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072-062-010
11 -' �- A.P. 72-062-10 HARRY E. CODY �w 7152 Mt. Ida Rd., Oroville�/,,.,�Nn Permit 3657-73P,E (utilities -f ov MH)r J 72-062-10 Y RUD• LTZ ^^^� ost e �izon Rd, Oroville �V� Permit#19611-87P,E,uti1, MH)up r de/ ELEC ZOO S - 100 GAS tr= CLP. - L SUPPORT STR REQ A/0 x^87 �Oi✓tPACTION-TEST-REQ'- .PD'"" 72-06210 Permit #19 2--ov 7P,E4-,"uti ) ELEC Zo 0 - - 100 GAS 3 e C_R RE SUPPORT ST COMPACTION TEST R Q d 72-06.2-10 _ __ Z,ontr.: Clark C nst w PErmit#2876-87 (gas/1962-87) `:,7?... -062-1.0. CARRILLO .04 -?931 �Contr : ra Mobile 159 LOST I�ORIZOP,, OROV/ PErmit#3772-8 B( caning/MH) Cont: DOUGLAS ViE ILLE 5�/%�p 0 NEW 1\4H EX SIT A 072-062-010 05-0302 CARRILLO 159 LOST HORIZON; OROVILLE Cont: DOUGLAS ViRRA MH PERM FND 072-062-010 05-0831 CARRILLO, ALFONSO 159 LOST HORIZ_OIJ�!, OROVILLE Cont: OWNER ,/!' NEW DECK ' f, 07ZW-062- 072-062-010 93-3152 B GOLTZ, RUDY��y.� •159 LOST HORIZON DR, OROVILLE CONTR:'GEORGE RFG REROOF,2 CARPORTS 072-062-010 93-167 GOLTZ, RUDY k. 159 LOST HORIZON DR, OROVILLE TRACTOR, IMPLEMENTS 012-062-010 PERMIT#97-59AG GOLTZ, Rudy 159 Lost Horizon Dr., Oroville Ag Ex Permit -Fence Material,trac i t 6 2 7, 2-062-10 Permi#3913-87B(new deck under existing awing/MH) 52-062-10 Ceasar Mercado ait#1'780-�s8i✓�iI {� +� 72-062-10 Permit #404-89B(car ort/MH ) P Q/ 72-062-10 _�—� Permit#2696-89B(new car ort) I 72-062-10 2112-91B t GOLTZ, Rudy y 159 Lost Horizon Drv- Oroville - -" (addition to carport) i t 6 2 spy � �w 0 i v � -,, cc,C r 1 -,, cc,C r 1 NOTES ;; RESIDENTIAL z, Lex. '„`; :..,�•7' ,c ' - � 1 ` r , :?:r i - t PERMIT NO. ! 072-062-010 05-0881 . # , CARRILLO, ALFONSO 159 LOST HORIZONN, OROVILLE Cont: OWNER NEW DECK • 4 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS r SUB -STANDARD HOUSING LETTER JOB FINALED (Date k.- Signature TJ c • . , ta..;,�. s �.. J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete € 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 1 � Datel Card B-1 Date Card B-1 Date'> Card B-1 Date Card B-1 Date, MOBILE HOME INSTALLATION (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements 1 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 11. Cert. of Occupancy Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Siding; Nailing -Veneer -Stucco -Mesh 10. 1. Zoning Requirements -Setbacks -Easements 11. Ext.; Steps -Doors -Landings 2. Footings; Size -Spacing -Marriage Line Braced Wall Panels 6. 3. Blocking 7. 4. Gas; MH Test -Demand -Valve 8. 5. Electricity; MH Test 9. 6. Water; MH Test 10. Plumb.; Cir. Test -Water Supply Test 7. Water and Sewer Connected 11. Light Niche 8. Gas and Electricity Tagged 12. Enclosure; Fencing -Alarms 9. Exits 10. License Decals Card B-1 Date Card B-1 11. Verify #'s with Office Card B-1 Date Card B-1 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, 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. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits t' 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection' 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers , 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic _ 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date 15. Access & Ventilation Date 16. Insulation Date FINAL (Plans) OK except #'s Date Ext. Steps -Door & Sidelight Protection -Landings Card B-1 Date Card B-1 Date Smoke Detector 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; Sixe & Anchors 23. Fire Sprinkler; Test 74. Elec. Outlets & Receptacles at Kit. Counter Date 75. Card B-1 Date Card B-1 Date 76. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 24. Fixture & Transformer Clearance -Ins. Protection Plb.; Elec. & Mech. Equip. Listed for Location 25. Elec. Receptacles Spacing -Lights & Switches at Doors Elec. Receptacles in Garage (F.F.I.)-Romex Protection 26. Size Boxes & No. of Conductors Stapled Insulation -Foam -Looked in Attic 27. Romex Installed Close to Edge of Studs & C.J. Guard Rails & Deck Construction -Post Caps 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 82. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 83. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 84. 32. Service -Riser Conductors & Ground Main Disconnect 85. 33. Equip. Clearances Panels-Motors-Mech. Equip. 86. 34. Clothes Closet Light -Shower Light -Spa Light 87. 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits t' 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection' 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers , 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic _ 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks Cl Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 9/2/2005 Butte County Department of Development Services www.buttecountv.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * PLANNING Alfonso Carrillo 159 .Lost Horizon. Drive Orovi.11e, CA 95966 RE: Permit No. 05-0302 APN#072-062-010 Owner: same On 2/7/2005 a deposit was made in the amount of $21.9.96, of which $82.49 was retained. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $137.47. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-7601. Sincerely, Diane Lewellen Account Clerk, Senior Administrative Division enclosure 05-0302.1tr CLAIMANT: r, ADDRESS: CITY & STATE: DATF OF CLAIM - County of Butte Oroville, California GENERAL CLAIM Alfonso Carrillo 159 Lost Horizon Drive Oroville, CA 95965 ngwrns SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 072-062-010 Permit No.: 05-0302 PAID RETAINED REFUND Development Services $ 219.96 $ 82.49 $ 137.47 THERM DRNG $ - $ - $ - SMIP $ - $ _ $ _ SHR $ - $ _ $ _ SRA $ - $ - TOTAL $ 219.96 $ 82.49 $ 137.47 a..... .. ..... ..... ....r........... :::Bit Al i)OW1V`'::"`:::::$C1DGE�::::A-C.CO�IyI ::;�11�UCJL.... 101001 DVLPMNT SVC 440-001 4210500 $ 137.47 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 01001 4617240 $ - TOTAL7 1 1 $ 137.47 $ 137.47 1, uro unueisiyneu, ueeiare unuer penalty oc perjurymac cne services or articles claimed nave been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2005, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2005, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. REFUND CALCULATION SHEET CLAIMANT: Alfonso Carrillo ADDRESS: 159 Lost Horizon Drive CITY & STATE: Oroville, CA 95965 DATE OF CLAIM: 09/02/05 APN: 072-062-010 RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED 419443 2/7/2005 Alfonso Carrillo 2074 $219.96 05-0302 Yes No Yes No Yes No X X 11 REFUND BREAKDOWN Title Fund Dept Accnt Cash BLDG 0010 440-001 4210500 101001 THRM DRNG 1800 THRM DRN 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 SHERDEVFEE 1800 (SHR) 280 1011811 FIRE 0100 (SRA) 4617240 101001 DETAIL PAID RETAIN REFUND BLDG Time 109.98 219.96 :::::::::: :::::::::: : :::::::::::::::::::: ............................... .......... :::: ............................... .......... ............................... : : :::::::: :::::::::: ::::::::: : :: :::::::::::::::::::. .......... .......... ..................... .......... : ::: : : ::::::: :::::::::: :::::::::::::::::: ...::::::::... .......... .......... »»:::::: .......... :::::::::: .......... ::: :: :::::::::::::... .......... ::::::::: .......... .......... .......... .......... .......... :::: .......... :::::::::: .......... Filin from Plan Check 0.00 0.00 0.00 Plan Check/Filing0.25 27.50 87.98 27.50 60.48 60.48 Inspection 0.00 131.98 1 131.981 131.98 BLDG FEES OTHER BLDG 0.00 0.00 0.00 0.00 REFUND PROCESS FEE 54.99 54.99 -54.99 -54.99 BUILDING TOTAL 219.96 82.49 137.47 137.47 THERM DRNG 0.00< TM- IP 0.00 0.00 SHR 0.00 SRA 0.00 0.00 APPROVAL Date Reviewed Scott Rutherford $ 219.96 $ 9/2/2005 82.49 $ 137.47 CHECK: $137.47 DIFFERENCE: $0.00 (Should be blank) $ 137.47 - $ - $ - Is - Is - Chief Building Inspector friday, Scptcmbcr 02, 2005 D@V@ICJpIIl�llt SerVIG�S BUILDING DIVISION Ver. 1.0 ! CounterKim I Person Fund 10 (Bldg Permits) $219.96 SRA Fees (Fire) r $0.00 Payment Date 2/7/2005 I SHR Fees (Sheriff) $0.00 Permit Number BP050302 I SMIP $0.00 Receipt Number 419443 I Copies/Document Sales $0.00 Check Number or Cash I CUA (Chico Urban Area) $0.00 Parcel Number 072-062-010 I TUA (Therm. Urban Area) $0.00 Applicant DOUGLAS L VIERRA I Water Tender Btln #F $0.00 Received From ALFONZO CARRILLO West Chico Fire Station $0.00 Witness Fees $0.00 Total Received , _-$2 9.T9s -' Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Total Fees To Collect - $219.96 Oroville Area Traffic $0.00 NSF (Non Sufficient Funds) $0.00 Notice of Violation $0.00 NCSP Trails System I $0.00 t NCSP Roads/Bridges $0.00 NCSP Storm Drainage $0.00 NCSP Fire Station $0.00 NCSP Parks $0.00 �PERMI,T,,�.,'tl'-,J_ i i ■ Bin":APN • LAST NAME 52MMM FIRST NAME • • CONTRACTOR VIERRA, DOUGCITY/CTY STREET NO STREET NAME LOST HORIZONCITY110ROVILLE USE TYPE REMARKS EX MH ON 25 char. max B VALUATION !��� FLOOD _] FEES PAID ' ' • RECEIPT' - • FEES -2 _ _ ___ RECEIPT 2_ 1 FEES 3 RECEIPT 3 FEES 4 RECEIPT 4 PLAN CHECK ACTIVITY Plan Chk-1: Chkd Plan Chk-2: Chkd Plan Chk-3: Chkd Comments: - 255 char. max APPLIED ISSUED- -- FINALED By -1:•- Return -1: Str Chk-1r: -�' By -3 - Approved: Str Appr--: 2/8/05 OWNER CANCELLED PROJECT. REFUND. Sent for signature 9/2/05. Permit w/Di o�UTrFo Butte County Department of Development Services G C Building Division O O - 7 County Center Drive cOUN�y Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the CLAIMANT'S NAME: MAILING ADDRESS: PHONE: -";dASSESSOR'S PARCEL NO.: •.; , ..�.�, [Please use one claim form per permit.) BL-.DG.FERMIT.NO:: _ Rec RECEIPT.NO.:_ r RECEIPT DATE: 0�~ P Building Permit Fees Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them uD prior to that time. _Zle_v�;, 70 c I Z_z Signature - Date K:/Forms/Refund Application 082203 ADDRESS: CITY & STATE: DATE OF CLAIM: NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT PRIOR REFUNDS: FEES VERIFIED :Kr F H Alfonso Carrillo 159 Lost Horizon Drive Oroville, CA 95965 03/07/05 APN: 072-062-010 RECEIPT INFORMATION F419443 I I I 05-0302 Yes X No Fund Dept Accnt Cash APPROVAL Date Reviewed Scott Rutherford Chief Building Inspector 0.00 $ 219.96 I $ 82.49 I $ 137.47 CHECK: 5137.47 08/16/2005 DIFFERENCE: $0.00 (Should be blank) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: ",m,.buttecounty.neddds **PLEASE PRINT CLEARLY"* OWNER , Last Name / / G First Name v /� Address City //P State Zip Phone 31? 41 4/1 Fax E-mail APPLICANT NAME CONT CTOR Name o Name e !�s c� J'v& State Address��—� Phone Fax State City Stat Zi 6S P'�2bb 41,/2 f— Fax Email Class APPLICANT NAME ARCHITECT/ENGINEER Name o /0 Address State City Phone Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name PrgFgqy Address LOSS D N- I L p Address City State Zip Phone Fax E-mail For office use only: Zoning PrgFgqy Address LOSS D N- I L p Flood Zone .Cross Street SRA I Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOC TION AP#69Za - O 0/ PrgFgqy Address LOSS D N- I L p Cit ri�D .Cross Street VIIORKER'S COMPENSATION Policy Number s-1-oo y �� 7� aa - k o Carrier / �7L If hiringyanyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name AJ A- Addre UVEB FOR SUBMITTAL REQUIREMENTS II K:\FORMSOUILDING FORMS\B1dgApp1SubRgmts.doc Page 1 of 2 Receipt#: ¢1t7443 Date: ;2. 7 , p -r 2 r 9.9 6 Bldg SRA Sheriff SMIP Other A ! e ) k� Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees.-.-- 'r-1 ees.-:❑ 1 .California__Deparim.ntof. Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroactimeiit`Permit for driveway from the Public Works Dept. (construction approval prior to Occupancy-).. ❑ 6. Contractor's -license. information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work p1pn_cbecked and other department costs are not refundable. 7-6 OVER FOR BUILDING PERMIT APPLICATION /l K:IFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE-DEPARTMENT,OF, DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ef:4 r -,-F2 I L t_eD ASSESSOR PARCEL NUMBER "y.Z c5� a le- Proposed Building Use: E ->4t TEP_Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to Apply. �- ,�]' 1. Site plans(3)or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete Tans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, 4PTie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans -in ipli`tr cate. A!l of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................... ..:.............. ....... ........ ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ E334. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. De d Restriction......................................................................................... ❑ 37. Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 75 Z34 - 7;2og3-and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. r Applicant: L Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division - 7- D Plan Check Letter Date: Date: Date: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A. P. # ® 7.2 • D to a • a PROPROSED BUILDING USE �X !4 H e X 51 T%�E r ec—'p— DATE RECEIPT # DATE REC. ✓ 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 8)_q . q 4- --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) , 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT a4k DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) WHEN RECORDED, MAIL TO: ALFONSO CARRILLO P.O. BOX 636 PALERMO, CA 95968 2¢i�QJ3--4y�b7967� Recorded Official Records Cou_ntyEOf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:02PM 10 -Nov -2003 REC FEE 10.00 Kathy Page 1 of 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ ALFONSO CARRILLO X_ Computed on the consideration or value of property conveyed; OR LIDUVINA S. CARRILLO Computed on the consideration or value less liens or encumbrances P.O. BOX 636 remaining at time of sale. PALERMO, CA 95968 Signature of Declarant or Agent determining tax - Firm Name APN: 072-062-010 GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ALFONSO CARRILLO and LIDUVINA S. CARRILLO, who took title as LIDOVINA S. CARRILLO, husband and wife, hereby GRANT(S) to: ALFONSO CARRILLO and LIDUVINA S. CARRELLO, husband and wife, as Joint Tenants with Rights of Survivorship. . The real property in the City of Oro'ville, County of BUTTE. State of CALIFORNIA. described as: DescrWtion• SEE ATTACHED DESCRIPTION F NSO CARRILLO Lfbi UVINA S. CARRILLO "This is a bonafide gill and grantor received nothing in return, R&T 11911" STATE OF CALIFORNIA COUNTY OF BUTTE On LONovember 2003 before me, { �1} iL A • t'6/= -1—I IgIKS , a Notary Public, personally appeared: ALFONSO CARRILLO and LIDUVIN & CARRILLO l I personally known tome, or, Ifoioved to be on the boo' s of satisfactory evidence to be!!Le" persons) whose name(s) i re ubscribed t within instrument and acknowledged to me that he/shexecuted the same in he/s e authorized capacity(ies),an atbyhis/tier eir ignature(s)ontheinstrumenttheperson(s),ortheentitybehalf'of'whichtheperson(s)ac , executed the instrument. 1 SS my hand and official seal. 1 HEATHER M. WILLIAMS COMM. !1126'1766 hOTARY PUBLIC -CALIFORNIA surrk COUNTY . 'COiQM. EXP. JAN. 26, EXIBIT A Property Discription AP 072.062.010.000 Aff that certain real property situte in the County ofButte, State ofCallfornia, described as follows: All that portion of Lot 152, as shown on that certain Map entitled "Official Map of Oroville. Wyandotte Fruit Lands Unit No. 5, which map was filed in the Office of the Recorder of the County of Butte, State of California, duly 20, 1928, in Book 8 of Maps, at Pages 37A and 38 A described as follows: Beginning at the Northeast corner of Lot 152, said point being located on the centerline of a 60 foot public road, thence West along the North line of said lot 312.0. feet: thence at right angles South 208.0 feet, thence at right angles East 312.0 feet to a point on the East line of said Lot 152, and on the center line of said 60 foot public road, thence Northerly along the East line of said lot, and the centerline of said public road, 208.0 feet to the point of beginning. END OF DOCUMENT NOTES 't i RESIDENTIAL PERMIT N^-- -- — - { 072-062-010 - - - - 04-2931, { CARRILL01,41�onSo 159 LOST HORIZON, OROVILLE Cont: DOUGLAS VIERRA I NEW MH EX SITE- P rn 4. SPECIAL CONDITIONS z/RA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY OFFICE COPY r 'f Address P S 5 lnsi No 2, i oma. ! 33 (fin. v:riMel C -AS Gp4 ti Meter By Date I . ELECTRIC /�����•.. Meter By Date JOB FINALED (Date) I � Signature � _ J=OK 0 = Not OK Not . = NotReadyable MOBILE HOMES Date ,MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch I 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date Braced Wall Panels Card B-1 Date -Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date PE ANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 Card B-1 Date Card B-1 Zo ing Requirement Setbac -Easements otings; Size -Sp Ging-Ma age Line Qlocking VGW, MH esfS"Demand-Valve ' 5. lectrici ; MH Tesj 6/Water; MH Test 7. ater and Sewer Connected 8. Qds and Electricity Tagged V Exits 10. License Decals 11'. Verify #'s with Office Date VjCard B-1 Date Card B-1 Date Card B-1 r 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 I 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. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date ( Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-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; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ' DEPARTMENT OF DEVELOPMENT SERVICES } BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: o6z.i� O.: PERMIT N vy - ZC110) Owner's Name: Owner's Address: I LipsrfZ�•v Mobilehome Manufacturer: i.�e r -w oPd Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD umber. b� Official approving installation: [Da: l If the mobilehome is moved or relocated, the mobilehome installation acceptance's hall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B white -owner, Yellow -Installer, Pink -Bldg, Gold -Assessor -.4 c.f a:.r::n..'t...,.f,...:.:�r+a.,. .a,:'v.:�.. .� 1�" 7Y'-�f,_1X� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042931 LICENSED CONTRACTORS 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 Issued Date: 11/24/2004 APN• 072062-010-000 the Business and Professions Code, and my license is in full force and effect. License Class: C}— License Number: 2' Site Address: 159 LOST HORIZON DR ORO r S L._ Date: 1-- -o Contractor_ y ,(-*! Map Index: Description: NEW MH EX SITE TIE DOWNS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CARILLO ALFONSO &LIDUVINA S permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of GOLTZ ANNA I ESTATE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or P O BOX 636 she is exempt therefrom and the basis for the alleged exemption. Any PALERMO, CA 95968-0636 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CARILLO ALFONSO &LIDUVINA S owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: VIERRA, DOUGLAS L O lam Exempt under Article 3 of the Business and Professions Code DBA MANUFACTURED HOUSING SPECIALISTS Date: Owner: 354 LONE TREE ROAD OROVILLE, CA 95965-9669 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 534-7288 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 263482 Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: Engineer: Carrier: Policy #: 9La /4 " 11,3 © c)o 17 V ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: II ^ :; 5 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor �+ �� �[/ / code, interest, and attorney's fees. 3 v ` ��r ✓ C 11 /� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the T`hiis permit is hereby issued under the Iii able pr ions of the Butte County CodR anrUOr Rested ions__to do wgrk indicated a ve es -have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , aLp, Name: By:_ Da PERMIT EXPIRES ON: ' d Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with an' all county and st laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize enta ' es of 1 tte C my enter upon the above mentioned property for inspection pues 1 i Print Name: r Signature: Date: / l — �` O SL ❑ Owner Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name �� ust Namw�74�5� Address 'i > City �a State I -e Phones City ocJf /�C E-mail - CONTRACTOR ARCHITECT/ENGINEER • Name . Oti .� 4. (� v f Address Address L (o a-) 6-7 I -e Fax City ocJf /�C Stat Zi-5;tx— Phone 3 Y 7,:;).e� Faxs- ,754 !9 E-mail Uc. CJ�ss APPLICANT NAME ARCHITECT/ENGINEER • Name Cfty Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address Cfty State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning _ Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT 7N BP BIN # LOCATION AP# Property Address j C'ir Cross Street WORKER'S COMPENSATION Policy Number v2,;29- (D O o o d' Carrier lfhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address i,AD r ription or Scope f Work: Taixf Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION -OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received by, Amount: 11 Bldg I I Imo" SRA I I Receipt M YJ 0 Date: 16 1 1 Sheriff �j SMIP J Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Leiter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UnZED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" CONTRACTOR OWNER Last Name 2 /� /� ust Name �/J����s� �� AddressD D City 1 �Q City d v f I ICI State CJ Zip Phone s 3 _ �J- E Fax E-mail Lic. P -' CONTRACTOR ARCHITECT/ENGINEER Name Lnti J Address Address 3 �: -?/ 7 City Fax City d v f I ICI Stat -- Ph0ne_3 Y %.�;, Fax y 3,4 f -mail Lic. P -' 1 � 'A APPLICANT NAME ARCHITECT/ENGINEER Name City Address SRA City Fax State Zip Phone Map Book Fax E-mail Planner State license Number APPLICANT NAME Name Address City State —Flip SRA Phone Fax E-mail 10 APPLICANT SIGNATURE X For office use only: Zoning Property Address 1 Flood Zone. Cross Street ori SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. Off.', l BP BIN # LOCATION AP# Property Address 1 City Cross Street ori WORKER'S COMPENSATION Policy Number f 7 o 2,;29- D 3 00 0 Carrier If hiring anyone other than license contractors; a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Dription or Scope f Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION -OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by:: Amount I' j� Bldg I I Receipt #: qr,-i 6 G y_i 7 Date: Sheriff SMIP .Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Ne -f4 iv4-,-9 Jw�) Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde o apply. CL 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildin ❑ 8. Manufactured home) Data sheets and installation in 8)�itlatriq ne inf , Floor PlangJp Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ X10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form., . 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other It Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.....................................................................\nt ................. ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner by❑ 19. Soils Report and/or Engineered Foundation required ..................................... ........ Erosion Control Plan Required ..................................- .............. . ........ Fees as shown on the attached Schedule of Fees Due .. ................ ❑ 22. City of Chico Plumbing permit ............................. V �/�Pi�te 23. tft-lfifornia Department of Forest y plan approval aid.Senning approval (A) Use: MB)Parking: (C) Parcel11 Lfa OZl ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. ❑ 27. En roachment Permit for driveway from the Public Works Dept. 29. Contractor's license information. (Number, ame Style, Classification)....` :............. ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. O Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone Q and hold for pickup. I have been informed of the above items and requirem Applicant: 1. Index permit application for the abo e items 2. Additional items requited '') Ma wTEMewed by: - Structural reviewed by: Note transfer by: for obtaining a building permit. Date: Plan Check Letter Uf th�above data by E?p1ione, ❑ mail, ❑ counter, by of the Wla by phone, ❑ mail, ❑ counter bDate: C Plans approved by: Date: Structural approved by: Date: Yellow: Building Division Date: // / AY lel-*- iJJ/rS4�4� Date. V Date: t� Date: t E.M. USE ONLY ~ \ Plot Ren Atbced . ` Floos Ren Attaclfed Sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �arriLLa/�1`' �oS ✓ o.e� mon% Q�2 - OIoZ - p io Owner Location AP# Plan Approved for: Sewage:Disposal ✓ Water Supply: Public Private Well Clearance for ✓ dwelling: Other Hold final for: Final clearance O.K. for: NOTE. mental HealthWecialist 8/96 EHS of �0C 01 Date rr d BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District�t� ;.1�-( ��/ Y 7 Building Department No. A.P. Number U-12- to - O) V Jurisdiction: city County Property Owner —C-c'<-'c' t \ lJ Property Location/Address bdivf b `' Su s n Lot No. . .......................... _.................................. ............ ... Residential Development Q Q Sq. Footage Io No of Living Mile Home Addition/ Supplemental to (Group R) Units Installation Conversion Permit# ff��� ///////�/�/► {/ /�� (No foundation inspection) ' C��' fZ�Y 1 / Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Date District Identification No. (fl 013-1 0'r�a: School District certifies thatr,� , o (Applicant) 1 S 1�-- (Street Address) (Phone Number) CIL al Sq 61", (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ lid G ;[ representing I o S l,o square feet. AS 2926 $ FULL MMGATION $ School District+ R�entative Date Paid by Check # rJ I C— Remarks: ylq\, e-G,`G /Carni ►w—o-t.e Al l C NoBee: You may protest the Imposition of the fess Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the data fees aro paid. Failure to submit a timely written protest wiil'prohibit you from challenging the Imposition of the fees In any court action. f, subsequent to the school District RepresmdaUw signing this Butte County Schools Impact Fee CartlNeatlon Fonn, the School District Is eotllled by the applicable Local Planning Agency that thio project Is being reviewed under the Cal forma Environmental Quality Act (CEQAh this project may be subject to additional school fees to fully mitigate. its Impact on the school dbtricrs schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER CA PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ OOL DISTRICT FEES �. (paid at School District Office) (form availa a after Plan eck) ?� 3. SHERIFF FEES (paid at Building Div(s3 n) Residential............ X $360.00 =$ Units A.P.#(I U'('" 01 DATE RECEIPT # DATE REC. Commercial (sq. ftg.)..... X $0.03 = $ _ Sq.Ftg. 4. URBAN. AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION PLAN CHECK FEE —319;%(paid at Building Division) 8. WATER TENDER FEES BATTALION #. $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT 000 DATE — !/ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �/ 5 �Uc WOOc Department C o u n t i J. Michael Crump, Director Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: �ze,,;"'_5 `r�C 7 i C d D i/ d `�'a - �G� • o �y Project Location and/or Parcel Number: E By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may -result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 1 U Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 t, r SITE PLAN REVIEW APPLICATION Date: i(b4loc( AP# Permit Number (if applicable) G y —;1_1,3 07,1-06-2-0(0 APPLICANT INFORMATION Parcel Size: Owners Name: SO (Q/tilt�o Owners Address:/do.�✓ oX �GU�?ivn'1.G ?5-y6 g, Telephone No.: ' .'� 3.2 —'f 8-.9 a Situs Address: tj O O►�1 Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel 16 Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family , Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel " ❑ New Industrial : " ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved* By Date l l Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ® Expansive Soils (Test for expansive soils and if verified proper foundation design required ® SRA - (CDF to determine specific requirements) ' , ❑ 100 -Year Flood Plain:' (See attached) • Flood Zone: • Flood Panel No.: 00 7 CDQ" 2_C,. Index Date: $( ❑ Sacramento River Reclamation District (Approval must be obtained from the ali omia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the Califomia Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit EJ Minor Variance El Administrative Permit ❑ Variance ------------------------------ ❑ Detached Building Use Form ❑ Encroachment -Permit — — —� ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A —4 G P - MDQ Applicable Building Setbacks: Front Zoning Code Streets & Highways Fire Prevention Subdivision Map Side Side Street Rear i Height Waterway N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 r Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other -------------------------- .7 ----------------------------------------- ----------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) ' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of -the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with Co Standards for Deed Creation:❑ No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control,fugitive,dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El C Page 4 of 5 {�3 ❑ 0 x Summary. of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doe Page 5 of 5 0 1 I�e� : Owner's Name. (` �Wy j 2. Assessor's Parcel Number• 3. Installer'_! r r i 4. Is the site currently under permit? yesb4 No[ j Permit No. Is the site au_exLV1ng site?_ y -05M - --N4 4 ryes: two -plot pl=). �. mat is tlte�lectr cal rating�f4ltemobiiCho=? 7b -Arnperes. .. 17. _V4 is -the mobitehame-sitezircuitbrea-ker ratg4 MO Amperes. '-S. -#h= ism electrical Tating ofMe mob-,ehome site'? O .D Amperes. '9. -Is -the main services reriiate-from-the mobilehame site? Yes[ -1 NOPO q I�'it is, what is the rating? 'M D Amperes. 10. Is there any other electric load- be served by-the-nt�leh6m-ske-electric-sere (i.e. well, garage etc.)? yes[ o[ ] If yes, please identify the load and size: .a) �e-mobile-home-si Load. I Amperes- -b) The main service: Load- Amperes - 11. Type of gas -service at mobilehome site: Natural[ 1 ,12. _ . --$ize of S. pipe at —the ---mobil-eh-site -from the mettr -"or tank: ?J inches. 13. What is the gas pipe length from h m m-r-or-.to-the.aioUehofne? .14. M1W-isshe_mobile4ame-Sas demand? . B.T.-U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or 'less th= 58-fi e_ propane), `TSE OTEFERS -0 BE-COM1PLETED-1BY_ORDER TO PROCESS THIS PERMff APPLICATION May 1995 8.5 COO/ZOO in AIND 311H --- 'd0 3THAOHO Q00M.L3311 VOCC US OCS Xdd 0Z:9T .LNS "-/TZ7n Mob"lehome Manufacturer: Manufacture Year: f� than an single wide, rbrni'sbSitup Model Number- '34LI 3)t') `SLL?� C2 6 "A.1— Width:,,:) Li (ft.) Length: LA Lk (ft.) Tagalong or Expando Size (ft.)x. (ft.) lOn all mbbilehomes manufactured after October 7, 1973, furnish manufacturer's lrrst'aliatiotr,raaiu --anditructurafs" sheets. FOOTZIGS-. Wood pressure treated or foundation grade[ ] Other: Other: Provide Tie Down Specifications for all Mobilehowes: IWG.LF V,,vW'E Pier Footings Sizes and Location Lino t Uao 2 . . ............................ ................................................................... Maio Bcam -vat 2 Line I Une 3 Line z . .................................................. ........................ 4 ... Main Ecum ............................................................................... . ............... Une -z UIX I Lim f .............I...............•--•- . 05 Tag or Triple e4 ...................... ........................ -CI 'Une I-Piets: Line 170peni-ngs Size minimum: r i x r Size minimum, 112-1 X I.?M. d,L_4A .Spacing maximum: Each side Uopeir'ungs From ends-maximum:E with width over: ;L4 M twk;6e34 7-pitM Size mi'urnum:lag] X _ Size minimum:X tpa6nt maiximum:, -1--4 "Spaetfig rfi-axirtiuTh: From ends-maximum:j From ends -maximum: .90 A Lme Iftef-L-o-2ids- Size minimum I Lbcaiidn (fl-dyn"ftoft): Line 5 Roof Loads-- ls_�- -mum: I Location (from front): I . M�Y_0," --8.4 COO/Coo 1A AIND 311H 'VD 31IIAOHO 000AI3311 VOCC US OCS XVJ TZ:9T IVS WTZ/90 l TO - ather River- ille; -CA -959 532-3301 Ph( 532-3304 R FRONT: DATE: "gt - FAX member of-Pages.ind"ng'this one W, Rave a-grEat-day! ` 1 ., C00/1002) AlaO3 311H +-+-+- 'VO 31IIAOMO (100AI33U DOCC ZCC OCC XVd OZ:9T IVS 60/TZ/90 _t my LITIL OP.. GARDEN TUB O x 10 m SHOWER Oj LI/iEN - - c 05E • LINEN -! - I � 1 MASTER BEDROOM 13'-4" X 13'-0" ENTRY GOtel ev e a� � G��o� �i\\M CE e � G Q----------- Trrl DINING AREA 8'-0" X 13'-0" SOATI y? i j LIVING ROOM lr-6" X 131-0" ' BEDROOM 9'-6" X 13'-O" BEDROOM 11'-10" X 12'-10" t x dS - --- 0 r Z • oez II •���• it i WO NIX . - ____ _ dH,01d0/d73HS oNo I, - -- W 1-1 m - 1 O O L t 1. Owner's Name: ! D �1/ 5 c' ; J lei / ( U 2. Assessor's Parcel Number: - .072- ' 6 '--Q/0 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[x] Permit No. 5. Is the site an existing site? Yes [j No[ ] (If yes, furnish two plot plans). , 6. What is the electrical rating of the mobiiehome?D_Amperes. 7. What is the mobilehome site circuit breaker ratio ? g /D D Aanperes: 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoW If it is, what is the rating? :R -D 0 Amperes. .Y 10. Isthereany 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[ ] PropaneM None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: X inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,X uo. 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 OP'TNIS FORM MUST BE COME-PLETED IN ORDER TO PROCESS THIS PERMIT APPLICAUON uUTTE COUM 4UILDINC, D11 PARTMET � Amm 0% 1% ^ V E Uft Vrnv Mobilehome Manufacturer:/,ted Manufacture Year: Z If other than single wide, furnis Setup Model -Number: W`idth:21L-_(ft.) Length: (ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. • ' • . . FOOTINGS: Wood pressure treated or foundation grade[v ther: SUPPORTS: Concrete block[]' Other: Provide Tie Down Specifications for all Mobilehomes:.147-'A Z:�S6 o Pier-Fobtings Sizes and Location SWGLE WIDE MULTI-WME Line 1 ' e 1 Line 2 : ' Line 2 ` ................................................................................................ Main Beams True2.................................................................................:....... e 2 Line 1 Line 3 L'me 2 Main Beams ....... ............................................................................................. Line 2 _ Line 1 Tag or Triple e4' el ' Line 1 Piers: Size minimum: I x Spacing maximum: I CIFrom ends -maximum Lille *1 Openings Size minimum: [ f Z] x [ 2y]. Each side of openings with width over. ' ` Line 2 Piers: Line 4 Piers: Size minimum: [a ) x [2q ]. Size minimum: [ ] x [ ]. Spacing maximum: ` 0 Spacing maximum: C` From ends -maximum From ends -maximum ` Line 3 Roof Loads.- Size oads:Size minimum Location (from front):. Line 5 R of Loads: Size minimum: Location (from front): J�x3n ayX aye 1-24301 y, rVVT? i £ 10 L 133HS 10066 'ON ONI1Sf1-3d 'OUVA-10d J 3NAVM '(o) N01133Sans £'9m NCII33S 30`4 S1N31043A 103H 3H1 S133W FUISAJ6 µA00 311 S1141 s0J}dx3 JDA01tWileld tl% - Zll a Sa�t1i0M1iS 0 S Iuatudo,,ue(I f4.unwwa3 Lut edaa sluio a stloq�R9aJ Pae Wj QRS A4ea9ddlt F Rllalna"M WID4 Ibo WQp JO ll4l IM k8 MCIA& JO OZll"M PU SCOP FADlddW CWW SNOUMOV03 C1 L33rW9 a3A08da11 Ol 9 9 9 ,Ql. 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HOLE (E) PLACES —3/8' CAD PLATED EOLT. NUT & WASHER COUflTER OOREO FLUSH WITH BOTTOM (8) REQUIRED 1/4 STAND BASE ABESCO AOS PAD J503 1 3/4" DIA. x 16" LG. 11 r' (4, REQUIRED DETAIL A I/4` GRIPPER PLATE (2) REQUIRED 16.75 TOP VIEW 1 1/2"x1 1/2'x3/16 x2" T.S. (4� LCs (4) REQUIRED 36" MAX / Tfl BOT D -------- -------------- ------- - .. / Of PAD SIDE VIEW / 1/4` GRIPPER BASE - 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED O1 1/2" SCH 40 PIPE RISER WITH O1/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND VITH TWO $1/2---,6DJUSTER HOLES }r-10.00 — 0 0 10.00 09/16 HOLE (TYP) STAND BASE TOP VIEW 1/4x7-1/4" TEK STS (2) REQUJREO 1/4 -GRIPPER EASE 1/2" A507 BCLT (4) REQUIRED 5851 FLORIN - PEUMS ROAD SACRAMENTO, CA 95823 PH. (800) 382-8831 FAX: (916) 383-5207 COACT{ "C" FRAME 1/4" GRIPPE PLATE Z" CHANNEL C -BEAM ATTACHMENT "J" FRAME .XI -1/4' K STS REOU IRED A.507 BOLT E(IUIRED /4" GRIPPER BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVA.DO, PE -LISTING NO. 9900T'' /l SHEET 2 0l 3 9 $ $ $ $ �' $ 30.00 STEL FRAME 16.75 TOP VIEW 1 1/2"x1 1/2'x3/16 x2" T.S. (4� LCs (4) REQUIRED 36" MAX / Tfl BOT D -------- -------------- ------- - .. / Of PAD SIDE VIEW / 1/4` GRIPPER BASE - 1/2-13UNC-A307 x 4" BOLT WITH NUTS (4) REQUIRED O1 1/2" SCH 40 PIPE RISER WITH O1/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND VITH TWO $1/2---,6DJUSTER HOLES }r-10.00 — 0 0 10.00 09/16 HOLE (TYP) STAND BASE TOP VIEW 1/4x7-1/4" TEK STS (2) REQUJREO 1/4 -GRIPPER EASE 1/2" A507 BCLT (4) REQUIRED 5851 FLORIN - PEUMS ROAD SACRAMENTO, CA 95823 PH. (800) 382-8831 FAX: (916) 383-5207 COACT{ "C" FRAME 1/4" GRIPPE PLATE Z" CHANNEL C -BEAM ATTACHMENT "J" FRAME .XI -1/4' K STS REOU IRED A.507 BOLT E(IUIRED /4" GRIPPER BASE X1/2" A307 BOLT (2) REQUIRED J -BEAM ATTACHMENT E -Z TIE DOWN SYSTEM WAYNE T. POLVA.DO, PE -LISTING NO. 9900T'' /l SHEET 2 0l 3 INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STI=FENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, 0OWi4 TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER, THE HOLES IN THE BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I --BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCCPE. RAISE THE TOP OF T14E PIER UNTIL THE PLATE IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM., a. PLACE THE SRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. C -BEAMS AND J-8EAMS 8. HEAD OF PIERS REOUIRES THAT TWO (2) TEK SCREWS BE PLACED THR.0 THE SIDE OF THE BEAK IN ADDITION TO CNE GRIPPER PLATE_ 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN 7HRU GUIDES INTO SOIL UNTIL SOPS ARE FLUSH WITH THE GUICE. ALTERUATIVE: (2) 112 S.M.S. OR WELD (2) #12 S.M.S. ANGLE IRON 1Y`t'zl �tl3/t6" NOTE: USE S71FFNES IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL i ABESM-GW GUAM COWMY 5851 FWRM - PERKINS ROAD SACPH: (Y,+>10) 38 A9581 WAYNE T. POLVAOO, PE—LISTING NO. 99001 PH. {800) 382-3831 FAX: (916) 383-5207 Cz� SHEET 3 of 3 tir��.7c f ,• 71 ALTERUATIVE: (2) 112 S.M.S. OR WELD (2) #12 S.M.S. ANGLE IRON 1Y`t'zl �tl3/t6" NOTE: USE S71FFNES IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL i ABESM-GW GUAM COWMY 5851 FWRM - PERKINS ROAD SACPH: (Y,+>10) 38 A9581 WAYNE T. POLVAOO, PE—LISTING NO. 99001 PH. {800) 382-3831 FAX: (916) 383-5207 Cz� SHEET 3 of 3 `A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050881 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/05/2005 APN: 072-062-010-000 the Business and Professions Code, and my license is in full force and effect. - License Class : License Number: Site Address: 159 LOST HORIZON DR ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Description: covered deck (Wood, 400) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CARILLO ALFONSO &LIDUVINA S to its issuance; also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section GOLTZ ANNA I ESTATE 7000) of Division 3 of the Business and Professions Code) or that he or P 0 BOX 636 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the PALERMO, CA 95968-0636 applicant to a civil penalty of not more than five hundred dollars ($500).): NJ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CARILLO ALFONSO &LIDUVINA S such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one GOLTZ ANNA I ESTATE year of completion, the owner -builder. will have the burden of P 0 BOX 636 proving that he or she did not build or improve for the purpose of PALERMO, CA 95968-0636 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044„Business and Professions'Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of�thee BBus'iness and Professions Code 7 Date:-V� Owner: �• (-/ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance n Engineer: carder and policy number are: g Carrier: /� C Policy #: Total Square Ft: 400 S.F. Er 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 Valuation: $6,400.00 become subject to the workers' compensation laws of California, Census Code: 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost ofJC-0compensation, Avvaw�v damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued and applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio o do work indicat7d aboa for which fees have been paid. performance 52jthe work for which this permit is issued (Sec 3097 Civ.) Name: �- B Date: Address: PERMIT EXPIRES ON: IS ' 104/ 2 (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms.. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above property for inspection purposes. /mVttiioned Print Name: �5 G_�%�// /O Signature: Date: 5”, 4 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor -fi BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES O BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION IN�y Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name 0 First Name Address LS o v Cityt�Y , le-- State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOPI Name wtiL u L��� Address SRA City I No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Flood Zone Address SRA _City, I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Proper-9ress Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. O BIN # LOCATION AP# 07 2 r -66 -d -01D Proper-9ress City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Pcc-/L Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 KEV 2-24-U5 Amount: Rece5�5 Bldg SRA Receipt#: 1 Sheriff ( "t z \ SMIP Other Date: l7 Total Page 1 of 2 KEV 2-24-U5 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. .Owner -Builder Verification (if required). ❑ 9. ' Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee- payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET r OWNER: � LLI� ' i `-,_�'N 5 U ASSESSOR PARCEL NUMBER (97? --062 0 Pro osed BuildingUse: �-LV"2��yUyPermit Technician: c 5 Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. \� IN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Itj 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings \ ❑ 12. Hazardous Material Form f 1J 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) NN 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... \ ❑ . Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. -0 - 23. California Department of Forestry Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:........... \ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 1�IN 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... \ ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... �7 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits.......................................................... ❑ 34. Deed Restriction......................................................... `.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration 0(MCO......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone )KF" 50 5_32-V69 6 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: � �� _ Date: % - .- - as - 1. Index permit application for th ove item Nm t red: Ian Check Letter 2. Additional items required��J l Contractor, designer, owner, w s a v ed of the above data by ❑ phone, ❑ ma , cou by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: / Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE -(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER LU%� /'t c—O�N�1 O A.P. # 62'7'—) —06 2--0/0 PROPROSED BUILDING USE ��� DATE-ff �LBUILDING PERMIT FEES --- Balance Due .........:........... C 1 C� T RECEIP# DATE REC. $ %y -5-" 7P --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per. dwelling) Zoning_ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) , 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP_ 9. OTHER 10. OTHER j/�/� f �6 11.OTHER V / e D At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Butte County Department of Development Services eu T r� o 7 County Center Drive , G Oroville, CA 95965 0 .�� = o (530) 538-7601 Telephone o ='°'_ .� o (530) 538.7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or- well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building_plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but ,are not .limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements,' legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 421�_ APN: 07Z-062-0/0 Building site address: /S' �%r'72 w� Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE Copy to Applicant/EH/File K:Fonns/BldgPennitwithouOearances 020705 • E.N. USE 0Ai4Y Piot Plan AnzcMd Roos Plan Anuchad Sent to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Zo Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply Public Private Well ✓ Clearance for dwelling. 'Other / X a� /el�-- Al A A5G& . Hold final for: Final clearance O.K. for: NOTE: Environmental Health T 8/96 1 ecialist F.S. .'L 5i, `�s' b:C •+_?9=: '�•" ,. 't V 'tY a F 1 Y Y t' _ :'Li'-: -_ J -i{._.. L.:n4�S C::L: •:�s:': "SP ✓�ri'��'E'0 R : ,::f..+(S:• 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 material for construction of this proposed property improvement: YES 1----f—NO [ I. 2. I HAVEJ,--f 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS, PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: 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 office before we are permitted to issue the permit. Rev'd 11/4/2DD4 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile r��: � 7'-"-�rg V-0 '�." r 4 ��^t ^'t '�kvl r4t'^.L� �nn`{",,w`,.-.t+ ' •.t;r��''• Po-+ x E 2 41 L L ��i ;^lei; .X+1S}f.S.'.�..e.. w..��.. �—yr,y..r C.., 4. � ciC?..��.w. 4 N.-- �•4r RAI �h.- - ^'ii. -1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than -yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. -If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Z I C. Vieiri C.B.O. :r, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. % °%3 T rF /o //� o m o o t o J 0 \�Ac0UNtyS �Llc Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination. System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE1 Project Description: Cav6Y'2,61�) Project Location and/or Parcel Number: c -72_o6 2- -6/ CD S q LO s7— rh -/ -Z� By signing below, I, the project owner/owner's agent; certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title:�y57--5 0 Date: if -� Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 b Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX-. GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -8-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2).. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) . and minimum 12" from the finish grade to wood girders or treated wood js required. No wood shall be placed closer than 6" to earth unless it is foundation grade or pressure treated. (UBC 2320.13) a• Max. Min. 4 x 4 post @ 5'- 0" o.c. a_ Max. Intermediate rails 36" Min. spacing shall prevent the passage of a 4" diameter sphere. rn Top ofTop Deck SIDE VIEW of 3/4" cl.eararfce a• MaJoist to the edge of T wood Min. 2x pressure treated ledger --he member joist Min. 2 — 3/8" x' lag bolts or screws. Min. 2 - 1/2" dia. thru bolts required. TYPICAL LEDGER GUARDRAIL An approved post If the deck/porch is 30" Pier posts greater cap connection or greater above the than 3 feet in height Girder or connect girder finish grade a guardrail is need to be diagonally and post with required. braced between posts 1/2" plywd gussett Post and 3 - 16d nails 4 - 16d nails or top & bottom an approved post base connection 10- ' 6" Min. i If using precast piers, 12" x 12" Footing 8" Min. embedment U» ' wet set precast pier , COUN into concrete footing 131 L7(g G DEPARTM80 TYPICAL PIE%FO,OTIN () V ' - Guardrail 1997 UBC.xls Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX. HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads 11" min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 318" (UBC 1003.3.3.3.3) Stair stringers shall be anchored to primary structure. Toenails subject to withdraw are not acceptable anchors (2320.13). 3-12 1-114• 3-12 Max. to - Max 1 -12' Min. 2.12 •\- i 4" Max. Intermediate rails 4" Max. spacing shall prevent the passage of a 4" 3-12 • Max. diameter sphere. 1-v41 36" Min. to 2-1a' 4" Max. HANDRAILS 1 -12' Min. Top of 4" Max. Top of peck 1y Handrail Joist ®height 34"-38" Anchor stair )0 stringers to the 4'• 8"Min• Not Acceptable primary structure with an approved 4 x 4 post min. joist hanger and 9'Min screws, lags, M.B. Min. clear width (—'—'i •• Girder at stairs shall Pier posts greater , 6"Max be 36" than 3 feet in height need to be diagonally Post Min. 2 - 1/2" braced between dia. thru posts. An approved post cap connection or bolts required connect girder & post with 1/2" ply`rod gussett & 3 - 16d nails top & bottom 4 - 16d nails or an approved 3 - 2 x 12 ® Min. 2x pressure post base 6" Min. Stringers treated sill plate connection If using ------------ l.`.7:, 1; :;' ai1' fai) 'l;tli�� ;i' i• precast piers, 8" Min, embedment 11011. "� U ®EPp ! p� � wet set 12 X 12 footingAttach. A ��3366!! M.o g. u precast pier s ngqgerIc �, into concrete sianglle wlth footing. angle clip TYPICAL PIER FOOTING Handrail 1997 UBC -XIS AP # OWNER �L PERMIT -lt Mo '— l M UTIL.CLEARANCE DATE INSPECTOR�� Qa)VtW- V ELECTRIC GAS Support Struc. compactior ITestheg. Service Site Other Load �Tvpe Pipe Size Length YES N01 YESI NO .p -UA Puw�, A, �.`�Gz 3/y See. too 1 , I T 1962-87 PERMIT NO. 3772-87B PERMIT EXPIRES / OWNER RUDY GOLTZ /ASSESSOR Sierra Mobile Ser /ASSESSOR PARCEL 72-062-10 LOCATION 159 best Here"--DF-r-9= eville I� i 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service / Called PG&E / JOB FINALED (Date) Signature = OK '0 =Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning.Requirements-Setbacks-Easements 1. Zoni g Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft, / /"Nat. or/ /"L"ft./ /"LPG lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date . 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date - Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -131 Date Card -81 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -81 Date Card -131 Date Card -81 Date = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Su pprt- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17.. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23.. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic Cl Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters O Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; PIbg.-Appllance- Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -131 Date Card -61 Date Card -81 Date Card -B1 Date Card -81 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPIART,MENT OF PUBLIC WORKS 7'County Center Drive - Oroville,'California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT MIT NO. ASSESSOR PARCEL NUMBER— 06 — _ �� ZONINGtqk BUILDING PERMIT OWNER\ / Rudv Goltz J l 80 TELEPHONE —649-2377 S0. FT. OCC. BUILDING VALUATION Ce a ?7- OWNER'S MAILING ADDRESS 159 Lost Horizon Oroville CA 959,E65 CONTRACTOR'S NAME V77-H�5%5 ServiceSierra Mobile b CONTRACTOR'S MAILING ADDRESS " 8965 Skyway, Paradise CA 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ so ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45-9 Permit fee PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. is UBDI VISION NAME ' PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10,00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other Describe work: Install a 101 x 52, awning 77 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ,00 AMP ORV OR LESS10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. -470386 Classification CA El1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.yd , New �onNisrR� A h¢sgft ULTBI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES 200506 B ALO 30 FIXED EX. OCCUp. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 9 Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co equen a of the granting of this permit. X L;1 U-:— (611-11-87 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 $ TOTAL PERMIT FEE occu P. CONST.TYP! FLOOD PARCEL PD Ho ISSUE A LI -44 This permit is hereby issued under sions of the Butte County Code and/or work dicated 'p bove for which 1 CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��%IWvB �9 FReceipt No. a3-2 65i" TE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a -I f'y7( �'1 - �A' sr+Jir 1rr^�`. `+.1�Y1!X;"T _' bi��ji 'r .•4+,!_ )�. ••;+'..L yin +� r'' .irr4r..ti�`.'` �"` 4-,'j'n,t • `? COUNTY OF BUTTE DEPARTMENT•.OF;:PUBLIC WORKS - BUILDING DIVISION 7•COUNTY CENTER DRIVE - OROVILLE,,X IFOFtNIA 95965 - TELEPHONE: 916/538-7541 rrff 1 i PERMIT APPLICATION- DATA SHEET .� Permit No. UL�y()01i-7-- A. P. No.OWNER- - 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 • suance: 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. Plans with Energy Design Compliance Statement: . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . . . , . . , , 9. Letter of signature authorization. 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) Improvements may be required. . . . . , . . . • • . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for _______ _ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. _ 20. Plot plan approval from city of 21. _ 22. W er, you issue the ermit, process as,folllows: Mail t owner, ---Xai to contractor_ Telephon' and hold for pickup office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health -Dept.; Fire Dept., Other Date —� The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by date Contractor, designer, owner, was advised ci above required data by—phone —mai l—counter by date Plans checked by 'Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 0 TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner'o`T- cation �— AP# Cz"�covl�� c- Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for Other �jl O �C} UC-:� 0 X,6 a� NOTE ** an5� itarian Date 7 AP '# `��-0G'-l---J0 �le-19 OWNER PERMIT'V I9� M UTIL.CLEARANCE DATE 0 — INSPECTOR ELECTRIC GAS Support Struc. Compactioi ITest.Req.. Service Size Other Load T pe Pipe Size Length YESI NOI YESI NO �u ..t c/ C A BO'S 1 TO Building Department, FROM: Environmental Health SUBJECT: Sanitation Clearance z I Owner T �. OL �C/%n� � AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water WSupply Clearance for Other /� j i o �U !� 4L-72 NOTE ** Date U U, V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT NO., ASSESSOR PA CEL NUMBER --- ------ - - _G o2 -/Q ZONING BUILDING P . MIT OWNER TELEPHONE $O. FT. OCC. BUIL-DING VALUATION OWNER' M I I G 02RIESS 0(70 aoe_ CONTRACTOR'S NAME TELEPH6TV CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5:00 6 00 Building sewer 5.00 Mobile Home I S VGYW I 10.00 ea , U TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ Installation❑ Other] Describe work: Permit Fee $ a Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR111 OR LESS10.00 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 Q 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) X1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. ,2h2sgft A New CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Ocu zo ® sot c P OUTLETS OR FIXTURES aALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. Q 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. N tice 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 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 / °� ' r Date p r 27 — e� Signature of Ap icant — Owner ❑ Co tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 TOTAL PERMIT FEE $ CjJo4 OCCUP. CONST.TYPEJ I I FLOOD PARCEL PD 177-[777 This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECT F PUBLIC By EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / D to Receipt No. O C/ % 7 'PERMIT WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR.ZMENt OF PUBLIC WORKS 7 County Center Dries - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. / , 4Cf ASSES PARCELS,N/�_ M, BER _ (//'/ ( ZO NG BUILDING PERMI OWNER / - X43 VEZLEPHONE !o 54 ,37• SQ. FT. OCC, BUILDING VALuAfioN OWNE 'S AI LIN ADDR ES r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 '"—� Each Trap 2.00 V? /'/v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑, Mobilehome, Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 00 E Mobile Home S G ea TYPE OF WORK New ❑ Addition ❑ Remod I ❑ Utilities& Installation❑ Other ❑ Describe work: ' Permit Fee $ -342 ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 200V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check -one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) , ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING.00C UP.a` , OR ADDNS. ACC. BLDGS. / �:2Sgft NEW CONSTRMULTI-OUTLET 2.50 ea NON.RESIO BRANCH CRC ITS POWER APPAIRATUS tri SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES SAL SOC 2000 30 FIXED PR Ex. Occup. OUT LETS (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S__ Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ` Date �J $-7 Signature of Ap icant — 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 $ TOTAL PERMIT FEE $ Occup. CONST.TYPc I I FLOOD PARCEL D ND I IS D This This permit is hereby issued under of the Butte County. Code and/or work Gated abo a for which C OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I , Date /9V/%N 2 JWA/ Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTEUEPARTME1447`0F }ELIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DAIV'E','=SOROVILLE; CAL'IFORNIA,95965 - TELEPHONE: 916/534-4541 f , PERMIT APPLICATION DATA SHEET / Permit No. 4V I OWNER—," L�%� _�.� -- a A. P. No. 4Z Proposed Building se%�� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fee's Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14, Owner-Bu.ilder Verification (Given to owner0, Mail to owner ❑.), —15. Improvements may be required. , . . . . . . , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21,. 22. n r//., When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Copy of plans sent Health Dept.,_ Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: e4 r Contractor, designer, owner, was advised of above required data by_phone--nail—counter by Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date date — Flours: 10:00 a.m.'- 3:00 p.m. Da i This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear &f structures or equipment except k for a 2 ft. eave overhang. o - - k Utility connections shall be within LQ%Ocr� 4 ft. of the mobilehome, either SH directly behind or �rs� within the rear halfire. yof the mobilehom (0 L47 � t NOTE: --All Materials $ Workmanship, rkmanship' Shall 8b Accordance with Recognized alt Good Practices and fhof o qualify prescribed for the Specified e N Building, lumbing $ Machanii;4 us,se in tine +� COC6 and SUMS C OUR DING DEPARTMW APPROVED w- ., J- PERMIT NO. — PERMIT EXPIRES G, c/ OWNER RUDY CTQT T7. CONTR. nwnar ASSESSOR PARCEL 7162-1 n LOCATION 1 r1Q LO St Rnr-i Inn nrniri 1 1 a , 1 F+ f i OFFICE COPY Address ' GAS f Date— i Meter By �� ' ELECTRIC - Date _-- Temp. Power P Meter By Called PG&E Temp. Elec. Service Called PG&E 1 Temp. Gas Service Called PG&E FINALE JOB 1 Signature r f I = OK 0 = Not OK • - = Not Applicable i ' = Not Ready MOBILE HOMES MISCELLANEOUS ' Date MO LE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ping Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements So' s; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ter; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing E ricity; Location- earances-Grnd. mp-Concrete . Gas; Location -Taft -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 'T 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date - Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -81 Date • 11. Ext.; Steps -Doors -Landings Date MnR1LFWnFAF INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval , I 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy { 1IIr 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater f 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval N6�� ��, ��-s served 10. Plumb.; Cir. Test -Water Supply Test ` Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date -Vq- )_1 he i ts 11 = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMINGr (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -Bt Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs &Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access-. 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec.. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks O Yes ❑ No; Planters O Yes O No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89, Water & Sewer Connected -C/0 to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -81 Date Card -61 Date Card -B1 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Flnal: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) BUILDING DIVISION _C.OIt'.ITY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE: (916) 538- 41 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 9? Agricultural building is defined as follows: Agricultural building is a structure designed a constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structur shall not be a place of human habitation or a place of employment where agricultural products are processed, tre ed, or packaged, nor shall it be a place used by the public. ASSESS 9 p RCEL Q. - ©leo �� ZONING /) OWNEFf L PHONE NO. ¢ 9 U OWNER'S AD R SS /_ - O's #o 7- r Oro L/ -,Ile 0 A LOCATPN OF BUILDING Oct M to USE OF BUILDING � lGAe2�'•cc S �f �( fpr �isl� �' � S�®9" SIZE OF STRUCTURE ^ �A SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME x STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C VERING FLOOR TYPE /� /` as ESTIMATED COST OF CONSTRUCTION $ - iso 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: j I - FRONT 5 /wyHv SIDES 2 ®t /�+� REAR 2-0 ! /-✓ 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. Q �/ Date ®S_ - /,S - Permit S - Permit Fee - $60.00 Receipt No. r�19�6s3 Signature of Owner The above described AG Buildinq is exempt from a building permit Manager Building Division By y White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant F7 PA7EL P.D! ROo�NG ISSUE! Date 9� ln�"'r:n�.r,...r.,,,p�.•r�?�`�",na.v-�tWr,;'t,*�;.,-r;•,ti,..�'.+��^rj!a�rakst,+�f�i7'w+.Mrr�'�.+�t�;,r+;. ,1, d%° "*000UNTYOF 130T.TEii4DEPARTMENTOFDEVELOPMENTSERVICES- BUILDING DIVISION 7 COUNTY CENTER DRIVE- R(ELLE,•CQI;IF.ORNIA95965-TELEPHONE (916)538-7541 _ PERMIT APPLICATION DATA SHEET .J/ OWNER A. P. No Proposed Building Use ._.y` Building Inspector �Date At time of permit pplication, I was advised the following data must be submitted prior toy "ermit processing and/or issuance: �' DATE RECENED BY 1, All items have been submitted . .............................r ........... 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. Mobil home 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 Pia"�eL11ns `�q"� p required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 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 and hold for pi kup at office. Deliver with inspector. Other 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,tdesigner, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date 'V ,, , Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUILDING -DIVISION • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SE VICE 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N0.1 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. ASSN OR PARCEL NOD / O ZONING .44 OWNPJ Golt PHONE NO. OWNER'S AD ESS Nor; n r � v, n 0 ^��� Y LOC/ TION OF BUILDING US OF BUILDING C -6►^ec © r �— @ m 0n fS SIZE OF STRUC URE X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME iC STEEL CONCRETE OTHER (Specify) TYPE* 11 NGROO/F„�jOVTING _6 / e�l FLOOR ff E t,,_j oarr S $STIMAT� COCONSTRUCTION �i AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:�� 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 �7' , 2� — Permit Fee - $60.00 Receipt No. ' T Signature of Owner �7 . The above described AG Building is exempt from a building permit. 'Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FD 7PARC L P.D/ ROOF) G issVRI L r .F.,�.o�v".�,►+yPs,17t�R�f'��fo.e^;.,..,s.:Tr�.+�{y¢.ss'a�'w�3.w�.s�/�lrfs7lPC.1�- ,_�� KN��7TM COUNTYOF BUTTE'- DEPARTMENTOFDEYELOPMENT SERVICES - BU D G IVISION 7COUNTY CENTER DRIV�,-,CROVILLE;YCALI ,RNIA95965- TELEPHONE (916)538-7541 PERMIT APPLICATION DATASHEET OWNERA. P. No. / OVI Proposed Building Use uilding Inspector Date At time of per it application, I was advise the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . -2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans ...... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 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 required. .. to Build 9 �spaaoe (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. s When you issue the permit, process as follows: Mail to owner. Mail to contractor. I Telephone and hold for pi kup at office. Deliver with inspector. Other Parcel Creation n ✓ 2q ` n� Acreage Applicant Date 7 ( 7 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 q..a tr'.Q °'.T., "r -.r'ii f , 1 c•- .,j} '�.,'ii 4.�I f`Ti ''r�'.,'. A L^' i a NNE 610 93-3152 BRIZON DR, 09OVILLEGE RFGPORTS I .� -..y .a�-s . aw+•----+-wmns�v711� , i-i...a.:•�..-v-w----'�-.-.-.'"v---^-••w--....-.. .�-r _. - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calftornia-95965 - Telephone (916) 538-7541 _� ZIT NO. APPLICATION Am PERMIT ASSESSOR PARCEL NUMBER �%�J� /�Y J� ZONING — � BUILDING PERMIT OWNERTELEPHQNE L SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADDRESS� / CO,TRACTOR'S NAME , +� TELEPHONE163341:3^ CONTRACTOR'S . LING ADDRESS M6 A L Fireplace CONSTRUCTION LENDER ( -J / UNKNOWN Total Valuation $ , Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee y,. $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS PERMIT FEE $ , _ PLUMBING PERMIT .• Filing Fee 20.00 Each Trap 7.00 � "•' C.. .. . ';i.. ♦ `�,., . � Cts Y^'yM"Mwf'!ry Solar or h at, water heater L:..-.. ...+:..w.df..r .R, >F�L , r:iv�:J+.':`4':•t Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF "Duplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 ' Building sewer 15.00 Mobile Home S G W @ ` 20'00 TYPE OF WORK 0 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other / r� Describe Work: (t_� (/-1 Xl Y-> 3 PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 I ( JCJ Main Service ( BOOV OR LE ) 200A ORLES 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. (I& ACC. OLDS. ) 3.5C FTS0., CONTRACTORS LICENSE LAW I dgr�are under penalty of perjury (check one) ✓��f I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Cope and my license is in full force and effec . License No. Classification O I, as the owner, or my employees with wages as their sold'compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. ! Ex. Occup. ( OUTLET OR FIXTURES ) 020 @'.00 Ex. Occu FIXED APPLNS. 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): This permit is .for --$100.00 (yaluation),or.-less. ,. r c r t~: XI 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. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Comperisation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor �_ . MECHANIC/11LPERMIT:...='a:;-,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 said County in consequence of he Irantntting�offtthis perm t. Z�� l//✓/t�,/�1/%/.Date g,�/J��� Signature of Applicant - ❑ Owner O Contracto� An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPETOTAL FEE $ HAZ. I D. FEES IMP' F1o0D I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions inAgent the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By /✓ .r Date yL PERMIT EXPIRES ON F /Date/ t w `" Receipt No. f �� J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Courity Center Drive - Oroville, California 95965 - Telephone (916) 538-7541R, WT No. APPLICATION -.AND PERMIT � [�� ASSESSOR PARCEL NUMBER r C ,�� /�O /� v! v I ZONINGS BUILDING PERMIT OWNER A6 ^7 TELEPH E SQ. FT. OCC. BUILDING VALUATION OWNER'S A ING AD REL / / �x CO TRACTOR'S NAME1 TELEPHONE CONTRACTOR'S LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ �( PLUMBING PERMIT Filing Fee 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 SFDuplex ❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK New ❑ Addition O Remodel 1:1 Utilities ❑ Installation Other* Describe Work: L r PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ' Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service, ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR AODNS. ( & ACC. OLDS. ) so, 3.50 FT. CONTRACTORS LICENSE LAW Ire under penalty of perjury (check one) I 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,Ex. /p' License No. �aa�co Classification ❑ I, as the owner, or my employees with wages as t eih r sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) BSINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1.00 Occu FIXED APPWS. OR ( 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): Q This permit is for $100.00 (valuation) or less. ,,,T9 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 said County in consequence oft the gr nting of t is per 't. Rt�� c Date � � �9, Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ HAZ- I D. FEES IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECT PR0 By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS ate e lD te)l d T 0 Receipt No. Jj T WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f v Nj .01� f Nj .01� Nj .01� Nj PERMIT NO. — PERMIT EXPIRES OWNER RUDYGOLTZ CONTR. 9W� I ASSESSOR PARCEL 72-962=19 ` I , LOCATION Q—T,ggt: ligria9�t-,A Temp. Pow Called Temp. Elec, Called Temp. Gas Called JOB FINAL Signatu = OK 0 = Not OK = Not Readlyable MOBILE HOMES MISCELLANEOUS �- Date M LE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s �) $" ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel war; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Ktfafer; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing EI icity; Location-Clearances-Grnd.-/ / Amp -Concrete as; Location -T - rap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility C earance 7. Elec. o/z- C 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card-B1Qj Date rd -131 Date Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval ± 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date 9. Health Department Approval �` ' /� n 1 ,, ^ l A lS 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date a v .. �61 ���.1 1��� �ra-" s t = OK =Not OK - =Not p�'icable ' - ApRESIDENTIAL (Single and Duplex) - p ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s date FRAMING (Continued) 1. Zoning requirements-Setbacks-Easements 44. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue-Fireplace Throat 4. Ftg.; Porches & Decks; Soils-Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel-Wrapped 50. Property Line Firewall & Openings 8. Piers-Fireplace Ftg.-Steel 51. Ext. Doors-One T-Check Garage-3rd story, 2 exits 9. D.W.V.; Fall-Fittings-Test-2 way C/O-Sewer Test 52. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size-Anchors 53. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 11. Water Pipe; Test-Anchors-Regulator-Service Test 54. Siding-Nailing Veneer 12. Electric; Underground 55. Stucco Mesh-Drip Screed-Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area-Glass Protection-Skylights-Plastic 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 57. Shear Walls; Nailing-Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card-B1 Date Card-131 Date Card-B1 Date Card-61 Date Card-81 Date Card-131 Date Card-B1 Date Card-131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent-Access-Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors-Nail Protection 60. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test-Fttngs & Anchors-Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 62. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mach. Protection 20. Test Tub & Shower, 2nd Floor-Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access-Spa 65. Elec. Trim & Subpanel; Breaker Sizes-Labels Card-81 Date Card-B1 Date 66. Stairs & Rails Card-B1 Date Card-131 Date 67. Fireplace or Stove; Clearances-Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance-Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap-Cooking Clearance 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter = 24. Size Boxes & No. of Conductors-Stapled 71. Garage Fire Door; Swing-Landing-Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage-Damper 26. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water 73. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation-Foam-Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction-Post Caps 30. Service-Riser Conductors & Ground-Main Disconnect 78. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light-Shower Light-Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown-Finish Card-131 Date Card-131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card-B1 Date Card-131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle-Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test-Meters Tagged; Gas-Electric 89. Water & Sewer Connected-C/O to Grade-HD Approval 90. Energy Compliance Certificate-Other Certificates Card-B1 Date Card-131 Date Card-131 Date Card-81 Date Card-B1 Date Card-B1 Date Date FRAMING (Plans) OK except #'s Card-B1 Date Card-B1 Date 38. Sills, Proper Material & Anchors Card-B1 Date Card-131 Date 39. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 43. Header & Beam-Size & Bearing (NOTE: An entry must be made each time you visit job site) t _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 cl OWNER CORRECTION NOTICE 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. Inspector c,/ Date `' i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95985 - Telephone: 916/538-7541 APPLICATION AND PERMITA J/ PERMIT O. f ASS E ARCEL N MB R /� G .,.._ /e/ ZONIN BUILDING PERMIT OW 6 TELEPHON SO. FT. OCC. BUILDING VALUATION OWN 'S MAVLING ADDRESS t 1 CONTRA OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 40-M LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 S 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❑ MobilehomeD4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 5o Installation❑ Other ❑ Describe work: r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1l /® Main service 100V OR LESS 100 AMP OR LESS 10.00 -- Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.Iti OR ACDNS. ( ACC. BLDGS. ,/20sgft NEW CONSTR. ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS (POWER /POWER APPARATUS tr OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES 20®a0t eALO 30 FIXED P Ex. Occup. OU LETS (RESINSR D )EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ •S Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult 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 consequence of the granting of this permit. � X 1 Iler Date ! � — /�'- 7 Signature of Appli ant — Owner Contr ctor ❑ 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 $ /1 TOTAL PERMIT FEE $ rjtJ occUP. CONST.TYPE FL000 PARCEL I PIDIFNO 139U¢ This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR^ PUBLIC By PERMI EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date 161 bV 47 �-, T��$ Receipt No.17 WNITC-O.P.W., YELLOW -ASE! SDR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT -0_F P-UBLI'C WORKS -BUILDING DIVISION �. A 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53 �� 5y41(, 1 PERMIT#APPLICAT:ION"DATA SHEET Permit No. / OWNER A. P. No. Proposed Buildi Use % ° Building Inspector _ Date �G 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. Plans with Energy Design Compliance Statement. . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.), r _15. Improvements may be required. . . . . . . . . . , , 16. Mobilehome Installation Data. . . . . . . . . . ' Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other App licant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone--Mail Contractor, designer, owner, was advised of above required data by—phone—mall '. Plans checked Copy—DPW Date Plans approved by unter by date unter by date Sets of plans on hold in File cabinet AP folder /Flours: 10:00 a.m. - 3:00 p.m. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaN torn i a,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 7 O� ASSESAOFJ PARCEL NUMBE - ZONI BUILDING PERMIT OWNS 14d TELEPHONE SQ.FT. OCC. BUILDINGTON %W 'S M I NG DDRE j�� S In 0 ►� v ' CO ACTOR'S NAME •^ TELEPHONE �r COrTTRAM04UMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 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 qa.s water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK ,moi � New F-1Addition [:1 Remodel Utilities [:1nstallationM Other ❑ c Describe work: atELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 j Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ..DNS. ACC. BLOGS. , �Z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID .BRA CH CIRCUITS) 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@930 FIXED PR Ex. Occup. OUTLETS IRESID IEA.) 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. NotlEI shall not employ any person in any manner so as to become subject to the W. C. laws of California. e 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 against said County in consequence of the granting of this permit. X .VE G T Date Signature of Applieant — ner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -RE ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST,TYPEJ JSCNOOL PLOTRCEL PD RD 159UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PUBLIC By �� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate r�( _ Receipt No. WNIT[-D.P.W.. TELLOW-ASSES OR. PINK -INSPECTOR. GOLDENROD -APPLICANT �,j •� ` .. •-/d'•';. .'i ` . + •.... - ..-.�.. T1 . . >� V.:Z. .'_4t'�7� rt: fi�.j .3`+r'ti:%. v�``'.n. r..:.r^:.� :. v�:.: �.i..},i.; . , . :.7 £,Y OWNER COUNTY OF BUTTE - DEPARTMENT10F'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-,OROVILLE, CA eIF.ORP.IIA 95965 - TELEPHONE: 916/538-7541 ♦b ` PERMIT PPLICATION DATA SHEET Permit N, A, P. NA: Proposed Building Use ////Y I Building Inspector Date c-"'/ V/ P___4 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. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , ♦ , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 1 Owner -Builder Verification (Given to owner❑, Mail to owner ❑) y 15. Improvements may be required. . . . . . . . . . . . x-16. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate,(required prior to plan check). 22. When you issue the permit, process as follows: —Mail to owner, —Mail to contractor. L4Telephone- and hold for pickup atn—roffice, Deliver w/inspector. Other r Applicant Date v Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional 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 —ma II—counter by date Plans checked Coi)v—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder 4 Date __(2 A setbaf k of 5 ft. from the prope lines and a setback of 50ft. from the road centerli a shall be clear of structu es or equipment excu for a 2 . eave overhang. IRV This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works. County of Butte. pUtility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half ft) of the Rwbilehome. /0,� 7, /�?,- �� NOTIE—All Materials & Workmanship Shall 8e® coup" Accordance with Recognized - Good Proolcet aR, and of a quality prescribed for the Specified use in th® WILDING DE�PARTA�IW Uniform Building, Plumbing $ Machanical Hm National Sectrical Code. and Ar" P R 0 `p E D i 1� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �L)D!�K OG77- 2. Z2. Installer's Name: CESd2ERCt*D'6 3. Is the'site currently under permit? Yes ® No (If yes, furnish permit rjumber �96� F7 ) OR Is the site an existing site? Yes [XI No F1 (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 [—I (If no, clarify 5. What is the mobilehome electrical rating? --------------- (o ® Amps 6. What is the mobilehome site service rating? ------------- VLAmps 01 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the -------------------------------- ® El mobilehome site service? Yes No (If yes, identify the load and size: P (A "'-(P (Load) a- ��' (Amps) 9. What is the mobilehome site gas pipe size? -------------- 7 (in.) 10. What is the type of gas service. -------- ----------- Natural LPG a 11. What is the gas pipe length from meter or tank to the --------------------------------------- ---� (ft.) mobilehome? --- 12. What tis;,the'mobilehome gas demand? ------7o---------------- (BTU) sv� ` .7*(This information not required if pipe length less than 6 ft. on =-natural gas or less than 50 ft. on LPG:) c2l; _--- MOBILEHOME SUPPORT DATA If other than single wide, Mohilehome Mfr. 6e2Af1V*4AfZA furnish Setup Model No. Year Width C(ft.) Box Length �(ft.) Tagalong or Expando Size �— ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)®1. SUi'PORTS (check one) 1. SINGLE -WIDE Wood -pressure treated or foundation grade. 0 2. Other (specify) Concrete block.2. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE ------ — — Main Beams Line 2 — — — � Main Beams Tag or Triple Line i Piers: Size -Min. ------------V-13 ! b Spacing -Max. --------- Fenn Ends -Max. ------- Idnc 'L I'iere: SI•r.c-Mln.------------ 'x SpacJog-Max.--------- C �. From Ends -Max .------- ✓ _ Line 'S fL+ot loads: Size-MJn.------------ It>catiun (From Front) Line 4 tiers: Line 5 Piers: (Under Bearing Walla Only) Size -Min.------------ Size -Min ------------------- "x 11 ---------- Spacing -Max Spacing -Max.--------------- + .. From Ends -Max.------- �_ .. From Ends -Max.-------`----- 1_ine 5 FWuf loads: _ •SOV _ u Line 1 Line 1 Openings: /J o 6 K/ le -7-1 AJ Size -Min. ------------------� "x Each Side of Openings With Width Over --------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- +x Spacing -Max ---------------- r_ From Ends -Max .------------- _ "x "x "x "x 1."x "x "x11 "X 11 Sizc-ML..--•'--------- Iocation (Frum Front) 0 RESIDENTIAL 72-(62-10 -•'� 2112-91B GOLTZ, Rudy 159 Lost Horizon Dr, Oroville (addition to caro t) fv v y f 4 A JOB FINALI Signature 4f A' I:i J=OK O= Not OK Not yNot Readyable MOBILE HOMES > Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ P'L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance i 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 MI EOUS Date DECKq.=Vd,9S, CARPORTS, ARAGES, (Plans)OK except #'s Zonin Req 'rem cks-Easements -2-footings; Soils- 'epth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electri La�mg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Dat Card B Date Card B-1 Da T Card B-1 Date Card 13-1 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 (; = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13.,Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- 17. Water Pipe: Test & Anchor -Nail Protection ----------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -- -------------------- ----------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------- - --- - ---------- - --------------------- Date ------------------------------------------------------------------------ Date _ _Card B-1 - Date - Card B_1 - - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors ------------ - -------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- - -------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------- ----------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water --- -- ---------------------------------------------------------------- ------------- _ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. -------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------- - 31. -Equip. -Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- - --- ------ - --- ----- ----- --- ----- ------------------------------- -------------- 33. ------- --------- ----------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34. A.C. Ducts Insulation & Support ------------------------------------------------------- 35. Vent Fan Exhaust above insulation ----------------------------------------------------------- --- 36. Condensate Drain & Overflow: Size & Grade ----------------------------------------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------_ --------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------- -- -- --------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------- ------------------------------------------------------- --------- ------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- ---- --------------------------------------------------- 42. Draft Stop in Walls (rat proof) - --------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ 44. --- ------------------------------------------------ 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) 9. Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ---------------------- - ____ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -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 ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------- - ------------------ 64. Bedroom Exiting ----- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - -- ---- ----- -- -- -------------------- 67. Stairs & Rails --------------------------------------- -- 68. Fireplace or Stove: Clearances -Hearth - -- - --- ------ - - ----------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance 71, Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------------------ Duct ---------------------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 •---------------. ----------------- --- 7 Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps •--------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth --.--------Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------- 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ------------------------ 86. Ventilation Throughout House -------------- _Glass Protection ------------------ -------------------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric --- ,_. -- --- -- ----------- --------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------- ---------------------------------- 91. Energy Compliance Certificate -Other Certificates Date Card - B-1 Date Card B-1 ------------------------------------------ - -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -,Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. A 72— PARCEL NUMBER 072-06-2-010 ZONING AR BUILDING PER OWNER RUDY GOLTZ TELEPHONE 589-0319 SQ. FT. OCC. BUILDING VALUATION 96 Coy 1948 OWNER'S MAILING ADDRESS 159 Lost Horizon Dr., Oroville, CA 95966 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 1000 Filin Fee g ,. $ gg1�0 LENDER'S MAILING ADDRESS Permit Fee $ 22.00 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 159 Lost Horizon dr. Oroville Permit fee $ 47.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Add 96 sq. ft. to Carnnrt _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y OR ACDNS.' ACC. SLOGS. , /zQsgft NEW CONSTR. U H LET NO N.RESID BRANCHCC'IRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES EX. Occu o 20050e eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sail, Cthe granting of this permit. ounty in consequence o X r/,?.This Date Signature of Appli nt — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST TYPE TOTAL FEE$ 47.00 HAz. cuA PARK scHL FLD CDF permit is hereby issued unaer sions of the tte County. Code and/or work 1 ca d ab e f r which fees DIRE T F PUBLIC YIn.tpv- PERMIT EXPIRES Date P l H ISSUE the applicable provi- resolutions to do have been paid. WORKS 7,110�a Receipt No. 94170 WHITE-O.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR. GOLDENROD -APPLICANT PAI A, 11 Yll IY'Li.Kfa VfY`^ 1" f. Cr" _ ' 'ir'"b'•"y�y-�s'1-" ..sl'1ttJj�'''�wr ' f.t�f+�.�-�y"` 7 "iy�\"'���'}i[^•����`.rvir��Jf'�'3•'.%�`Iw'/.'�T�.r-.y:���ti. ;��'yj�:. COUNTY OF BUTTE - DEPARTMENT OF' UBLIC^WORKS'- BUILDING, D,IVISIGN ' 7 COUNTY CENTER DRIVE OAOVILL<E CI'IF©flNTi 95965 - TELEPHONE 916/538-7541N. s PERMIT APPLICATION DATA SHEET Permit No: ,p " U`6 OWNEReUO� Proposed Building Use &V fu c/,Fe&& Building Inspector �� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .................................... 6. . Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ...........:.. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ t 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13. School District fees paid .............. — 1 14. Sanitation approval from o9_ov` (tom Health Department & X25 ct /L_3 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 I 21. Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... i 26. I ' 27. ., When you issue the permit, process as follows: Mail to owner. Mail to contractor. ' cr Telephone 58a- 0315 and hold for pickup at office. Deliver w/inspector. Other Applicant_ Date 1.46 � r/ Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By r 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._rnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll_coynter by date checked by Date Plans/Approved by Sets of plans on hold in File cabinet ' 0 folder Copy—DPW Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Hold final for: Final clearance O.K. for: Sewaqe Disposal Water Supply Clearance for _bedroom mobile home. Water Supply Wax Supply Other r�� NOTE *** — �- - Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 7z.- 06Z— V0 ZONING - BUILDING PERMIT _ OWNERTELE U4�0 HONE 8�1- 6 319 $Q. FT. OCC. BUILDING VALUATION Z OWNER'S MAILINIG ADDRESS Q 0( ('Z c) A) /4 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ T7L/ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 22 - o o ARCHITECT OR ENGINEER _ -_ _ LICENSE NO. Plan Checking Fee $ /5-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l5? 10!5r_zoAi2 00 r, Permit fee y $ L d0'9' 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❑ Mobilehome❑ Other Q'eT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remmoddel ❑ Utilities ❑ Installation❑ Other Ix Describe work: A400 96SGZ P -r :rc, IQU-por+ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under check one): P Y of perjury Iur Y ( ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N) OR AODNS. ACC. SLOGS. Ye2sgft NEW CONSTRMULTI-OUTLET NON.RESIO BRANCH CIRC ITS 2,50 ea /POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(20(950t OUTLETS OR FIXTURES SALO 30 FIXED OCCup EX. . OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. •-- _.. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation pennit 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. 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 7 TOTAL FEE $ G� / r1`�-" HALCUA PARK. SCHL FLp cpP PAR Pp I Hp. Issue This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the appiicabie provi- resolutions to do fees have been paid. WORKS Date Receipt No. 14f17U"-7 �0�D WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.oi Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your.earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) =42Z We signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone Contractors License No. 4. 14plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5: I will provide some of the work but I have contracted (hired) the following persons to 'provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date © — 2J — 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. S- rfi atkM MUST be This set of pians and sQ �� it is untaw�dto tcep� on the job at att tunes make any �hsnges or aHeratwns on san" out wlitten peimissim the t rtment of Wo*S, County of Buttepubfic - op` owes - wow R• . caa v� pro Ic Ate" e 1" GARP0 RT SEPTIC TANK61 urw - - :.0 10tw�1_11 Dr. Rudy F.R. Goltz 159 Lost Horizon D;:; 0"1T= 2 g °�i O WELL M0131LE HOME -5 -71 p, F, Po KT PROPOSED EXT ENTI O N sTU R Nb BUILD1K AWM�aem � for ee"Nl J LOST HORMONI DRIVE OW1\IER - KUDY GOLTZ DRWN• 6Y „MIKE.CYA.NN-.oN. --- 9O L13 ROLL ROOFING ON �2_CDX ON -02 oR QTR 2 x(a 24"0.0 . X, PC 44 - - - -- 12 0 TYP. PR►VA�Y IZ'x 8' ROLL UP _ SCREEN CURTAIN DOOR __P 65 4+ E.X I STING SLA & - 2 '^ �SXI8 I'L DEEP —_---__AST E t - E VAT[ O M Y4 1/0 4x 12 D.F. a 4-X¢ D• r-• Pos'r PBS 44 �`.I_SisI8 is 12 -"DEEP L.— J EXISTING NEW 410 vim WOO SCOPE oOVE gull Q DEp�TM ___A_D..D _ 4.O To EY i ST I N G ROOF - A DD 3 EA 4 x 4 P65TS AND z4' 4Y 11 _.-POUR Foo-r►NGS AND E2ECT bLocGK WALL (NO NEW FLATWORK) _._I.N.57-ALC ROLL UP CLAKTA//V DOOK AND PKIVAcY SCREENS Dr. Rudy F.R. Goltz 159 Lost Horizon Dr. Orovi!I, CA 95966 589-03Of C_. BLOCK Q x I�FooTING SOUTH ELEVATION - 4 OVn�+VWER—RuDY GOLTZ_ 1, DRWN, 6Y MIKE GANNON 2876-87 ' 3772-87 PERMIT NO. 39133--87B PERMIT EXPIRES OWNER RUDY GOLTZ CONTR. owner ASSESSOR PARCEL 72-062-10 LOCATION 1S Les1 Nori;;9pT9 . F A f 1 1 - p 1 1 1 } i ' Temp. Power Pole Called PG&E / Temp. Elec. Service / Called PG&E / Temp. Gas Service .a Called PG&E E ; �� JOB FINALED (Date) Signature I =. OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE KS,COVERS,CARPORTS,GARAGES, Plans OK exce t 's ' 1. Zoning Requirements -Setbacks -Easements 7Zbning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Foo ings; Soils-Size-Depth-Spacing;Connector - el_ 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists -Dee ing-Brad' _- 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Sht .-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ PV ft./ /"LPG um. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roo�thg-13eofing Card -131 Date . Card -131 Datet.; -Doors ings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -61 9f, DatejWkT Card -B1 Date 2. Footings; Size -Spacing -Marriage Line - Card -81 Dat Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy. 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -131 Date Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -81 Date Card -131 Date = OK - =NotOK Applicable = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 66. Stairs &Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic o Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor o Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes o No; Walks E3 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi I le — Phone: 5384541 ' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE � 12- OWNER PERMIT Nn_ A routine Ynspection 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. Inspector Y//� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, , 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 9/S J? PERMITW. 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 matte or need additional explanation, please contact this office Immediately. 'f✓��1i-1% (� l2ty v�� 4 /f f Inspector Date t 1 `F V 7 r F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT P RMIT AS ES OL NUM ER ZONI GP19 BUILDING PER T ow R ELEPOr,� JJ C a/ S0. FT. OCC. BUILD G VA ION OW R'S M (LINGRES 1 (>'� j� Ale- v -*- CO TRACT SN ME I V 'w r TELEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee a AR H TECTT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECCT. OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /VA �- 1" f J-7$ Permit }@@ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ono IV ` 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[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition E] R odeIU i itie ❑ Instolation[j Other � c Describe work:Ft^ 1 Ito ki J, Permit Fee $ 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one p Y p Y hk ( )• F -1I 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.8i OR ACDNS. ACC. BLCGS. , /:¢sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID .BRA CH CIRCUITS POWER APPARATUS e\ (SINGLE OUTLET CIR. J 200SOt Ex. Occup�OUTLETS OR FIXTURES 5AL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, and expenses which may in any way accrue agains d u y in consequence of the granting of this permit X Date�.y Signature of Applicant — Owner ❑ Contractor ElAgent f� An OSHA permit is required for excavations over 5'0" deep and `demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TY SCHOOL FLOOD PARCEL I PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work cate abo a for which E OR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date e5 Receipt No. WHITE-O.P. W.. YELLOW-A38ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT vY'•}''Z'�rr'7+�7�{%.�4.r'>i�t.a'���i y�i�t't'sr:w...:i^Y �t,}f'Ot'it�'I?`+.�. '%y{�ij:.`+�1«qq' �,5, ' J COUNTY OF BUTTE - DEPARTMENT 0F1 PyBLLIC WORKS - BUILDING DIVISION .�. '•7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ` PERMIT APPLICATION DATA SHEET OWNER uCl O / f Z A. P. Permit NNo. "�� APo. r Proposed Building Use 0 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 "r. 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ �9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner) _..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for___ -_.-._. _ Required. Bu;Idlna InsDector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit, 120. PI, plan ag roval from ,city of 1 C/lOhFY lnai/i V a 22. Whe , you issue the per it ss as follows: Mai l�j owner; Mail to contractor. Telephone/�-�� and old for pickup 0t/ rC�office, Deliver w/inspector. Other Cy G V t`C u nCGn Applicant/ _ _ ,ate /xe, Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: —_—_ to Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by 1, date — w' Contractor, designer, owner, was advised c? above required data by—phone —mai I—counter by date Plans checked byDate Plans approved by Date1-4 _ f Sets of plans on hold in File cabinet AP folder Copy—DPW IIZ COUNTY OF BUTTE - Departmept of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916•;_ ®538_7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) L• V 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner �- Social Security Number 99 Date ,Qo-r_ . 2 P -- 15 7 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. Dr. Rudy F. R. Goltz 950 Woodland Ave. Sp. 14 Ojai, CA. 93023 COUNTY OF BUTTE 7 County Center Drive OROVILLE, CA. --------------------- Department of Public Works , AUTHORIZATION I hereby authorize Mr. DAVE DUNCAN or anybody acting on his or my behalf to obtain the necessary Building Permit (so for construction of a 8' x 40' Redwood Deck to be located under the awning next to the mobile on my property at 159 Lost Horizon Drive, Oroville, CA. A. P. # 72 - 06 - 2 - 10 Ojai, Dec. 3rd 1987 .... .. ... ...... ..... . RUDY .R.GOLTZ 950 Woodland Ave. Sp#' 14 Ojai, Calif., 93023 ------------------------ Phone: 805 649-2377 0 0. o C Z v O O -n 7 W q � o m! o m 0 m I m i 141 DO I J J Z o O. �T �W `D r N n . •O VARIES 3(9" MIN. I d 70 0 v C")- m m �m zi cn , L 3 � G �' i�30"7- 34" HWDRWL HE16HT � J AA �R %lo 0 3 D 7 n 1 TQ FT C5 N �I o - -i m I I I o �• I I � i t y I i II I � 30" MIN. STAIR rn W I DT4 v I C i x r r- A00 MA � 'd tk N X 41 C x r 7< S. �? o ( I 0.13 yr; �klo` O f—A e L 3 � G �' i�30"7- 34" HWDRWL HE16HT � J AA �R %lo 0 3 D 7 n 1 TQ FT C5 N �I o - -i m I I I o �• I I � i t y I i II I � 30" MIN. STAIR rn W I DT4 v I C i x 1 PERMIT NO. 2696-89B PERMIT EXPIRES RUDY GOLTZ f OWNER CONTR. 72-062-10 ASSESSOR PARCEL owner LOCATION 159 Lost horizon Dr,, Droville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service --" Called PG&E JOIi FINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except 1. Zoning Requirements -Setbacks -Easements J 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -81 Date Card -61 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -131 Date Card -61 Date MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date POOLS (Plans) OK except'#'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GF1 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -61 Date Card -131 Date v = VK o = NotOK RESIDENTIAL�(tingle and Duplex) - =Not Applicable = Not Ready Date UN FLOOR (Plans) OK except #'s Zo 'ng -Setbacks; -Easements -Flood -Slope n; oils-Steel-Elec. 91"Ftg., Garage; Soils -Steel- /" Ftg. Dept 4. Ftg., Porches & Decks; Soils -Steel-/ P, 5. St walls, Main; Steel -Bloc kouts-Wrappe . Stemwalls, Garage; Steel- Blockouts-Wrap 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 `�U+%✓ Dater.?✓✓/^Card-B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -61 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. I nfiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67.Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 EI I iott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 4 �. �aGTz 2696 �9 OWNER PERMIT NO.! A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this.office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. C� '1, AAIS CAI-1- 0/2- 1-20 S 21 -20S - CX PS- CA Os A2C ,yor /lG yG .- o Q- Jai' s� �4 y 4 Y �L y j Y!Y J:. N� \�— �G' �" 9- i- Inspector " Date JrJJ/ COUNTY OF BUTTE - DEP-ARTNkNT OF PUBLIC WORKS PE IT NO 7 County Center Drive - Oroville, C@jifornia25965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,,—� ASSESSOR A E'=M�Eytj U Z G BUILDING PERMIT OWNER GM/AIL J-WHONE % SQ. FT. OCC. BUILDING LUAJON OWR'S N0DDRE55� ©`44 O CONTRACTOR'S NAM ICN TELE NE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ v„ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 21, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -� Permit tee $ 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❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN O.00ea TYPE OF WORK New ❑ Addition Q �Re/mode ❑ Utii lit�ies ❑ In tal lation ❑ Other/w] Describe work: — _ �J->Q+�+F'a� rC� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 i�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 OR ADDNS. ACG. BLDGS. / OCCUP.ea` , 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES SALOt p ALe30 FIXED APNS❑ Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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 Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 Count in consequence of the granting of this permit. %� Date F,' / Y, If Signature of Applicant — Owner Contractor 1:1Agent ❑ An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Oc CUP. ( CON 9T.TYPE -� 4 L SCNooL PLoo PARI EI P H e This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By - PER EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date 9^ / 4 D Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Y� .....,. -,irz . -. -. F xr, .—Y -.f ►1F^....a..•., ..r.a::..•....+�-c-.•• _ . .�,�ti , . ..•. -.f . � , .Y , _ �"' f•--...1c++.rf �!s•�rn.^. � . z.. •. w . ar.w.-w .,ww,`-c•. '�+•.+w�+ .,. •,-S i r - COUNTY -OF BUTTE - bEPAR. TMENT.OP,0-ftLIC WORKS,- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE GALA bl`I 1A'95965,- TELEPHONE: 916/538-7541 � ,.,• PERMIT APPLICATION; DATA SHEET ? Permit No. OWNER --7p= A. P. No. Proposed Building Use n�P0Z Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: A DATE RECEIVED APPROVED ' V 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ....' ................................... . 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) f 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. t 18. Driveway permit (construction approval required prior to occupancy) ... 19. t 20. Pre -Inspection for required .... Pre-Inspec. request to Building Inspector (Date) Contractor's license information t (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. as Wien e � you issue the permKt, process follows: Mail to owner. 5�R Mail to contractor. �. Telephone —03 and hold for pickup at office. Deliver w/inspector. Other Applicant � Date ? ' 747 � 1 Copy of plans sent Health Dept., Fire Dept., Other Date The'foliowing 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: 1 t Contractor, designer, owner, was advised of above required data by_phone--nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date '!�2 Q Plans checked by Date Plans approved by C�- Date —"'� of plans on hold in File cabinet AP folder Copy—DPW M TO Buildinv Department ,FROM: Environmental Health SUBJECT: Sanitation Clearance ` �o � ^ © S _ (� � ` � r Z Owner Iion AP# d Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Water Supply Sanitarian Date PERMIT NO. 404-8 B �J � ` / PERMIT EXPIRES �✓ OWNER RUDY GOLTZ • i CONTR. OWNER 1' S ASSESSOR PARCEL 72-062-10 Temp. Power Pole LOCATION 159' T,0-3 Horizon, Orovi 11 P f • i 1' S , t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service f Called PG&E JOB FINALED (Date) Signatur = OK' , 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS VER CARP , ARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 0, -Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 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 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ P'LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Sjrlif gg; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -1211 Date . Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date - Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B Dat and -81 Date - 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enc losures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -61 Date Card -B1 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 0 = Not - =Not Applicable RESIDENTIAL -(Single and Duplex) = Not Ready 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-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter 11. Water Pipe; Test -Anchors -Regulator -Service Test -Outriggers' 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -61 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -Bi Date 39. Sills, Proper Material & Anchors Card -131 Date Card -Bi Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) CQUNTYdF BUTTE •> DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE :IERMItr NO. A routtbe 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. Inspector A/' Date /� CQUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, Cali f, oia 95965 - Telephone: APPLICATION AND PERMIT WORKS PER I 916/538-7�" 54 _ ASSESSOR PARCEL DUMBER ZONI BUILDING PERMI11 Owe TEL o SO. FT. OCC. BUILDING VALUATION OW R' MAI ING A 5 CONTRACTOR'S NAME - EL P ONE CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCT O, ER UNKNOWN Total Valuation $ Filing Fee $ 10•� LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGIN? ER �/ LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ElDuDuplex[]Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: \ IDU t�I�� QCJLV',Az 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one p y p I y hk ( )• ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license Is In full force and effect. Icense 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.a` , OR ADDNS. ACC. BLDGS. / h¢sgft NEW CONSTR U TI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occu zo®50e p OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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 .If 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of a granting of this permit.. v X �"1 Date a'- / 7 0 ? Signature of pplicant — 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 $ TOTAL PERMIT FEE $ Occup. CONST.TYPC SCHOOL FLOOD PARCEL PD ND 139 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE/ F PUBLIC By (�� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 17 `•' ��� Receipt No. �UV WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT .�i...^i� .. �..�.�'•; J► _ .t�-v ,. Vii- tiij.{7fi�"`"-'��^ ,.s+r-.'.--. .4.w S-� .+.` •.l.•+k'1t �...wyr:i. i.,,F �vj:•r. �.i l�-`�'[f�.�y`L� „ y. ... �k- `�t �J.i+� w•* COUNTY OFUTTE - DEPARTMENT,,OF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,J PERMIT APPLICATION DATA SHEET Permit No. OWNER Proposed Building Use A. P. No. _ Building Inspector 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. �t'� School District fees paid ................. Sanitation approval from Health Department ... 14.. City of Chico plumbing -permit ...................................... t 15. Plot plan and business license approval from City of (see City for other requirements) 16.. Planning approval for (A) Use: (B) Parking: ' 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required .... Pre-Insrectos, to • Buildingg Innspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... �21. Certificate of Workmans Compensation Insurance ...................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owne 0.) ........ P 2 . Recorded copy of Agricultural Acknowledgment Statement ............ n e tf / 24. Letter of signature authorization.................�.................... , 25. 26. 4 When you issue the permit, process as follows: 4b - Mail to o�w Xr—e?t- Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other. 7_31 W ,I-fG Applicant - ��'✓�^' Date !/ i Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issua e' 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!7maiI—counter by da, o2 g Contractor, designer, owner, was advised of above required data by—phone —ma ll—c'o'unnterr,by"""=ate Plans checked by Date Plans approved by E Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance JJ � ---" - --�/'z /S'1�.(r�/Or1 r� 72 - C Zo - / O Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of - the proposed -property improvement -(yes -or -no) CS 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this•work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. 2 Social Security Number If Date Z - 2-2 .?C? 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. °la-Ol��-ra C�3 (�Q)1(� a-�( 3 n -vo .�7 07 ! 0�7n o MIj This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department..of Public 1 setback of 5Jt. from the property lines and a setback of 50ft. from the road"---, centerline shall be clear Rf structures or equipment except Foy a 7 ft. eave overhana. 0 I NPI -r Utility connections shall be within 4 ft, of the mobilehome, either directly behind or within the rear half. of the mobilehome. ------------------- 100C�p Q File No. BUTTE COUNTY '(For fiction 1, 2, 3) Public Works Dept. (For Information of ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. r Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran sp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 4 I Rudy Goltz, Etal. 950 Woodland Ave., #14 Ojai, CA 93023 RE: Building Violation ' 159 Lost Horizon Rd., Oroville Dear Mr. Goltz: February 7, 1989 A.P..#: 72-062-10 This 'is a warning letter to notify you that. you are in violation of the Butte County Code at the above referenced location as follows: Constructed a carport.. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work- must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved.,_ Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance. with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary- compliance is not obtained enforcement will be pursued through. the issuance of citations, fines, and the recording.of a Notice of Violation. Your cooperation in resolving this matter .would be appreciated. Should you have any questions concerning 'this matter, please contact Jim Glander or Bob Reith of this office. JFG:ahb cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works tl�;pps�t c;grr��a�Bt9� kv J.F. Glander , Chief Building Inspector COMPLAINANT ADDRESS: PHONE NUMBER: r COMPLAINANT ADDRESS: PHONE NUMBER: i�_� vw•:•.�y.� • �.4.�,..- L�.Ct,.�-..r+�'•' s`"�'�-•av�'b; 'y"".t�D '� ai7r?•.i�' _ t�. i�y'i-w -'- -'»- v ' ` i C' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS =. 196 Memorial Way, Chico — Phone: 891-2751 =� 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 f CORRECTION NOTICE NER 1 A routine inspection indicates .that the following violations of County Ordinance exist at the aboveladdress 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. Inspector r Date / l / k i -i a: ;9 .:'� yM Inspector r Date / l / k oe do- I � 7 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a ouu iui'&V icpicacntauvca ui [[it: t�uunty ui outte to enter upun the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Raraint Kin 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 Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing 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 & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap royalPlans Approval Permit Fee $ $ NEW ❑ ADDkTION'❑ ,,IjTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter - Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 360T5— of a 10 Receps., switches & fix outlets 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. 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 $ $ 7 T7 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.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.00 Hood Permit Fee $ $ 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 TOTAL PERMIT FEE $ ouu iui'&V icpicacntauvca ui [[it: t�uunty ui outte to enter upun the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Raraint Kin 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 U COUNTY OF BUTTE - CIEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of ttutte 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 i ng 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 &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 ParcelParcel Declaration Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ 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 fixturesof 1 Receps., switches & fix outlets 2u 25' 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. 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 $ - $ 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 $ $ 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 TOTAL PERMIT FEE $ autnorize representatives of the county of ttutte 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 The Bl�Sett - ' the g. ac Side pro k shall be tna p -rt 5 ft 'ne of thee and 50 from ft. roa o_m. ft. d, per--Mittino, o � � .ten P K� 5 T � ._..- • [ - e T—] cC, A - ,g � (r . - d ...tonne 1 uti ;ty � . ons __._ i �ed-wftft shall be tside !.` section, the rear -tie left (ro d) �e mobile home home side of tie e mobile A [fig 1 'd V 1 1 — —a5"�ry _ Butte County Health Dept. Re_ 4ui e nerits. - r� �, 5 1 � 1 � � • � COUNTY OF BUTTE — DLPAR1'MENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965` Telephone: 534-4541 (� APPLICATION AND PERMIT �igrtoture of Permitee o Agent BY Date d o— Receipt No. J/ ��/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date�Q..-?.✓=-� BUILDING OwnerG SQ. FT. OCC. BUILDING VALUATION / Mailing Address Lf^ GOL r/d . /� `� Telephone No. �� S� Fireplace Contractor ©I Total Valuation Mai I i ng Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ✓ L Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 /• j d Each gas water heater or vent 1.50 A. P. N0. - Zonin Panning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 S ioh ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovemen .s P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES 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 Q' Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesb�a�l�f��i_o Receps., switches & fix outlets :1U 2b 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. disp. 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 $ 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. .r' 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 $ $ 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. X Date — TOTAL PERMIT FEE $ 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 F PUBLIC WORKS �igrtoture of Permitee o Agent BY Date d o— Receipt No. J/ ��/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date�Q..-?.✓=-� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 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 Sig ature of Permitee or Agent Receipt No. //4 nt �0 / 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. DI EC I0 R OF PUBLIC WORKS BY Date- Building ate Building permit expires Date 11-2--7 V BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �^ `GL/ Telephone N . .L S' Fireplace Contractor W y-eY Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee ,$ P Building Address �� �� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 r G 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. _ 2— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F &6) n Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L GAG. Li��i Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 oris) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bald io Re eps., switches & fix outlets 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. disp. 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 E1 I am exempt from the Contractors License Laws of the State of California. Permit 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 141 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.1 @ FEEPERMIT 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sig ature of Permitee or Agent Receipt No. //4 nt �0 / 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. DI EC I0 R OF PUBLIC WORKS BY Date- Building ate Building permit expires Date 11-2--7 V SITE PLAN ... - ....._...._ ... _... .. .. _ ..... ..... .. .. F • . •---.......... .. .. ............ .. .. .. .. .. .. ... .. .. .. .. .. ..................... . .. .. ... .. ............. .. ... .. .............. ........................._. .. .. .. ................ .. .. .. .. ............ .. .. .. . 3o2S�S" 1.. .. ............. .. ... — .. ! .................. .. ... .. .. .. .. .. __ .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... . ,a... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . • . .. .. ... 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Assessor's Parcel Number: 4,� ® ® m Fad ® ® — ® ®® Scale: 1" Owner Name f}LF6rV 50 Address/ Phone No. 23 659 4o?(,en Site Location - )59 L0 0t. K 0#\A Contact: Name At-1:56NSO, C.ak F id 0 WeLl,C C, 5-54 L Phone 4. Odabct 7.l, =3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres - - 4.0(r - PROVIDE FOR ALL ADJACENT PARCELS .SIZE (AC): ZONING: GEN PLAN: USES: to �,ao- to po qU�► s.'I I SITE PLAN ................................. ..................... ....._._..... ......:......:.....:..._..:......:............ :..................... ..................... ..................... .. .. .. .. ... .- . .. .. .. .-• ............ .. .. 1 ...................................... .. .. ............ .. .. .. .. .. .. .. .. ................... .. .. .. .. _ ... ....................... c3 0^2 �' s z.. .. .. .. ............. ...................... .. .. ............. ............. ... .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. ... .. :..................................... - �; . .... .... ... Fri >arAL i1 , I� .. .. .. 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R2 ► (_Lb Address / Phone No.�O� 3 ,AL PRM Q 0..,+ Site Location - )Sg Z -o 3"r H oa l `Z ry FOR OFFICE USE ONLY PROVIDE FORALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r - - USES: SITE PLAN ----... .. ......................... ............................ .. ..•.............. ... _.................. _.. _ 1............ .. .. .- •. • - .•.-••..... . •-..................... .. .. .. ... ............. ............ .. ............. _... _... ................ .. .. .. .... .. .. .. --............................. _ -. E .. . •. .. .. ... _..... _.._. - - :,...._ - 4 r is .1\l .. __ .. ............. ... _ L. .. ...... .............. .. ............. .. .. .. .. .. ... ._ .. .. _. .. .. .....:................. . ..............------ • .... . W4 v' ='3 - :; ................... - .................... . .. .. . ...... ...... ....... 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L#___ MIMMI ►MI ❑ asp 1 ❑ ® Scale: 1 , 1 Oi�aV I�E�e - S_TL_ f.t �{', Dh^"g=, ��e) ( �'SA `f " 1� "14, F FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: 1 SITE PLAN .. .._ .. ... ............... ......... ..... .. <� •: : nn `- 3 S` . S'" .. .. .. o� . -. ... .. . ...:.=...... - - �. ......::....:... .. .. .. .. .. .. ... • • .. _. ...- .. .. .. - - _ .. .. .. ._ ._ ... .- . • • .. .. ._ .. .................. ................... •. -...................._ ... ............ .. - _. t.. .. ............. .. .. .. f ............. - • = ... .-•.... ....................... .. 1"ar�lb ' • . • -- ... ........, �.....:._ H .............- - - r.. Awg J �. A tF • Z •�: ....:.. ... ... J-- - ------ .. ................_ ...................j... - - 1.. �,- .. .. • • •• • . ............. ........... ...... _. N' � ..y.a .. .. ... a .. .. .. .. .. .. - - - ! .. .. 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Ll --- IN IFRM Q ADVILI.!-, Dk^r,o <-30 t -e5- --S 9-V'% - 4'�q S, r FOR F CE USENLY,�,' Zoning: General Plan Desig: Size, Acres a.0(r — CM M �PI�o-WI � R At L ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: A. a ZQ CL C) �w cr ZCL � 1i1 41 �c y T b J � � a ZQ CL C) �w cr ZCL � 1i1 41 �c 4 ' CL o LU e,, ow— ..... . ...... ------ t13 ' CL o LU e,, ow— t-j'�T y� °1 •� ;1:�' .`'...•� � :,[�.• �.1�. �x .� Q $£ cn:�,b a •t� � Y.h Ne, .;s },. `'.... ;, n-.._ ; �1, j• r L r O lWi OQ OAvV 'i'k�. �vw� N (`t N �Q�•MM tient* N O�� •,) •e�•• yI `` h � C• c u V ,f{ • '� 11 I''� i o � �� I W@ic�•tE�'o \$`Y• � �°' ° \ w��V;'NI � O� s��,,� �C��'v,C� if[M O Y i °e �olv Y� O v°r ►lr?��,p f �'� bio 7 '• � � �'yy�rS €�P� `�o .P� g °, '��MaEE�gy$`Qg � 'Y.p'' 4... J�awdaq,� •r�l wj�aHc Sy$�oF� p '�['F., o• w CA Y y 1• ,.., � � � ' � Q ' •1 � � � f °lr � U '* �ij O Y b • t ,ti C C �` E � l y J \ � A'� 1 � � i L� '�! ti���_._�. 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Nh E c •c r�7 mb•mi� �• Hh N �♦ Ir Q V ..�:.•,�:• 1, A W J o� U U - Z i O 99 11 Av J b' j v J'� _ s � W J o� U U - Z i O 99 11 Av J b' j \ s � 3°v � Ci ♦ i i Q •a A ` � v �.q• O Q d cr O o •O O W O V pj E c •c c � '� W J o� U U - Z i O 99 11 cn s � '. •a A ` N h O Q O O o •O O W O o pj E c •c c � '� . '• rte'•• • ' • OWNER: RuDY G0LTZ ADDRE55: 159 LOST HoRlzON DR , ORoVI4LE y .. yy • 1 I CARPORT • NOTE: --46.11 Materials A 'Workmanship Shag Be In,, 1 RScognize_' G a i raCTMcs and ' G. a qu- prosc,.-.-.: , Ti, f; � S, uci•fieA' use in As ' lr'niYor/.i liUi,.,it;o, hun. ,L. ; PA Mechanical Codes and the National Electrical Coda.` i 4 • . t 90# MINEQAL ROLL KOOP NG ON 3�4,� QLYWoop vu ' - .- � +�t YERS _24" p G. , •M,ETAL �T ,',S, AGKEr -EAC H Y 1 4'X (A `D F + SIDE OF 1~ACH POSTJ71 *. .; (11011 11 If p � vs D ' ADSp�TE BR,q • QPM CIN p (✓ICTAL PoST AP(-Ao2 BASE. PoST TY?. SET WET -�... •-_.._._ � � �-----------�--'---.--=•� �le`a.rza•/► , , , � , 1 Xx 12-" TYP. • PIER FootrN 1 `c0 SDE VIEW (14)REAOZ VIEl/�/ (W-)� � p�,R <<> • DRAWN BY. MIKE GANNON / This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the property lines and a setback } of 50ft. from the road I centerline shall be clear 2f structures or equipment except Fora 2 ft. eave overhana+ VVV lJ I Utility connections shall be within k GLC4rc 4 ft. of the mobilehome, either 'c' S►t e� directly behind or within the rear half 6; ill �e�e•.+� �}of the mobilehome. rg�I-� NE Yo S✓ X, Yo Po R7'— suE1� �' 7'� �: I� � `.