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88.)x_'' i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC.WORKS 7 County Center'Drive - Oroville, California 95965 - Telephone: 916;'538-7541 APPLICATION AND PERMIT PERMIT NO. z�qc,-90 ASSESSOR PARCEL NUMBERZONING 5�' O$-q(p "Ttp I ISO BUILDING PERMIT OW R Nil/ t TELEPHONE 343- Li(OL SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NXIAE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 16-0 I��� Permit fee $ n (20Ano.5S'e—+— I.CA, S ,'�. 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 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeNT Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00e TYPE OF WORK rc,� New 1:1 Addition Remodel❑ Util•ties,0 Installation; Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°°1 OR o AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as ttneir 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 too AMP 2.50 NEW CONST. DWELLING OCCUP.✓f OR ADONS. ACC. BLDGS. 2�20sgft NEW CONSTIL ULTI-QUTLET NO N•R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS h\ l SINGLE OUTLET CIR. / Ex. OCCUp�OUTLETS OR FIXTURES 200580 SALO00 30 Ex. Occup. OUTLETS IPRESI0.)R E A.) 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): - F-] The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become.subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I. agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant - Owner ❑ Contractor F] Agent C1 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 g occ CONST TYPE —F TOTAL FEE $ HAZ I CUAPAPK SCHL FLD PAR PD HD Issue permit is nereby issued unser sions of the Butte CcLlnty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES DatE the appiicable provi- resolutions to do have been paid. WORKS Date Receipt No. WYITE_D.P.W.. YELLOW -ASSESSOR. e14K.i45PECTOR. .CLCENROD-APP'_ICANT x3 k19.4k 47 � O Sl YY�\'f 5 Q- SSCCl0.�� lei l- yoc YY►a�p� l � � � �-� 150 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, PHONE: 538-7541. MOBILEHOME.INSTALLATION. SHEET 1. Owner's Name: - �- ! 4 i V10. 1/C- C 2. Installer's Name: (`C-4 �--� 3. Is the site currently under permit? Yes a No F-1 (If yes, furnish permit number � 6 �6 . l0_) OR Is the site an existing site? . Yes F-1-1 No M (If yes, furnish two plot plans.) 4. Will.the mobilehome be located at least 5 ft. away from septic tank and leach r fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ---------;----- d Amps 6. What is the mobilehome site service rating? ------------- � 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- 00 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No a (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- �l (in.) 10. What is the type of gas service? ------------------- Natural F I LPG F1 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on 3S11 _9 natural gas or less than 50 ft. on LPG.) l 9ft,VPran , MOBILEHOME SUPPORT DATA /) If other than Single wide, Mobilehome Mfr. I C�'�5 furnish Setup Model No. Year �. WidthZ(4)___(ft.) Box Length � C,/ (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. Wood -pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one) 1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE 14ULTI-WIDE Line 1 Piers: Line 1 Openings: Size -Min. ---'-------- „x ." Size -Min. ------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max. ------- '_ " With Width Over -""----- Line 2 Piers: Size -Min ------------- ------------Spacing-Max. Spacing-Max ---------- From Ends -Max .------- L!ne 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing-Max.--------------- r_ „ From Ends -Max .------------- Line 4 Piers: Size -Min.------------ ,k Spacing -Max.--------- From Ends -Max.------- Line 5 Roof Loads: Size -Min .------------ ,.x „x „x „ „x „x „x ,i ,'x nx e 5 Piers: (Under Bearing Walls Only Size -Min .------------------ Spacing -Max.--------------- From Ends -Max .------------- Location (From Front) 1N I PARTMFNN ,O COUNTY OF BUTTE -:DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 26 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMI DWDonald Sorenson T'M-"465 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 165 Maple Creek Ranch Rd. Cohasset 95926 11gRWA- T S NAME 11j�YjQ unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ jllvjj(fQ} t��tL��rrttzz LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 19-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS S and of Resourcc_ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1 on Maple Creek Ranch Rd. 2 Mi. E. of Cohasset Each Trap 2.00 School & Volunteer Fire Dept. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP C�Ir 55 V7\ P' ) Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom(yffl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea 30.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: MHU Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 101 OR ORSLESS 10.00 10,00 Main service EA. ADD'L too Al2@0 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 OR ADONIS.( DWEACCLLIN GOCCUP.&) S. 21/20sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL930 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. L_J ' 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 becomesubject 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue t against s id County in conse uence of the granting of thiTZ*3115?,O X Date Signature of Applic nt - Owner Contractor ❑ Agen ❑ 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 $ 92.50 HAZ — CUA "—'- PARK _ SCHL NA EE PAR PD D IssuE — This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIR CTO F PUBLIC BY PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /1 -7 Receipt No. 79482 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS - BUILDING DIVISION R t 7 COLINTY�CENTER DRIVk- OROV!4E, CALIFORNIA 96986 - TELEPHONE PERMIT APPLICATION DATA SHEET 916/638-7641 0 Permit No, OWNER )6WAUD SU?M1 60 A. P. No. Oi(n'084—G96 Proposed Building Use I'V1W Building Inspector i Date 31 1&0 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 . .. ........................ Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ' 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. W_14. School District fees paid .............. Sanitation approval from rf4l(CG Health Department 1D— .2 " 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of 17. (see City for other requirements) Planning approval for (A) Use: (B) Parking:' l 3 'L 18. Pr, 19. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pfe-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Nwner-Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ecorded copy of Agricultural Acknowledgment Statement ...Will _'%4 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _l Telephone 343-4to25' and hold for pickup at _ office. Deliver w/inspector. Other t CSR--f-�—� 77_ �•( v o (/3� 4o A --c Le s Applicant Date w 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 ersuance: (C' new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Jf 11 DateL -��'q Plans approved by FdA Date _I- - Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinv Deparfmment FROM: Environmental Health SUBJECT: Sanitation Clearance it _..4_ Owner Location AP# Plan Approved for: Hold final for: Sewaqe Disposal Water Supply X- 7inal clearance O.R. for: Clearance for( &6) bedroom mobile home. Other Water Supply Water Supply NOTE *** Sanitarian Dat COUNTY•OF BUTTE I- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE SOR PARCEL NUMBER _- US&_• _0 6 ZONING T'p loo BUILDING PERMIT OWNERTELEPHONE S 343 - 2 S SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 592 CONTRACT '5 NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is Filing Fee $-to-63— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I!, OD Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 14 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME11—PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome /r Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities k2oo� Installation[] Other ❑ Describe work:��(� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP 10.00Or 2.50 , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. l ACC. BLDGS. yZQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eA 030t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -mentioned -property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE c7� TOTAL FEE HAz I CUA I PARK I SCHL I FLO PAR PO HD ISSUE Th's permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS I Bv._ Date 04 9 Z January 18, 1990 Butte County Dept. of Public Works 7 County Ctr Dr Oroville, CA 95965 Dear Sirs: Enclosed please find�two copies of the "Agricultural Statement of Acknowledgement for Residential Development" witnessed by a notary public and three copies of the plot plans. These documents are to be added to the folder for A.P. #056-080-096-000, Permit # 2646-90. This building site is not located on a driveway that comes directly off a county -maintained road. It comes off a driveway that was made in the 1940's under A.P. # 05(o-'I1XO -O4$-DOD I think that the enclosed information completes the first permit require- ments. Please advise me at your earliest convenience that the file is complete, so that I may begin the second permit process. Thank you. Sincerely, Donald Sorenson. 165 Maple Creek Ranch Road Cohasset, CA 95926 DS: of C-3