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072-410-012
I x LOT BLOCK . "•,JBDIV. HAYS & GRAY- , TYPE OF -, 221 Fire Camp Rd, roville PERMIT ?!•• ': _ � PERMIT-_(lltllltleS�[Ill'1�_ _,.� _ _ __ _! EL EC I Q 0 .; ..__.._ . __ ... GAS • L COMPACTION TEST RE SUPPORT"STRUCT RE J/y/ 72-41112 Permit#490-91MH (installation ! REMARKS PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING T -TRAILER BUILDING AND SAFETY E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT HM -HOUSE MOVING EP- ENCROACHMENT D - DEMOLITION 600.1 vi. b r b h r4 r D ti f AO T m D O y p y 0 m 0 y C y A D 0 y m Q y 3 � D y p 9 O Z i m 2 v ai Z m C y m Z C y 3 A Q m Q m Q Q Q> Z Q mi Q> Q> D A m m m m i m Z m N O m N m i Z m Q O LOCATION, O rn m FORMS, y Q Q FOUNDATION D i In REINFORCING m .y Q 0 STEEL a m y_ Q D INTERIOR mm m LATH 0 D a EXTERIOR m m b r b h r4 r D f AO m m D O y p y 0 m 0 y C y A D 0 y m Q y 0 � D y p 9 i m 2 v ai Z Z y m Z C 3 A Q m m Q Q Q> 41 Q mi Q> Q> Q A m m m m m m Z m N m m N m i m N Q LOCATION, O D �i FORMS, m y Q FOUNDATION v D i REINFORCING m .y Q STEEL 0 m y Q INTERIOR m LATH m Q O EXTERIOR a i m L PERMIT NUMBER O y p y 0 y 0 y p y O y 0 y 0 y p ,i y 0 y D y p y i i -DI•D-I Q Q Q> 41 Q -DI Q> Q> Q m m m m m m In m m m m m LOCATION, FORMS, FOUNDATION REINFORCING STEEL FRAMING INTERIOR LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL L RETURN TO: Public Works Land Development Section 91-015257 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:02am 19 -Apr -91 CERTIFICATE OF COMPLIANCE ' i j15i Total f JJ Issued to: Jimmie D. Hays 221 -Fire Camp Road Oroville, CA 95965 This Certificate of Compliance is hereby issued! by the County of Butte to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: Black Bart Road 7 I 2. Assessor's Parcel Number: AP 72-41-12 Description : All that certain property located in the County of Butte, State of California, more particularly described as follows: All that certain real property situate in the County of Rutte, State of, California, described as Follows: A Portion of Parcel 4, as shown on .that certain Parcel Man of a porion of 5e'c:tions 24 and 25, Township 19 North, Range 5 East, M.D.B. & M.,.which Map was filed in the office of the Recorder of the County of Butte, State of California, on January 31, 1972 in Book'40 of Maps, at page 93, and more Particularly described as follows: COMMENCING at the Northeast corner. of said Section 25, being also the Northeast corner.of said Parcel 4; thence alonq the East line thereof, South 1° 28' 47" East, 1308.01 feet .to the Northeast corner of the Southeast quarter of. the Northeast quarter of said Section 25; thence along the North line thereof, South 89° 46' 43" West, 1311.98 feet to the" Northwest corner.of ;said Southeast quarter of the Northeast quarter of said Section 25 and the true point of beginning for the parcel of land herein' described; thence from said true point of beginninq, North 63° 07' 12" West, 563.94 feet to a point South*52° 40' 13".East, a distance of 60.00 feet from the Northwesterly 11ne of. said Parcel 4; thence South 37° 19' 47" West, parallel with said Northeasterly line 376.65. feet to the center1 i-n-e-o.f. a 60 foot wide road, as shown on said .Parcel Man; thence alonq said centerline South 5° 19' 15" East, 108.06 feet; thence South 450 35' 13" East, 235.76 feet; thence South 75° 21' 08" East, 393.23 feet; thence South 21° 48' 00" East, 150.49 feet; thence. South 48° 39' 27" East, 174.96 feet to - the most Southerly corner of said parcel'4 on the West line of aforesaid Southeast quarter of the Northeast quarter of said Section 25; thence along said West. line North l° 14' 25" West',. 672.02 feet to tate true paint of beginninq. Together with and Reserving therefrom rights2-of-way--f6r roads and public.utility purposes of record. (continued on next page) 91-15257 CERTIFICATE OF COMPLIANCE PAGE TWO AP 72-41-12 Jimmie D. Hays Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte Coupty Code Chapter 20-166 and Government Code, Section 66499.35.(b), to protect'the public health and public. safety: i NONE jy County of Butte Subdivision Violation Committee END OF DOCUMENT Butte county LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS `ft WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 . Telephone: (916) 538-7681 RONALD D. McELROY April 26, 1991 Deputy Director . Jimmie D. Hays RE: AP 72-41-12 221 Fire Camp Road CERTIFICATE OF COMPLIANCE' Oroville, CA 959.65 Dear Mr. Hays: Enclosed please find the Certificate of Compliance which was recorded by the Butte County Department of Public Works in the office of the Butte County Recorder on._.A.p.ril 19, 1991. The Recorder's Serial Number is: 91-015257. If you have any questions regarding this matter, please contact this office. Very -truly -yours,--" William Cheff Director of Public Works A. —Jo t1 Mendonsa -.,'Assistant Director JM/ds attachment cc: Building Department Environmental Health Department a Al RESIDENTIAL 72-41-12 - - 49-91P, E HAYS & GRAY 221 Fire Camp Rd, Oroville (utilities/mh) -3 9Q- f, v, �t { �f ji i� '4 JOB FINALE Signature P OFFICE COPY Address GAS / /�.-//=.� Meter BY -1 y Dat ELECTRIC Meter By Date 6 J=OK O=Not OK = Not Applicable NoReady MOBILE HOMES ' = 't , Date MOBILE HOME UTILITIES Plans OK except #'s Zo Requirements -Setbacks -Easements So' , Special MH Support Sketch Se r; Location -Test -Fall -C/O Concrete ! er; Location -Test -Easement Needed (Sketch) Electric it , Location-Clearences-Grnd-/ /Amp -Concrete Gas; ocatio�3;,T�.st-Wrapp,�/ /"L"ft. 3 / Nat. or//M"ft./ LPG 1 LfJtilitv Clearance i Date'3- Card B-1 Date Card B-1 Date Card B- Date Card 8-1 Date MOB HOME INSTALLATION Plans OK except #'s `f'Zorting Requirements -Setbacks Easements Foo ' gs; Size -Spacing -Marriage Line as—�.M iTest-Demand-Valve—Connector lectrici y; MH Test -Crossovers -Breakers -Clearances 5. QMH Test -Fell -Flex Connector Water; MH Test -Regulator -Connector at -Sewer Connected -C/O to Grade -HD Approvai j Gas a ectricity Tagged xit ; Insp.-Sketch 1 . Cert. of Occupancy44 ? I j 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-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: 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 (Pians) 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 V OK O = Not OK - = Not Applicable = RESIDENTIAL (Single ' Not Ready �& Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. O.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech, Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made MOBILEHOME INSTALLATION ACCEPTANCE + COUNTY OF BUTTE + DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 5338--7541 PERMIT N0. t Address or location of mobilehome �, I 6k<,:-04.-tm,h ./ /—a wA t Owner's name Owner's address SCS /-F (h 1 Insignia or hud number Q/�T� 3��/ — d20 h 6 7 Manufacturer's name rh-�r-T l.u0,00 1.4 *-A"e �� L Qsw 4 rs.- Serial number of,V.I.N.CpL �� 1 74 ! % Q�� (J Year of manufacture /I R 4 v — i ppr`a ting" -Installation) (Date) f/ IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 4 G, (LA PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1,4Lt gL ko Date — 1 Inspector fl - DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER ORIVE : OROVILLE. CALIFORNIA 95965 Teleonone:(916) 538-7541 RE: Attached Building Permit RONALD 0. McELROY Oeputy Oirector Dear Permittee: lot Attached is your building permit along with the approved set of flans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and, make note of any "-corrections made in red. If any of these notes or corrections are not clear to you, please contact this office -- do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed.': Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going* any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do --not confusegas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. Upon completion of the work covered by this permit, please contact this office for final inspection. Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Yours very truly, William Cheff Director of Public Works i J.F. Glander JFG:ahb Chief Building Inspector Attachments COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 494-91 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-410-012 ZONING MR BUILDING PERMIT OWNER Jimmie Patricia Gray TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILIN P.DDRESS 221it m r ville 95966 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnne UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Norip LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeaX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal IatiorXQ Other ❑ Describe work: M -" !!d -3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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.ed) OR ADDNS. ACC. BLDGS. ,/Z0sq ft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050 SAL030 NS Ex. Occup. OUTLETS P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® Ishall 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 FiIingFee 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 against s id County in conseq nce of the granting of this permit. �_ �1 G —'7/ X Date d J Signature of Applicant — Owner❑ C ntractor ❑ Agentiz An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE — TOTAL F $ 70.00 HAz. CUA PARK scH FL coF PA PO i HD ssu This permit is hereby issued unoer 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 —/ 0. PE IT EXPIRES Date c/ -/ 0— • Z/ FWeceiptNo. 83864-$70.00 HITE-D.P.W., YELLOW-ASS(SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .y,,'.•M�-:l.,,a�►;tK,S'�pi',:t r. s,. -."fit .x^;s'"'�,.,; _. „�_-)•,-.,. • ,. ,ce :. ,: J sai COUNTY OF BUTTE, - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION � t 7 COUNTY CENTER IVE OFiOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER -2 A. P. No. 7,,Q - yrs - ora Proposed Building Use X24 T Building Inspector - Date 2-2 < -9Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 2- - 2- 7 — 9' / Z 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. gSchool District fees paid ..............- 14. Sanitation approval from 016- Health Department 2 -z- 5 Q,L 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .. . ............... . Owner -Builder Verification (Given to owner o Mail to owner ❑) . . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .............. \`...........z 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. CK_ Telephone 3 and hold for pickup at 4ts,9.0 office: Deliver w. /inspector. Other AppIican Date a1 —as -91 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 submittedp for to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Addition 1, items required: Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date P No. 'l a 4%1.0 �/ - � t •_ �. ++h 5 � 1 , A A . � �� � - i V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918/538-7541 . APPLICATION AND PERMIT PE MIT NO. 93FS9 — ®-- Q 7QNING BUILDING PERMIT W"Ev - �' C "GNB SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AADRE9 CONTRACTOR'S NAME N TELEPHONE CONTRACTOR'S MAILIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ QU ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Z , ©©, ,. PLUMBING PERMIT Filing Fee 10.00 R / _ Q Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping - 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomii�& Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑. Remodel ❑ Utilities ❑ InstallatiojOther ❑ Describe work: hia -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a OR ADDNS. ( ACC. BLDGS. , hdsgIt NEW CONSTR URTI.COUTCLET NO N.R ES'.. SID BANH IRC ITS 2.50 eaPOWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t e ALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(REsio )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3,00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, 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 $ C9 0. Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ %, HAz CUA PARK scHL FLD coF PAR PD I HD. ISSUE This permit is hereby issued unser 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. 3g� — O O WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and. bearing your signature. Please complete and return this information at your earliest opportpnity 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,y(y±s or no) 2. I (have/have not) hAw _� 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 - �( ix,) L� Address City Phone Contractors License No. 4. I plan to provide e. portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 7T' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date S/9 / NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'dila go of plane and Smaiscadont MUST be bW on the job* at all #mss and t is undawfW to - ` nWw any itharges or alterations on wnw ww%N t Otter pwmMW from the DelwUnent of P1ibMc :. Wtonks, county of But@. 0 10( In 'mss- o� � AcOOrda ce nam i 375 ' quality p 000'"'b awn.-&. Lkftrrn the Buildi the S09cho and.. N "Ei Pkarr� a use in th. C04. CO,d* 4id. 16 A setback "of' `'proper'tY lines and a sefback of 50ft. from the road centerline shall be dear of struetures or equipment excepr 2so� Os+aso for a 2 ft. eave overhang. �-- G/�c/I Q BUILDING DEP So \ SDI \_ 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541• MOBILEHOME INSTALLATION SHEET 1. Owner's Name: /✓ �� ,� GG 2. Installer's Name: 3. Is the site currently under permit? Yes No a (If yes, furnish permit number �%� �-- ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify a 5. What is the mobilehome electrical rating? --------------- ADO Amps 6. What is the mobilehome site service rating? ------------- 100 Amps 7. What is the mobilehome site circuit breaker rating? ----- /00— Amps 8. Is there any other electric load.to be served by the mobilehome site service? -------------------------------- Yes El No ILn S (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------ -- (in.) 10. What is the type of gas service? ----- --------------- Natural LPG 11. What is the gas pipe length from meter or tank to the ` T mobilehome?--------------------------------------------- (ft.) 1.* 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) BUTTE COUNTY BUILDING DEPARTMENT APPROVED Page 9 MOBILEHOME SUPPORT DATA . _ If other than single wide, C Mobilehome Mfr. t-�LL -7 �"� '�� furnish Setup Model No. C1 � Year W1dthZ� (ft.) Box Length- �p`T (ft.) Tagalong or'Expando Size' ft., x ft. (SIIOW 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 Yuba). TYPE OF SIDING: All center supports measured from front of • TYPE OF ROOF' GO ti..�9 05 �T a'►'�' mobilehome unless othgrwise specified. Footings (check one) Single.1. Wood either pressure treated or- _ foundation grade, (ft.)(in:) (in.) (in.) D 2. Other (specify) nter support Center support locations* footing sizes Supports (check one) (in.) (ft.)(in.) (in.) (in.) (ft -)(in.) (.in.) (in.) 1. Concrete block. 2. Other (specify) E ----Tagalong or Expando, show support details. I2 x34 � -- Typical Support in..) (in.) Footing Size BUTTE COUNTY BUILDING DEPARTMENT A PPR O V E D 'If center piers are other than drawn.above,� (ft.)(in.) (in.) (in.) Max. Pier Spacing IRV02`} X"3D �� -- Max. Overhang (ft.) in.) in. (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT A PPR O V E D 'If center piers are other than drawn.above,� AP fir` �Z-_��`�7� 014NER�� i PERMIT MH UTIL.CLEA CE DATE INSPECTOR ELECTRIC GAS _ Support Struc. Compaction Test eq. Service Size- Other Load Type Pipe Size Length YES NO YESI NO a COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oro Wile, Celifornla 95965 - Telephone: 916/538-7541 493-91 - - . A -APPLICATION AND PERMIT 1-_� // ASSESSOR PARCEL NUMBER 72-410-012 ZONING MR BUILDING PERMIT OWNER Jimmie Has Patricia Gray'T' TELEPHONE ' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 221 Fire Camp Rd., Oroville 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 221 Fire Camp Rd., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome9 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ /Utilities ba Installation❑ Other E:1 Describe work: MHTT ' �� 1 40-00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ® 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5d A ) New , A 0sq ft CONSTR.� ULTB OUTLET NON•R ES BRANCH CIRC ITS .50 ea 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu pOUTLETS OR FIXTURES 0@50 ezALI30 FIXED APLINIS 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 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. F%:;l I shall not employ any person in any manner so as to become subject I^ 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 age i said ounty in consequence f the granting of this per it. X •— Date 15 /g/ Signature of Applicant — Owner ❑ Contractor ❑ Agent L40 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 92.50 HAz. CUA PARx SCHL FLD COF ,�–. PA PDA. I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated abo a for which fees have been paid. OR UBLIC WORKS By Date . / PERMIT EXPIRES Date3 Receipt No. 83864—$92.50 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNT) .r 4, , 7 COUNTY CENTER®DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ► ��� � Z= , �'�S • A. P. No. 7a Proposed Building Use 44A/Building Inspector Date �- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED k f�� 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8: Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobil home installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................... ........... 1.3. Sc DOI District fees pa'F�i!............. 4. Sanitation app oval from jzll.I-j— Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking:- 18. arking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given'to owner ❑, Mail to owner 0)..,. .. 24. Recorded copy of Agricultural Acknowledgment Statement " Z $" qL _ ' i 5. Letter of si nature authorizatiioon� 3 26. �'Cl ,l2 O F Ili► 6 Atr- d n! k5f Z K 4 27. When you issue the permit, process as follows: Mail_towner.Mail to contractor. —� Telephone S�f��and hold for pickup at office. Deliver w/inspector. Other Appl icant ��C�c� I,(� Date T 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 priNtg.,permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Ad tional items r-quired: >k1 Contractor, designer, o r, was advised of above required data by—phone---mal [—counter bO�_)..date_����/ Contractor, designer, owner, was advised of above required data by—phone—mall-,e—counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. Other Water Supply Water Supply Sanitarian COUNTY OF $UTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (Des or no) 2. I (have/have not) h A,1.U'- 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/Yt Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . All Phone Type of Work Signed: Property Owner Social Se•ty Number — Date cur — NOTE: This Owner -Builder Verification.is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. oil COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. V 7 County Center Drive - Orovllle. Callfornle. 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT ssfiss N _ l 0 _ 0c�ZON' oCTELIMPHONIS NO BUILDING PERMIT wNBR S0. FT. OCC. BUILDING VALUATION OWNER'S MAI L ING 0Rfi l/+ /12& 'V CONTRACTOR'S NAM 41 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is Filing Fee $_ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ no Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $Iq , PLUMBING PERMIT Filing Fee 10.00 .M Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P ARC EL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] Mobilehorr) Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home?DMF O.00ea 00 TYPE OF WORK New ❑ Addition[]. Remodel ❑ Utilitie Installs - Other ❑ Describe work: Permit Fee ; B Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100V OR LESS 100 AMP OR LESS 10.00 ,0 0 Main service EA. ADD'L 100 AMP 2.50 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 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING 0CUP.a OR ADDNS. ( ACC. BLDGS. , vtsgft NEW CONSTR. M UL I.OUTLET NON.RESID BRANCH CIRC ITS 2.SOea .— POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200501 BAL03o FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 CO Misc. Wiring 15.00 Permit Fee $ % 0. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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- f structures over 3/stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — C> c)TOTAL FEE $ E HAZ. CUA PARK scHL FLo PAR Po Ho. IssuE This permit is hereby issued unser 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 rReceipt No. U$tS — ���� .-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ��-rs-�•p�1,Yi'�r''�'%NCYk+�'�,�"�}`�Ci'!e`�t7..ri3"".y"'�k��.M1�7+'^'`.3E,'.'J't°t*T'1-i y; 1J� r�R .BUTTE*COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form'per Building) A.P. Number Building Department No. School District 04� �ity County � Jurisdiction Property Owner .411" Project Location -/Address o202 / i�= C,�•y oev. Subdivision Lot Number Residential Development: ) © Sq. Footage DO # of Living MHI 'Addition (Group R) Units 9D� Commercial/Industrial: aSq. Footage New Addition (Including Exterior Roofed Areas)r ,Date (Floor Plans reviewed by School District Personnel) District Id No. X)o School District certifies that /a2 .*f" t ame) (Phone Number) (Street Ad res ) :(City) ( State) (Zip Code) ,.r � has complied with th.e requirements of Resolution No. oa 1 by the pay ent of $ 796 representing ,5"D(� square feet., :�"/a 7�9 / chool Dist t Representative ' Date PAID BY CHECK NO. REMARKS: A-; f/ 4P elpr s;�i.JG, , {t A414 w t -2r p,, o� ,P1--�✓� i� BANK NO 3, PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) a , .� � ,. ., "' J ' � � - � J ' .. t'� � -, ,.� . � ti ` � � � `� , i 1 91 -078:51 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. — — - - The property described herein is adjacent 91-007857 Rec. Fee 7.00; y to land or included within an area zoned Cash for agricultural purposes, and residents Recorded ,. of this property may be subject to incon- I Official Records veniences or discomfort arising from the County -of use of agricultural chemicals; including, ...Butte but not limited to herbicides, pesticides, Ca.ndace J.- Grubbs 1 and fertilizers; and from the pursuit Recorder of agricultural operations including, 2:41pm' 28 -Feb -91 XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All th-at real :property.' situate in.the.County of Butte, State of California, described as follows: Date:T y / State of ) S S . County of ) PROPERTY OWNERS: On this the '217 day of 19CLL, before me, the undersigned Notary Public, personally hppeared Personally known to me. ® Proved to me on the basis ����■■■■■■ss■■■as■■■os�®■ of satisfactory evidence. "4 ,t DONNA CROSBY :to be the person(s) whose name(s) 1 5 ■ NOTARY PUBLIC -CALIFORNIA ®subscribed to the within instrument and acknowledged that Butte County ®executed the same for the purposes therein contained. IN WITNESS ® My Commission Expires Aug. 3,1992 ■WHEREOF, I hereunto set my hand and official seal. �ri�w�a�ml�Iss■■■■■■■■■■■■sass® Present A.P. No. �%� '� � �- D (o` C)(25 , 0— Notary Public DFSCRI P'f [ON A1.1 that certain real property situate in the County of Butte, Stat of California, described as follows: A po'r`tion of Parcel 4, ,_as' shown on that certain Parcel Man of'a portion of. Sections 24and 25, Township 19 North, Range 5 East, M.D.B. & M., which Map was filed in the office of the Recorder of the County of. Butte, State of. California, on January 31, 1972 in Book 40 of Maps, at page`93, and more particularly described as follows: COMMENCING at the Northeast corner of. said Section 25, being also the Northeast corner of said Parcel 4; thence alonq the East line thereof, South 10 28' 47" East, 130`8.01 feet to the Northeast corner of the Southeast quarter of. the Northeast quarter of said Section 25; thence alonq the North line thereof, South 890 46' 43" West, 1311.98 feet to the Northwest corner of said Southeast quarter of the Northeast quarter of. said Section 25 an.d`the true point of beginninq for the parcel of. .land herein described; thence from said true point of beginning, North 630 071`x,112" West, 563.94 feet to a point South 520 40' 13" East, a distance of. 60.00 feet from the Northwesterly line of said Parcel 4; thence South 370 19' 47" West, parallel with said Northeasterly line 376.65 feet to the centerline --of.. a 60 foot wide road, as shown on said Parcel Man; thence alonq said centerline South 50 19' 15" East, 108.06 feet; thence South 45° 35' 13" East, 235.76 feet; thence South 750 21' 08" Fast, 393.23 feet; thence South 210 48' 00" East, 150.49 feet; thence South 49° 39' 27" East, 174.96 feet to the most Southerly corner of said parcel 4 on the West line of. aforesaid Southeast quarter of the Northeast quarter of. said Section 25; thence along said West line North 10 14' 25" West, 672.02 feet to the'true paint of heginninq. TOGETHER WITH a riqht of way for road and public utility purposes over the 60 foot wide roads, as shown on above mentioned Parcel Map. EN® OF DOCUMENT 1� Coo G' NT cu: n �catecl wi'thin 4 ft."Outside the rear section Of the mobile home S. 7' on -the left (road) side of the rhobile, c syy'S te .- Ll'i;l �-q C7 Crn �ecl, to s' 4"t"YIti O be /-/ealth 0e as EDt. Per (0 -A 16 4 V 0 Xc- P� b f r.0 The :atae s V -Q M Setb rty side','-!p'rdpe 17 A 4�eqf�,��inp-o k2tf`': 7the 1f/eavP r aog 3 maximum 0 v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 6roviIle4California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address . Telephone No. Fireplace Contractor Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES Q OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures �26f n Receps., switches & fix outlets 20-025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date �'.�` ^SAY-w+..............�,..�..�..�•�...w. ..{ . i ,. � " Lp�NG � OVN�• Z1YZM-?A T':5 F4VAIjDI 3 /9 '.7-Pori.4 -P'! )�4C %hi EQ' S �F1'd -cc) tl C.*,160 S allb .b? J ocated'wi•thin 4 ft.. *outside the rear } ' :0 X'.�r:d"t 1AT S .S �P" zlf `XRI� i Pz rd section of .the mobile home . $ ` n �. _. on the left (road) side of the mobile ePt'esY5te� J s home a ; qC0(7L_/'rete rte Un t ernes) Y Healtl. be as - Dept Per or a -A pill f VA �1,�. ; � � .._ / t` � i GSE , '� , .;.� � ` • � � � � n i a e;. ,5 •. t w^• -�F .d -<i .% 4�' h 1 �� — .F ` Q .� °fit' �..� � ��' • �"a, ,t� � � , f�f`� j •� � Y �,�.. The ' Set b, -from sideproper a�- �„ y p ^� : "emrttrf� 4 terl�n , of the 4� r, r rhe ceno •°� rhavIg.., ��r3 iiYi o,,,2 'eave o�1 i. t a max urn o� rr g(' F` ' LL.. �� ,.gam ^. s•r.�,, , r i � •i" � ".,,," .�+,:.;A,%,�'� a..�! � � � /f •'� 'C.%'•n r' ry r?„`.''• ]'y � � r t' s i !( vp-F ♦9y✓ s•�. a� , y 2 `t'"a .."p."""^" ->1j �� • t .. '.� '. -J /+ �f s'r g ? �. ��. ^2_ G�ir, e.,.P..• ` �.•'�� , � � % � P.q r. , a' � 's Ile .l:!'�. (..d •�I' • ���''.�.r• +.....r...'�..w.a,.....,....., -' `� i ,` � . � 4 • < 1 b .� � " �,^l tq F £.c� { ♦ n:" pp •' P THE METHOD OF DIVISION OF PROPERTY IN THIS AREA IS BEING REFERRED TO THE BOARD OF SUPERVISORS FOR POSSIBLE SUBMISSION TO THE DISTRICT ATTORNEY AND STATE REAL ESTATE COMMISSION FOR REVIEW AND APPROPRIATE ACTION. s.r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, -A Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 20� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X gz wee Date L/4 Signature of Peerr'miitee or Agw Receipt No. I/�/ �f 1�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFMJBLIC WORKS By Date Building permit expires Date �`' J BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address �O i Telephone No. S Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address S PLUMBING No.1 @ I FEE PERMIT FILING FEE J$2.00 v QEach Trap 1.50 �t Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ y !1 A. P. No. ! < p Zoning 8 PI nning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. a o EQA Parking Parcel Plans Declaration �FireDept. Fire Zoneseermit uilding sewer 1 5.00 Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Kos' Bldg. P s Recd Parcel Approval Plans Approval Permit Fee $ $ 710 ex NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 Main service incl. 1 meter ©CZ Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ON Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 bal_ _�(d10 Receps., switches & fix outlets 9(i��22S5 _ CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the v State of California Business & Professions Code under the name • style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar, lisp. or D.W. 1.00 Air conditioner or heat pump Water pump <- Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ p $ Z2 1,0e WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ._.. permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ w authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X gz wee Date L/4 Signature of Peerr'miitee or Agw Receipt No. I/�/ �f 1�_ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFMJBLIC WORKS By Date Building permit expires Date �`' J