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061-460-039
. U " _ / fMROLD Oro Quincy Hwy,'Berry Creek Permit#85-84P,E(util,, M11) COMPACTION TEST- REQ Z? SUPPORT STRUCTURE REQ__W Contr: Lincoln Vil-lage MH or Issued 61-46-39 JIM OTT 19 Berry Cr Station Rd, Berry Creek P�rmzr#3/u Issued -46139 Permit#3862-88P,E til, MH) GAS coMPg,WON TEST REQ. . / ` N @ ' ~ /. � . U " _ / fMROLD Oro Quincy Hwy,'Berry Creek Permit#85-84P,E(util,, M11) COMPACTION TEST- REQ Z? SUPPORT STRUCTURE REQ__W Contr: Lincoln Vil-lage MH or Issued 61-46-39 JIM OTT 19 Berry Cr Station Rd, Berry Creek P�rmzr#3/u Issued -46139 Permit#3862-88P,E til, MH) GAS coMPg,WON TEST REQ. . / ` N @ ' ~ C:� � � C. �� ► I I a] ............... .... .... ....... .... ................. ............. ..................................... ............................. ............................. ................. ................................. ................................ ... ........ ... . ............ ... ... .... >'>> .......... . .......... . .... ................. HAMA F-0 ................ . ... .. ..... . ::: X.... ............... .. ..... ....... . ..... . . . ......... . ............ .......... .............. itr OWNER:. �.A,60(1-edv Livi �.R l ru54-- DATE: A.P LOCATION: 19 Berr-(Or--e" CONTRACTOR: ZONING: DATE TO INSPECTOR: PERMIT HISTORY: ]NONE [ FOLLOWS: All, TYPE OF OCCUPANCY: � BMILDING INSPECTOR'S REPORT ig Description: Commercial/Usage: Residential/# of Units: Mobile Home: Yes[ No Currently Occupied. Abandoned/Vacant. ]Yes [ ]No Electric is currently:[ ]On Off Condition of electrical? Natural[ ] Propane[ ] None[ ] Currently On[ ] Offj I I Obvious problems: initation: Plumbing working Yes[ ] No[ Well: Yes[ ] No Potable water: Yes[ No Obvious Sewage Problems- esc.ription of Damaged Area: timate valuation of Damaged Area: Spector: Date: K—r v SENT STA. a LOG I INT SENT STA. a LOG ❑ ' i i INT. r' - t" SeNT STA. �I LOG INT. SENT CI STA. LOG a INT. SENT Fl. LOG INT. RAIN TOTAL CDF/BCFD DAILY INCIDENT LOG PAGE- 5— DAY/DATE FROM 08001%,*o / -z DAY/DATE TO 0800 lZA STATIOtjAMBULANCE OFFICER REPORT TIME INCIDENT NO LOGGED BY Z 5^Z 0 CASE NO FIRE NO R Q� LOCATION VEGETATION FALSE ALARM PUBLIC ASSIST DART j� C/J(G� I R.P.✓ PHOONE NO STRUCTURE IMPROVE- ASSIST RESCUE . co/ / / / —/( / % T MENT FIR2 NAME ' W Bl. 'a VEHICLE HAZMAT MEDICAL OTHER 1 MISC OTHER ,INFO CAUSE LAND USE DAMAGE SAVE REFUSE HAZ-CON TIC STATION AMBULANCE OFFICER REPQRT TIME INCIDENT NO LOGGED BY CASE FIRE NO R. . w LOCATION VEGETATION FALSE PUBLIC DART ✓ I ALARM ASSIST R.P.PHONE NO S .3, STRUCTURE IMPROVE- ASSIST RESCUE —3J FIRE NAME WRA B.I. VEHICLE HAZMAT MEDICAL OTHER MISC ` OTHER INFO CAUSE LAD USE DAMAGE SAVE REFUSE HAZ CON TIC AMBULANCE REPORT TIME Ncu2F.W NO LOGGED BY�g /�OF!�FICfER �G Pik/ I �/� 0 � "Q, CASE NO FIRE sp VEGETATION FALSE PUBLIC DART ALARM ASSIST /i R.P. PHONE NO.�" E J IMPROVE- ASSIST RESCUE 1 ��� MEM FIRE NAME WRA B.I. VEHICLE HAZMAT MEDICAL OTHER MISC OTHER CAUSE LAND GE REFUSE HAZ•CON TICc jE - 1 �-nil 1.� STA AMBULANCE OFFICER REPORT TIME INCIDENT NO LOGGED BY ..�5 0U 3 CASE NO FRIEND R.9, LOCATION VEGETATION FALSE PUBLIC DART n l ✓ d ALARM ASSIST R.P. PHONE NO. STRUCTURE IMPROVE- ASSIST RESCUE MEM FIRENAME ` WRA B.I. VEHICLE HAZMAT MEDICAL OTHER MISC /6 1 OTHER INFO CAUSE LAND USE DAMAGE SAVE REFUSE HAZ•CON TUC STATION AMBULANCE OFFICER REPORT TIME NO LOGG BY G a -?,5 - _ CASE NO FIRE NO R.O. LOCATION ^ VEGETATION FALSE PUBLIC DART - l ALARM ASSIST R.P. PHONE NQ STRUCTURE IMPROVE ASSIST RESCUE C �/�7 FI 9AME WRA B.I. VEHICLE' HAZMAT MEDICAL OTHER / MISC OTHER INFO CAUSE LAND USE DAMAGE SAVE REFUSE HAZLON TIC BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 DANNY WILLIAMS 3/6/96 185 BELL RANCH RD OROVILLE, CA 95965 RE: Building Permit # 95-0619 Expiration Date: 3/19/96 A.P. # 061-480-039 With reference.to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. -We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the nj111,1>r office. Thank you for your prompt attention concerning this matter. Yours very truly, l Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico office - 1469 Humboldt Rd/891-2751 Paradise office - 747 Elliott Rd/872-6307 PERMIT No. 3784-88MHI ex sit PERMIT EXPIRES OWNER JIM OTT' CONTR.Richard Van Stavern MH j ASSESSOR PARCEL 61746-39 LOCATION 19 Berry Creek Sta Rd, Berry Greek Temp. Power Pole Called PG&E / Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature P' = OK' ., 0 = Not OK = Not Readyable MOBILE HOMES Date MOJ31LE HOME UTILITIES (Plans) OK except #'s Vz.oning Requirements -Setbacks -Easements 541s; Special MH Support -Sketch wer; Location -Test -Fall -C/0 -Concrete . Vdter; Location -Test -Easement Needed (Sketch) E ctricity; Location-Clearances-Grnd.-/ / Amp -Concrete Gas Location -T st-Wrap- / /"L"ft. / /"Nat. orgV1"L"ft./1/"LPG . Utility Clearance Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date MO ILEHOME INSTALLATION (Plans) OK except #'s V'Zgning Requirements -Setbacks -Easements Fo tings; Size -Spacing -Marriage Line ; MH Test -Demand -Valve -Connector Etricity; MH Test -Crossovers -Breakers -Clearances r ; MH Test -Fall -Flex Connector ater; 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 -B Date Card -131 Date Card -B1 Date Card -131 Date s' f -7 -e 1'17d' 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- Bea ms-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 -61 Date Card -131 Date Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -131 Date Card -61' Date =OK o=NotOKRESIDENTIAL.( Single and Duplex) - �Not,Applicable Ap _• Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 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-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -B1 Date Card -Bi 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 AI 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-SDa Lioht Card -B1 Date Card -131 Date Card -81 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 -81 Date Card -131 Date Card -61 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 T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection • 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-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 8i. 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/0 to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -61 Date Card -61 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE . COUNTY OF BUTTE ,DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541; PERMIT N0. Address or location of mobilehome Owner's name __ ..4"', r Owner's address �5,, ' J Insignia or hud number Manufacturer's name Serial number of V.I.N. Year of manufacture ICI _12 i lily (Official Approving Installation) (Date) ' IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Instoller, Pink - D.P.W. 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 _ OWNSIR PERMIT NO. +; t 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. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE so:_ o z 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. d" Ins'ecter `//%� Date1112 - . . r. � �-�.-rte 'L-..�-.w^"'�'JY'�' �".C..�-y` ;S � �`-:•�:.-.�,:.r"'<�.� ��'--...--.�v'ie -:thy COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 838-7541 . 747 Elliott Road, Paradise— Phone: 872.-6307 COtECT10N NOTICE ER 'ace" 49 'ERMIT 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. -r Inspector Date - -~ .. d" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil1ez.Cal1forni.a'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AR^A �pL-� SS 5%y� c7 ZO N BUILDING PERMI Ow 1 p TELEPHONE SQ. FT. OCC. BUILDING ALU ION OW 'S M ING ADDRE CON ACT 'SN M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON UCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARC CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS .0 1 Penalty $ BUILDING ADDRESS C, jAr Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 rp v�' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P RCEL 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 M0Aile Ho4e S 110.00ea, TYPE OF WORK New ❑ Addition ❑ R ode ❑ UtilitiesD< Installation[] Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eo0V 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 I am licensed under provisions of Chapt. 9, Div. 3 of the Busines SPOWER 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 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUP.y` , OR ADONS. l ACC, BLDGS. / /2 CSq ft NEW CONSTR. 1 TI -OUTLET NON-RESID .BRANCH CIRC ITS 2.50 ea APPARATUS I " SINGLE OUTLET CIR. Ex. OCCU 2090 P OUTLETS OR FIXTURES eAL030 FIXED APNSI, Ex. OCCUp. OUTLETS P(RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i emn fy and keep harmless the County of Butte against all liabilities, judgme ts, c is and expenses which may in any way accrue ' agasaid County in co of the granting of this perm t. X Date 2 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ A permit is required for excavations over 5'0" deep and demolition or construct- i fractures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP. CONST.TTPC SCHOOL FLOOD PARCEL PD N sus E This permit is hereby issued under sions of the Butte County Code and/or work indicated abov for which E O F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /Z_449 �' Receipt No. WHITE-D.P.W.. YELLOW-ASSE3S011, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Dedartment 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) - l,I 2. I (have/have not) ,&4__) signed an .application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed const ru�i�O�: Name // Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coo ate, 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 • C� Property Owner Social Secyr y Nu r Date 17 1 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. This set of . Ir • ... 1 :.: :.. ._:. -: dans ar,d s'p2cA'iCi-Jins AliUS e .t on ih� I be. . . . }^ IGh et c-:11 t.inl�-S al'I,:i if Ii Un1�V��1U�1 t��' ' ake any cl'Ic:l i � OC Ci•�ii'��:5 G1 S� n ' tit %a�ClttCrl ):-.l i'. i cin, J ern ..�r�"fh-. Gril i:iiL� Departrnent�of ublic VV_- l,s, 'Dunt' _........ ..._.'.. i O7 &0 f t.,. I r\:7TE:—All M4't;trial_ ir::VJdr;I-HahC-'hip Tall.l'a-In Y A cordancc v, illh R-. cm.;ni:_cd Good F ,dices land . o a quality prc- rrxih for the $pc cii ie I use irj the U FIuirbin7 Mechanical Cb. des-=- -�-- -- '31:1C] the Natioiicli Electrical Code, . . a �-- ' _..._ Utility conr:ectigns shall. be. vit r 4'f t. of il)e rnobilshorne,-eit Ie I ' directly iir):.I br ���itr,ii)'th r lialf cf ilic rcad"I:Ja ad •of ih I is t. I i A setback -of ft. from the;. property line and a setback - l N._ Q. from h-e-road------�- centerline: sh Il:be clear of truoures o'r equipment eXc pt for ft. �a,),,•werh��igG ��rinit viill b. re Muir .d -1Q- Li the if tion of tl-b mot IIghr -ne I ~ P/ .... : T" .. i far.. i . . . . . . . . . . 7 •7 : ,V.�'YE- ,�%ff � PC' f m i � ✓c� � t0 re- Unit Size (sQ 1199 1200 1700 2200 2700 or b to to or less 1699 2199 2699 more 0 0 0 0 0 12 8 6 5 4 8 5 4 3 3 5 3 3 2 2 8 5 4 3 3 -37 -24 -18 -15 -12 -1 -1 -1 0 0 -18 -12 -9 -7 -6 -25 -16 -12 -10 -8 -18 -12 -9 -7 -6 .5 -3 .2 -2 -2 7 5 4 3 2 3 _ .._2_, 1 1 1 •28 -11 -9 8- ,--19.-'-14 5 '4 3 '3 •10 -6 -5 -4 -3 Family (individual = units) Duct Efficiency (0.74] o Tnit Size (sQ 699 700 1200 1700 2200 or b to to Of toss 1199 1699 2199 more 0 0 0 0 0 14 7 5 4 3 9 5 3 2 2 9 4 3 2 2 9 5 3 2 2 -45 -23 -15 -11 -9 2 1 1 0 0 -23 -12 -8 -6 -5 -25 -13 -8 -6 -5 _23 _12_8 -6 -5 •8 -4 -3 -2 ; .2 6 3 2 1 1 1 0 0 0 0 -30 _ -15 -10 -8 -6 18 9 6 4 4 -8 -4 -3 •2 -2 7. Shading (Shade Open) a. North b. East c. . South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass - 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Type [double] U -value [0.65] % Total Glass [ 161 % Glass SC Eff. % Glass X = X = X = X = X = % Glass SC Eff. % Glass X = X = X = X = X = TYPE 1 MASS AREA $ COND. FLOOR AREA Interior Wass/CFA TYPE 2 MASS AREA __ 9 tZ ND. FL OR AREA Exterior Wall Mass X = SE or HSPF Duct Efficiency [0.78] Effective SE or [0.77/6.6] HSPF [0.5615.15] X = SEER [9.5] Duct Efficiency (0.74] Effective SEER [7.03] Type [SG] Credit [none] Point Total. Sum 7-10 -_ 3 9-0 4 Return to DPW AGRICULTURAL STATEP;EN''T OF ACKNOWLEDGEMENT ' FOR RESIDE!k IAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement .be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, ::moke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. , All that real property situate in the County of Butte, State of California, described as folloes: Being a portion of Section 28, 29,. 32, 33 Tot,�mshin 21 North, ranee 5 east NDB&M and described as .follows: Parcell as shown on that certain parcel Map filed in the office of the Recorder of_ the County of Butte State of California on December 21; 1984--in--Bock _9$_ of Maps at nage 49. _ 88-039014 R e c Fee 5.0 0 Check 5.00 Recorded Official Records County of ; Butte Candace J. Grubbs Recorder ; p� 8:10am 16 -Nov -88 BG 1 Date: PROPERTY OWNERS State of On this .the 15th day of November , 1988 before County of Butte SS. me, the undersigned Notary Public, personally appeared .) HAROLD E. KENNEDY*****************************'* *************************************************** / ./ Personally known to me. X Proved to me on the basis DANIEL F. HUNT a of satisfactory evidenee. NOTARY PUBLIC -CALIFORNIA o to be the persono) whose name ) is subscribed to Ell�:. Butte county ® the within instrument and ackn wledged that e Commission Expires Oct. 1, 1990 ■ executed the same for the per o es thin nnr ne �o®®°®®®®®®®®®®®®®®®�tao■p� IN WITNESS WHEREOF, I hereun et m ® DANIEL F. HUNT NJTARY PUBLIGCALIFORNIA e Butte County e My 0OrAmission Expires Oct. 1,1990 Present A.P. No. - — M END OF DOCUMENT nd NotarVA Pub'1 f cial seal. 8861 , a 0- I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO. 7 County Center Drive - Oroviile; Cali'f&a `959654 Telephone: 916/538-754 APPUCATIO'N AND PERMIT ASS SSOR PARCEL NUMBER 1-4& — 31 ZONING J I or Blin-niNePERMIT OWNER OTT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME RtGRAR0 VAlt/ &r;fveRsi lK. SRVIC.0 TELEPHONE 877—lvfQ1{ CONTRACTOR'S MAILING ADDRESS 14.30 CAI-RoLr- I -N pgQ(foggg C -A-• Q Sjj69 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' /510 I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS GG. 94- 0.4 i M A.) Permit tee $ . po PLUMBING PERMIT Filing Fee 10.00 6 DryOu"Allu Pwu.—Each Trap 2,00 Cry-- el d 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�ther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ ! Describe work: %l g E-X1`S14e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Q Main service 100v OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW 1 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. 37 1 `I''l Classification G 4- ❑FIXED I,"as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.Ei , OR AODNS. ACC. BLOGS. /20sgff NEW CONSTR U TI.OUTLET 2,50 ea NON•RESID .BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES 2ALO3 C P e0050 LNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Eq/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. 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 s d Co my i�n�Iconse uence of thegranting of this permit. X �79�• Date I — 2 1 — L9 S Signature of Applicant — Owner ❑ Contractor Q 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 $ L 8%d Energy Inspection Fee $ TOTAL PERMIT FEE $ I occuP. CONST.TY=J FLOOD PARCEL PD ND uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI C F PUBLIC By PERMIT EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date Receipt No. 9-7363 WHITE-D.P.W., YELLOW-ASOCSSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT M , .A/ i!.`iY � y"''k �t L' � t `�R ` 1 :a•� viir, -r , �4 `.r.�.... Q ..t .r �fy *• ` . j. COUNTY OF BUTTE - DEPARiTM7'OFt?`1BLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO OGILLLLF i�LIFQFWIA 95965 - TELEPHONE: 916/538-7541 01 PERMIT APPLICATION DATA SHEET Permit No. OWNER I Nl A. P. No. Proposed Building Use M -Building Inspector �g. 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. 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.. . . 4 � 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) a 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . , . , y16 Mobilehome Installation Data. . . . . . . . . . Ty Pre-Inspec. request to (Date) 17.E Pre -Inspection for Required. Building In, 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 ermit, process as follows: Mail to owner, Mail totcontractor. Telephone V%7 ("7 and hold for pickup at19(_ 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: iff 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 —Mai l_counter by date Plans checked by Copy—DPW Date Plans Sets of plans on hold in File cabinet AP folder Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance OwnerLocation AP# Plan Approved for: Sewage Disposal Water Supply. Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for __;L bedroom mobile home. NOTE Sanitarian Other 2, tx_ Date PO4 This set of dans and.specil(icMions AAUS be: kep'f on the fob at z:II till c arlQ' If IS i�� i unlaw ul t i I Outace any chci , or cltc:r i ft.'from the' ,, :s c I sarnc ...v th-. - A setback'of ' ' I �ritfc;n r�c�l�l;i; sign f,orn i� setback > !+� D.-partment�of property line and a . ._. tibli; Jnr, i oft- ----------- -- - oun - — - vete. -- —_ --- -- --- - •of S�Oft. from I}�e-road- -. _..• ..�- I n e ear of: .. ..... .. . ce t r irie sli�ll :be.cl . - i : : : : truCtures or quipment exc pt \. I \ `d �lY verh G for ft. �dLe o. �9 _.. - I -StA -- - -- NP, F:—All rn4.��� .� i or�nit V-11 l b re Ci ;d f t e A Gorda ice �;�iilh Rccorni:_e,l Good F' �)ctices land' i lF��" G� ; o a quant`/ prc Fr:!D:.c.' for the $p gihed use. the . ii n of tl,. mok Il f�%� ' . . . . . U �I�orrn E,uil�:!il-;�,� F�lumbinq c< AAcehanieal-Odes-- --- :--�------ -- -----------�- �----- —��--- - - --. _--= --- - --�--------------._�_... _ ar tithe rlatio;izl Electrical Code, ' i • /plot;'/L�._ f/D% �-. v / ^� : _._llt.ility connectignsshaJa_be- vit tri--.--.---.=-.... 4: ft. of the rnobilehorne, iait ter I i directly behinds br witr;in th r6ar.. half cf i1he roodIiJe (lafj) of lb : : ..: : :.: : : i�m✓sE Al• ��� - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: vim. 3. Is the site currently under permit? Yes No F-1' (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) (0.0 Amps 6. 4. Will the mobilehome be located at least 5 4t, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- (0.0 Amps 6. What is the mobilehome site service rating? ------------- 20 c) Amps 7. What is the mobilehome site circuit breaker rating? ------ Amps 8. Is there any other electric load to be served by the ----------- Yes No mobilehome site service? ---------- ----------- (If yes, identify the load and size: UAe" (Load) `oZ (Amps) 3 �� � 9. What is .the mobilehome site ----- gas pipe .size? - — ------ (in.) 10. What is ? ---------------- --- Natural � LPG the t e of as service. type g 11. What is the gas pipe length from meter or tank to the i mobilehome? --------------------------------------------- S (ft.) 12. What is the mobilehome gas demand? ---------------------- �— (BTU) *(This information not required if pipe length less than 6 ft. on. .� natural gas or less than 50 ft. on LPG.) s 11i wo MOBILEHO?E SUPPORT DATA If -other- than' single wide, Mobilehome Mfr. 51< Y L lA/e, furnish Setup Model No. Year %9 a Width O (ft.) Box Length(ft.) Tagalong or Expando Size 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). Wood -pressure treated or foundation grade. El 2. Other (specify) SUPPORTS (check one) [1-1- Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 _ _ _ — — _ — _ — 77"', Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ „ 'k x Spacing -Max. --------- „ Each Side of Openings From Ends -Max. ------- - " With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof toads: Size -Min. -------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- x Spacing -Max---------------- „ From Ends -Max .------------- (i upo z o f-- 30., x „x „x .k Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max ---------- Fr am ---------From Ends -Max .------- Size-Min------------------- Spacing-Max ---------------- From ------------------Spacing-Max---------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min.---------- -- x ,.x .A "X "AE,-_- .,x x Location (From Front) --o � w PERMIT NO. 85-8r41P,E(MH) PERMIT EXPIRES OWNER HAROLD E. KENNEDY CONTR. owner ASSESSOR PARCEL 62-0$-44 LOCATION WAS Berry Creek Station Rd, 1200' N of Oro Quincy Hwy, Berry Creek .I . r t -e.""`" Temp. Power Pole ' •': i tOFF�ICE'COPY'.. n@ Called PG&E..T. Address`j+) , Temp. Elec. Service.` , Called PG&E' GAS�>} y � �-. wtzDate f " Mete _ , { Temp. Gas Service' +tELECTR.IC i .Dat f. Meter gy_r� 11x A3.D .. Called PG&E t ff JOB FINALED (Date) — a t i Signature i r� .I . r t -e.""`" Temp. Power Pole ' •': i tOFF�ICE'COPY'.. n@ Called PG&E..T. Address`j+) , Temp. Elec. Service.` , Called PG&E' GAS�>} y � �-. wtzDate f " Mete _ , { Temp. Gas Service' +tELECTR.IC i .Dat f. Meter gy_r� 11x A3.D .. Called PG&E t ff JOB FINALED (Date) — a t i Signature i J = OK -0 = Not OK = Not Applicable MOBILEHOMES = .Not Ready MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except U's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's i Zc ' g Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2 oils; Special MH Support—Sketch 2. Footings; Size—Deptli—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails -- Water; Location-Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing . Electr'city; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6-- as; Location--Test—Wrap:/ P'L" ft./ /''Nat. or/. p 'L"fi./ LPG 6. Carports; Windows—Doors Utility Clearance V 7. Elec. 161- ard- %L Date Card - BI: Date Card -BI Date Card -BI Date -e-55—rd-BI 'Date ' -�Z — Card -BI Date Card -BI _ Date Card -BI Date Date MOBlLq0aME INSTALL TION (Plans) OK except N's Date _ POOLS (Plans) OK except a's 1. Requirements—Setbacks—Easements 1. Setbacks—Easements 2. tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _gas; Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Cry; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6.ejr; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Wester and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit 9. E�rr't's; Insp.—Sketch 10.� Cert. of'Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date ` C rd -BI Date 11 Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready - RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" =tg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh=Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - - 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door &'Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's _-- 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting ' 17. -Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer ' 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors -_ -- 22. 23. 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 70. 71, Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes73. - 25. 2 Appliance Circuits in Kitchen & Conductor'Size Guard Rails & Deck Construction -Post Caps - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish __- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _ -- --- - ----- 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ------- _Date_ _ Card -BI Date 81. Ventilation throughout House Card B -I -_ Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's. 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support ------.-32.- Vent -Fan; Exhaust above Insulation 33. Condensate Drain Overilow; Size & Grade 85.' Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates _- 34. _& Furnace -Vent; -Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI --- _ ____Date~__ Card -BI Date i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _ _ ----39. 37. 3_8. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nai_ling____ Draft Stop in Walls (rat proof) - 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub - _ _ - 41. 42. -Hangers 43. 44. 45. 46. 47. Header &_Beam -Size & Bearing _ -Post Caps -Anchors -Connectors_ - Cing. Joist-Rttr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Ac_cess_; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions Garage Fire Protection Framing_ - A`' (NOTE: An entry must be made each time youvisit tobsite).� ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numberIW—% Wq for the f flowing location: Owner '4.? -71i/1 n: �.r•t'� v Owner's Address Mobilehome Mfg. Model"' Year RJ Insignia No. 701-9-107- 0 i'S --O g? Serial It is hereby certified for occupancy at the above described location and may be occupied. f 1' i1 Director off.Pfublic Works Date �L11A;V`4i' -- $ ;�1,;—i / f Y 7 , THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 RRECTION 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. I I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER fol— ® 8 — ZONING BUILDING PERMIT O WNtER TELEPHONE OO SO. FT. OCC.1 BUILDING VA IO ONER'S MAILING ADDRESS I C/ONTRACTOR' NAMEA TELEPHONE CONTRACT R'S AILINGDDRESS 02( Nf i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ t Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES PLUMBING PERMIT Filing Fee 10.00 t Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W ed —10-00 TYPE OF WORK _ New ❑ Addition [:1Remodel E] Utilities © Instal lation I t' Other ❑ Describe work: 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. t 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 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. flo-37i Classification - 0 A61 ❑ 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 ULTNCH CI.OUTIRCLET TS.I2,50 ea NEW NON-RESID (BRANCH NEW CONSTR POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR. Ex. Occu 20@50a P�o OR FIXTURES BAL@30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 'abilities, judgments, costs, and expenses which may in any way accrue again tid County in conUguence of the granting of this permit. Date ; /� `�/ �� Signature of Ap icant – Ow er -,, Contract o Agent ❑ o X. An OSHA permit is reqs ired o cavations over 0" deep and demolition or construct- ion of structures over 3 In a ght. j Mobile Home Installation Fee $ , TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I V I PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TOR OF BLIC a By &PERMIT EXPIRES D the applicable provi- resolutions to do fees have been paid. ` WORKS , Receipt No. WNITE-D. P, W., YELLOW -ASS SSOR, P-I-N�SPECTOR. DE •D -APPLICANT BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 s MOBILEHOME-INSTALLATION SHEET 1. Owner's name: 2. Installer's name: Z"'lleollew 3. Is the site currently under permit? Yes No / / `• .(If yes, furnish permit .number OR t Is the site an existing site? Yes / / No / (If yes, furnish two '(2) plot plans.) ' 4. Will -the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes No (If no, clarify ) 5. :What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? -------------------- 0 a Amps.' 7.. What is the mobilehome site circuit breaker rating? ------------- /.-D Amps 8. Is there any other electric load to be served by the mobilehome , ,'. site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What.s the mobilehome site gas pipe size? ---------------------- (in.)'" 10. What is the type of gas service? ----------------------------- Natural /% . LPG•/ 11. What is the gas pipe length from meter or tank to the mobilehome? 3t/ r Q (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU)' (This information not required if, pipe length less than 6 ft. on natural gas... .or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehoma Mfr. (x, fuxnish Setup Model No. eo/0 Year Widt(ft.) Box Length'(ft.) Tagalong or Expando--Size /d ft. x ?_ ft. (SHOW SUPPORT DETAILS BELOW) ' On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of _ W mobilehome unless otherwise specified. Footings (check one) • Single 1. Wood either pressure treated or foundation grade. 6 p x' 6 00 f;�t'3v 2. Other: (specify) (ft.)(in.) Q (in.) (in.) Center support I' Center support �f6 '. locations* v footing sizes Supports (check one) O (in.): Concrete block. v 2, � -2. Other. (specify) (ft.)(in.) Q (in.) (in.) D ;7-`%'!�' o p ;?-Sk 4—Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) v Q x3 -- Typical Support (in.) (in.) Footing Size d! (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) W' q x30 -- Max. Overhang (ft.) (in. (in.) in. ( t.)(in.) • '�b�-�t� BUTTE COUNTY BUILDING DEPARTMENT APRROVED. VVE *If center piers are other than drawn above, -draw in -locations, spacing, and dimensions. Z.L_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californiat.,95965 - Telephone 916/534-4541 APPLICATION ANDYERMIT PERMIT NO. NIN ASSESSOR PARCEL NUMBER G Z �Q—'iirP� ZONING 49 BUILDING PERMIT OWNER ilii�,O,e e: TELEPHONE S0. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . �. 73 c�'- fG CONTRACTCR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 44.00.— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70 Penalty $ ARCHITECT OR ENGINEER's MAILING ADDRESS Permit fee $ BUILDIN'ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r e Water piping 5.00 LOT NO. SUBDIVISION NAME PA CEL MAP —307\1Gas Each qas water heater or vent 5.00 piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e,®-0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation Other ❑ Describe work: 404- '�` ���^c Permit Fee $ 0,0,0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 10.00 ','D-0 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 ,TV NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES BA 50 FIXED APPLNS, OR Ex. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 g 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 agains said Coun y in co sequence f the granting of this permit. X �� �9'�3 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARC PD HD 199U This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. Q?JRE5X1D9 OF PUBLIC WORKS By Date P IT EXPIRES Date /' _�� Receipt No. 199.3 Z- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Rpx-Atrrrto DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 84"'14���`3,:.� 0FFICia1 Section 26-8.1 of the Butte County Code requires this acknowledgement B�„'b C�tJNTY �RCc W . ( G; be recorded priori�to issuance of a building permit. The property described herein is adjacent to land or included 6 within an area zoned for agricultural purposes, and residents of this + 27 FVIR1 EL; AN n;; property may be subject to inconveniences or discomfort arising from CI.Eft '4;' fit the use of agricultural chemicals, including, but not 1'imited to herbicides, pei ls'i�.f�d and fertilizers; and from the pursuit of agricultural operations including, -but not litfifted to cultivation, plowing, spraying, pruning, and -harvesting which occasionally generate, -dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and'on adjacent property.should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: January 19, 1984 PROPERTY OWNERS State of California ) On this the 19th day of January ,. 1984 , before ) SS. me, the undersigned Notary Public, personally appeared County of .Butte ) , ***Harold E. Kennedy***** /y/ Personally known to me. / /,Proved to me on the basis of sa.tisfactoty evidence. to be the person(4, whose flTtme(fe) ;G subscribed to f, the within instrument and acknowledged that tia executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ^� �� / ®RI-11., OFFICIAL. SEALPresent A.P. No. (o �iT MARIANNE REED NOTURv o i.,l it CUFORNIA RIME CO!INTI nay comm. expires AUG 22. 1997 3 9 E C R l P T l 0 N B1MSIT ~'e All that certain real property situate is the County of Butte. State of Calif- ornia. described as follow*. PARCEL 1: The Southwe:.t quarter of the `ortinjest quarter and the !lest half of tate Souttatstst quarter of Lection ?z: the Northe' - quarter of time Southeast quartet of Section 29; the Southwest quarter of the Northeast quarter and the Wortbeast, quarter of the Northwest quarter of Section 32. all to Township 21 Worth, Raaxe S East, 1 -MLD. ALSO EXCEPTING FROM said Northeast quarter of the Southeast quarter of Section 29, that r.ertain parcel of land described in the Deed frem blaster 8. Hoods, et- ux. to Alden Hunt. et ux. dated October 8, 1951 and recorded October It. 1951 i:; Book, 590 of Butte County Official Records. at page 496. mote particularly descri- bed as follows: That part of the Northeast quarter of the Southeast quarter of said Section 29. lying East of the Bloomer Road and blest of the Berry Creek Station Road. ALSO t'SCEPTIW, FROti said Northeast quarter of the Southeast quarter of Section 29. that certain parcel of land described in the Deed from Matter 8. VOWS. et ux, to Walter Harrison Woods. Jr., et ux. dated June 8, 1956 and recorded .Jlmoe Is, 1956 in Bnok 834 of Butte County Official Records. at page 390. note partic- ularly described as follows: All that part of the Northeast quarter of the Southeast quarter of said Sectios 29, lying Westerly of Bloomer Mountain Road. ALSO EXCEPTIW: TNFREFRWI all that portion described in the Deed to the Coasty of Butte, recorded September 15, 19" in Book 1643 of Butte County Official f.eeaads. at page 289. ALSO EXCEPTING THFREFRM a i 1 that port ion described in the Deed to'._ tyle County of Butte, recorded September 12, 19" 111 ;tca'k 1788 of Butte County Official hbzcorda. at page 86. ALSO EXCF:PT1y(; T111•T.F.1 MV1 ;:11 tictt Fo.,.ri lom described in the Deeds to tM- Coraaty of Butte recorded Scptemboer 12. 19:5 I:, &KII, :014 Of rattler County Official Records. at page 313; and rec0rd._-.1 rehruary 27. 1976 in Book 2051 of Butte County Officiael Records, at page 326• (cesnt $magi) 77 : This setlans and-specifica of be:.: . fitiions NI:U$ - ept on the lo8 at all times and -it is unlawfu._ ake, an i o y cha ges or alterati • ns on sa - me: th-- - ` A setback -of ft 'from:the . ut V►wnft6_n; e issDepartment - - _ p. �n ion: from t� a De artment�of r prop perty-line an d setback �c� ` ; i blit -\Afar — _ " Uil ty Ot t5u - _ .. . ---- . _ Qf-froom ce me: sh II -be:clear of�. ��� , I ctnu tWres,or quipmenfi eXc pt �' !ol°� L �/ - ,}�- I - :: :: ..... - i for �.- ., �'''� � � ,,� � ' h �"/ ��• -, _ �► . r : N TE: —A1[ Materials & V1/orkrrianship Shad: B�e in ! - _. _ _. " fM flit Will -'be r_equ�r d cordance wit R ,cogn►zed Good P actices an __, .' it's tltion ofh.: mo �I n e o a quality Pres ribed for the $pecified use -i the ; , - - - - - - - U i or -Ruitdin-�—Ptu m Bing-�-M€cl��r-rieaa--E�des-- -- a d the National) Electrical. Cod :. _ _... 7. ------ — -----l�til.ity_conrlectinshal!_be i +r� ----! - i—r-- — - j 4 ft. of the mobilehome, eit e j- - --- -- — - _ I - - -- - . _ . . . . . . I ... . directly behind br- writh in th , rear .: : : : - . C�-,,moi-i.✓ c : � _ -- - . - } _ j : Half of the roadide: (left) of fh ....... ..... j r- - - - - � Kennedy I+ PERMIT NO. 1358-84B r PERMIT EXPIRES OWNER JAMES LENTZ r CONTR.. owner ASSESSOR PARCEL 62-.08-44 j k LOCATION WAS Berry Creek Sta Rd, 1200' N Oro Quincy Hwy, Berry Creek t t +k �r At (v cc. -(OFFICE COPY,"i�pc• Temp. Power -Pole - —Add Called PG&E 1 GeS Temp. Elec. S rvice ` ;� "�• Y. 1Z" E L"E CT"1�. Meter. B PG Y y „Y �{kDate� Called &E -,,•:r a t Temp. Gas Service- f CalledPG&E JOB FINALEI F Signature V ,= OK y 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except p's Date DEKS,00VERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1AZonjAg R irements-Setbacks-.Easements 2. Soils; Special MH Support -Sketch 2, ngs; Size -Depth -Spacing -Connectors 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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 1 7. Elec. Card -BI Date Card -BI Date Card -BI ate v V Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval Card -BI 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK < = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except k's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-_Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californil 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT —OWN E vkayr TELEPHONE SO. FT. OCC, BUILDING VALUATIO OWNMA LING ADDRESS CONTRACTOR'S N METELEPHONE IN GlIr CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER all !e UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AJDRES .V� \lL\ 'RWC� CS ^`♦ ^ ,,/1 PLUMBING PERMIT Filing Fee 10.00 / �� i � � � Each Trap 2.00 Solar Water Heater 20.00 �0.rr Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK�-'Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ AdditiR Remodel❑ tilities ❑ nstall n❑ Other E] Describe work: V\ 2 \Wlt caZ _ �- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 220sgft 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 CONSTR ULTI.OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. (/POWER APPARATUS .&') NON.RESID, (SINGLE OUTLET CIR. Ex. Occu P�o OR FIXTURES 20050c SAL®30 FIXED FIXED APP LNS. OR A Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 00 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 inncconseque -e of a granting of this permit. X ` Date S gn ure of Applicant — Owner Contractor ❑ Agent A SHA permit is required for excavations over 5'0" deep and demolition or construct- i of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE P, ooccu=.IGROuP �I'"'ll T P ONST, PAR L P1 P i HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. K Z"1 r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. S f ) ASSESSOR PARCEL NUMBER 62-08-44 ZONING BUILDING PERMIT OWNER James Lentz TELEPHONE 589-1399 SO. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 202, Berry Creek CONTRACTOR'SNAME ownpr TELEPHONE 1st renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10.00 L Permit Fee @ z FEE $ 7.50 ARCHITECT OF ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OP. ENGINEER'S MAILING ADDRESS Permit fee $ 17.50 BUILDING ADCRESS WAS Berry Creek Station Rd a PLUMBING PERMIT Filing Fee 10.00 1200' N Oro -Quincy Hwy Each Trap 2.00 Solar Water Heater 20.00 Berry Creek Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Dup ex❑ Mobilehome© Otherreinstall decks SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 110-00 e TYPE OF WORK New Addition ❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe wcrk: — 1st renewal permit #1358-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. AGC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare urder 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. L cense 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 NON-RESID R BRANCH CIRCTITS 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o 20@50: OR FIXTURES BALO 30 FIXEEDD AXPPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare ander penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 build?ng construction, and hereby authorize representatives of the Countyot Butte to, enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 17.50 OCCUP. GROUP I TYPE OF CONST. JPARCCLJ PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS C Date p 5/10/86 Receipt No. WHITE-C.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT