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HomeMy WebLinkAbout056-320-00856-32-08 OYD MARCUM S/W ide Headwaters Rd, app 525' E of ADMINISTRATIVE PERMIT 98-11 Hwy 32, Forest Ranch O SECOND DWELLING Permit #3 72 -82P E (U litieW/MH) 12-29-97 ELECTRICtj�-&,�A A SUPPORT STRUCTURE RE cp 056-32-0-008 96-120 A COMPACTION TEST REQ LLOYD MARCUM • Y cx 5250 Headwaters Rd, FR 56-32-08 (AG exemp-wtr stg & farm equip) Contr: Schwitts Mobilehome Ser, Vina Permitib7��=83MHI� Is s. 056-320-008 03-3458 `' _! / / - _ - UM, BUSTER - EADWATERS, FO Si 56-32-08 - - 2_ �e�rmit#2597-83B,E(new private detached CONT: MARK BROWN garag:hop) RAlvranA_nVF-u wru-i 56-32-08 Per 't ��2618-84B (1st renewal/2597-83) _ 056-32-0-008 91-3813 MARK,^ BUSTER & RHODA CONTR:. KLARENBACH CONST J;?154ft- HEADWATERS- RD.-, FOREST -RANCH i -DECK. & ENCL PORCH/MH�� 056-32-0-008 93-2610 B kMARCUM-,--BUSTER------_ _ - - Sa5 .4 HEADWATERS RD, FOREST RANCHI CONTR: MARK BROWN. Ayct,- ��q93 OPEN DECK/MH 056-320-008 PERMIT#98-0308 MARCUM, Lloyd P. 4/0 00_yg 5252 Headwaters Rd., Forest Ranch , MH Util/2nd Dwelling ELECTRIC-. _ f GAS ZP i a COMPACTION TEST REQ 11 � f SUPPORT STRUCTURE REQ 056-320-008 PERMIT#98-0741 MARCUM, Lloyd.P. 5252 Headwaters`RZ1., Forest Ranch MHI-2nd Dwelling fX10- 61m1 fll NOTES _ RESIDENTIAL {056-320-008 `- .,I.. < r -:I MARCUM, BUSTER 03-3458 h PERMIT NO. _ HEADWATERS FOREST RANC I CONT: MARK BROWN ADA OVER MH s2 9 r r t 11 SPECIAL CONDITIONS 11 V SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - F i i JOB FINALED (Date) Signature wk ;w CHECKED BY J = OK 0 = Not OK ' = Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. 1. Zoning Requirements -Setbacks -Easements 8. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete j 1,d' 6. Gas; Location -Test -Wrap;-/ /" L'ft. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. / P Nat. or / /"L"tt./ PLPG . 7. Well Clearance & Disconnect Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Kctric Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date j 1,d' Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s I 12. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Z�g Requirements -Setbacks -Easements . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Kctric / Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9 ding; Nailing -Veneer -Stucco -Mesh j 1,d' Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings I 12. Braced Wall Panels i Date ta r d q Card B t + Date Card B-1 {Date . tgfir Card B-1 ate Card B-1 `Date FINAL (Plans) OK except #'s q. • 1. Setbacks -Easements t 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI t 5. Elec.: Pool LiahtinA; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors �- 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel -Blackouts -Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes •0 No/Walks 0 Yes I] No/Planters O Yes 0 No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46: Hangers -Post Caps -Anchors -Connectors �- 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive ] Yes •0 No/Walks 0 Yes I] No/Planters O Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELVICES - BUILDING DIVISION ,1 7 County Center Drive Oroville, Californih9960��4Telephone (530) 538-75 IT NO. (Rev. 12/96) ' APPLICATION AND PERMIT /-1 . �J moi " AssF61O�PA9�61.A( -II68 ZONING BUILDING PERMIT own{�P,,,BUSTER 34-5-0544EPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 126 FOREST 'RANC14 CA 95949 1300 C 16 900.00 CONTRACTORS NAME MARK BROWN 342-4096 TELEPHONE CONTRACTORS MAILING ADDRESS , PO BOX 302 FOREST PANCH CA 95942 CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ 16 900.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $180.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $117 00 BUIL�I`241'RE�DWATERS FOREST RANCH CA 95942 ,-JJ [[,,CC}}�� �jJJ Energy Plan Checking Fee $ $ PERMIT FEE $ 117-00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RAMADA ROOF OVER MOBILE HOME Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I GI WF__ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service 800O 200.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class 9 Lic. No. `3(Qp q Z -U OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P KY p l N P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( y ACC. URS. 3.5QFT: NON-ROS1D. MULTI -OUTLET 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCup. OUTLET OR FIXTURES 6AL @':50 Ex. Occup. FIXED APPLAS. OR . ETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 11- 3-- O Signature of Applicant - ❑ Owner PL Contractor ❑ Agent An OSHA Permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. OT FEE $ A17401 P D. FE _X CDF PAR ND IS This permit is hereby issued un er the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which f es h e been paid. Q D e -1 03 EXPIRES O ate Receipt No.PERMIT WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I vow COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 .r j �PERM� IIT APPLICATION DATA SHEET (� OWNER: �� m / �/✓l / ASSESSOR PARCEL NUMBER -05(a 2 5T Proposed Building Use: �t�� I%vv C,/�• ,YtXf Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR m ked NA in order to apply. I. Plot plans, 3 or 4 sets, signedty the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate''. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By A( Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remain' g items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings .................................... 06. Sanitation and plot plan approval from the Environmental Health Department in 1 C1❑ >ty of Chico Plumbing permit ...................... . alifornia Department of Forestry plan approval aid. Sent. by: �.........../.�. `0 –03 - ❑ 19. Planning approval for (A) Use: [> �< (B)Parking: (C) Parcel Check: I I –) c-) . p► -3 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the abory items and requirements for obtaining a building permit. d Applicant:1.,) Y Date: 11-1-0-3 1. Index permit applicat on for the above items numbered: ` Plan Check Letter 2. Additional items required V'_ Contractor, designer, owner, was advised cf the above data by ❑ phone, '❑ mail, ❑ counter, by Date: _ Contractor, designer, owner was advised of the above data by ❑phone, ❑ mail, ❑ counter b Date: Plans reviewed by:OAL Date: f �% (}' �j Plans approved by: Date: d, Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellmv Ruildino Divicinn .R E.M. USE ONLY Plot Plea Anachad LI Flom Plan Anachad i ^ Sam to B.D. - 0 - I v 44/H TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance mo,f-wfy) Owner Location AP# Plan Approved for: Sergo7 Wat Sunni Pub is Private Welk Clearance for dwgll w Hold final for: Final clearance O.K. for: NOTE: -- -- 8/96 056-320-008 PERMIT#98-0741 u MARCUM, Lloyd P. 5252 Headwaters'Rd., Forest.Rarich ` MHI-2nd"Dwelling a •fir' R'..,Q.•�Y•x:.X.C.(.�' , f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •7 Cougty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 , �� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT l " ' �/, . ASSEtl!rARC IyNU O lllJ jjir—��—�M�JOO ZONING ,�„,f�s BUILDING PERMIT OWN% yD P MARCUM TE14'510544 SO. FT. OCC. BUILDING VALUATION OWNEpsS tP'uMAD` %6 FOR N COM�!�!f�'$ ME l Jit l'I 1G TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 su1LD CJ.�)IES EMWATERS ROAD, FORST RANCH LL ��j'��J Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ID Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation U Other ❑ Describe Work: rfffI/98--0308 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z. ' oa.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. P" I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 46.00 CCU000A NEW CONST. / DWELLING OCCUP. SO WEo OR ADDNS. \ a Acc. sLDs. 3.52FT: NEW CONST. MULTI -OUTLET NON -REBID. R , C , @7.50 APPARATUS a SINGLE OUTLET CIR. 20 @ 1.50 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. OUTLEEDTS(REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j Af�of GVZDate X— �V -- Signature of A plicant - Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" 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 HAZ. D. FEES IMP FLOODS CDF PARCEL PD _, HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (/ Ir ♦ By % I• . /,L _ Date PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-8.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •7 Counj*-Centel Drive - Oroville, California 95965 - Telephone (916) 538-7541 d �P IT. (Rev. 12/96) APPLICATION AND PERMIT AssE$§Qi�FARn� uMb08 ZONING TM -5 BUILDINGPERMIT OWN TLOYD PMARCUM TEL�41J.E 0544 SO. FT. OCC. BUILDING VALUATION OWNEPS UlU f,tORE 96 FOREST RANCH CONTb4f fflJ!VIAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINC),Ap EsAEADWATERS ROAD, FOREST RANCH 5L7L Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Y'7 Other ❑ Describe Work: MHI/98-0308 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service EOOY OR LES9 zoos ORLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( To 46.00 NS CCU000A NEW CONST. / DWEWNG OCCUP. DWE200ALLING OR ADDNS. \ 8 ACC. S. SO 3.5¢FT. NEW ';U 5TMULTI.OUTLET NON-RESID. ANC C c'ITS I @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES 20@''00 BAL @ .50 FIXED Ex. Occup. OUTLETSPRESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q — , E �� �� X !. L/��CDateJ��--- Signatur of plicant O-Awner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOG CDF ARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date l _ Date ReceiptNo. 236344 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'w'rrwew.ry�,��+'t..r5..;j � ,:;.G ;,,M. ����-�,ai„+�r�•�'"�-K-..•f:...;.iin. v...�...-._. .. -. X' COUNTY OF BUTTE-D,�EPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ON 7 COUNTY C-WbRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 � f f PERMIT APPLICATION DATA SHEET OWNER: V a CCS U o— ASSESSOR PARCEL NUMBER: DS6 — Proposed Building Use: u Building Inspector: -64A Date: 3-9 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.------------------------------------------------------------------------------------- (�`_�. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ t Complete plans; 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 1-17. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 0. Fees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. C31.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------= ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------- 3. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). --= =------------------ ❑24. Letter of signature authorization. ---------------------------------- -------------=-------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------- E126. ------------------------------------ ❑26. Letter of intent on building use.------------------------------------=--------------------------------- ���❑�27. Manufactured Home utility clearance. ----- Ow. Existing violations and/or expired permits. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑30. Other: (Date) When you issue the ermit, process as follows 11 Mail to owner, ❑Mail to contractor. Telephone �i - bs y �1 and hold for pickup at 1 C office. ❑ Deliver with inspector. Applicant: C-�N�I�IN Date: ic/1-31' 8 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: s' - Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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: YESVJ NO[ I 2. I HAVE[K] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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 .1.�t� c4g llem,-��1c& M 631 u�� i isxin�.tn� v SIGNED: Dp PROPERTY OWNER: SOCIAL SECURM NUMBER DATE: 'v/) -3/,F5 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our of lice before we are permitted to issue the permit. May l 90 i 2.26 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count i Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ly- ASSESSORPARCEL NUMBER 5 & _, 3 —c:�: _ d =°NI! -rte y BUILDING PERMIT OWNERT PHONE S;_ o SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING Ab SS 3,9 2 CONTRACTOR'S NAME A n A TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Z L5� , f _ ( wG A JL-1F-�t•J,L/J]-/�7 'Y1r�111 Energy Plan Checking Fee $ $ -Fbb PERMIT FEE $ L43, Dv LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK NewAddition ❑ Remodeleln❑yfUtilities ❑ In�ssttallatiioonn{ O� Other ❑ Desc ibe Work: f ► r , l�O'�/ �7�/ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IOooA 46.00 NEW CONST. DWELLING UP. OR ADDNS. ( a ACC. BLAS. SO so 3.5¢FT; =RE°SID MULTI.OLm ET 97.50 POWER APPARATUS a SWGLE OUTLET CIR. Ex. Occu OUTLET OR FocruREs e,0 @ I.� Ex. Occup. ° L PR D.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ loci, , no Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA=. D FEES IMP FLAOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ (Do to) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT = 1. Owner's Name: \ 2. Assessor's Parcel Number: 6 — ? i -G O D t?) 3. Installer's Name: 1Q c64 /l�, (o 6g31b* ? C-Li7 4. Is the site currently under, permit? Yes[ No[ ] Permit No. -5. Is the site anexisting site? -,Yes(] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 100 Amperes. 7 What is the mobilehome site circuit breaker rating? Amperes. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No] If it is, what is ' the rating? Amperes. POIs there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[' None[ ] 12. Size of gas pipe at the mobilehome . site from the meter or tank: SILL inches. r 13. What is the gas pipe length from the meter or tank to the mobilehome?_1(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 M.H.I.- 2 Mobilehome Manufacturer: (-:? otz 6,x)bUe,67— Manufacture Year: /,9 e O If other than single wide, furnish Setup Model Number: ,.S''EQ \b A- - (�_, Width:_2 �f (ft.) Length:1�18 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. FOOTINGS: Wood pressure treated or foundation grade['�1Other: SUPPORTS: Concrete block[W Other: ,i,rt�d,uss !f g E-�T S - /,-Z,6 Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SIIQGLE WIDE NMTI-WIDE Line 1 Line 2 ................................................................................................ Main Beams Line2.............................................................................................. Line 1 Main Beams ........................................................ .............................................. Tag or Triple .............................................. Line 1 Piers: 11114 Size minimum: x Spacing maximum: ` From ends -maximum: ` 5 4 0 .ine 1 Line 2 .ine 2 Line 3 Line 2 Line 2 Line I Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 2 Piers: Line 4 Piers: Size minimum: x 1361. Size minimum: ] x [ ]. Spacing maximum: 0 Spacing maximum: I` From ends -maximum: From ends -maximum: ` Line 3 Roof Loads: I' 0 u 'rro /V_N XCch eAd and tJn aer Pa c h 'hea��'n5 wre Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 8..1 . �a�- . S�SO Nc�rl�r ► rrl� i i RC2a 00, _ f aftdved Pao t6quirements must bc) Z � /-14 R ANeS S RES AMD E QUIP 7. 8Acl< OPALCLEAR OALL EASING F; F!qO;o � F% PEO Efv. IVIS. THE REA A THESIDED F7: FP.OAI THE P�tOPOFSTR ROAD OEMTEp3LIN�LIMESAND Efj 2 • EAECOVER qAi j) EQUrP�E� HAS 84 . G. EXCEPT. S P APPROVED. Development Plan DATE reu 1 + USE PERMIT —VAMA"CE _.._ MINOR U.P. ADM.PERMIT PLANNING COMMISS. DIRECTOR Of DEVELOPMENT SERVICES BUTTL € " rra P'-7PT. r CALIF. FOPESTAY approved as suer �iKed approved v.'M condig&- . per attached shaet. 3 nature NJ- � e qq �,r ' f f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM • (One form per'Building) School District ( �^�� �� Building Department No. A.P. Number 7 - ,ZO -*��� Jurisdiction: City County C - Property Owner � � � � .� pjT �� -Jn� Property Location/Address r r Subdivision Lot No. S' Residential Development Sq. Footage z- � ©'� No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial % Sq. Footage New /r Addition (Including Exterior Roofed Areas) l Building Departmentepresent ' e Jr Date u-ioor runs reviewea Dy acnooi uistnct versonneq District Identification No. /V e / r � /� h_m ,n School District certifies that W[ r (Applicant) P �� D 3�� ���s- (Street Address) (Phone Number) 6 'i.5 9 �a (City) (State) (Zip Code) has complied with the requirements of Resolution No. 62 9�by payment of $9 Mf 4)7' -- representing J square feet. B 2926 $ 'IVULL MITIGATION $ 2 Z �a� z � � ' 33,>( School District Representative Date Paid by Check # Remarks: '�.Q (ryi j M N , - rt ry., QCAM -* Notice: `You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code. Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit• you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm RESIDENTIAL P WIT NI' , 056-320-008 PERMIT#98-0308 MARCUMi-Lloyd P. P RMIT E)I C' IIeadwaters Rd., Forest Ranch MH Util/2nd Dwelling' _ CONTR. 'ASSESSOR PARCEL `;LOCATION 5 Cpq ty` � . i t - E I OFFI E COPY� 1 AddreS 5pZ '7; 0 GAS ' Meter By ELECTRIC /j Date6-f j Meter gy f, Date Temp. Power Pole a Called PG&E 4 Temp. Elec. Service - r - Called PG&E Temp. Gas Service Called PG&E —b� lI� JOB. FINALED (Date) co—7 Signature j; COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County- Center- Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) 1 APPLICATION AND PERMIT ' -�- ASSESSOR PARCEL NUMBER 56-32-08 � ZONING TM -5 BUILDING PERMIT OWNER LLOYD P. MARCUM + TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILIr+nU 386 FOREST RANCH CA 95942 CONTRACTOR1 0WER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNO ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ ���` i7 eccG�/��c,�ws 2G( FOREST RANCH $ PERMIT FEE $ 9-1 nn LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R, Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ]b Installation Other ❑ Describe Work: INS —W1 PR$nT-,�; G�At: ,�> [ ► I �'C6I, I'1 �� Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home )$ XG )V @20.00 60.00 PERMIT FEE S 80.00 ELECTRICAL PERMIT Filing Fee 20.00 EOOVOR LESS Main Service 200AORIESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. XI, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( 8 ACC. BUDS. SO 3.50IFT_ NON-.ESIDT MULTI-OUTLET13RANCIRCUITS @7,50 POWER APPARATUS 6 SINGLE OUTLET CIR. OUTLET OR FURORES Ex. Occup.BAL 20 Q 1'00 @ .so Ex. Occup. ouiLEETS REESSIOOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE S 63.00 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortNvith comply with those provisions. ,�? X i!�� ? Date _3— _�___ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE -$ 1 6.00 HAZ. D. FEES IMP - _ _ F O COF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date / g' Ds ReceiptNo.• a WHITE-D.U.S.-B.D. CANARY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AP OWNER A2Aa� PERMIT 9-e - 3c, I? Ml UTIL.CLEARANCE DATE %/Z3G S'� INSPECTOR.' ELECTRIC GAS Support Str.c. Compactio 'zest .lie q. ervice ,ize Other Load Type Pipe Size Length YES I NO YES 1 NO , � I ..: Y"`% . ;...,.a•. ._^lr r:s�"•. ..v �►r,-„fir+. `•. ..� ,,-...-�•ti,:�.rw,,dr"r ...-1"„a M_;1.� ti .•rax.. ...-v�•••�v tir l�<., i y�� cs. 4,+4,�, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "CO UNTY dENTEWDRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: D ASSESSOR PARZe!D D.�6 Proposed Building se: Building Inspector: Date: A ce At time of permit application, I was advised the following data must mitted rior to permit processing and/or issuance: 111. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 113. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 09. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. ees of $ pact fees as shown on the attached schedule. 3*19� alifornia Department of Forestry plan approva fees. ❑ 13. Flood elevation certificate. 4anitation and plot plan approval CM c e) Health Department. C115. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. O 19. Encroachment Permit for driveway (construction approval prior to occupancy)/`-/_ �j•�rj/f�L���� 020. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). C1 22. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. LLtter of signature authorization. . Recorded copy of Agricultural Acknowledgment Statement. � W& Letter of intent on building use. ❑27. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. El 29. ❑433 A, C3 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: When you issue the permit, process as followsail to owner, []Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant:-20-,0� G• ��Date: �� EXPIRATION OF APPLACATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant 4� I�-''�i�`�-/�-�1��'°O�fft1s'S!°r��'►WXS�.i�t�%VS'� i,. .. "�':°it'Si�1�'i�':� m�""�`�,`�r+'�"!°w'�".�P.t�kekM;rawa,.��t;� .. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95.965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER f? ✓h.._ A. -7 PROPOSED BUILDING USE DATE ^S� REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ Revised Plan Checking Fee .:... $ J s 2. CHOOL DISTRICT FEES paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ .22 Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 6k:RA FIRE INSPECTION AND PLAN CHECK ,$89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division). 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. f% s APPLICANT j - DATE 3A v V Original -Owner Copy -Building Div. (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev_4?m6) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER' TELEPHONE � � y, SO. FT. OCC. BUILDING VALUATION OWN7MAILING AbDRESS ,0 6 ' CONTRACTOR'S NAME S TELEPHONE CONTRACTORS AWUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS • Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.99 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING DRESS -SZ�/��do 3 Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDNLSIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome filf Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation Other ❑ Describe Work: _i/S-7VMe 670AIL.� i�o/yi,E 4011f&_ il�C�uC1 �iLOD�F-w J4"%1x11. S� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE $ •� ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 22000AA oa LESSSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,�, X • _% �cG ± Date — Ar f O -- Signature of Ap icant - XOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 20GA TO 1000A 46.00 NEW CONST. OwELLING OCCUP. SO OR AOONS. ( a Acc. BLD S. 3.50 NE gESIU MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FDMRES BAS 1 I.w Ex. Occup. ounEEDTSA AEs o.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt i Mobile Home Installation Fee $ Energy Inspection Fee $ occ . TYPE i TOTAL FEE $ �- ;.A 0. FEES IMP FLOOD I CDF PAR EL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dote Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO-APPLICANT E.H. USE ONLY �- Plot Plan Attached YeS t Floor Plan Attached YGS Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Marcum 52 Sd /�eaalwa�✓5 SG- 3Zo— QD� Owner Location AP# Plan Approved for: Sewage Disposaly Water Supply: Public Private Welly Clearance for 4wvffhv. Other z.nd caeoec4,1 Hold final for: Final clearance O.K NOTE: ✓-ld,�.'�;s. for: ' c, Z.�T . Environmental Health Specialist 4- -io- 9,F Date U3 Z 4� x� Q C2 1 I Tr O v _ w -. r ti 1L -3 U3 Z 4� x� Q C2 1 O v w -. Q C2 1 O v w -. -,, ' f tr •r > � .. ! - t r.. �. y 1 't „�� � : � . i s t �7' :I aV' V , ,✓ � �i•.=..+' .' V ���, DESCRIPTION r t ✓Y !s Ail '.that'certaitz rzal.,Frapar*y rsxturate`'ni�'th'e;�`+County' of Bute, Stat=. I of, California,, desdribed'as ,fol'iows-` of Lot 1%l,'as show ion that certrain. P'aroel : { A # a .portionn.� ' Map• ., 4f, a� port"ion of Section .28,%Township 24 1Notih., nge, Ra 3-Ea st,M,O:D;, & �l�1.,, which.°bla�3 P r'. 'Fwai ,filed ' the office of - the Reccraer of. the- County of,, Butte, ".State i of`"Cal'fornia, }yin .'Book• `37 •of' Maps at pages' 8.2,; 8�3, and 84, ,and being , { more part3cularay,'described;"aa ' followa�.` '" . CQ:�iI�1ENCZ:IG 'tit -,the ' Southwestcbr, ner - of . sai'd '�,ot �11; thence, a`Iohg the +' Westerly" -boundary line' of said, Lot `31 �North`.00°;;,08! .16" 'East, a' cis s;* t ce of .448;-09 feet; .tiier ce' ;vbrth ',2V 01",'30" East,-v'a d star cel of '260":I9 feet; tfienceT leaving said; westier'y4.boundary 1ine •ofr Zot' 21, = Snuth -8 8 ° R' k 01 ",;,E .s*, a , dis twice ,oL �3 S9 . zi,, feet to the-'tr.ie poin f .? b®ginning` Vixt• the.p8rc 1- of"'Zancf"here#n :escrib 7 to nfii`: from �pa .d true,,point1: of..'beg nning Nor`th'i 1'2° 23' '4'Z':'.1 Exist ,a dint ai ce 'of,. 3.40. e8 r "feet to a point located in' the. ,Nor tfierly, boundary line /of• said Lot' 12 o thence •following along the 10� iherly'" andr Easterly boundary ,line dt,+ said Lot ll South 84 001 I`kast,• a.'distance'of 178-421. feety thence •,South 7`2° .00''fy00"•' Bast,. a d'ist"ance 'of ;92':'81. feet; 'r,thence Sotfi' 3i°_ OU' x 00,", East, a distance of 8b'.78 feet;'rt�hence"5autha:i8° .56' ,;06" East,,. a!' distance��of '197 feet- to a• point }that', ears ,North 86"O 48' A97 �` ast. ,frdm-' ; ,., the true'• point,'of"',beginning`s; thence 'leaving 'said.tasterl`y' 06wilda y .1,Jhe of`Lot•T'lrSouth' 86°.'48'• 49" .West,° a''d'-ii, rce�of*4'47.99.feel to the t ue f° �. point,;of-�begi:nri ng s a s ,. TOGETHER `WTT 2""a' tight, of way -for' road and gui�l c' utility 0u �p� sO' _offer a gifri of land` z , ► ; f pyc, feet n� width, } th can�line of which' is ��scrihed' as. t i -fol �Q�f_ pi. 4 i V � ' 1 ` er .' A . • A� ''' r tr � j '�':. A i' icy J BEGINNING at'. the most Northerly'tcorn`"of said, LEyt'= ll; ,then'ce ;a�.on�'�the 'boaandary line of said Lot',11, ,South ,84°','OAO' 00"' East, 34'2'8.r7! °fe.e. if 4 tthence'South 72° X0,1 -,00", East>,,�92,81,.-;feet, lthence south,;:`3:1° f, Ebst", ;56.78 feet, . thence'iSa'uth fib° 'S6' `06" EastrE` 270.4 1 felt. •�:b .the ' pnd of said said centerline. , • n � �'_ . , . - • - - '. , A",?' �. of ry 'A. 1 + . i {" • A SO' TOGETHER WITH 'a right, of way, 4for, r- oad� ;nd `pub1"ic• utility � rpasEs A _ober "the, ro 'ds shown in' the:Parcel.Map of to ,pbrri6n'„Ai Section 2"8{,. `Towrehip ;i f -North,; Range 3 East;1".b.B`.'f& "H' f'; whfoh %map`','vias .,f� led'}in3`thB” office` of 'the, recorder. of. "the' County .of, Butte; state of Cai# farzxa, ;an. April ' 2l, 19711 in -Book' 37 ags,. at pages 82,, 83, land 84.Yr ;' �' •i �A ; j, ....._..-... ;........ _..__. .. ._......._._.... .. .._ �. - __... ,:... `_»....._._.._,,., ..,. c._.�.....__.-..— _ _' A^a . ...... ...�.._. ,..r� '_.. .+.,..�!•. .. MOBILEHO_ME INSTALLATION ACCEPTANCE. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (99116) 538-7541 PERMIT N0. ` 3p Address or location oo+f. mobi lehome J aWg n , Owner's name* � f ` /—.An � 1 u''^A 4 ' Owner's address S -CJ 1 D DA -J 0142y��""'� ,� we .t 1 1, CA . Insignia or hud number 0AL a6 _%u50 CA—cPOO 5/ Manufacturer's name XWPANI- � Serialii.number of V.I.N.6,K1 12 -CAL_ %l'6jR/ �S2AYear of'manufacture�� 0 I (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 OW A FOUN•DATION'.SYSTEM. ` 1 5136+ Wh to 'Owner Yellow ^Instaaler, P,nk DPW' d DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DNtSION OF CODES AND STANDARDS P.O. BOX 1407 SACRAMENTO, CA 96812-1407 (916) 255-2501 I )OWN SYSTEM CER I FICAMON (To be completed by the mobilehome installation permittee or their representative) S-' )q s) QW PV( To OMM 141 » .end Tl" . hereby certify under penalty of perjury and in accordance with the provisions of Califomia Code of Regulations, Title 25, Division 1, Chapter Z Section 1326 that dtw tiedown system installed at Sz C7- P e A o W A r,e.e C R+ IfAi✓GH (Addre* • OA4 Moa (GM (ZP Code) was not modified prior to or during the installation, and was installed in accordance with the bedown manufacturer's irvouctions or in aimordance with plans and specficadons of an engineered tiedown system. (stvnaar.►V (Dow) Now to Pursyant to the CCR, T25, Section 1325(4) upon completbn Of the motion of the home, the honrw rnaracnxer's on'in avuction, the approved plot pian, a copy of ttw pians and for an engineered tie down system If used, and a cry of any maintenance requirements for the dedown system shat be placed within the home for retention by the homeowner. Department Use Penn # District Representative HCO-NA0.21 (ftv. St" V=OK s O = Not OK Not ' = NotReaady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zing Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpadng-Connectors-Steel ,oils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails , Location-Test-Fall�QO-Concrete 4. Wood Awn.; Posts-Beams-iNrs.-Connectors Shthg.-Rfg: Bracing r, Location -Test -Easement Needed (Sketch) . lectricity; Locabon•Clearances-Grpd-M/Amp-Concrete 6. Carports; Windows -Doors Gas; Location-Test0rap; / AJL /,/Nat. or/ 3 t-fo id • . Well Clearance & Disco nett 8. tility Clearance 9. Siding; Nailing VeneerStucco-Mesh Date'Date dJ :� �� B-1 Date Card B-1 ' ard)3-1 Date Card BDate " -1 Date Card B-11 T. Zo)Iing Requirements- Setbacks Easements 2 s; Si pacing -Marriage Line _city; MH Test -Crossovers -Breakers -Clearances LodraiDAWTest-Fall-Flex Connector 7 at nd Sewer Connected -C/O to Grade -HD Approval . a d Electricity Tagged Vis -Type -Installation Cert. .v. m�.vncicn •- i '' • 11. C506f Occupancy ' . 12. ermanent Foundation Only: License Decal VA Card B-1 Ufj Date Card B-1 I Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpadng-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-iNrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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, Distance-GFI S. Elec.; Pool Lighting; 15 Volts -CFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Fig., Main; Soils-Elec. Gmd. / p Fig. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ /Fig. Depth 4. Fig. Porches & Decks; SoilsSteel-/ /Fig. 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/0 -Sewer Test 10. UF. Gas Pipe; Sine Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 .Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except' #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet " 39. Attic Access & Platform if Fumace,in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Comments at Final: Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54.- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground :Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr:; Vents -Clearance -Comb. Air Connector-PR.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish , 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House ;y 89.. Glass Protection K, 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Comments at Final: h V=OK 0 O=Not OK = Not Readyable MOBILE HOMES 4 Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements! 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. -Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval _8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy M I _MISCELLANEOUS 1. ZonlnTRequl menta -Set acks-Easements Qom- p y3 2. Fo ; Soll - epth-SpaeMg-Connectors-Sf'eeI " 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 -Mash 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 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 I boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I V=OK r O=Not OK -=Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd. / -P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd./ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16.. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Da_ to/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/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. 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. Sits, 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 Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection-Landinga 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 -Lending -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 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor I7 Yes 80. Following inatld.; Drive O Yes O No; Walks 13 Yes O No; Planters 13 Yes O 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC BUILDING DIVISION -; 7 County Center Drive - Oroville, California 95965 - Telephne 6) 538-7541 PERMIT NO ` APPLICATION AND PERMIT 93-2610 ASSESSOR PARCEL NUMBER 056-320-008 BUILDING PERMIT OWNER STER TELEPHONE 45-0544 SQ. FT. OCC. BUILDING VALUATION 336 0 2,352 AMARSCUM DWBUN I PO BOX 386 FOREST RANCH 95942-0386 CONTRACTOR'S NAME MARK BROWN TELEPHONE 345-4096 CONTRACTOR'S MAILING ADDRESS PO BOX 302 FOREST RANCH 95942-0302 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 54.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5264 HEADWATERS RD o FOREST RANCH PERMIT FEE S 109.10 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome 1�5 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New O Addition & Remodel O Utilities O Installation O Other ❑ Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '0' OR "' ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 91 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. '-!0(o04??-04??-0 Classification (, ,] C—Zq ❑ 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ ).50 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 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. 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 saidHA2 County in consequence of the granting of this permit. X Date Y3 Signa re of Applicant - ❑ Owner Contractor ❑ Agent An 0 HA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TIPE TOTAL FEE $ 109 '1O D. FEES IMP FLOOD c0 PARCEL PD HD ISSUE is permit is hereby issued under the applicable the Butte County Code and/or Resolutions dicated above for which fees have been DIRECTO OF PUBLIC WORKS � [By RMIT EXPIRES ON /Date/ provisions to do work paid. Date 2ReceiptNo. f.WHITE-D.D.S.-B.D. 1480972 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .--....Y._-•-..rr..w.L,.,.t�"'a'9iv.-'�r,.,.n:�cT.-a'1i.� .4�y""^�"`'j":"{•...-...'-'R'..r.�:t-r`t^.... �. ... , -.. ' COUNTYOFBUTTE -DEPARTMENTOFIjtVE[OPMENTS Rn�i�ICES- BUILDINGDIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CA FORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER l� ^" 2 "� F� � ' V 1 !f� �./ II/ 1 A. P/No./5%�6__3 % -O- e) C) 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 instruns, 2 sets. ........... 10. Fees of $ . ............... .....�................ . 1. Impact fees as shown on attached schedule. `t..... . 12. California Department of Forestry plan approvae !Flood elevation letter (100 year flood) b Califo , ' ngineer. .. ........... _ 14. Sanitation and plot plan approval 6.2i 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). .. .. .. . est 20. Pre -inspection for required. ..tPoBu°1d 9 to- (Date 21. Contractor's license information. (No., Name Style, Classifipation). .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ ' 24. Recorded copy of Agricultural Acknowledgement Statement . .................. I 25. Letter of signature authorization . ......................... ' 26. 'Copy of recorded deed of parcel creation and'60 right of way to a public road. ..... . , 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . .....................:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed ; and (B) Parcel meets zoning area and frontage requirements . ............... i 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... . 33. .34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 34&#�and hold for pickup at c9&L o_ -D office. Deliver with inspector. Other Parcel Creation Acreage \ Applicant `l�Qt�'v�X:�c-�-� 6 Date Copy of Haz=Mat form sent\ ��, Health Dept. Fire Dept. t 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: ,, Contr lr designer, owner, was advised of above required data by _ phone _ mail Counter by ate �- Contractor, designer, owner, was advised of above required data by phone mail by Date _ _ _ 7�-Counter Plans checked by HiQ. Dat69'118Plans approved by _ v/�lc�r_a,�L _ Date-zlv3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: _ Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. USI- ONLY Plot ria,, nllacl d Floor Plan Attached scnt to B.D. Owner Location . AP# Plan Approved for: Sewage Disposal Clearance for bedroom mobile home. Other Yz. A42 Hold final for: Final clearance O.K. for: NOTE: L4., I/, i i Environmental Health Specialist 8/92 Water Supply: Public Private Well - �-Y - `�? Date s r ltweuc/l ..~� ......................... 4/04 1 -7 8, m 6, REVIEWED BY TTE FIRE DEPT. CALI DEPT of FORESTRY �V 'E E CO.CO L DEPT approve as J\ submitted �Fproved - th conditions POT attached he tS t�A E H, Signature Dita COUNTY 0 PUTTE K7 A 1q'(j 1993 u 9 LIN 2 01 O Li W r. R 0 R 0 P, Ca rTl rTi C'm P 0 DO CO I R LIN 2 01 O Li W r. R 0 R 0 P, R! E TIAL 6-32-0-008 91-3813 MARKUM BUSTER & RHODA: CONTR: KLARENBACH CONST 5264 HEADWATERS RD, FOREST RANCH DECK & ENCL PORCH/MH //� 12 - YZ JOB FINALED (Date) Signature C � -r- -tia U'� J=OK O=Not OK Not Applicable MOBILE HOMES Not Ready o Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOO�Ians) O cept ti's j 1. Zon' etbac " asements-Flood-Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig: Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped - 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors ��l- r 7. Slab; Steeapped r 8. Pi r replace 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date jj_jq-q Card B-1 (/ " Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- -------------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------- - ---------------- 19. Shower Pan: Test. First Floor -Tub Access 20_Test-Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------ ----------------------------------- Date Card B-1 Date Card B-1 --------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------- ------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------- --------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- ------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------- ----------- ---------------------- ----- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ----------------------------------------------- - ---------------------------- 29. Range Circ. / I ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------- --- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ----------------------------- 31 -------- - ------------------------------------------ 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ----------- - ------------------------------------ --- --------------- 33. Smoke Detector ----------------------------- ------------------'-r---------------------------- Date Card B-1 Date ' ^ Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except k's 34. A.C. Ducts Insulation & Support ------------- ------------------------------------------------------------ 35 Vent Fan: Exhaust above insulation ---------- -------------------------------------------------------------- 36. Condensate Drain & Overflow. Size & Grade -------------------------------------------------- ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------ ------------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------- ------------------------------------ Date Card B-1Date Card B-1 --------------------- --------------------------------------------------------- Date Card B-1 1. Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils, Proper Material & Anchors ------ --- --- ------------------------------------------------------------ 40. ---------------------------------------------------------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 FRAMING (Continued) --_- 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-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 Framinq 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 -Ceilings 60. Infiltration -Walls -Windows Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti'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. ------- ----------72. Garage Fire Door: Swing -Landing -Closer -------------------------------- 73. A.C. Duct in Garage -Damper --------------------------------------- -- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection ------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------- 7T. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - - - -- ---- ----- 78. -Guard -Rails Rails & Deck - Construction -Post Caps --------------------- ---- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ----------------- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings ------ ------------------------------- 84. Water Well: Disconnect, Electrical, Plumbing ------------ ------------------------------ --- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - --- ---------------------------- -- - a6. Ventilation Throughout House - --- -------------------------------------------------- 87. Glass Protection - - -------------------- - -------- --- - 88. Corrections from Previous Inspections ------ -------------- - 89. Gas Test -Meters Tagged: Gas -Electric - - - -- ---------- 90. ---------90. Water & Sewer Connected -C/O to Grade -HD Approval 91 Energy Compliance Certificate -Other Certificates ------ ----------------------- Date Card B -i Date Card _B- 1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMEf ,NT OF' PUBLIC WORKS 7 County Center Drive-10roville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. / ASSESSOR PARCEL NUMBERZONING 56-32-08 ' T M. 5 BUILDING PERMIT / OWNER BUSTER & ROHDA MARKUM TELEPHONE 345-0544 SQ. FT. OCC. BUILDING VALUATION 7,77 OWNER'S MAILING ADDRESS P.O. BOX 386 FORREST RANCH 144 Q 1,008 CONTRAC KLAREN NAME CONSTRUCTION 824.4729 CONTRACTOR'S MAILING ADDRESS 24580 DALE ROAD CORNING 96021 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ' $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 90.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 45.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5264 FOREST RANCH 95942 permit tee PermitROAD $ 150.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each gas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[X] Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition E[ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ENCLOSE PORCH ADD DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20GATO 1000AI CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code1 and my license is in full f•�rce and effect. License No. J �r�a[�.wl Classification A,] Fl 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.tr) OR ADDNS. ACC. BLDGS. / _37.50 3.6gsq.ft. NEWCONSTR ULT I -OUTLET NON.R ESID BRANCH CIRC ITS (a 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APLNS Ex. Occup. OUTLETS PRESID OR.,, EA) I 3.00 Temporary service 15.00 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 id Countyinc`oVequence o he gr ting of this permi . X 6 ` �2a" Date d S Signature of Applicant — Owner❑ Contractor [� Agent E]sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE ,S HAz 10FEES IMP FLOG co PARC PD HO ISSUE f This permit is hereby issued under of the Butte County Code and/or work indicated ab4e for which fees ORELIC ByJZZ�P PE IT EXPI M ES Date �/� the applicable provi- resolutions to do have been paid. WORKS Date�� Receipt No. 101 392 WHITC-D.P.W., •ELLOW-A53(930R, PINK -INSPECTOR, GOLDENROD -APPLICANT r� COUNTY OF BUTTE - DE PAR N5_,bF;-P1db&C, V_011RKS- BU]LrjING DIVISION 7 COUNTY CENTER DRIVE - OROVI�sE, CALIFORNIA 95d&&-i@L6HONE: 916/538-7541 r * PERMIT`APPL.[fgATj6N DATA SHEET Permit No. /�� ,�, ,^� OWNER C.lt�� (� MAr2_ {.�- A. 0. Proposed Building Use ��'�' ;• Building Inspector Date -1 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 ........ 'Complete plans in duplicate/triplicate, signed by preparer. of plans 0 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 .................................................... School District fees paid .............. 14. Sanitation approval from AHI E•.0 Health Department S 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation'lnsurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter ofignature authorization ..... 26. &1/125;�/��GA/ 27 When you -issue the permit pr cess as; follows: Mail t owner. Mail to contractor. _Telephone hold for pickup ate <—C office. Deliver w/inspector. Other i Applicant Date �/0/� 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 pri r o permi suance: (Circle new item not checked above). 1. Index permit for above items No. ' 2. ,additional items,required: _ �iF'/f �� OvT Cad ,),,Ire .1 A_ Contr, or, designer, er, was advised of above required data by phone nail counter by .date 7ut£S Contractor, designer, owner, was advised of above required data by—phone mail counter by date Plans checked by Date Plans approved by —Sets of plans on hold in File cabinet AP folder Copy—DPW / 0_.?0._,f opyDPW.?D'`f I Ca Mr p"" Date TO - FROM: ` Buildinc Department` Environmental Health SUBJECT: Sanitation Clearance.. Owner Location AP# Plan Approved for: Fold final for: Final clearance O.R. for: Sewaqe Disposal Water Supply Clearance for bedroom mobile home. Other Water Supply Water Supply NOT$** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi,l,!e, California 959611s Telephone: 916.'538-7541 APPLICATION AND PERPVT PERMIT NO. ASSESSOR P=R EL NU ✓OU t ZONING BUILDING PERMIT OW�E7 �1 i// v/, /ile /GLAD Tj�P"O°`'E �T SO. FT. OCC. BUILDING VALUATION Z OWN S5`y�/.'pILI RE S CONT A TOR' NAM E�/ , E� CON RCTO'MUAIL=.L[J�6 ADDRESS 41 4iQ'y/1V Fireplace CONSTRUCTION LENDER� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT -OR ENGINEER LICENSE No. Plan Checking Fee $ ,Qd Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS- Permit fee $ PLUMBING PERMIT Filing Fee 15.00 C Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 US OF STRUCTURE 0Duplex[] Mobih ie Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S I G I W @ 15.00 L= TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other 11 Descrl a wor 0 C e�) I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 18.50 2OR LESS Main service 200A TO t000A1 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 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 :Jo. 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. �\ 3.66 sq.f t. OR ACDNS. l ACC. BLDGS. NEWCONSTR. MULTI.OUTLET @ S.00 NON .RESI D. BRANCH CIRC ITS POWER APPARATUS Q (SINGLE OUTLET CIR. / 20 761 Ex. Occup(OUTLETS OR FIXTURESAL A FIXED \\ Ex. Occup. OUTLETS (RESI D. )OREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ HAz I DFEE$ IMP FLOOD I COF PINRCIIAL PD 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. { f / Z wNITE-D.P.W., YELLOW-A55E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 3724-82P9E . PE-R-M—IT"No. PERMIT EXPIRES OWNER Lloyd Marcum CONTR. Owner ASSESSOR PARCEL 56-32-08 LOCATION S/W side Headwaters Rd app 525' Y I of Hwy 32, Forest Ranch 4- J11 T L-106 Temp. Power Pole Called PG&E Te . Elec. Service 'Called PG&E— Temp..'Gas Service E 'JOB'FINALED (Date) jV13 Signature V'= OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILE OME UTILITIES (Plans) except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s I. -,toning Requirements -S cks-EaeeffMMr zole, 1. Zoning Requirements -Setbacks -Easements eovz,2 - U/--// oils; S tch ewer; Lin -T' - -C/O o 2. Footings; Size -Depth -Spacing -Connectors _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Loc on- - _ 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ lectricit Lo t' -Clear es-�.CiD/ Am G y; p- ewere-te _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures '= q as orr-T -W /. P'6L44r' "'`M-erg1l"L"f I. LPG 6. Carports; Windows -Doors tility Clearance 7. Elec. Card -BI Date/(f 3 Card -BI Date Card -BI Date Card -BI Date Card -BI Dat_�,71 -f- T Card -BI Date Card -BI _ Date Card -BI Date Date MOBILE E INSTALLATION (Plans .OK except t1's Date POOLS (Plans)'OK except N's — 0 ingRequirements-Se s-Ba,&MM 1S- 1. Setbacks -Easements otings; Size-4paL`tng-Marr' the 2. Soils; Compaction -Structure Stability as; MHLGetl'Demand-Va4ue"Co-8pector ctrl ity; MH lv*tl ross Tea -CIedramzg- 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI rain; MHZes'% le ector 5. Elec.; Pool Lighting; 15 volts-GFI ater; MHaeS>--_Repnt3for-Co 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 er and Sewer Connected -C/O ta.Gratre_-HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater b!t� nd Electric ed 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures- Pane lboards-Ins. to Main in Conduit zits; Insp.-Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date r Card -BI Date Card BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ,ole 7 eav6 e �Vl//-fd /,5 y D 99 marc 4 �rivE ��UEc Ole -% /Cj/ 6/C > . Z� 41/4/r' zole, � eovz,2 - U/--// vv iti.. ,ole 7 eav6 e �Vl//-fd /,5 y D 99 marc 4 �rivE ��UEc Ole -% /Cj/ 6/C > . Z� 41/4/r' J = OK 0 = Not OK - = Not Applicable = Not Ready _ RESID�NTIIAL (Single and Duplex) , .. Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 48. 49. Properly Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /"•Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ' 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.: Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic F] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor EJ Yes __Insulated 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Neutral ❑Yes 0 N Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No ' Stucco; Brown -Finish --. 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------------- -- 79. Water Well; Disconnect, Electrical, Plumbing Card B-1 - ------- Date- - -_ Card -BI -- Date -_ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except M's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - __33. 31. 32. A.C_.-Ducts: Insulation & Support Vent Fan: Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card-BIDate Card -BI --- _ Card -BI! Date -- Date Card -BI Date Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _ _36. _ 37. 38. 39. _40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing_ & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ _ Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Srac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows_ or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT_QF PUBLIC WORKS 7 COUNTY`CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �' for the following location: 3'/- _,./, `I'` f•*t Owner Owner's Address L • tr ' '� �„�' _ �- Mobilehome Mfg. ��.*�' �u f S T Model 3fe% Year— Insignia No. +� S'/ `*� Serial No. r It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date "/ Z7 S j' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -- White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 `r 7__ County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION- NOTICE BUILDING OR PROPERTY ADDRESS 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. 41 Inspector L'% �Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 —i -county Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 /natteWor need additional explanation, please contact this office immediately. C�/r rU lv��� 3�G✓g� /tet a,t�l�, -1-to .'J 'f e- Zo '44-z GO s 4/l AZaCY G S�srig ,a 4/ Inspector � 16i ��/ Date ��/� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND°,,PERMIT PERMIT/ 0. ASSESSOR PARCEL NUMBER JZ - 390-- - ZO NG �/f � f BUILDING PERMIT OWNER / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIVIS ADDRESS CO TRACTOR'�AME ,. T✓ESLE PH-O7NE CO NTRAC R'S MAILING DRESS �• Fireplace CONSTRUCTION LEND R - UNKNOWN LENDER'S ADDRESS . I Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER - . LICENSE NO. Plan Checking Fee Penalty $ � Tpp $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Permit fee $ v BUILDING A ESS PLUMBING PERMIT t^ Each Trap �✓ / ��' Solar Water Heater G Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets Filing Fee 10.00 2.00 20.00 5.00 5.00 5.00 USEOF ST -CTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S T G W1 110.00e TYPE OF WORKPermit New FIAddition Re��m��odde�eI ElUti litie5�1 instal l-ation ther ❑ Describe work:���L[cl�b"� /L/=���1���7� �j�—�' • ! Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. 1 ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW nder penalty of perjury (check one): I decZ71am 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. 3 Q. i Classification � ��y� ❑ I, as the owner, ,or my employees with wages as their sole compen- sation, will .do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the'owner,•am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI-OUTLET F NON-RESID BRANCH CIRC ITS 2.50 ea ANEW CONSTR. (POWER APPARATUS &) NON-RESID. \SINGLE OUTLET CIR.. Ex. Occup(OUTLETS OR FIXTURES SA N30C FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00, Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate e Self -Insure. onsent to 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. Heating Cooling Hood . 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating' to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for. inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg 'ts, c sts, and expenses which may in any way accrue. against said County con quenc f the granting of this permit. X D to 3—�����— Signature of Applicant — Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition,or construct- ion of structures over 3 stories in height. j Mobile Home Installation Fee $ TOTAL PERMIT FEE $ iOCCUP. GROUP I TYPE OF CONST. PARC ZD't HD I 159U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY O:IRR�TORPUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. X&lid � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i ��.'/'"fes .. t . •1i• ... . —BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive, Oroville, CA. PHONE: 534-4541• MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2 . Installer's name: 3. Is the site currently under permit? Yes (If yes, furnish permit number OR , Is the site an existing site? Yes / / No (if yes, furnish two (2) plot plans.) 40 Will the mobilehome be located at least.5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- /,S-'�9 Amps 6. What is the mobilehome site service rat•ing?--------------------- '.' `,.•e Amps 7.. What is the mobilehome site circuit breaker rating? ---------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ----------------------------------------------------- Yes No ` (If yes, identify the load and size: P19t1p (Load) d :. (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- :. (in.) _ 10. What is the type of gas service? --•= -------------------------- Natural LPG ILIf 11. What is the gas pipe length from -meter or tank to the mobilehome? 3 �C9__(ft.) 12'. What is the mobilehome gas demand? ------------------------------ (BTU) (This'information not required if pipe length•less than 6 ft. on natural gas or less than 50 -ft. on LPG.) • MOB ILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �/}/c' t../l'.5�- furnish Setup Model No. I'.,6? 3 Year 3 Width ,I y (ft.) Box Length eo' (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single rl1. Wood either pressure treated of foundation grade . (ft.)(in:) (in.) (in.) El 2. Other (specify) Center support Center support locations* footing sizes Supports (check. one) (in.) Concrete block. 2. Other ( specify) (in.) (in.) ?_4 (in.) (in.) Ooi /x3�f (in.) (in.) y°x 30 ` (ft.)l (in.) (in.) (in.) *If center piers are other than drawn above, _ draw in -locations, spacing, and dimensions. *---Tagalong or Expando,' show support details. " x30` -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing -- Max. Overyaj?g, Y3 (ft.)(in.) BUTTE COUNTY BUILDING DEPART1V EN y AP # 5 -3Zmp OWNER b4Zs� PERMIT #7Z�/- ' P '_`, MH UT IL . CLEARANCE ` DATE INSPECTOR ELE TRIC GAS Support Str c. Compaction Test Req. service Other Pipe YES NO YES NO size Load Type Size Length DV Aay Dig Z s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . } 7 County Center Drive - Oroville, Call nla 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT • M T NO ASSESS ARC UMBER ZONING �— j .3 CpOWNER BUILDING PERMIT - /4 TELEPHONE " S0. FT. OCC. BUILDING VALUATION OW [J ER'S MAI IN AD ES un ONTRACTO 'S NAME ELEPHONE^• CONTRACTOR'S MAILING ADDRESS e Fireplace I CONSTRUCTION LENDER- nq,r UNKNOWN Total Valuation .$ Filing Fee $ tIU-UU LENDER'S MAILING ADDRESS -• a Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan,Checking Fee $ 1 Penalty- $ 1 ARCHITECT OR ENGINEER'S MAILING ADDRrESS ' r Permit fee $ B G ADD ESS f PLUMBING PERMIT Filing Fee 10.00 • Each -Trap '_ � 2.00 Solar Water -Heater 20.00 ` ()I'e5 Water piping 5.00 LOT NO. SUBDIVISION NAME- I J PARCEL AP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets .5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other - SPECIFY Building sewer14- 5.00 Mobile Home W1 KiK 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑' Other ❑ Describe work: — r - Permit Fee $ t7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service,EA. ADD'L 100 AMP, 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. _ 2I/20sgft 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, License No. Classification • ' 1 FA 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 NEWCONSTR ULTI-OUTLET 2,50 ea NON -RESID. BRANCH CIRC ITS NEW CONSTR. (/POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex.' OCCup(OUTLETS OR FIXTURES '20@BAL50Q EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities '. 15.00 `g,0 Misc. Wiring 15.00 149 1 15 Permit Fee Contractor- ontractor-WORKMEN'S MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'SCOMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00'(valuation) or less. r ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner Iso 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. r Heating Cooling Hood' 3.00 Ventilation - permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot^� Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in consequence of the granting of this permit. X ` Date c�L 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 inheight. - Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARC L PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF BLIC t! By— — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date • Receipt No. �e�3 (f_9. .a. WHITE-D.P.W.• YELLOW -ASSESSOR, PIA -INSPECTOR, GOLDENROD -APPLICANT ZE•turii 'to DPW AGRICULTURAL STATFIIENT .OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 'q:.;..; r 04RO Section 26-8.1of the Butte County Code requires this acknowledgement be recorded prior to issuance of a' building permit. JAN i � � 5I P�:• �RA� The property described herein is adjacent to land or included ELE'ANOjM. -... within an area zoned for Agricultural purposes, and residents of CLER � 'RECORDER this property may be subject to inconveniences or -discomfort arising from the use of agricultural chemicals, including, -but not limited to herbicides, FEE and fertilizers; and from the pursuit of agricultural operations including, bt:t not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- si.onally generate dust; smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept. such inconvenience or discomfort from normal, necessary farm operations. � I All that real property situate in the County of Butte, State of California, I described as follows: Date: 5EG NT I ACS t CD Of D ) PROPERTY OWNERS: On this the% day of , 19 d� , SS. before me, the undersigned N ary Publ , personally appeared 491 known to me to be the person(s)'whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein co ained. OFFICIAL SEAL IN WITNESS WHEREOF, I hereunto set my hand and official ANGELA L DEVLIN seal. NOTARY PUBLIC - CALIFORNIA ORANGE COUNTY My comm. expires MAR 17, 1984 Present A.Y. NO. Notary Public \\ r On this the% day of , 19 d� , SS. before me, the undersigned N ary Publ , personally appeared 491 known to me to be the person(s)'whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein co ained. OFFICIAL SEAL IN WITNESS WHEREOF, I hereunto set my hand and official ANGELA L DEVLIN seal. NOTARY PUBLIC - CALIFORNIA ORANGE COUNTY My comm. expires MAR 17, 1984 Present A.Y. NO. Notary Public 4-" .. DESCRIPTION: All that cert. r 1- property situate in the County of Butte, State - of California, described as follows: A portion of Lot 11, as shown on that certain Parcel Map of a portion of Section 28, Township 24 North, Range 3 East,M.D.B. & M., which Map was filed in the office of the Recorder of the County of Butte, State of California, in Book 37 of Maps, at pages 82, 83, and 84, and being more particularly described as follows: CC:-SMENCING"at the SLuthwest corner -of said Lot 11; thence along the Westerly boundary line of said Lot 11, North 00° 08' 16" East, a dis- tance of'448.09 feet; thence North 24° 01' 30" East, a distance of 260.19 feet; thence leaving said.Westerly boundary line of Lot 11, South 880 39' 01" East, a distance of 359.21 feet to the true point of beginning for the parcel of land herein described;,thence .from..s,aid,.,,,,,a,,,.._.._ true point of beginning North 120 23' 42" East a diatarce = ?4C.88 feet to a point located in the Northerly boundary line of said Lot 11; thence following along the Northerly and Easterly boundary line of said Lot 11, South 84° 00' 00" East, a distance of 178.21 feet; thence South 720 00' 00" East, a distance of 92.81 feet; thence South 31° 00' 00" East, a distance of 86.78 feet; thence South 18° 56' 06" East, a distance of 197 feet to a point that bears North 860 48' 49" East from' the true point of beginning; thence leaving said Easterly boundary line of Lot 11 South 860 48' 49" West, a distance of 447.99 feet to the true point of beginning. TOGETHER WITH a right of way for road and public utility.purposes over a strip of land 60 feet in width, the centrline of which is described as follows: BEGINNING at the most Northerly corner of said Lot 11; thence along the boundary line of said Lot 11, South 840 00' 00" East, 428.21 feet; thence South 720 00' 00" East, 92.81 feet; thence South 31° 00'.00" East, 86.78 feet; thence South 18° 56' 06" East, 270.41 feet to the end, of said centerline. ALSO TOGETHER WITH a right of way for road and`°pubsic utility purposes over the roads shown in the Parcel Map of aportion Of Section 28, Township 24 North, Range 3 East,M.D.B. & M., which Map was filed in the office of the recorder of the County of Butte, State of California, on April 21, 1971, in Book 37 of Maps, at pages 82, 83, and 84. 7 21 a 4 to R- A setback of I*. from the property lines and a setback of 50ft, from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. r A permit will be required fof. fbe installation of the mobilehoMe. IJ f� \Utilrity connections shall be —within- 44t. ithin`4ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. b AI BUTTE COUNTY << BUILDING DERARTMEN' APPROVED 1. 001 (�,a i , This set of plans n specifications PST -6e kept on the job at all times and it ' -unlawful to �. make any changes or alteratignon Game without written permission from #he'Department of Public iWorks, County of Butte. NOTE.—All Materials & Workmanship Shall Be in Accordance with c Recognized Good Practices and of a quality pres4%od for the Specified use in th Uniform Building, Plumbing & Machanic.al Codes an ,he National Electrical Code. A 3 TO --70 6 —7M —' — C!, t,i i x' c PERMIT NO. PERMIT EXPIRES-," XPIRES rj i r OWNER LLOYD'MARCUM i GONTR. owner r y i ASSESSOR PARCEL 56-32-08 LOCATION SW/S Headwaters Rd, 525 E Hwy 32 c Forest Ranch c i t � � Temp. Power Polio_ r j { Called PG&E _ I Temp. Elec. Service Called P( w " Te p. Gas Sei Called PG i JOB FINALE( ` Signature i 4 d J_OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/O—Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements _ 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.=Bracing__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Local ion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ 6. Carports; Windows—Doors 7. Utility Clearance t 7. Elec. Card -BI Date Card -BI Date , Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1• Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test-Demand-Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector _ 4• Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8, Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK s 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL -(Single and Duplex) !! , Date UNDE LOOK Plans OK except N's Date FIR ING (Continued) oning requirements -Setbacks -Easements ./Property Line Firewall & Openings "�•r�:e:�oils-Steel-Elec. Grnd.- / /" Ftg. Depth 0. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits gal-Ftg., Garage; Soils -Steel- /Jk /" Ftg. Depth th-Headroom-Rise-Run- Land ing-Fire Protection •-4-• r'y , " m° Decks; Soils -Steel- / /'' Ftg. Depth V. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ; Steel-Blockouts-Wrapped-Slab 52. iding-Nailing-Veneer _ t,O.- Stem"IIls, G ge; &N*e -B+oCROGts-Wrapped- t53�L$L�e®e-Mesh-Drip Screed-Fdn. Vents-Underflr. Access e Ftg.-Steel .Glazing Area -Glass Protection -Skylights -Plastic -t} -B W/ V� haTt-Fittings-Test-2 way C/O -Sewer Test 56. Shear Walls; Nailing-Bolts -g--@eize-Anchors t -Anchors -Regulator -Service Test ground 12 PI nnm" Ducts; Clearance -Material -Support -Ins. -4_i__G4TdM-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date 4 Card -BI Date Card -BI Date Card -BI Date d -B Dat ,�F'- 55 Card -BI Date Date FIp'AL (Plans) OK except q's Car Date Card -BI Date Date P UMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Uetector 1 _Water Ht.; Vent -Access -Combustion Air t59:--Fa*nx Vents -Clearance -Comb. Air -Connector - In Garage Above Floor -Ducts -Meth. Protection 1 Water Pipe; Test & Anchors -Nail Protection 16 D.W.V.; Test-Fttngs & Anchors -Nail Protection oom Exiting _ Shower Pan; Test, First Floor -Tub Access +. & Be h Fixtures & Tub Access 18V Test Tub & Shower, 2nd Floor -Tub Access ./Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors Stairs & Rails _ _19_. 63- plsee-DTStove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date-& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date %%--Sfec-9utlets & Receptac es at Kit. Counter Date ELJQITRICAL Permit OK except q'suct rage Fire Door; S ng -Closer in Garage -Damper --- fixture & Transformer Clear a ce-In Protecti n ; Vents -Clearance -Comb. Air-Connector-P.R.V.- / In Garage; Above Floor -Meth. Protection lec. Receptacles Spacing & Sw t Doors tze Boxes & No. of Conductors -Stapled Conductors-Stapled %6.1Plb., Elec. & Mech. Equip. Listed for Location %� Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to a of Studs & C.J. -�T2atton-Foam-Looked Equip. Ground ade up AAech. Fasteners -Bond Gas & Water in Attic ❑Yes ircuits in Kitchen &Conductor Size � & Deck Construction -Post Caps -- 26. Subfeed Wire Size / / ga. Cu or AI 8"L '"' ct a / [g �� er AI Fdn. Vents Cr w Hole Door -Drainage & Wood -Earth Clearance ooked un r ❑ Yes l ar QA Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No X Followin instld.: Driv Yes No; Walks 9 ❑ ❑Yes No; Planters El Yes No - / Service -Riser Conductors & Ground -Main Disconnect .0ggrown-Finish ?7--Inr .; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78bDve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Clearances; Panels-Motors-Mech. Equip. -quip. Clothes Closet Light -Shower Light — Electrical, Plumbing —,Disconnect, Card B -I Card 8-1 ---- Date S g Card -BI _ Date - - V.---- Date Card -BI Date . Exterior Elec. Trim; G.F.I. Receptacle -Underground ro ughout House lass Protection Date ECHANICAL (Permit) OK except N's _ Corrections from Previous Inspections Meters Tagged; Gas -Electric __--_ A.C. Ducts; Insulation & Support er & Sewer Connected -C/O to Grade -HD Approval 8B:-9werg�ompliance Certificate -Other Certificates - - - 3 Vent Fan; above Insulation _ _3 Condensate Drain _& Overilow; Size & Grade 4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 5. Attic Access & Platform if Furnace in Attic - Card -BI Card -BI --- -` D_ate Card -BI - Date Date Card -BI Date Card -BI Date Al Ca Card -81 Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date F MING(Plans) OK except q's Comments at Final: Sills; Proper Material -& Anchors _ - _ _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound - Bearing Walls over Girders & Floor Nailing--_ _-Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub -Ay Header _& Beam -Size & Bearing_ _ A. Post Caps -Anchors --Connectors Cing. Joist-Rftr. Ties-Purlin-Roof erac.- Truss-Shthnq.-Rfng p ce Ties or Type A Flue -Fireplace Throat Attic Access: Size & R_omex Protection -Draft Slop -Ins. Baffles endows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cafifornia•95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I u � ASSESSOR RCEL NUMBER Ir ZO NG .� BUILDING PERMIT OWNER TELEPHONE �y SQ. FT. OCC. BUILDING VALUATI N OWN R M I ADDRESS O,C,; V y- CONTRACT OR'S NAME TELEPHONE C A OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation P0, C) Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �() BUILDING ADDRE% of PLUMBING PERMIT Filing Fee 10.00 _ Z J Each Trap 1 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUC RE SF ❑ Duplex❑ Mobilehome❑ Other PECI Y Building sewer 5.00 Mobile Home S I G I W I 1 110.00 e TYPE OF WORK New Addition❑ Remo el Utilities❑ Installation❑ Other ❑ Describe work: r - — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 .� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN P.& OR ADDNS. ( ACC. BL I oV 2/20sgft V CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business f and Professions Code and m license is in full force and effect. Y 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST R ULTI.OUTLET NON.RESID, BRANCH CIRC ITS. 2,50 ea NEW CONSTR. ( POWER APPARATUS &\ NON-RESID, SINGLE OUTLET CIR, / 20®50C Ex. Occup(o Ts OR FIXTURES BAL030 FIXXEEDDAPP LNS. OR \ Ex. OCCUp- OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Q Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa County in onsequence of the granting of this per it. f X Date v �—1 �f Signature of App icant — Owner® Contractor EJAgentwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ / . 5� OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSU This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR O PUBLIC + BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ✓ ^ 7 .r 11&7 pa t7X�/J Receipt No. 6✓�._7/ 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 916/534-4541 APPLICATION AND PERMIT PERMIT N0. cu /�f ,fz a ASSESSOR PARCEL NUMBER 56-32-08 ZONING TM -5 BUILDING PERMIT I OWNER drc m TELEPHONE 345-0544 SO. FT. OCC. BUILDING VALUA IO OWNER'S AILING ADDRESS P-0 IBox 386, Forest Ranch CONTRACTOR'S NAME owner TELEPHONE 1st Renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEND R'S MAILING ADDRESS Permit Fee !@ 2 Fee $ ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 37,50 BUILDING ADDRESS SW/S Headwaters Rd., app. 525' PLUMBING PERMIT Filing Fee 10.00 E of Hwy 32 Each Trap 2.00 Solar Water Heater 20.00 Forest Ranch Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Othernr i _ rTar _ ECh IFY /r bop at SP Building sewer 5.00 Mobile Home S G W 10.00 E TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — 1st Renewal Permit #2#29%7—PI—R� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BDOV OR LESS i Ma100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2h0sq ft 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 fortis .ason NEW CONSTR ULTI.OUTLET 2.50ea NON-RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS &) NON -RES,D, (SINGLE OUTLET CIR. 20@50C Ex. Occup(ouTLETs OR FIXTURES SAL@30V FIXED Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unLTer p alty 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. 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 ainst s 'd County in consequence of the granting of this permi " Date Wgnature — 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 $ TOTAL PERMIT FEE $ 37.50 occuP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR O P BLIC BY (� PERMIT EXPIRES Date J 1/S the applicable provi- resolutions to do fees have been paid. WORKS Date 7, Receipt No. ® WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9'S':P'C'9l Z IZI IUIOIl6'81& Lid riv V86L 91 ON U40% .:m wo IMII :fo Alunoo " COUNTY OF`BUTTE. Department of Public Works 7 County C nter Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner Location �P Mobilehome Installation Permit -NO. FnL . IN INFORMATION FOR ITEMS 1 THRU 10 - Watts 1. Width- �{ ! x. Box Length. 0611 / x .3 2., 2 -Kitchen Appliance Circuits .:... = 3,000 3. 1 Laundry Circuit ...........,................... 1,500 4: Ovens..l✓��;:r.:`t.B°o../y��ac}crEi.?�??........ _ -60SO 5. Cook Stove Top %Q a 0 6.. . Hot Water Heater ...... 7. Dishwasher &. Disposal ......... . _ ��Do 8.':' Clothes Dryer ............. _ �2�PR�£ .9. Other (specify, i.e,, motors, exhaust fans, etc.) Sub -total Watts ..... , 3�Z- First 10,000 watts @ 100% ... ..... ........ ....... 10,000 Remaining. watts @ 40% ........................ 'NS 10..Air Conditioner watts @100%.. _ )- Largest Demand = Central Heat System watts @ 65'/0.... — )' TOTAL DEMAND WATTS REQUIRED �(o�SifJ "Demand. Watts Required" - 230 = %%.9� AMPS De -rate Mobile AMPS. n u/rVila.,�' BUTTE COUNTY � B-01LONG DEPARTMENT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P MIT NP. PIC�5zl ASSESSOR PARCEL NUMBER I '– , — ZONING I BUILDING PERMIT O N - TELEPHONE T SO. FT. OCC -1 BUILDING VALUATION OW MAILIN ADDRESS A. E_ rCON ACTOR'S, ME T LEP ONE CO T A OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ZZi Plan Checking Fee $ $ ARCHITECT OR ENGINEER LICENSE NO. Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ =521 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar Water Heater 20.00 - S Water piping 5,00 LOT NO. SUBDIVISION NAME P R EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWF 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: — / _ / % I 1( may/ % r,/ `� ,j 'r�LL�•J—f�->•" r I r.� J �i:n rr-�! I .� 7 � �7 - -�. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 IL' Z tierte`• -f-j- /� ` , Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2I/20sgft TACTORS LICENSE LAW I declare under p a ty Co pONerRjury (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 NON-RESINEW CON IT R BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu 20@50t P�o TS OR FIXTURES BAL@30C FIXED PR Ex. OCCUp. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor -719-WORKMEN'S COMPENSATION INSURANCE I declare un 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 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 againstoccuP. 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 ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ � GROUP TYPE of CONST. PARCEL Po p HD ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date. the applicable provi- resolutions to do fees have been paid. WORKS Date 'y – y9 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPFr-'R. GOLDENROD -APPLICANT i I BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. �!^-rte 0 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. S-6-32 O 9 ZONING -.M - 9- OWNERkA (3Ltbp PHONE NO. OWNER'S ADDRESS h(�Z/�,i W -1U Jim 6-45-2 LOCATION OF BUILDING USE OF BUILDING', W •la�z�ta� ��/�1 /�6Z (v, �1 /�� 7`il�iZ SIZE OF STRUCTURE TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING Co,22Uomsb M 6,T74L- FLOOR TYPE C,6010W - ol.2?" ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:S - 1 �`�'""' �� /'� FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date %C%�Signature of Owner` Permit Fee - $60.00 . The above described AG Building is exempt rom a building permit Receipt No. 20(a %LI -1 J FL�p I PAR P. ROOFIfjIG I ISSU Manager Building Division BY Date'-- White ate White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant r.. •.� .r-...•r.-^...++...,r'Y"'%•YK1.i'3'ti� rriv.:n+3:th.=i.r^�.n.*.+1t' ��•---•r•"*..�:.-it'.•..�-:..:. ti'F-�+i,r'-vvt.r...-. , �y..,. .. • - "COUNTY OF BUTTE -DEPARTMENT OF DE ELOPMENT SERVICES -BUILDING DIVISION. 9 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER` P. No. St --32-08 Proposed Building Use ro 1,70 Building Inspector Date -� At time of permit application, [-was advised the following data must be submitted prior to permit processing and/or issuance: CX/\i 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 apd supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for Bunspet4 required. . to to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone bK 9%for ip ckup,a office. Deliver with inspector. Other lc Parcel Creation 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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works DESCRIPTION i.1, - ,+k.. .. All. that. certain. real property situate in the County of Butter Stat --_- of of California, described as follows A portion of Lot 11., as shown on that certain Parcel Map of a por,t:JI>on of Section 28, Township 24 North, Range 3 East,M.D.B. & M.., which Map was filed in the office of the Recorder of the County'.of Butte, State of California, in 'Book 37 of Maps, at pages 82,* 83, and 84, and being more particularly described as follows: CCIM24ENCIN G at the Suuthwest� coa:ner - of said Lot 11; thence along the Westerly boundary line of said Lot 11, North 006 08' 16" East, a dis- tance of 448.09 feet; thence North 249 01' 30" East, a distance of 260.19 feet; thence leaving said.Westerly boundary line of Lot II, South, 880 39' 01"...,E:ast, a distance of 359.21 feet to the true point. of: .-beginninq for the .pa,'iccel'..of'-laaid'.hei-Biz described; thence i:r°oin._! didd trt.Ye point of beginning North 120 23' 42" . East a. distance of 3140.919 feet to a point located in the Northerly boundary line of said Leat 11; thence following alone the Northerly and Easterly boundary line of said Lot 11., South 840 001 00" East, a distance of 178.21 feet; thence South 726 001 00" East, a distance of 92.81 feet; thence South 319 00 60" East, a distance of 86.78 feet; thence South 186 56' 06" East, a distance of 197 feet to a point that bears North 860 481 49" East front' the true point of beginning; thence leaving said Easterly boundary i.ine of Lot 11 South 860 48' 49" West, a di.staace of 447.99 feet to the true int of beginning. TOGETHER WITH a. right of way for road and public utility purposes over a strip of land 60 feet in width, the centxline of which is described as follows: BEGIN NING.at the most Northerly corner of said Lot 11; thence.along the boundary line of said Lot 11, South 846 00' 00" East,.428.21 feet; th6nce South 726 00' 00" East, 92.81 feet; thence South 31a 00'.00" Fast, 86.78 feet; thence South 18® 565 06" East, 270,41 feet to the end of said centerline. ASO TOGETHER WITH a- right of way for -road and public utility purb)o2es over the roads 'shown in the Parcel Map of a per:ior. of Se tie:y 28 �0 �:aip 24 North, Rang e 3 East,14.D.B: & M., wh':;ch Map was filed in the office of the recoi"der of the County of Butte, State of California, on April 21, 1971, in Book 37 of Maps, at pages 82, 83, and 84. 114 'SEC ��', T 24 N- R 3 E. rA 152.72 ZOO' �`� n`�° • -- - -- MOO ° 26 ' OS E _ ,/ p o/.. • 2 I ge9.®6 i 6590 r 14 f 2. 76 AC Q r. 8.09 Ac 4 I I N /8 55 816 3=1 ' Z. 72 AC ' 43:80 I 5.01 Ac 3 O C9) /o 758.73 Ch PIN 45-32 I 5.31 AC �I I � h i ti 20° .' p/w 44.38 5.00 Ac 2 y N 346.84' 6��?% 5Oy° 47' l3 E I 6' ! ,!.. aQ\ .5425 . !I a41 66 I r} i r �275 Ac N;0 24 PO. 23G Ac % q 32 of 7 (to 4 9940 Cb J, 0 0f o I essors M, op No. 517-32 f ? �un9; of B[/tp>°, ' Cfl1. e'voo'so.� ?C . 4644C ° . Nog°/7.19,is' �� .g . I U ° 2738 51' F�br� ory, 1972. _ ° 25 I �m TO: FROM: DATE: PURPOSE: ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME Lloyd Marcum Tom Parilo, Director Development Services FILE: ADM 98-11 December 29, 1997 Administrative Permit on APN 056-320-008 Forest Ranch, for a in the TM 5 (Timbeorary second r Mountain, 5 elling to be located at 5250 Haedwaters Road., ores acre minimum) zone. PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements. 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Larry & Bonnie Marcum. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by this Section, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a a lot ornent parcelwheretthere Additional n approved Second Unibile home shall not be permitted o p t. 6. The permit shall be granted for a term of two years. Extensions of the term or the expermite sit, nos nt exceeding one year for each extension, may be granted if the application o filed, with the Planning Division, within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any acts or omissions of the permittee in connection with the use authorized by said Permit constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the mobile home. of $1,500 for a single -wide mobile home or $2,000 for a double -wide jJ �gYo Craig San rs, Senior Planner Date Permittee Signature Date . C -IrV JAN 14 1997 BUTTE COUNTY BUILDING DIVISION e, ., ' � utteount 1 LAND OF NATURAL WEALTH AND BEAUTY r f PLANNING DIVISION z. DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7601 FAX: (916) 538-7765 January 13, 1998 Lloyd Marcum P.O. Box 386 Forest Ranch, CA 95942-0386 CERTIFIED MAIL Re: Administrative Permit, AP 056-320-008 Dear Mr. Marcum: Enclosed is your validated Administrative Permit No. 98-11 to allow a temporary second dwelling to be located at 5250 Headwaters Rd., Forest Ranch. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Thursday. , Sincerely, Thomas A. Parilo Director of Development Services Teri Bridenhagen Office Assistant III Enc. cc: Land Development Division Building Division Environmental Health Department of Forestry j:\1emp\up7 � I- Carl's voice mail for 07/27/2010 Darren Delcorto Indian springs, Karen gave your number to him not what else it was that he wanted. 831-902-5072 2. 28 bee ranch rd Inspection 534-8695 513-2819 3. Lisa Deed restriction Mobile on Permanente foundation i 342-4524 4. 1307 • 8 She w d tb know if they had to install sprinklers 949-8.9, 1 ' 7 5. Brian Williams (� Questions on gas line does he have to have a GRIP or DRIP leg on, all foists. 873-6348 V All to 6 a .it `nth Reco LUZIZ; I� y�Ye��Y gcod 111% 44d the ido�s87 DC7. 0 �? 'A GS, t.. .g PN SG -32-o8 of LF q - KJ Olt,,,, 'V� Y "II d tio � zr to e °big J. It b Y' APPROVED Development Plan GATEJAN Lrw .' USE PERMff .VAMANCE =— PER .P........ ADM.MIT MINOR U r. PLANNING COMMISS.' DIRECTOR Of \ DEVELOPMENT SERVICES N A Sit, 4 'yo 0 i kA vi. - V v- \I-' Pier+ning DIVISlon DEC 2 3 1997 orovllle, California 1 7a. d Ha4b oma. APPROVED Butte County- Envi,oFit'nema! Health nV /rpn��'h S qPR . tatNe�� uoe Chico,� 8 �9B Calmom-ld o .D - `! �PAI SG -3z -o8 APPROVED. pevek pment Pian ATE -IA Al -W--W - - -- - ;: USE PERMIT......VARWICE . MINOR U.P.,...--ADM.PERMrr PLANNING COMIAISS. DIRECTOR Of DEVELOPMENT SERVICES �J Planning DIVISion DEC 2 3 1997 Ji � 7.. 9 9 provll►e, California �I /Lcu,A PAf':S- --3 z =-0`S- 7 L • APPROVED -Development Plan UE JAN Jj i9,9$ 5E PERMIT' VARIANCE INOR U.P..:r.,.ADM.PERMIT .._..;. PLANNING COMMISS. .... DIRECTOR OF DEVELOPMENT SERVICES , 41 , J . 4 L L Planning Division, DEC-2 3 1997 Oroviile, California .G _ Sc -"'La y= I' L ENVIRONMENTAL HEALTH NOV 0 3 2003 CHICO, CALIFORNIA 50' S. s _k 8 >k 7 - -7 1 _ , 1 CAW,^P S1A1crLE-s ENVIRONM NTAL HEALTH NOV 3 2003 CHICO, QALIFORNIA APPROVED Butte County oftwu nentM Health Dz A.wm BY MAR.k- BM*W/- r !F•a. mAKo-Q t4\ 4 Q 3 ° � � K1 �J F M 4 �v �ILI J ENVIRONM NTAL HEALTH NOV 3 2003 CHICO, QALIFORNIA APPROVED Butte County oftwu nentM Health Dz A.wm BY MAR.k- BM*W/- r !F•a. mAKo-Q t4\ 10, 2 NOTE:—All Materials & Workmanship Shall Be im Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. .0-0100 3 I 11 dao , lC;ai V � \ r � c A s k of ift. from the Prlines and a setback o ft. from the road terline shall be clear of struotu.res or e"Pment *zoapt for a 2 ft. e&TO ovrrhans. 4— C/£a'. or G rl 6�Sf--,v �1 y -10 gR7his set of plans and specfications MUS`f. F2T ob at all times and it is unlavvfu; make any changes same wi �U���- written permission from the Departmen o Works, County of Butte. UILDING aEPARI'MtN ► P P R 0 V E i D� mom mo 000 0 <mz 1 m � z v +, ,• ..tom• -r � � e Sflew►f/L. MASTER UATH jft FUR.!J.!.l I WI of U IYI G rx STER B E D R 0 0 A c �Slu 161-08 J — I21 011 �,—V11 C.9to G +...1�.. 1 41- 1 i ((.J`— BONUS KITCHEN ! %"1 w� .! ROGf,1 — a: I BEDROOM H GREAT c Rcc �"i IV ...c , r tz r � \ Room--.- �.� .._�_ ._.... Z Vii/ L1N. �— OINING E.�7� 1 .,; I of BEDR00a•A N 3 , ,P,U e 1_0f e l� po Sufic County Environmental HUlth p1: SC -0 torr;' Orivc. ''ilii;.. (91c 1 5 %• .. . u k:40 -"Y 8 /c 131,)rrE couNrr d6iL[)FiVC-DEPARTMGNT Ai'P'ROVEC� f0 i oq Yx�- - I I , BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E D 2,P I V � w %5e, qX Ll A lqc 71 110 c fir 1 ♦ f f �w i - — --------�./v �' 61-0 fail , to � blot '5a- tc y"0C.-eA Ap0;1t00 _iy!iTtIL MAfLCJv� r c,�` f7�G�� U�ATeII rkns;t4��1� - - Max. Rlze Mn. Run Run measured toe to top W wax. tolerance bstw:� ri lergeat h strnlleat risl/run, 20 /1 s �> x �/_ 3y/3 BUTTE COUNTY BUILDING DEPART,, '�z! Fr APP ROVE v�1 Q-A) O ll o, l Ij lk I