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HomeMy WebLinkAbout028-180-018_ - . _ v intim;.• ,. t L F - '� J f.+'� { ir__ 7 ..mss �• F .� r .� 28 1818 fe Brooks Cha /S LaPorte Rd„ @ Robinson Mill Rd. ,fib v angor gLrMit #4413-8 1 'E(util.MH)EC.3-Z3-82 A UR GAS 3-z3-92, 5r 3/4 �-P �SUPPORT STRUCTURE REQ. SVMPACTION TEST REQ. 28-18-18= Permit�k 4-82MHI •� ,/' 28-18-18 898-91P,E B g y ' -WEIHER, Linda � �131a� L a 10900 LaPorte Rd, ngor- a . (utiliti / J ,. ELEC 0D 0 Go hF_. 0-0e& -�-� GAS o . "% -cL.; COMPACTION''TEST RE m r ti x r SUPPORT STRUCT REQ18-18, Permit#899-91MHI •- .-;;•,. • 1 ua�ew� r (insta la�tio-n/ T ,y ELEC. ppA -5 p�I� GAS -jo� • r COMPACTION TEST REQ/o�9 .SUPPORT STRUCT REQ { 028-18-0-018 ' - ,91-4 f ` WEIHER,'LINDA - CONTR: OWNER c` 10900' LA PORTE , BANGORt ,,-)/�_ MHI P ' 91-4263 -� - 028-18-0-018 WEIHER, LINDA CONTR: OWNER BANGOR 10900 LA PORTE RD, MHI MAILING ADDR633 -10900 LA PORTE'ROAD BANGbOZ95914 rMENT Of `!PUBLIC WORKS PERMIT NO. mts 95985_ Telephone: 916/.538-7541 -- W.PERMIT ' BUILDING PERMIT _I Sl]. FT OCC. BUILDING VALUATION CONTRACTOR'SNNAMIL . CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.ai 13.64 eq.ft OR AODNS, l ACC. BLDGS. 1 declare under penalty of perjury (check one): NEW CONSTR-OU L T @ 5.00 - NON -REBID' BRA IR 1 OW1t ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER APPARATUS tr (SINGLE OUTLET CIR and, Professions Code and my license is in full force and effect. 20 76 Ex. OCCUp OUTLETS OR FIXTURES C ONTR ACTOR 'i'MAI LING ADDRESS - / Fireplace _ for sale. (Sec. 7044) Mobile Home Facilities 15.00 CONSTRUCTION LENDER / ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. W'ir;ing 15.00 UNKNO Total Valuation .� ❑ 1 am exempt under Seca , Business and Professions Code /t Contractor• Filing Fee $ 15.00 -NOM LENDER -S MAILING ADOREl33 ❑The permit is for $100.00 (valuation) or less. Heating �• Permit Fee. $ ' a Certificate of Workmen's Compensation Insurance or a Certificate Cling ARCHITECT OR ENGINE LI NSE No. Plan Checking Fee $ 20.00 ' 7R Energy Plan Checking Fee provisions or this permit shall be deemed revoked. Contractor ARCHITECT OR ENGIN ER'S MAIL AD Ess 1 certify that t have read'this application and state that the above information Mobile Home Installation Fee $ 70.00. Penalty_ _ $ BUILDING ADDRESS _ 95914 erm ee- ' '• . t also aggree to save, indemnify and keep harmless the County of Butte against' HAZ DFEES 1:PJ FLOOD COF PAR PD MD (SSU II liabll sties., judgments, costs, and expenses which may in any way_ accrue J I PLUMBING PERMIT Filing Fee 15.00 Dal �This permit is hereby issued under the applicable provi- Each Trap 5.00 Signature of Applicant — Owner Q ontractor ❑ Agent ❑ work indicated above for whicli fees have been paid. An OSHA permit is required for'elccavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS Solar or heat pump water heater 20.00 ' LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each alas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE. SF ❑ Duplex[] Mobilehome] Other Building sewer 0 SPECIFY Mobile Home S G W EtL m TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Permit Fee $ _ IH I Contractor Describe work' ELECTRICAL PERMIT Filing Fee 15.00 600V OR LESS 1850 -. - - Main seryice Y00A OR LESS Main service 20CATO1000A, 37.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.ai 13.64 eq.ft OR AODNS, l ACC. BLDGS. 1 declare under penalty of perjury (check one): NEW CONSTR-OU L T @ 5.00 - NON -REBID' BRA IR 1 ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER APPARATUS tr (SINGLE OUTLET CIR and, Professions Code and my license is in full force and effect. 20 76 Ex. OCCUp OUTLETS OR FIXTURES ICei1S@ id0. Classification FIXED APPLN OR Ex. Occup. OUTLETS (REBID:) EA.) 3.00 r�,� e 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 Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. W'ir;ing 15.00 ors. (Sec. 7044) ❑ 1 am exempt under Seca , Business and Professions Code for this reason Permit Fee $ Contractor• WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FilfrigFee 15.00 I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. Heating " ❑I have placed on file with 'the County of Butte Building Department ' a Certificate of Workmen's Compensation Insurance or a Certificate Cling Consent to Self -Insure. shall not employ'any person in any manner so as to become subject Hood 6.50 ' to the W. C. laws of California. Ventilation ' Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 1 certify that t have read'this application and state that the above information Mobile Home Installation Fee $ 70.00. Is correct. I agree to comply to all County Ordinances and State Laws relating Ener Inspection Fee $ 9Y p to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. occ . CONST TYPE TOTAL FEE $ 105.00 t also aggree to save, indemnify and keep harmless the County of Butte against' HAZ DFEES 1:PJ FLOOD COF PAR PD MD (SSU II liabll sties., judgments, costs, and expenses which may in any way_ accrue J I etinst s County In c se ncte of the granting of this permit. Dal �This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Q ontractor ❑ Agent ❑ work indicated above for whicli fees have been paid. An OSHA permit is required for'elccavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. „ . r_ gy Date ' Receipt No. 103553 PERMIT EXPIRES Date RESIDENTIAL ^028-18-0-018 91-4262 WETHER, LINDA CONTR: OWNER 10900 LA PORTE RD, BANGOR ' MOVE MH UTIL t h /93 JOB FINALE Signature 4 r ,w t� r r s JOB FINALE Signature J=OK O = Not OK NNotot Ready., MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. oils; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete 4 ater; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location-Test-Wrap�/: /" L" ft. / /"Nat. or/ /" L"ft.Acoy'LPG Well Clearance & Disconnect 8. Utility Clearance Date o2q 64 and B- Date Card 8-1 Date T V' ra'-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements �iP�F�Ut ngs; Size -Spacing -Marriage Line ,%J. fes; MH Test -Demand -Valve -Connector L/4. tricity; MH Test -Crossovers -Breakers -Clearances 5. Dr " ; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector f 7. Water and Sewer Connected -C/O to Grade -HD Approval Ga and Electricity Tagged Insp.-Sketch 0. Cert. of Occuoancv Date ard B- / Date Card B-1 Date Card B-1 Date Card B-1 0 MISCELLANEOUS pate DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK ilQ=L O = Not OK =NotRe&dy' abl<, Reo2f Not yRESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth --------- 46. Clnq. Joist-Ritr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ------- 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except it's -16. Water Htr.; Vent -Access -Combustion Air -Baffle ---------- - -------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- - ------------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test -Tub & Shower, -- Second Floor -Tub Access -------------------- ---------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. -Protection - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes &-Nof Conductors -Stapled ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------- 26. Equip. Ground made up w/Meth. Fastners-Bond & Water ------ - - -------- ----------Gas---------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------ --------------------------------- 28 Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ------------------- ------------------------------- 29. --------------------------- 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 ---------- -- ----- -- -- ------ -- - ----- z----- --- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------ ---------------- - --------------------------------------------- Date Card -B-1- Date Card B-1 Date MECHANICAL (Permit) OK except a'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 ardB-1Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors -------- ------------------------------------------- ---------------------- 40. Walls Studs -Nailing. Spacing & Bracing- Plates -Sound ------------------------------------------------- - - 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- -- --------- 44. Headers & Beam -Size & Bearing 4d. 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 _ DateCard B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector --------------------- - 63 --------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. -------- 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 -Meth. 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. ---------- -------------82. A.C_Unit. _Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------------------------------------- ---- 84. Water Well: Disconnect, Electrical, Plumbing ------ ---------------------------------- ----- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House . _ . - - -- ----------------------------------- 87. Glass Protection -- - ---------------------------------------- ------ 88. Corrections from Previous Inspections --- ----- 89. --- 89. Gas Test -Meters Tagged: Gas -Electric ------ ------ - -- ---- --------- ---- ------- _ _90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- - Date Card B-1 Date Card B-1 --------------------------------------- --- --- - Date Card B-1 Date Card B-1 ------- --------------------- - -------- -_ Date ------------------------------Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE {' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 5388-7541 PERMIT NO. Address or location of mobi lehome /� 14 A-Opzx- Owner's name L- I A&M ;z Owner's address Insignia or hud number- ! [ Q —c)7 - Manufacturer's name i IN I l/ i�i Serial numbeV%f V.I.N. S Year of manufacture cial Approv`mg Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE? MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive - Orovllle, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' 028-180-018 ZONING A 5' BUILDING PERMIT OWNER++ #NDA WEIHER J TELEPHONE 679-2004 SO. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 10900 LA PORTE ROAD BANGOR 95914 CONTRACTOR'S NAME 01ATER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee g $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSLA PORTE ROAD BANGOR 95914 10 OO Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation�j Other ❑ Describe work: MH I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 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.& OR ADONS. ( ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) -SINGLE OUTLET CIR. p OUTLETS OR FIXTURES EX. Occup( 20 76 FIXED APPLNS. R EX. Occup. OUTLETS (RESID )EAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. V-011shall not employ any person in any manner so as to become subjectHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 �C"o�u,/nty in co se n le of the granting of this permit. X - ��cLll d Date `0 �� SI nature of A licant - Owner g pp 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.F Mobile Home Installation Fee S 70,00 Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 105.00 HAz DFEE$ IMP FLo CDF PARC PD HD Issu This permit is hereby issued under the dons of the Butte County Code and/or work indicated above for which fees By D E TO PUBLIC PER EXPIRES Da applicable provi- resolutions to do have been paid. i WORKS Date 1-i 3-^y -i.-�' 3- Receipt No. 103553 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,.,,_` .. ..-, r�� da•x,pT• � s ac - .,. W+- •.. t "�-„�hi_ - � rJw:-s •� ._ .., s, COUNTY OF BUTTE - DEPAR`P'&T.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ya / PERMIT APPLICKTJON DATA SHEET Permit No. pp OWNER //����� �f Ie%��1�. P. No. 2&—IA— U/8 Proposed Building UseBuilding Inspector Date 1Z—H- 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) _Oj��_ 9. Mobilehome installation data includinganufacturer's installation instructions .....Vh¢�! -� . (.(/y4Q .{BGG . ��t 2 l!� "a,?-Qa$(e -OLUYW A&Z 14 d 6 10. Fees of $ .... • , ,�l.G�� 11' Chico Urban Area fees paid ....................................... 12. Park fees paid ....................................... -0 13. 040 Nt;§-N School District fees paid ..............I?, 23 ��l 1 pm) 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ....... .......... Ok 6. Le?feg ar- �"Nt��vr� y -v gee o*f23, � I 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 Applicant d_0, Ql­ DateA_� f 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 ri " 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_c unter bDv. A date Plans checked by be) Date ?.P Plans approved by Date 3 9� Sets of plans on hold in File cabinet AP folder Copy—DPW 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. 1 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) p,*{ 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 Date 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. COUNTY OF BUTTE= DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Me l�0 -'0!8 ZONIN -S BUILDING PERMIT OWNER Cl Alm - /, ie;heR�n TELEPHONE 67C1,9001-1SO. FT. OCC. BUILDING VALUATION OWNER'S !oI (oQ ADDRESSLING (�14 A -01-4,e! �Y TJ-�� 6/�/,� ! ✓ I 1 /� Q CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCVJ LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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 ADDRESSI 0 0��� D �� n IL penult fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[k Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition D Remodel ❑ Utilities ❑ InstallationN�—Other ❑ Describe work: !YI -� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 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 El 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.al OR ADDNS. \ ACG. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20275,1 AL_ ARA FIXED APPNO Ex. OCCUp. OUTLETS IRESI IRE A.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. lyirin 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 15.00 Heating Cooling Hood 6.50 Ventilation I 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 the granting of this permit. X Date of Applicant - OwnerElCtor _ El ❑ An OSHA permit is required for excavationss over overra5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S -70�' Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES S HAz 1 0FEES I IMP I FLOOD COF I PARCEL I Po HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable pro vi resolutions to do have been paid. WORKS Date Receipt No. Q JS� 3 WHITC�D.P.W.. YELLOW-A9eE�9OR. PINK -INSPECTOR. f_[fl OIIROO-APPI IC—T Gel. l��wr.-.r�'wayr�...^'1r.,(".,.r..rrrZtim'tiK`N'Srwr+�%�7✓l•r�� / 1�7 '�7ittJ^ '�^••'�'1:'�'Nie INV4{y f i. 9 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ,,QQ r1 ( One Form fper Building) A. P. Number ��J' ' Building Department No. �G School District �� City n County 1 4 Jurisdiction Property Owner ///"/4 o Project Location/Address—/0900 IA Subdivision Lot Number t Residential Development: '`//J�j WC() rSq• Footage rIVV # of Living I Addition ( Group R) � - Units +7 Commercial/Industrial: 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building -Department Representative Date f (Floor Plans reviewed by School District Personnel) ' ti rdDistri'ct Id No. 920375 /%A s (Applicant Name School District certifies that . 1'n one Number (Street Adrese) (City) (State) (Zip Code) has complied with the requirements of Resolution No. /Q�'� �� by the paymen of $ ,Fjj representing -Z!5—square feet. School District/Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE:` 538-7541. MOBILEHONE INSTALLATION SHEET_ 1. Owner's Name: 1-1,1961A (/.261 /-ZLEWL 2. Installer's Name: Fx-1 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ( / - "/�10 ) OR - Yes W No F-1 Is the site an existing site?' t (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields Yes No and clear of all setbacks and easements? (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? -------- 7---- 02 0 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- ✓ s U 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: 1�4�•�, i� (Load) .? v (Amps) 9. What is the mobilehome site gas pipe size? --------------- ------------ 314 « M/M. (in.) 10. What is the type of gas service? ------------------- Natural F I LPG FXJ 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 7-V (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft`. o�ta6a- natural gas or less than 50 ft. on LPG.) Ill COON. BUTTE BUILDJNG DEPARTMEN-'j.. �AppROVEDIJIg/q,-L (MawcY b1�U� MOBILEHOME SUPPORT DATA no- � �� If other than single wide, Mob ilehome Mfr. (A c.,2 r S cY furnish Setup Model No. Year /i 7z Width;Z (ft.) Box Length j -r (ft.) Tagalong or Expando Size ft.'x--: ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)F/Y\ 1. Concrete block.�2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE .— Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ „x „ Spacing -Max.,_ Each Side of Openings From Ends -Max. ------- ' " With Width Over--------- Size-Min - -------- Size-Min.------------ Spacing-Max ---------- From Ends-Max-------- Size-Min ------------- Location ------- Size-Min.------------ Location (From Front) * pgoulm 1)IU06Z1IU - l Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x „ Spacing -Max.--------------- From Ends -Max .------------- [04 i5eA A)c pOli(ITS Line 4 Piers: Size -Min,------------ Spacing -Max.--------- From Ends -Max .------- Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'Sc Spacing -Max.--------------- From Ends -Max .------------- - Line 5 Roof Loads: Size -Min.------------ Location (From Front) Lir / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle-, &1foka'95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. 91-4262 A95ESSOR PARCEL NUMBER 28-18-18 ZONING A5 BUILDING PERMIT OWNER da Weiher TELEPHONE �� �� SQ. FT. OCC. BUILDING VALUA ON OWNER'S MAILING ADDRESS 10900 La Porte Rd Bangor 95914 CONTRACTOR'S NAME Owner T rCE N M, CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ -T .00, Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10900 La Porte Rd Bangor 95914 Permit tee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomei5j Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home IM I G JYJ @ 15-001 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation❑ Other ❑ Describe work: relocate water line & elec tric service Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ESS 200AOR00V OR LLESS 18.50 18.50 Main service 200ATO1000A1 37.50 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 .JO. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS RESID IREA.1 I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. bVirin g '15.00 Permit Fee $ 48,50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. hall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against si�d County i .co se9�ulence of the granting of this permit. X _ �� F �iZ/ Date/ —//-9/ Signature PP L� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 113.50 HAz — 1 0FEES — IMP - FLOOD CDF PARCEL PD Flo v ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indica ab e r which fees IR T F PUBLIC By �I— PER IT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date ?- ' Receipt No. WHITE-D.P.W., YELLOW- SSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i r� *p` 44 1 4. COUNTY OF BUTTE - EPARTMFN ,P'�;BLIC WORKS - BUILDING DIVISION ,. 7 COUNTY CENTER D - IVE - OROVILLE A FORNIA 95965 - TELEPHONE 916/538-7541 lE'RMIT APPLIC TON DATA SHEET d Permit No. / OWNER i�� dlPih>°/Z i 'QA. P. No. ze—l84 ;r Proposed Building Use Building Building Inspector A-0 Date tZ-41-7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................:... 2. Plot plans in duplicate/triplicate, signed by preparer of plans.::..... 3. Complete plans in duplicate/triplicate, signed by preparer.of-plans .. �— 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14 Sanitation approval from C�/ZCJ/'i �! pp Health Department -7— 2-2— TS. ..Z Gf S 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 64, 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: L'�MaiI to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector,. Other . l`/, Applicant �1t �.2��C.l � Date 10�`11_qI Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of planssent Health Dept. Fire Dept. Other Date •By. The following data must be submitted r' r 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_-rlail_counter"by . ..date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Plans checked by UDate 2 2iO- Plans approved by Vw Date ez Copy—DPW Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -mOrovllle, California §15965 - Telephone: 916,1538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R _o ZONING . 4-5 •L`E BUILDING PERMIT OWNER D / r�����JK/] 1,97 /V(�/► NONE y 100 SO. FT. OCC. BUILDING VALUATION OWNER'75 MAILING ADDRESS /U oa 11tporfe ,Q, ,f,jCrO/L q5 CONTRACTOR'OW S AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace . CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 /0010 J / /t_ d��e /�p NGO1 /VI L//� K permit fee $ 2(S .GOO PLUMBING PERMIT Filing Fee 15.00 �5 Each Trap 5.00 Solar or heat pump water heater 21 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home G @ 15.0036.q7J TYPE OF WORK New ❑ Addition Remodel❑ Utilities Installation[] Other ❑ Describe work: /1 e% 60C'A-CE �124P52Z 6iiie -,- E'l�C E. Permit Fee $ Contractor 1 .490 ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 50 j$, • 5 Main service 2oGATO 1000AI 37.50 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.& OR ADD N5. (ACC. SLOGS. ) 3.60 sq.ft. NEW CONST R. OUTLET NON -RE SIC, BRANCH CIRC., TS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20X75 EX. Occup. FIXED OUTTS IPRESID )REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 75. Oa Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 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 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 Si nature of Applicant — Owner _ g pp ❑ Cs o Contractor 5' ❑ 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 $ ,35 occ CONST TYPE TOTAL FEE $ MAz 1 01EES I IMP I FLOOD I COF I PARCEL PO 1 HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 163553 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, COLD ENROD-APPL I CANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Qroville, 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. y 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) ham,_. 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 @fL Social Security Number --( ! Date 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. w p">✓ DeCL f jDXX�f-� � (461hILE TU FbE • o eemaveD plztoe- 1i) 2 r . r, ..� �' PENAL D� ,u �'YIUBJGE ��P� 0WNE2.64 iZ/26/9i CFE/!,T "r g 9 f-40W rnN-i) 500 SQ. PA.NIMUM r� ` FOR OBILES 2 to¢oam HEALTH Q permit will be required r the . installation of the mobileh me. A setback of 5 ft. from the ' . p!uperty lines and a setback-of ^;J 50 ft. from the road centerline shall be clear of structures oi• equipment except for a 2 ft. eave overhang. f- ` J/.33 A-C 314 NOV:—A01 Matericals, & Workmanship Shail..Be in Accord ii a wit' R�e:;e rsgze: C3ood i'ractices `and Of asquulify prescriae:f for the Specified use.-in the Uni:or ro Building, Plu:rbing &Mechanical Codes and the National' blectrical Code. ` - This setlof plans and, sn -4--tions MUST be f kept on the job at all T'.,^- Tr-1 it-f• unlawful to make-anyhanger or 1)11 same with- j r out writte i permission s••7r-. t'ac Department of Public WoPkS, Cgunty of Butte. BUTTE OUNTY ' BUILDING EPARTMENT APP OVED Y . TO Buildina Department 1 1th FROM: Envzronmenta Hea SUBJECT: Sanitation Clearance leo Z,4? _ InM-9 Owner cad AP# Pian Approved tor: Sewage Disposal 'dater Supply Hold final for: ?anal clearance O.K. for: Clearance for bedroom mobile home. Other NOTE Sanitarian Water Supply Water Supply e? :2 Da v 6'Aa, � (v so , " tie 264 so J .3.33 AC PPROau VED environ C�nty4 • nment 1 z cw 6� AP #D— OWNER PERMIT MR UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Len th YES NO YF.S NO <�� o� —� �... Return» to DPW. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ��1T•T y�,�y.,•'r,;_Er'. • FOR RESIDENTIAL DEVELOPMENT�p 't (41 Section 26-8a of the Butte County Code requires=' this acknowledgement ��� �� �� �{�f? be recorded prior to issuance of a building permit. O6tiR9 A, Nt L-(iNr -- The property described herein is adjacent to land or included gLERK­Rt�Of3fi1�d within an area zoned for agricultural purposes, and residents of 4717 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 occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: G,�C, C�,� Date: h• �� 70 Z PROPERTY OWNERS: State of l/�l//F y �� 19�� On this the' da of SS. before me, the undersigned Notary Public, personally County 0.12 _ ) appeared o. �eeonnemienueeeeeeeeeeeoeeoeoeeeoeoeeeeeneeoeieeep � OFFICIAL SEAL known to me to be the person(s) whose name(s) _C14 LeANNE M. KIBODEAUX subscr'bed to the within instrument and acknowledged sem, NOTARY PUBLIC CAi.i%ORNIA ? that 2� executed the same for the purposes ur oses COUNTY OF BUTTE MyComm[ ssIon EzpirasJulyl3, 1984therein contained. ®eeee9e1ee110eleelele/ee96e16ee1eeY000{Il6eee11Aeoil III gin .' IN WITNESS WHEREOF, I hereunto set my hand and official seal. '*J c/ Notary Public Present A.P. NO. -V> eora.d at tlt0 Of ......... .....1 ....... f�rr wire Return to .......iWAIMI.Is..A;1llIIi1R.......... .......a.��,.. CallforrAis ..: 0 � bio I G 4M AT TMS Nouni op NkVVU,AA T1TLK COMlaAN1F .A.�.At�.�/�t�_ tel: w.ctn c.. i.•1 i; I.f r. r►1, r ob i GRANT DR1:ii Undk4dusl) For value s alvedV. Cita* also k0ev a as 0"IM OLM ad GLAM CUMV habaod and 0 t GRANT ............ to a :"A" L. �iI � a!1 that roal property situate In the �" Owstb at fate . NMa at tistseNsd a !st'wwes r1.tC 1 ; Al 1 that part of the southeast quarter of the Nortbwest quarter of deet too: is •"lonsh+ 10 Ibireh, R.,n;;e 6 Cast, M.Q.L. & M,, lyI*S std boI% to the Coasty of suttee .;tate 'k californts. IIXt'EIR11G TIM11TTRW all th.,t certain rarcol of land deseribed as follows: Casienetaei, at the Southwest corner of the southeast quarter of Biwa Ne huest waster of 804 *croon; thence Casterty along; the test -asst **star sectise lift 114 heti thews Northerly and parallel to the Nest*Sly lint of said lout"Cst quartet of the 110"heest quarter, It" toot; theneo North 41 OAs lust 7S test; theme Westerly and parallel to the tali and post center line of said &*ctive 7s a distance of 264 toot errs or leas, to the NOsterly line of told Southeast gwartor of the Northwest quarter; theme* Sowt>lssly alot>S said a*storly it" of aid SM3theast "nor of the Nsrthmot gwa:tev to dt ptltat of beginntog. PARCEL 2: All that part of the Northeast quartet of the Ilettkwest quitter of Seetiom 79 Township It North* Raetae 6 Bast. M.O.N. 4 N. s lyieg cad bets& is tit* Casty of Satter; State of California. EXC91T1NC 711BR6> ICI the following 2 parcels of land; is Sri; inn i ear; it the llosaheast comet of Let I of feat tes 7e rwatisg abater soutborl; atony; the easterly botandaryr of said Lot 1. 401.7 toot to a petal is sold heal thence youth '3� A7' Pont, 7111 toot to the *enter of lleasut Crook, +tai*h to also the Easterly holind.iry of Butte County; then* Northerly •leas said boundary t* the inttrseetion cheroot with the North line of sold se*tien 71 %hoose Neth Ne 461 a" ateag $414 N"tberly line of Section 7 to the paint o1 bei;innts4. (b) Setinnine: .at a point on the hest boundary 1t. -A of the above mentioned N%!thoast ane -quarter of the Northwest one-Alum tor of soetios 7, abich potat it South n ° 14' West .alens said .lost boundAry line 423 feete stirs or basse fvm the Nortb 1t0o of said ieeei++1 7, anal hoer which the gwartsr eeetten cedar ees�s0s to Sorties 7 m d 4 bears Borth 71 43' Itast 1361.12 toot; tbams smth Oe 14' Hest, algia& the said cleat baundary line of the Northeast nae -quarter of the ftnbwst Bas-gwetot of sectioe 7. 347.28 feet to a point to the touter of a ereei<; thew* Perthoosterly ale% the said center 1lne of crest✓ on the followty oewress and distances: North PO 11, Baste 231.48 fist= Nortb 7441 07, Bast, 17%.14 toot; "h S441 21' toot, 244.14 toot; to a point; these• North 101 12, Hosts 600.20 toot to the potat of beat"t R, eeastalag 1. r3 aeras, safes or less. PARCEL 1 TWO aeras, snore or 1066, bath 00 the Bast aid* of the Maysville -La hula Need. bowsded 00 the North by the 14041 of 4111410 Bereft, as the Bast by deo land of traest C sad bob* a portion of the Northwest quartet of the oaribvost ,natter of Ntties 7, Township 14 North, I&W 6 Baht, !1.065. B IL s u atd Road *tufted ort hbtsary 369 i 9XCB!! N0 THt+' TON that petntee, it MW, lying wtthts dao bommiary line of that lath described in quit Clatm Deed freta RM@t Ctapps of We if N&YED 11P*109 Adaiatttratrts i the Bstate of dilitaw parry Loomes deceased, dated April 17, 1137 and rscalyded ,>ame 12 19S7 to hook pet 0f suite Cowsty Official Record•, at Ngo 421. jr ,j C!: Docuc *"" A x Q� CD rn rn C" 00 V r emwt(t. q, J3utte OROVILLE, CALIFORNIA CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES CLAIMANT: Linda Weiher ADDRESS: 10900 LaPorte Rd. CITY & STATE: Bangor. CA 95914 IMPORTANT: 1 SEE INSTRUCTIONS December 13, 199 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #900-91B, AP#28-18-18, Receipt #88269, dated 4/2/91. Total Permit Fees Paid --------------------------------- $45.50 Retain Plan Checking Fee--------------------- $15.00 _ Retain Building Permit Filing Fee------------ 10.00 Total Permit Fees Retained----------------------------- 25.00 TOTAL REFUND DUE --------------------------------------- $20.50 TOTAL $20150 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this /..................... day of ... nL.............. 19 �Z. at................................. Calif. ��// B, �j v 1 .... .... [r.�L�C..A2.1.. ).................. 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 de- I livered and that there is a Budget Appropriation 0 or Specific Board Approval (Check one) for the e� Dated this ....... 13th .................. day of December..... 19 91. at Oroville.......:alif. � ... ..... ........... ... ... . ... .. .. ............... ...... Department Head or Authorized uty Code ......440-002 ................. as ......4210500 ................ .....PAYABLE FROM ....CO St.:....Permits............................................... FUND 0 NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. e=14 /Dq'DO Lo fie' ,34-Ar,Q I CSA 0 X f-ri n. 0 Z_ 0- Hwy -70 0 X �d t?, 3SP S T -CENTER u G m G 1 rl CA o C z o OR K S (,Aa sn 9 - Hwy -70 0 X �d t?, 3SP S T -CENTER u G U') I• i 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 a APPLICATION AND PERMIT ERMIT NO Vic a ASSESSOR PARCEL NUMBER 28-18-18 ZONING BUILDING PERMIT OWNER T' TELEPHONE -2004 SO. FT. OCL`, BUILDING VALUATION 240 ol2en1,200 OWNER'S MAILING ADDRESS 10900 LaVp�te Rd., Bangor CONTRACTOR'S NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,200 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 20.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee 15.00 Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeMX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 10-00 ea TYPE OF WORK New ❑ Addition q Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: epefi deek Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8011 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 erjY( : ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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.Si\ DR ACDNS. ACC. BLDGS. I , h2Sgft NEW CONSTRULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea APPARATUS tk (SINGLE OUTLET CIR. OUTLETS OR FIXTURES Ex. OccupFIXED z00s0e eAL030 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. af—'il I shall not employ any person in any manner so as to become subject �l 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 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 ai against ,d County in consequence of the granting of this permit. X Date V,6 Signatur of Applicant — Owner 9, Contractor 1:1 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ E HAHALcuA PARK SCHL FLD PAR PD t I suE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 88269-45.50 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 7. ' Vi',� "*q�'�p+``„�ya , wyATV"�v1S-'^^" .t a,,r�•yy-- .. 3 s +`' i '►A�y`Jr COUNTY OF BUTTE - DEPARy�TMENT�.OF,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OF�O1�L"•LE,.CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �^�`!�� W�T�I� ! A. P..No. Proposed Building Use _DeC C/ -OAF __ 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�olans and calcs, with wet signature on plans .. 5. Hazardous Material Form ....................................... . 6. Energy Design Compliance and supporting documentation 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation - instructions........................................................ 10. Fees of $ ....................... 11. Chico Urban Area fees paid ....................................... 12. Park fees paid —13. Sch of District fees paid .............. 14. Sanitation approval from Health .Department 7- 15 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. 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 Applican 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: (C.ircle eIw not checked above). 1.. Index permit for above items No. 2. Additional items required:` y` - Contractor, designer, owner, was advised of above required data by—phone ---jnail counter by ..date 1 Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date nns checked by Date Plans approved by ,(%IZ Date Sets of plans on hold in File cabinet / AP folder Copy—DPW V. 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) S 2. I (have/have not) A - 0F _ 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: > n Property Owner [�V Social Security Nu e r — Date 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. -LL po/e p. w 264 This set of plans and specifications MUST be. kept on the job at A times and it is unlawful to. make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. aftft 314 3/. 33 .40 A setback of 5 ft. from the property lines and a setback of 50 ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang- A V9 0 .NOTE:—All Materials &*Workmanship Shall Be inv !-accordance with Recognised Good Practices and 'Of.a quality prescribed Mr the Specified use in the Uniform Building, Plumbing & Mechanical Codes and' Fhe National Electrical gpde..- I 4 1 07w, i BUTTE COUNTY t BUILD1Na DEPARTMEI APPROV D k� 6' T YF 4"x V Ub" T4 PLYWOOD C' EXT. Lp Fr < I I % CRRPRAIL 1!11"-K`MIN. FOC,1-10,6 2"x4" - MOBILE 1.lx4,- MOBILE HOME OR VELY--*—, cwt >1 STAIR StRNlSER. 49"o.c". MNX.. -TDF VIEW H R10VAL NOT SHOWN F09 EI,N91T\(. BOLT Simi 1"X9" POST ,L)060NA). MAX. L MR. RM1,16 E CLIP (ER.IPE) ,Y) �4�, t„ cr 4�'Y,,T' POST # 0Z f.) F BOLTS 1"X9" POST ,L)060NA). T(PICAL COUNTY OFBUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538_7541. ,Y) cr q,,Ml,q. RFPW00D 6 7- T(PICAL COUNTY OFBUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538_7541. " PERMIT NO. 413-82P,E PERMIT EXPIRES •3 OWNER Charle' L: Brooks CONTR. owner ASSESSOR PARCEL 25-18-1$ LOCATION E/S LaPorte Rd'., @ Robinson Mill Rd., Bangor Temp. Power Pole Called PG&E Temp.•Elec: Service Called PG&E -/ eGas Service CalledP.G&Ey . JOB FINA��ED (Dat Signat V = OK 0 = Not OK Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS � Date MOBILE OME UTILITIES ( s) OK except p's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zon-ng Requirements—Setbacks—Easements 1, Zoning Requirements—Setbacks—Easements oils- Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electr' 'ty; Location— arances Grnd Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Locatio /"L" ft./ P'Nat.or ,$/".L"ft. LPG 6. Carports; Windows—Doors lity Clearance 7. Elec. d -BI ate J — i.K_B1 Date Card -BI Date Card -BI Date Card -BI Date rd -BI Date Card -BI Date Card -BI Date Date M BILEHOME INSTALLATION (P s) OK except N's 142ning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except q's 1. Setbacks—Easements 2. o ings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas MH Test—Demand—Valve—Connector lectricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI . MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/O to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater a nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.—Sketch We"C-ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test CjWB-I Date 'T S -T F -card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 7� A A 0 V =_OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except #'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 -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. 70. 71. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 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 E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 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 El 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 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 Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnq.-Rfnp. 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, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California .-Administrative Code, Title 25, Chapter 5, under permit number 'S' �`� *� for the following loc"ation: f 4 - Owners tf.. j1/ f fir•,+'r Owner's Address Mobilehome Mfg. '-'� �' Model �-�- �����Year Insignia No. 'J' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Af Date ' S — i�'�- By z THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. If Date .iounty� of Butte DEPARTMENT OF PUBLIC WORKS 696 Oleander , Chico 342 4241, romi n — 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 873436 CORRECTION NOTICE .................................:! .I....�...-....r......Z. Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .... Y ...................................................... ...................... '1 �....,r c/....,r.4....{... .............je ...........................v......�................................................... Dates..er2I-)............ I sector Do Not Remove This Tog (400-4) BUTTE COUNTY. DEPARTMENT OF' PUBLIC WORKS -- 7-County Center -Drive, Oroville, CA. PHONE: 534-4541 1. Owner's name: N�� 2. Installer's name: 3. -Is the'site currently under permit? Yes /f// No/ / (If yes, furnish permit number Z OR 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 setbacksand easements? Yes No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? -------- ------ Amps 6. What is the mobilehome site service rating? '= ------ o Amp 7.. What is the mobilehome site circuit breaker rating? 043 Amps 8. Is there any other electric load.to be served by the mobilehome siteservice? --------------------------------------------------- Yes No /• / (If yes, identify the load and size:(Load) (Amps) . 9. What is the mobilehome site gas pipe size? -------- 10. ----- 10. ,What is the type of gas service? ----------------------------- Natural 7-7 LPG / 4,r 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)::.. 12. What is the mobilehome gas demand?-"------------------------ (BTU) �7 V� .� 7v (This information not require&'if pipe length less thad'6`ft. on tt&al gas . orless than 50 ft. on LPG.) ' , �NS�e,G�- MOB ILEHOME SUPPORT DATA ` If other than single wide, _ Mobilehome Mfr.—(U furnish Setup Model No. r— Year Width (ft.) Box Lei (ft.) Tagalong or Expando Size ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of ; mobilehome'unless otherwise specified. Single (ft.(in:) (in.) (in.) Center su port Center sup ort location * footing s zes (in.) (ft.)(in.� I (in.y (in.) (ft.)(in.) (in.) (in.) Footings (check one) IT11'., Wood either pressure treated or foundation grade. 2. Other; (specify) Supporta (check one) : Concrete block. E] .2: Other. (specify) 4—Tagalong or Expando,' show support details. Typical Support (in.) (in.) Footing Size x (f .)(in.) (i .) (in.) �� -- Max. Pier Spacing (ft.)(in.) x " - � x . -- Max. Overhang (ft.) (in.) (in.) in. (ft.)(in.) BUTTE COUNTY T 7 BU JLD1NG DEPARTME. A PPRQ\/ED *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. (� � COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PER ITN i County Center Drive - Oroville, California 95965-tTelephone 916/534-454 - -' APPLICATION AND PERMIT ASS: OtP A.R CE N=M E$ oV, ZO ING� BUILDING PERMIT o TELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWNE 'S MAILING KESS zjY ±' CONTRACTOR'S NME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER q UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUII ADDRE ! S I PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 D Water piping LOT NO.SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USEOF SyRUCTURE SF ❑ Duplex❑ Mobilehome�/Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition[] (Temodel❑] Utilit' _ Ist EI� Other ❑ Describe work: r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 OMain service EA. ADD'L 100 AMP 2.50 NEW CONST ( DWELLING OCCUP.M) OR ADDNS. ACC. BLDGS. 20 sq it CON CTORS 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 MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR ( POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ BAL@1 00 FIXED APPLNS, OR Ex. Occup.(OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 aid County in con qu o t granting of this permit. X Date Z Z arure of Applicant — Owner ❑ Contractor ❑ Agent In OSHA permit is required for excavations over 5'0" deep and dem lition or construct- Ion of structures over 3 stLo�ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $S-D,vn OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 "r APPLICATION AND PERMIT ,PERMIT N C11 01) �,✓ i AS ESSOR PARCEL NUMBE ZO ING BUILDING PERMIT QJ o N 'S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE MAILIN DESS - CONT ACTOR'S NAME •^� �\ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER e— UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS ' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES S PLUMBING PERMIT Filing Fee 10.00 ` Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PATL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets a USE OF RUCTURE SF [:]Duplex[]Mobilehome Other SPECIFY Building sewer , Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities g?' Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS100 AMP OR LESS 0 /0,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ! DWELLING OCCUP.51) OR ACDNS. l ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty Of perjury p y p I y (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. (cense 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ou LET 2,50 ea NO ESID BRANCH CIRC TS NEW CONSTR /POWER APPARATUS e� NON.RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� Ex. Occup. �OU00 FIXED APPLNS. OR TLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 iS Permit Fee C, 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. 2-1 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 S 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 liab'lities, judgments, costs, and expenses which may in any way accrue agains said County in con �q�ce f he granting of this permit. X Date 2 i nature of Applicant — Owner ❑ Contractor ❑ Agent 2 — n OSHA permit is required for excavations over 5'0" deep and demolition or construct- on Of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. IPARCE PD 99D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PU By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date �� Receipt No. �89� � WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' Recording requested by; KELLY ALBRECHT Attorney at Law. _ 2445 Oro Dam Boulevard,Suite 2 - Oroville, California,95.965 When recorded mail to: KELLY ALBRECHT Attorney at Law 2445 Oro Dam Boulevard, Suite 2 Oroville, California 95965 GENERAL POWER OF ATTORNEY. 1. I, Charles L. Brooks, of.Bangor, California hereby appoint James H. Hillis of Star Route, Bangor, California 95914,.my true and lawful attorney in fact for me and in my name,. place, and stead, and for my use and benefit: a.. To exercise, do, or perform any.act, right, power, duty, or obligation whatsoever that I now have or may acquire the legal right, power, or Capacity to exercise, do, or perform in conne.ction with, arising out of, or relating to any person, item,. thing, transaction, business. property, real or per sonal, tangible or intangible, or matter whatsoever; b. To ask, demand, sue for, recover, collect, receive, and. hold and possess all such sums of money, debts, dues, bonds, notes, checks, drafts,, accounts, deposits, legacies., bequests, devises, interests, dividends, stock certificates, cert- ificates,. of deposit, 'annuities, pension and retirement benefits, insurance.benefits and.proceeds, documents of title, choses in action,. personal and real property, intangible.and tangible pro- perty and property rights; and demands whatsoever, liquidated or unliquidated, as'are now, or shall hereafter become due, owing, payable, owned, or belonging to me or in which I h.ave or.may .acquire an interest,. and to have, use, and'.take all lawful ways and means and legal and equitable remedies, procedures, and writs in my name for the. collection and recovery thereof, and to coin - promise, settle., and agree for the same and to.make, execute, and deliver forme`and in my name all endorsements, acquittances, releases, receipts, -.or other sufficient discharges for the same; C. To lease, purchase, exchange, and acquire, and to bargain, contract, and agree for the lease, purchase, exchange, and acquisition of, and to take, receive, and possess any real or personal property whatsoever, intangible or.ta.ngible., or interest therein, on such terms and conditions, and under such covenants,. as such attorney in fact shall deem proper; .d. To improve, repair, maintain, manage,. insure, rent, lease, sell, release, convey, subject to liens, -mortgage, and hypothecate, and in any way or manner deal with all''"or any part of any. real or personal .property, : intangible and tangible, whatsoever, or any interest therein, which I. no.w.own or may here- after acquire, for me and in my name, and under such terms and. conditd ions, and.uner.such covenants as such attorney.shall deem Proper; e.. To engage in and transact any and all lawful business o.f whatever nature.or.kind-for me and in my name; and f. To sign, endorse, execute, acknowledge, deliver, receive, and possess such app7licaLio6s, contracts, agreements, options, covenants, deeds, conveyances, trust deeds, security agreements, bills of sale, leases,.mortgages, assignments, insur- ance policies, bills -of lading, warehouse receipts, documents of title, bills, bonds, debentures,.checks, drafts, bills of exchange, notes, stock certificates, proxies, warrants, commercial.paper, receipts, withdrawal receipts and.deposits in or deposit instru- ments relating to accounts and deposits in, or certificates of deposit of, banks, savings and loan or other institutions or assoc- iations, proofs of loss, evidences .of debts; releases,. and. satis- faction of mortgages, judgments, liens, security agreements, and other debts and obligations, and such other instruments in writing of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. 2. I grant to my attorney in.fact full power and authority.to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights, and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, with full power of substitution or revocation,.hereby ratifying and confirming all.that my attorney In fact, or his substitute or sub stitutes, shall lawfully do or cause to be done by virtue of: this power ofd attorney and the rights and powers herein granted. 3_. This instrument is to be construed and interpreted ..as -a general power of attorney. The enumeration of specific items, acts, rights, or powers herein does not limit or restrict, and is .not to be construed or.interpreted as limiting or restrict- ing the general powers herein. granted to my attorney in fact. 4. The .rights, powers, and authority of my. attorney in fact to exercise any and all of the rights and powers herein granted shall commence and be,.in full force and effect on January 25, 1982,and shall remain in full force and effect .thereafter' until January 24, 1984. BATED: January .2b, 1982 Charles L. Brooks STATE OF CALIFORNIA ) .) ss COUNTY OF BUTTE ) On thise day of January, 1982, before me, the undersigned, a Notary Public in and.for said County and State, ,residing therein, duly commissioned and sworn, personally appeared Charles L. Brooks, known to me.'to be the person whose name is subscribed to the within instrument, and acknowledged to me that .he executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal in the said County the day and year in this certificate first above written. ;..,. OFFICIAL SEAS. ElNDA L WMAGU9�.'�Nof_ary P' l i c .i n a n f V m - NOTARYPUSLr-CklIFO�A said County `nd ate BUTTE wCOUNTY MY Cgflmi alm EXPIms Atop. x.1992 — 9 — .00 IV Utility connections shall be ith'16 4 ft. of the mobilehome, eit ier directly behind or within th rear half of the roadside (left) of the A setb k of 5 ft. from the mobilehome. prope lines and a setback of 50ft,from the road Permif will be centerl a shall'be clear of required for i`fie installation of the mobilehome. structui ps or equipment except for. e 2 ft. eave overhang. ThIs so# 61 plans and specifications MUST to kept on th job at all times and it is unlawful to 500 SQ. FT. I AINIMUM make'any hanges or alterations on same without FOR MCBILES written pernission from the Department of Public . � ,0 .. , Works, C ' my of Butfe. _ OUTT9 C®UNi1r~ BUILDING DEPART IENT _ APPROVED.. ..—M W rims I WorVmans i Shall 19e in Accordance with' Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Numbing & Machanical Codes 4P4,. the National Elect -ical Code. + i y � RESIDENTIAL , X28-18-18 898-91P,E ----- WEIHER, Linda 10900 LaPorte Rd, Bangor (utilities/mh) r 4 V _ . JOB FINALED Signature OFFICE COPY } Address GAS Meter BY Date�� j E ELECTRI Meter BY JOB FINALED Signature v=Ok O = Not OK' = Not Applicable MOBILE HOMES ' =Not Ready � I Date MO LE HOME UTILITIES Plans OK except #'s j 1. Z2ping Requirements -Setbacks -Easements Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Neede (Sketch) WO c3 1 r? -5-. Electricity; Location-Clearences-Grn - p -Concrete I ,ff. Gas; Location -Test -Wrap: / /"L"ft. L/ / /"Nat. oro /"L"ft./ &iPIfPG 7. Utility Clearance Date — Card 13-1 Date Card B-1 I Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s J,--1. 39ptilig Requirements -Setbacks Easements Footinqs; Size-Spacinq-Marriaqe Line MH Test -Demand - L, -I. - est -Demand - V Electricity; MH Test -Crossovers -Breakers -Clearances I r ' ; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. Ga nd Electricity Tagged �Fz+t's; Insp.-Sketch 10. Cert. of Occupancy Dat, l!��— Card B-1 Date Card B-1 Date —� Card B-1 ate Card B-1 I G ,AS "v • MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s' 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3.. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B.. 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 y dble RESIDENTIAL (; ' = Not Ready eaRudy 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. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. 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 13. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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. 25. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 23. 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 -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. 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 #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mac jingle & Duplex) 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 -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 #'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 Protection 77. Insulation -Foam -Looked in Attic O 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 O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: e each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE • f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 13� ; PERMIT NOO..r� Address or location of mobilehome �c-�'-ZA 106,e ' h k) -!D Owner's name Owner's address -.- Insignia or hud number Manufacturer's name 'Serial number of2V.I.N. Do IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACC_PTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THEI 7 MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. �R 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 C$unty Gunter Drive - Orovllle, Callfornle 85885 :-,Telephone: 818/538-7541 APPLICATION AND PERMIT 28-18-18 AS BUILDING PERMIT OWNER Linda. Weiler TSt-977 ON H 670-2004 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS LaPorte 0 0 Porte Rd. Bangor CONTRACT NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER T UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ — ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIf..,Q}.f• DAQa osrste Rd. , Bangor ,J,�J`J�J�J j� Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeffK 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 ❑ AdditionEl' Remodel Utilities ❑ Instal latio• Other ❑ Describe work: MHI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under p y of perjury y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSIneSS and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.e,) OR ACDNS. AGC. BLDGS. '/z¢sgft NEW CONSTR. MULTI.OUT LET NON.RESID BRANCH CIRC., TS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. QCCUp(OUTLETS OR FIXTURES ALv SALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 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. Ibl I shall not employ any person in any manner so as to become subject I� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 County in co eguence of the granting of this permi . / � X �¢y� Date a 7' Signator of Applicant — Owner I1�GY Contractor 1:1Agen An OSHA permit is required for exca�vCat*on, over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .QQ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ HAz. I CUA- y PARK �--V/ I SC Hy FLD cDF PAR PD _ j HD. _ ISSU This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated ab a for which fees R TOp.OF PU LIC , By PERMIT EXPIRE Date applicable provi- resolutions to do have been paid. WORKS Date P` Q & / Receipt No. 88269-70.00 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENVOF PUB.I IC WORKS - BUILDING DIVISION + 7 COUNTY CENTER DRIVE - OROVILLE, CALIl3ORNIA 965 - TELEPHONE: 916/538-7541 PEWifT,APPLICATION DATA SHEET . / -'p J jj Permit No. OWNER � lakdA' A. P. No. 267— I c4?^ l� Proposed Building Use /"� �- Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 6� /R instructions....................................................... L 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid- 13. 620 - �/� �!-� School District fees paid .............. r t "am 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21-. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of+Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. n.L.-. 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter py 4 date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornla 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT Assess R N MM/ Z BUILDING PERMIT WN-� 0 n �� �T� g °Z" vl `I S0. FT. OCC. BUILDING VALUATION OWNER'S ..IING ADD SS OgOO LA moi' - IZ 02 CONTR C R•S N,A I,� TEL PHONE CONTRACTOR'S MAI/LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ --� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20Z Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 of Z_ Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION 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 .0 Mobile Home S G W O.00ea • ' ' --- ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal I ationbo' Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 610ov OR LESS 10.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification- ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.ad/z¢sgft OR ADDNS. \ ACC. BLDGS. / NEW CONSTR ULTI.OUTLET 2.50 ea NON-RE. D BRANCH CIRC ITS (POWER APPARATUS e SINGLE OUTLET cIR. 20050t Ex. Occup(OUTLETS OR FIXTURES SALO 30 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 - --- — — -- — "` - 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 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 [I 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 $ HA2. CUA PARK SCHL FLD coF PAR PD ) HD• ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. Z 6 0 �.� WN,TE-D.P.W.. YELLOW-ASeESSOR, P K-INSPECTOR. GOLDENROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest 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) 4,4 Y 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 f Signed: Property Owner Social Sec ri y Nu er Date 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. BUTTE COUNTY SCHOOLS DEVELOPME-NTFEE CERTIFICATION FORM Oap� SSD_ 0/00 (One Form" per Building) ©� _ 00 A.P. Number0(gR'-1 2'-0 -01 Building Department No. School District Oro Un;On H S City U County � Jurisdiction Property Owner /, lirid4We the r Project Location/Address 10900 )--o Arta , Cr noor^ v Subdivision Lot Number Residential Development: , Sq.. Footage S50 of Living M I Addition (Group R) Units /QIP �Q CF S l� �X 40' IV4 Commercial/Industrial: Sq. Footage New Addition (Including Exterior' Roofed Areas) Buil i.ng Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel). District -Id". No. 910 2 3 7 School District certifies that (Applicant Dame) (Phone Number) 1DSOd /A (Street Address) (City) ! (State) '(-Zip Code) has complied with the requirements of Resolution No. by the payment of_$ representing School District Representative PAID BY CHECK NO. REMARKS: f� BANK -NO PAID BY CASH square feet. 3, /99/ Date white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/8'8) RV 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: 3. Is the site currently under permit? Yes a No u (If yes, furnish permit number I - ) OR . Is the site an existing site? Yes I i No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away.from septic tank and leach fields and clear of all setbacks and easements? Yes L/No 11.- What is the gas pipe length from meter or tank to the .---------------------------------------- �0 I mobilehome ---- - p�^`Q� � �anK (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.) 999 _ 7 n M N" 1 PPM (If no, clarify 5. What is the mobilehome electrical rating? --------------- _ �o Amps 6. What is the mobilehome site service rating? Amps A s, 7. What is the mobilehome site circuit breaker rating? -`=--.1_ Amps 8. Is there any other electric load to be served by the a mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG14 11.- What is the gas pipe length from meter or tank to the .---------------------------------------- �0 I mobilehome ---- - p�^`Q� � �anK (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.) 999 _ 7 n M N" 1 PPM MOBILEHOME SUPPORT DATA 11 other than single wide, Mobilehome Mfr.. i=2 furnish' Setup Model No. Year •r7 Width (ft.) Box Length(ft.) Tagalong or Expando Size ft, x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)®1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one)H1. Concrete block. F1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE — — � Main Beams Line 2 Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------- Spacing-Max - ----------------- Spacing-Max- --------- Each Side of Openings From Ends -Max. ------- '- " " With Width Over --------- Line 2 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max.--------- From Ends -Max .------- Line 3 Roof Wads. Size -Min ------------- Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- Spacing -Max---------------- r From Ends -Max -------------- Line 4 Piers: Size -Min. ------------ 'k Spacing -Max.--------- From Ends -Max .------- Line 5 Roof loads: Size -Min .------------ Ivcation (From Front) f e 5 Piers: (Under Bearing Walls Unly) Size -Min .------------------ 'k Spacing -Max---------------- From Ends -Max -------------- i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / ' APPLICATION AND PERMITAA ASSESSOR PARCEL NUMBER 28-18-18 ZONING A5 I' BUILDING PERMIT OWNER Linda Weiher TELEPHONE 619-2004 $O, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i 1.0900 LaPorte Rd., Bangor 95^14 CO TRACTOR'S NAME nPx TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEERLICENSE None NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10900 LaPorte Rd. Bangor Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea n TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litiesn installation❑ Other ❑ Describe work: 2BR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of perjury I declare under penalty i y (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- LEV 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 ADDNS. 1 ACC. SLOGS. , /4sq ft NEW CONSTR MULTI -OUTLET NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®50t 5AL93o FIXED . OR EX. Occup. OUTLETS TS (R(RESESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 37 50 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. Ipl 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ L 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 ons que!nce of the granting of this permit. X Date Signature)of Applicant — Owner Contractor ❑ Age 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 EE 92.50 HA PARK I SCHL I F D PAR P I H 1pllE 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. DRE OR F PUBLIC WORKS By Date PERMIT EXPIRES Date .}-r- f 2 Receipt No. RR969-99 - 9n WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER Z 1 wnwrw F, COUNTY OF BUTTE - DEPARTMENT OF4,UBL-IC WORKS - BUILDING DIVISION \ 7 COUNTY CENTER DRIVE - OROVILLE, CALI'F30RNIA59 965 - TELEPHONE: 916/538-7541 q/ PERMIT APPLICATION DATA SHEET J�t(46f ''Permit No. UU A P N ZS� L8� 49 Proposed Building Use 1Y117— uilding Inspector FL2 Date �'" 2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............................................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ . 11. Chico Urban Area fees paid ....................................... k 12 -.Park fees paid .................................................... e *;13. S hoot District fees paid .............. _- 14. Sanitation approval from Health Department„ 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section 6PW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Da 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 Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone6 — and hold for pickup at office. Deliver w/inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date— ate r Copy of plans sent Health Dept. Fire Dept. Other Date By_1 The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked 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 _maII—counter by date PIaAs checked by Date Mans approved by D�J Date _ Sets of plans on hold in Copy—DPW File cabinet VAP folder TO Building Department FROM: Environmental -Health SUBJECT: Sanitation Clearance . , . f- ---I c- Lrr4 4 LIIA---C�L 1 9— go , 0 � &V /a, cz=Q Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply/ Hold final for: Water Supply ^inal clearance O.K. for: Water Supply Clearance for �bedroo mo ile ome. Other NOTE * * * Sanitarian Dat t 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) j 2. I ave ave not) f"E_ signed an application for a building permit for t e 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 Num er _,: Date 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center 'Drive - Orovlller California 95985 - Telephone: 918/538-7541 APPLICATION AND PERMIT ASSESS % v I zo I BUILDING PERMIT WNgq L A TULMPHONM SO. FT. OCC. BUILDING VALUATION OWNER'! MAILING ADDRESS o (ZA 9s CO T ACT R'S N E LEe- TELEPHONE COFrTRACTOR15 MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / �^ U Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ax: 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[] Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G 0.O0ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other E]Permit Describe work: e i Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS100 AMP OR LESS 10.0001 Main service EA. ADO'L 100 AMP 2.50 5 CONTRACTORS LICENSE LAW I declare under penaltyOR 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. LicenseLicense No. Classification. Eli, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.8d) ACDNS. ACC. BLDGS, / y=¢sgft NEW CONSTRMULT OUTLET NON•R ESI -D BRANCH CIRC ITS 2.50 ea POWER APPARATUS S (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 1.20050t °A1°30 Ex. Occup. OUTLETS (RESID FIXED APPLNS. )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. --[]—I -have-placed-on-frfe-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 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 entilation Ventilation- permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories eight. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAz. CUA PARK SCHL FLU EF I PAR PO I HD. IssuE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date esiin Receipt No. ,5r82 -1 / 0� WHITE•O.P.W., YELLOW-ASDESSOII, PINK -INSPECTOR. GOLDENROD -APPLICANT pole- 0. ro _L.. .5oX rr. $00 SO. FT. MINIMUM FOR MOBILES = X permit v Al Be rrqofPA3 For'the . . tfatoliation of the MWIP OM -0 lq9 .: A setback of 5 ft. from the property lines and a setback of 50 ft. from the road centerime shall be dear of • - lures or equipMent except for e 2 tL eave ove"1119-Amb 8. 67 c�a� or-, wt. F„ASEMer�S 2 - 3 14' A This set of plans and specifications MUST be kept on the job at all times ana it is unlawful to ' make any changes,or alteratidhs on same with- ' OVf written permission from tl$e Department of pUWIC Works, County of, Butte. whip Shall Ss NOTEw� Mate ryols ized G {�raetiees WA AecordarKe with Recog if led ua in ascribed for the S Codes off- _ of a quality�p ing.pluMbing & Mscjraekol W l,�ectricd Cods. _ . • SUITE CoUtOy BUILQING DEPARTMENI ED APPROV n�LIPAit4 VA .S .088. OD s:a 11180M VICA 9 sdle'G33f .'rf 10AUAW li fad car#' moil .3,� • ��`L`�ia fl'�'ti°�it,iu3 itd�", i�k3t,�?f� at ad 12 UM bri& msIq lu tvr Z;tiT :4 lulwalou zf ti brie tDrnit 66r, fs do) wit r?a tq.j n4f w Om.ru no 2CS:3Itjj!5tjG '#O j!, et*Xt�y 4(ftts t�kntil its tnsm 'ta q jc slit sv.a: r► �wyitr�a n"Millvit 40 t. Ytntico ,t #tow wld c V++ ax4300331 r�tfwIwo ya�rr�f, f3 IM badhusijj �+• 'dm,e,� ,'��fblila� ��ic� trot aT " TRA( (j AP # '1z'LJ —/ V :-1 014NER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. Service Size Other Load Type Pipe Size Length YES NO YESI NO U ,30 2-P