The URL can be used to link to this page

Home My WebLink About026-080-05426-08 54 ,(,�Q/L R Walker Ne' ° 7075 Irwin Ave, Palermo Permit # 2336-82B(reinstl deck/awning/MH - 26-08-54 Ben Buckley 7075 Irwin Ave;FaAermo a Permit # 2338-82P,E(util/MH)��• Electric - Gas. Support structure re 0 i a 1 ' u .� � - �O �� r h �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C3lifornia)95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERIT 5-31 IDJ ASSESSOR PARCEL NUMB n - _ I ZONING BUILDING PERMIT OWNE TELEPHONE S0. FT. OCC. BUILDING VALUATION O 'S M NG ADDRESS C TRACTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER AY UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,X ARCHITECT OR ENGINEER AJ LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 AWD Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[ --I MobilehomeQ other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Additio Remod ❑Utilities InsllationD Other❑ Describe work: r�1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.dI OR ADDNS. ACC. BLOGS. � 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 CONSTR I.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS h NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 again said Cou I ibo equence of the granting of thi er It. I - XE `"�`'�- Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r�� OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I MD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. e— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, ZALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. Proposed Building Use A I i Permit Fee Based Upon: Complete Contract Price L/[5PW Valuation 0 h eejE x,,10lain) Building Inspector Date At time of permit application, I was advised the ollowing 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. ,s of $ . . .ig- . Letter of signature authorization. . % Sanitation approval from 11)r Health Dept. 11. Planning approval for (A) Use: (B) Parking: 16 �Z 12. Certificate of Workmen's Compensation Insurance. . . 13. Contractor's License Information (no., name style, classif.) 14. Owner-Buiider Verification (Given to owner[], Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Insp17. Pre -Ins ecti n for Required. request to (Dote) �� p q Building I{�spector �I"8.) Other When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A Dat 'pl Icant e Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above t ime of a ication, circle item.) fi 1. Index permit for above Items No. 0 2. Additional items required: (Contractor, Designe% Owner was advised of above required data by Telephone ` ` Mail Other NrAs jr By C . PNTTY Date 8-4' 82 Plans checked by. Plans approved by Other: Copy—DPW Date Date 0 0 'I NOTE:—All & WcArnanshlp Sh-1-.1.11 Be in Accorde:mco A 1-11;0 In the Ut f"Ie Nc;fional, This SO of plans and SPecifications MUST 60 kept on 1'1-� "C%,. s u n I.-: I nia—e o.nv v/ f h 0 U I X_ DC-Par'n-no.-If of Counly of Burte' Vt. V� &Wfle& 9 A setback of 5 ft. from the property lin-,.s an:11 a setb:ck of 50E-1. fronn, the road centerline shall b' f101-11, of structures or E:qU Itoxcept for a 2 ft, eave 0111:-1;11�113no? us 4�- � I. PERMIT NO. _> _2338-82P.,,F_ PERMIT EXPIRES OWNER Ben Buckley CONTR. Owner ASSESSOR PARCEL 26-08-54 LOCATION 7075 Irwin Ave, Palermo _ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) u., except h 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rlg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,.,s,.res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL(Sin-gle and = Not Ready 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-S lab 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 Card-BI Date Card-BI Date Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date Card-BI Date FINAL (Plans) OK except N's 56. Ext. Steps-Door & Sidelight Protection-Landings Card-BI Date Date Card-BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent-Access-Combustion Air 15, Water Pipe; Test & Anchors-Nail Protection 57. 58. Smoke Detector 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.FA. & 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 #'a 67. Garage Fire'Door; Swing-Landing-Closer 68. A.C. Duct in Garage-Damper 20. Fixture & Transformer Clearance-Ins. Protection 69. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing-Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors-Stapled 71. Elec. Receptacles in Garage; 'G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water 72. Attic Atti c E:) Yes Insulation-Foam-Looked i73. Guard Rails & Deck Constrn -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 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 CJ_ 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle-Underground Card B I Date Card-BI Date 81. Ventilation throughout House Card B-I Date Card-BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. 85. Gas Test-Meters Tagged; Gas-Electric Water & Sewer Connected-C/O to Grade-HD Approval 31. A.C. Ducts; Insulation & Support 32_ 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate-Other Certificates _ 34. Furnace-Vent; Access-Comb. Air-Return Air Vent-115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card-BI Date Card-BI Date Card-BI _ _Date _ Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound _ 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. 45. Header & Beam-Size & Bearing Hangers-Post Caps-Anchors-Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue-Fireplace Throat Attic Access; Size & Rom_ex 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 ?ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 Z APPLIC"NAND PERMIT AA ASSESSOR PAR NUMBER 6-- - ZONING — OA BUILDING PERMIT ow R TELEPHONE. SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING 'ADDRESS _l CONTRA T R'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �AQ r` UNKNOWN Total Valuation Is Filing Fee $ �y LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0rj BUILDING ADDRESS ,� PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 Water piping 0 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets/0100 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeET'I"Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS (�00 , Main service EA. ADD'L 100 AMP 2.50 Ast, NEW CONST'(DWELLING OCCUP.M) OR ADONS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NSTI-ou LET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. IPOWER APPARATUS 61 NON-RESID. ISINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �@1 00 FIXED APPLNS. OR EX. OCCUp.kOUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fl 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabili 'es, judgments costs, and expenses which may in any way accrueY 'n ns ence of the granting of this permit/ aglz��Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE of CONST. I JPAR;,EJ1fJ,;JP1J155all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJREC R OF PUBLIC BY P041T EXPIRES Date the applicable provi-X resolutions to do fees have been paid:, WORKS Date _/ (6 `�9 -4___ Ao /) Receipt No. rJ� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT PERMIT N �— ASSE OR PARCE NU^BER ZONING BUILDING PERMIT NE ocd TELEPHONE SO. FT. OCC. BUILDING VALUATION O N 'S AILING ADDRESS ON RA R'5 NA�� TELE NE� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER J N UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Penalty $ ARCHITECT OR ENGINEERS MAILING ADDRESS Permit fee $ BUILDING ADDRESS J � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEORUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Rey4gdeIE] Ut' ities nstal` ti they ❑ Describe work: �(��.) i1` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS 5.00 Xr O �O Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC. BLOGS. 2�sgft '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 NON.RESID CONSTR.BRANCH CIRLE CUITS 2.50 ea NEW CONSTR. IPOWER APPARATUS M1� NON.RESID. I SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� 00 FIXED APPLN5, OR Ex. Occup. OUTLETS IRESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. l 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 again.st said Coun i c sequence of the granting of this perm't. , c, X /✓V f /�%�/ri'✓L� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 70 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssaE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I 26-08-54 Richard Walker 7075 Irwin Ave, Palermo Permit # 2337-821iif Issued COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER �.1J c t::: 4_1_k. P2 Proposed Building Use Permit Fee Based Upon Building Inspector Complete Contract Price (Explain) Permit No, A. P. No. DPW Valuation Date Z�'' 4 — IR! 7J 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. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. �-�, 8. Fees of $ . . . . . . . . MwMLetter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) L1 Owner -Builder Verification (Given to owner, Mail to owner 15. Improvements may be required. . . . . . . . Mobi lehome Installation Data. ��./.�'� -? .. . . . . Pre-Inspec. request to 1w re-Inspection for ! Required. gilding Inspecto Other�6o �o r ri m tilt r,-2-- ja2n '� lr ! I);I p I 1 4,61' When you issue the permit, Telephone Other (Date) as fdllows: / 'Mail to owner. Mail to contractor. and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., p Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked abov t� of li ion, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owne was advised of above required data by Telephone V Mail Other AGEaJT By C.?A.TTY Date 8 -4 -132 - Plans checked by Date Plans approved by Date Other: Copy—DPW M MOBILEHOME SUPPORT DATA rr If other than single wide, ' t>,_ ^ Mobilehome Mfr. 4 t 771-e. 1/ furnish Setup Model No. Year Width (ft.) (ft.) Box Length (ft.) Tagalong or Expando Size �^ ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehome's 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: �� r �V Footings (check one) Single _ y a ^� \ f 3 1 Wood either *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. pressure treated or foundation grade. 291 (in.) (in.) yU 2. Other' (specify) �.�4. Center support locations* Center support footing sizes �O �,�� Supporte.(check one) - � �� ;Concrete block. X � � � Ute" E] .2: Other. (specify) (in.) (in.) Tagalong or Expando,' t show support details. .. .(in.) (in.) 4in. 3Q-- Typical Support (in.) Footing Size (ft.)(in.) (in.) (in.) /� /r -- Max. Pier Spacing -- Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Gt? G 1. owner's name. ( � � VI � i/ We 2. Installer's name: 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) 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 setbacks.and easements? Yes No ( If no, clarify ) ( ) r 5. •What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps ------------- ,p 7.. What is the mobilehome site circuit breaker rating? �l/' ® APs 8. Is there any other electric load to be served by the mobilehome siteseryice?--------------------------------------------------- Yes No / / (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural LPG -F-/ / 11. What is the gas.pipe length from meter or tank to the mobilehome? (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.) NOTE:—All Malreria.ls & Workmanship Shall Be in Accordance wr!,h Goc,.! Practices and of a quctlil-v 1use in the ! . Uniform. Euhdjr;�J, iCal Codes gn.4 fhe National Eie_.c.?_ IriGPI -code. This set of plans and -specifications MUST t b !,ke t on fijoi,, is,unI3 wr 'ul f7 make any lillensil ie" On sal-ne withoul wri Depart-ment of ,clic Works. County of But -the", IN ","D �h� 4 w%ny=1 X4 A setback of 5 ft. from the property lines an I a setback. of 50ft. from the road centerline shall ba clear of structures or equ�pm n ' except for a 2 ft, eave o er �anot . . ....... Q Rouse - V graM Z P01ey M, 8&61e(.eY -70 7 ov Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL -DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 82-25001 0tf:8C.A1- Mr:TECOUNTY- -L,is The property described herein is adjacent to land or included h b within an area zoned for agricultural purposes, and residents of ELEANOR M-BEECKER this property may be subject to inconveniences or discomfort arising CLERK -RECORDER [FOE 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, I/ described as follows: S -.d �i�`� �/ h �o �,00 �f Q c3 �II�o a 8 Q f'h Pa %2 �D C17`Z svbc�IVaIaE S Date: 011 PROPERTY 1 State of On this the / o'-- day of A v6y.rT , 19—L -a-11 SS. before me, the undersigned Notary Public, personally County of XrA c, r' -. ) appeared known to me to be the persons) wtiose,n&me,(s),r subscribed to the within ins`rument,,ae_ ow ed that Ski executed th same for�the�p'ose'S_ therein contained. v;'cl. r IN WITNESS WHEREOF, I hereun o sett' my: aid �ani4 ,6fllc iaI seal. t rn �r: u Notary Public Present A.P. N0. �./�/ END OF DOCUMENT a-6- � � �-� � y .. r. r �