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026-080-053
/! \ 26-08-53 BEN & VERA BUCKLEY ' 7079 Irwin Av,.'Palermo _%._A (reroof) SF I .. 1._I*. 26-08-53 7079 Irwin Ave., Palermo - . h932 Permit -79P,E(util.,%) ELEC. GAS ,^ " '/-S;D b SUPPORT STRUCtURP"-qQ. /I/ COMPACTION TEST REQ. ---, AL0. &0'1 2 6- Permit #530 9MHI Issue 26-08-53. • Victor H.Brown 7079 Irwin Ave., Palermo Permit #3145-80B(new deck/MH) — - Permit #297�:A6-08 -53 deck/MH),�81B(new FwaJ 1118185 26-08-53 Permit#3003-85B(new.private carport)MH 026=080 05 3 ;P'E'RM'I'T'# 9 6 -110 E Y B �' U mo; �4�KLbrwin, ave. ..Pair' IS B07-1742 �hlsc'ELLANEOUS 026-080 053, Re-Rdoi Rf-,--ROOF SF (22 SQ) 7 079 IR�VIWAVg- r*0p'RES I -ER, SAMUEL IJ 26-08-53 BEN & VERA BUCKLEY ' 7079 Irwin Av,.'Palermo _%._A (reroof) SF I .. 1._I*. 26-08-53 7079 Irwin Ave., Palermo - . h932 Permit -79P,E(util.,%) ELEC. GAS ,^ " '/-S;D b SUPPORT STRUCtURP"-qQ. /I/ COMPACTION TEST REQ. ---, AL0. &0'1 2 6- Permit #530 9MHI Issue 26-08-53. • Victor H.Brown 7079 Irwin Ave., Palermo Permit #3145-80B(new deck/MH) — - Permit #297�:A6-08 -53 deck/MH),�81B(new FwaJ 1118185 26-08-53 Permit#3003-85B(new.private carport)MH 026=080 05 3 ;P'E'RM'I'T'# 9 6 -110 E Y B �' U mo; �4�KLbrwin, ave. ..Pair' IS B07-1742 �hlsc'ELLANEOUS 026-080 053, Re-Rdoi Rf-,--ROOF SF (22 SQ) 7 079 IR�VIWAVg- r*0p'RES I -ER, SAMUEL �� c.�i Jo ��. �� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 7079 IRWIN AVE Owner: Permit No: B07-1742 APN: 026-080-053 FORRESTER, SAMUEL Issued Date: 08/14/2007 By KCG Permit type: MISCELLANEOUS 7079 IRWIN AVE Subtype: Re -Roof PALERMO, CA 95968 Expiration Date: 08/13/2008 Description: RE -ROOF SF (22 SQ) (530) 533-4567 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: FORRESTER, SAMUEL Building Garage Remdl/Addn 7079 IRWIN AVE PALERMO, CA 95968 Other Porch/Patio Total (530)533-4567 FEE INFORMATION DBMSC Re -Roofing $144.50 Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B4224 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/14/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date [ , I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE �\ ] COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSEDCONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ❑❑ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or onehundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 1 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' ,"Compensation laws of California, and agree that if I should become subject to the 08/14/2007 workers' X V�� compens provisions of Sectio 3700 of the Labor Code, I shall forthwith comply with those O ner's Signature Date provisio . XP 08/14/2007 I hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building � - - S e Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the P arty caner am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY �c n ,zrt E r c 08/14/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR Agent for Owner Agent for Contractor ICA 1:1 FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY 0 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROV MENT((YES R NO) 2. (HAVE E NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: RE -ROOF SF (22 SQ) Reference Number: B07-1742 Applicant Name: FORRESTER, SAMUEL Owner's Name: FORRESTE A AP # : 026-080-0 3 Signature of Property Owne : Date: / D 7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE #: (5')0)5')8-7541 FAX #: (530) 533-2140 A FEE WILL BE REQUIRED AT TWE OF APPLICATION Website: w. +w.buttecounty.net/dds **PLEASE PRINT CLEARLY** . OWNER INFORMATION Last Name, t72. MSTE Address I First blame AM Mailing Address Zip City Q2m c State Zip�S �8 Phone. Fax E-mail Fax CONTRACTOR Name D Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name' Address City State Zip Phone Fax E-mail nAPPLICA T SIGNATURE X § - - - PERMIT NO. BIN # PROJECT LOCATION API Property Address -� .� Q Z 2Lj i K A V City Lf—rL►'►1� 4 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. To: Building Department' Frorr.: 7nvironmental Health `'ubject,: Sanitation Clearance O�tne d S Location AP# Plan Approved for: Sewage disposal water supply Hold final for: ,rater supply Final clearance O.K. for: water supply Clearance for bedroom mobile home.. Other Sanitarian �q L-A ND v` NA T URAL WEALTH AND 8E UTi` DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100' (17 County center Drive 11747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534.4281 Telephone: 916/ 872-2961; Ext. 58 June 9, 1982 Vera Buckley 7079 Irwin Avenue Oroville, CA 95965 Dear Mrs. Buckley: This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19=12 of the Butte County Code for the placement of a mobile home on your property located at 7079 Irwin Avenue, Oroville, CA and identified as Assessor's Parcel Numb e�_-53 . This variance was granted on April 20, 1982 and includes the following conditions: 1. The variance is granted only -for a term of one year. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. if the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the owner's expense. 3. The mobile home shall be placed on the property without violating any of the setback requirements of the zone in.which the property is located. 4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to -install the mobile home.. .Very truly yours, Lynn E. Vanhart, Director Division of Environmental Health LFV/lld cc: Clerk of the Board ;��ild Ing Department ing Department 10 2 . PEIPIIT#96�-4 BUCKLEY -Be'n — 7 0-79..,Irwin Ave'.., 'Palermo �R6roo'f /,,SF t .. , I, r' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Oroville, Ca(ifornia-95965 - Telephone (916)PERMIT NO. APPLICATVAND PERMIT 538-7 6 - / / 0 _C_�, ASSESSOR PARCEL NUMBER 026-080-053 zoNIN�j� 1 B DING PERMIT OWNER J -,NT B1r�,//r�K11,♦;T) TELEPHONE SO, Fr. OCC. BUILDING VALUATION �'S ��� OWNER'S MAILING ADDRESS 71079 IRWIN AVE FAiFiPINO CONTRACTOR'S NAME OWNFR P. TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 90(),00 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 7079 IRWIN AVE PERMITFEE $ 43.00 PLUMBINGPERMIT Filing Fee 20.00 PALERMO Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f C Mobile Home ISI GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 ` LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: M*"I, as owner of the property, or my employees with wages as their sole compensation, " *"will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR So. OR ADON ( a ACC. ) 3.5¢ FT. T. / MULTI -OUTLET NEW CONST. NON-RESID. \ BRANCH CIRCUITS ) @7.50 OWER ( SINGL APPARATUS & SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES) ens @ '.50 Ex. Occup. (oFIXED urLE APFES D.) E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 [A PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prov bio s. [ l Cf X �" �„� �'' _ Date _1 Signature of Applicant - Owner ❑ CcLIVractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.M HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD LSSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B f N^,1 Date ���n' �4 y PERMITEXPIRESON �" V (Date) Receipt No. 195582 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO. APPLICAT'OPI'AND PERMIT NP `/ o ASSESSOR PARCEL NUMBER 026-080-053 ZO"I %RMH 1 BUitDINGPERMIT OWNER BEN BUCKLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION 15 900.00 OWNERS MAILING ADDRESS 7079 IRWIN AVE PALERMO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 900.00 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 7079 IRWIN AVE PERMITFEE $ 43,00 PLUMBING PERMIT Filing Fee 20.00 PALERMO Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF l#i Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6Iities ❑ Installation ❑ Other ❑ Describe Work: _R(f (`O O Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinci Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BUDS. ) SO. 3.SQ Fr. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 9 .SO Ex. Occup. FIXED APPUNS. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pro v' io s. X' ____ _ Date Signature of Applicant Owner ❑ C ractor ❑ AgeU—v An OSHA permit is requiredd r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 1Li nn HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. c By ` Date �+D " /� PERMITEXPIRESON T a O (Date) Receipt No. 195582 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,PE yMIT NO. ^E i' PER IT EXPI S ,a ZA OWNER ' CONTR. owner 2 2 LOCATION (A.P. 26-08-53 ) 7079 Irwin Ave., Palermo LS�f r 7 • r r� y �i Temp. Power Pole Called PG&E Temp. Elea Serv.�� v Called PG&E Temp. Gas Serv. l Called PG&E i " JOB FINA LED (Date) C (Signature) 10 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 6 ILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING R,elUaCK Ff wall Soi Pipin Framing Par ets 1 Floor in Bldg. Restr om Finish 2nd loor ootin s Windo / 3rd Nor S mwall Siding To out SI Roof SheAwng 41Water Pi in Pie Roofing Sewer Garage Fdn. Vents Fixtures N Footin& Stemwall Garage Vents Insulation , Water Htr. Heaters Slab Carport Po Footings Y Prov. for ph slcal handicaped Conformance of ex. structure V Appliances Gas Piping & Test \ Temp. Gas Slab \�, Final Sanitation \ Patio IRE ACE Final Footings \ Footing > E ECTRICA �\ Masonry WallsI Throat Rough Reinf. Ste Pini e�....a� \ nona tie FIRE SPRINKLER Motors \ Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. F It Prot. ScrqJch Heatl Servi I 8 n Coo ng TiOmp. Pole InJDrIor Lath entilation oor Closer Final MOBILEHOME UTILITIES ------------------ Elec_ Service Water Piping 27-7 7, Sewer / _ Permanent anal Elec. Pedestal Gas Piping )&% 0 HUME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water PipingDrainage 7 Gas Piping /s0 DATE REMARKS OR CORRECTIONS d (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Js service large.enough to provide adequate amperage -to mobilehome (must equal ra ing1-9f mobilehome with a minimum of 100 amp)eand other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 'Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and. apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, -shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle I (- 1 Length idth_��� Vehicle Serial No.,�l,l. State' Identification No. Additional Information or Comments: 140BILEHOME INSTALLATION IIISPECTION CHECK LIST' U. 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C.' Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No , 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B: Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No y 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 alifornia Administrative Code, Title 25, Cha ter 5, under permit number_— fo the following location: - ar ,/ q T,Y��i rk J �-a r� Owner 1 AWN eN� t �/ • _ Owner's Address _ r W' N i% Mobilehome Mfg.f4 )j +H ' Model I"I�? Year Insignia No. 14 -IPP':? Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Rub lic Works Date �•z:+� ByC`� THIS CERTIFICATE IS VOID WHEN MOBILEHOMEyIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. i 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 alifornia Administrative Code, Title 25, Cha ter 5, under permit numbee, 9 --?Q fob they following location: 7�''� 4 �,"(�� t, Owner Owner's AddressItl �z -1-f W i h 'Mh U �. Mobilehome Mfg.(ti)IF Model 001-!a Year Insignia No. 0ppq Serial No. It is hereby certified for_occupancy at the above described location and may be occupied. Director of Pub . lic Works. Date :.5.��f By .�r7 THIS CERTIFICATE IS VOID WHEN MOBILEHOMEjIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Ij COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • L i - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 70-79 T&PO 4V6 � 40rim f'LfrIL Telepho IZ21, 23 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 0 -719Woo A VE Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. � T'�Zoning & nning Water piping 1.50Eu,or) Each gas water heater or vent 1.50 F Sa Fire Dept. Fire Zone Use P mtit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel PI ns Declaration Parcel Map 60' R/W Improvem s Each additional outlet 30 Building sewer 5.00 131dL.00rians Recd Porc roval P ons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $®c7 is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �Qp Main service 600V OR LESS 100 AMP OR LESS 5.00 Z5, Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW OR ADDNST ACCLBLDGLING SCCUP. &) 22 sq It CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW MULTI H CII T NON -REBID ( BRANCH CIRCUITS) 2.50ea ..NCONON-RES NEW CONSTR (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR, Ex. Occui)(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESIO.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 JG,00 License No. Classification Misc. Wiring 6.25 " I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $2Z,30$ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above 11 information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is Z� TOTAL PERMIT FEE $ n 2 1 10C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � ate v . 129, Signature of ermitee or Agent Receipt No. 2saU White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF ELIC WORKS By Date permit expires Date ��dZU— U ' " COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS e r 7 CoVpty Center Drive - Oroville, California 95965 Telephone: 5314-4541 APPLICATION AND PERMIT 6409-2? -1-1 " durnunce representduves ur the t,uunty or twtte to enter upon me above-mentioned property for inspection purposes. X ` ✓L Date & Signature 9f Permitee or Agent( Receipt No. ag-49, r► White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. I EC OF P BLIC WORKS 10 ®!s Date Q Building permit expires Date BUILDING IF I OwnerSQ. G FT. OCC. BUILDING VALUA ION Mailing Address7070 2 i Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �- c.a.� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. aL ` Q�-S' '" Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fks- VA zti"� Fire Dept. Fire Zone I Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 Bldg.s Recd Parcel ApforooZl Plan pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER FT Permit Fee $ 7�wg_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8101 OR LESS 100 AMP OR LESS 5.00 � Single Family ❑ Duplex ❑ Mobil Home Ca Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OC cup, Y) 20sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR MULTI.OUTL T NON.RESID BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS e NON -RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES) B �@1 FIXED ALNS Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6:25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $ TOTAL PERMIT FEE $ f5C durnunce representduves ur the t,uunty or twtte to enter upon me above-mentioned property for inspection purposes. X ` ✓L Date & Signature 9f Permitee or Agent( Receipt No. ag-49, r► White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. I EC OF P BLIC WORKS 10 ®!s Date Q Building permit expires Date i r y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET ' 1. Owner's name: Victor H Brown 2. Installer's name: Victor H Brown 3. Is the site currently under permit? Yes /k / No (If yes, furnish permit number pe 11t11-0st ) OR Is the site an existing site? Yes /x' / " No'?/N/ (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 / X/ No T_/ (If no, clarify ) 5. What is the mobilehome electrical rating? AAM 4Q Amp sertTce) a.gpp��,,,,�,.p� Amps 6. What is the mobilehome site service rating? --------------------- 200 f Amps 7. What is the mobilehome site circuit breaker rating? ------------- 40/20/1,15 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No IXX/ (If yes, identify the load and size: (Load) ,� (Amps) 9. What is the mobilehome site gas pipe size? --------------------- n.) 10. What is the type of gas service? ----------------------------- Natural /X / LPG'/ / 11. What is the gas pipe length from meter or tank to the mobilehome? 110 (ft.) 12. :What is the mobilehome gas demand?--------------+�_-"'�- 123,800., (BTU),, (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 1';11:1 }3 fix' ' s MOBILEHOME SUPPORT DATA If other than 'single wide, Mobilehome Mfr. Imperial furnish Setup Model No. '•' Year'1970 Width 12 (ft.) Box Length 56 (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file.with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either A Ao . pressure treated or foundation grade. x (ft.)(in:) (in.) (in.) El 2. Other (specify) Cente support Center su port loc tions* footing izes Supports (check one) (in . L Concrete block. x E:] 2. Other (specify) (ft.)( n.) (i .) (in.) 4 ----Tagalong or Expando,' show support details. (ft -)(in.) (in.) (in.) - Typical Support (in.) (in.) Footing Size it x /(ft.(in.) (in.) ( .) -- Max. Pier Spacing (ft.)(in.) Z 0M -- Max. Overhang (in.) (in.) (in.) Ik t. BUTTE COLm I Y BUILDING DEPARTS EN) AP � PROVED � *If center piers are other than drawn above, drawin lnratinnc_ anarina_ and Aimancinnc_ All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile heime. This is a family arragnemr->nt�: Younger sister helping older sister. Caretaker when she is gone and helper when she is here Z L C. rb reed p A permit will b q bile of 7e 79 i i J The 610g. Setback skull be 5 side property line and 50 f centerline of ;l:e road, permit mum of a 2 rt. eave overhang l, Septic system and locai ion n4 Imidld-- ' be as per Butte County Health Dept. Re- quirements. NOTE:—All Materials & Workmanship Shall Be. in Accordance with Recognized Good Practices and use in the U f quality prescribed lingr8' MechanicalSpecifieCodes and Uniform Building, the National Electrical Code. This set of plans and Spec'ficcfions MUST be kept on the job at a!! times and it is unlawful to make any, changes or a!terr tions on same without written permission from the Department of Public Works, County of Butte. "mck 1Fy oi;.Tns this (pas tura , no buildings} out of all easements. Buckley oxans this —� BU COI BUILDIN�DE? APPR , ; 7079 Irwin Palermo, Ca }h® �f. from the L from the ting a maxi - but entirely H 0 U) X32-7 NTY ¢' ATMENT /ED R 'P RMIT N0. v ' 2974-81B PERMIT EXPIRES— OWNER XPIRES OWNER Vic Brown CONTR. owner ASSESSOR PARCEL 26-08-53 ' LOCATION 7079 Irwin Ave., Palermo Temp. Power Pole r Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& JOB ZED (Date) — g� Signature J = OK 0 = Not OK — = Not Applicable MOBIL'EHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (P s) OK except H's Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3--lootings; Size-:-Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)Q_tT�_n.; Posts— Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete OUPrum. Awn.; Columns—Connection Decal—Enclosures 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 Dat Card -BI Date Card -BI Date Card -BI Date C _ Date�'I Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except a'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 7. Water and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 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 �i i J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready ,. Date UNDERFLOOR Plans OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 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. 11. Water Pipe; Test -Anchors -Regulator -Service Test 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 -13 Date Card -BI Date Date Card-B� Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. 16. Water Pipe; Test & Anchors -Nail Protection 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; Breakar Sizes -Labels _ -- 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. 72• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes ❑No 75. Following instld.: Drive [ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing - 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ 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 -13 Date Card -BI Card -BI _ Date _ _ Card -BI Date 76a -te 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. Proper Material & Anchors _ 37. 38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 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-Purltn-Roof Brac.-Truss-Shthnp.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions _ 47. _ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 111111111111111irINN — ASSESSOR PARCEL NUMBER 2-6— oa — 3 ZONING BUILDING PERMI owN gl�/(/t/ r� Hoft�� !(/ SO. FT. OCC. BUILDING V UATION O Ow LIN Tv� / �Cj'�G{YJ� CONTRACTOR'S NAME `,// 4V TELEPHONE ✓✓'C. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING'AIDDRESS Permit Fee $ A HIT cT oR NGIN R 1p 6l_ c Plan Checking Fee $ d 0 Penalty $ ARCHIT T OR ENGINEER'S MAILING ADD ESS i'T. Permit fee $ r D RESS/ / BeUIVD /�jV/ U / PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OUCTURE SF ElDuplex❑ Mobilehom Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additionemodel❑ Utilities ❑ Installation[:] Other E:1 Describe work: ��— D��� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.aj) OR ADDNS. ACC. BLOGS. 20 sq CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- tion, 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. TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@109 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice t 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 s iq.County ' C segue ce of the granting of this per it.r a X 'V v Date e 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 $ ,®d occuP. GROUP TYPE OF CONST. M PARCEL d PD HD 55 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTA OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �s 79� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 3145-'90B PERMIT EXPIRES /R 7A/ OWNER Victor HO.Brown owner CONTR. ' LOCATION (A.P. 26-08-53 1 7079 Irwan Ave.; Palermo Temp. Power Pole Called PG&E Temp. lec. Serv. Called PG&E /Called .Gas Serv. PG&E JOB FINALED ! 6 (Date) o (Signature) ¢ i y r pill 1175 AIR 5 ;4 t S g�'L t'ff fa s S3 .} y ♦ 9r � t� .i. .< 1. a 110 SIT PAO s� 'MM f OW S 4 , 4 Mr u 4 y�o ,r 3,<< A .. $&` ``$44��FS�JJ` _ ] t' X 5 _.fe MO wyv r a t ; SIT § p'x a' ,YMAY . 4 n� 5 �y¢4 f - 'JyJh ' 'l `.^} ,+.. . 1 y s . Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOR RECQRD Grd. Fault Prot. BUILDINP BUILDING (Cont'd) PLUMBING Setback DLZ Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for physically handica ed Conformance of ex. sttugWre Appliances Gas Piping &Test Temp. Gas Slab anal /,-//Z 4"k"4 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea& FIRE SPRINKLERS Motors Framing iz Test Water Htr. Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------•--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County ,Center Drive - Oroville, California 95965 - Telephone -916/534-4541 APPLICATION 6ND PERMIT PERMIT All L/ Qom' AS$ES OR PAR L ER (o —51L 5Y ZON BUILDING PERMI OVER /, - V 167—Oe ��W TEL 534/ aw S0. T., OCC.1 BUILD VALUATION 2 D o '7O OWNE7`Al��lr�%SSS /1 V4 , i9L�,�U G� ?,IN69' CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LE DE UNKNOWN Fireplace Total Valuation $ eQ� LENDER'S MAILING ADDRESS Permit Fee $ d ARCHITECT OR ENG EER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD PbA t ESS �j (/,J PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 �/41,EjI10"0 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ other SPECIFY Building sewer Lawn sprinkler system 2.00 ,�� TYPE OF WORK New L( Addition ❑ R emode 10 Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR L Main service '10"o AMP ,,ESS SLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSCCVP.&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y cerise No. Classification\OUTLETS as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.SOea NON -RES,., BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &\ NON- RRESID. (SINGLE OUTLET CIR. / 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL�tOs D Ex. Occup./FIXED APPLES. OR (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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 �onsent to Self -Insure. !IshQl 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 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou onsequence of the granting of this per it. X " 1 I �� Date �� �— Signature of Applicant — Owner ED 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 $ Land Development Fee $ TOTAL PERMIT FEE $ t00 OCCUP. GROUP TYPE OF CONST. PARCEL PD Ho 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By P IT EXPIRES Date_ the applicable to do resolutions to do fees have been paid. WORKS J Date �' 27,0`�� A 27_ .ry / Receipt,No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT --_,PERMIT NO, 55-78B} PERMIT EXPIRES //e/" OWNER BEN & VERA BUCKLEY CONTR. owner LOCATION (A.P. 26-08-53 ) 7079 Irwin Ave, Palermo Temp. Power Pole Called PG&E Temp. Elec. Serv. C lied PG&E T p. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica edy Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------••------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS t I I ir I D � cj:- (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 A t r Telephone: 5$/3-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date D Signature of/Permiteee3or Agent OF IF I Receipt No. /I., Co--2-R White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D REC0 OF PUBLIC WORKS BY Date Building permit expires Date A, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone N MFireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ -7 10-5KE Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ti'� A. P. No. ^ J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F -&&oi-t" Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 B ec°d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ACCDWELBLDGOLING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25Q BAL�1 Ex. Occu FIXED APPLNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this IN I! permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date D Signature of/Permiteee3or Agent OF IF I Receipt No. /I., Co--2-R White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D REC0 OF PUBLIC WORKS BY Date Building permit expires Date A, -t PERMIT NO. % /3003-85B PERMIT EXPIRES oho al0 + OWNER VICTOR BROWN CONTR. owner ASSESSOR PARCEL 26-08-53 LOCATION 7079 Irwin Avenue, Palermo i Temp. Power Pole Called PG&E _ S i Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E ' JOB FINA Signa '= OK 9 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date ' MOBILEHOME UTILITIES (Plans) OK except #'s Date DECK , COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete u 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4, Water; Location—Test—Easement Needed (Sketch)�Y •✓Wood Awn.; Po—Beams<Rf —Con c.—Sht .—RhW.--Bry,! ig 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5.`lug Awn Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG @ r'au:p ELL W Wows—Doors 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Da�te — /Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Cq -BI /k' °LDAta I Card -BI Date 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 B. Gas and Electricity Tagged B. 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 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 N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 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; Ir.t. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. 68. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 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 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes [:]No; Walks El Yes C] No: Planters ❑Yes 1-1 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. 81. 82. 83. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B -I Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 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 Card -BI Date Date Card -BI Date Date Card -BI Date FRAMING Plans OK except p's Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534 -4541. - Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address -and should be corrected. Please no.tify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contpct this office immediately. Inspector Date -11-7- 0 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California, 95965 - Telephone 916/534-4541 o APPLICATION AND PERMIT ASSESS PARCEL N MBER� ZO ING AA 141 BUILDING PERMIT 011EIK,V JTELE7PHONE r SQ. FT. OCC. BUILDING VALUATION OWNE •SOMAILIN ADD I �r r CONTRACTOR'S NAME TrLEPHbF4E U CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER IV I UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ACIIQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a 1 94211 b 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 STRUC REGas AA I— SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFYy piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New [er Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ed OR ADDNS. ( ACC. BLDGS. , h0sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ALa 5 AL9 0 3 FIXED APPLES, 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way ac rue against said nt equence of the granting of this per it. %�� Dat �u Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I FLODD P CEL PD ND Issu This permit is hereby issued under sions of the; Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY� PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS _ Date Receipt No. v WNIT!-D.P.W.• YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT C tSTI n1 C� C -A PA GL NOTE. ---All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Sppecified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. . This set of plans and specifications MUST be - kept on the job at all times and it is unlawful +o make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. A setback of 5 ft. from the Property lines and a setbacV of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. l �- TO G D(,� 'A F PRO Purlr !�D To Zpw r� 3CO3 -8, BUTTE COUNTY BUILDING DEPARTMENT ,4V L- . APPROVED Parcel number 026-08-0-053-0 --PL07' N �a0 707q :i:Rww A-vE, Pry t--. 1-::'P. m' a I C 4 , qrl � e 53q -12-35 CxisTi rJ G,- ,q C; 9 tfAs a)cto Rp,f=Te: 2S @ .2v �w. c Rood Fa cr , o W bE-R- - - (or�pt�ER I�J� tJCs yS' 6c%fELr'n ,�-N D ti" TA(L o t,J QA F7 -E+ -S x�xVV r pzrt BUTTE COUNTY BUILDING DEPARTMENT APPROVED QoLLVD Roo 4ft N& ley -F�A� I VJ& 7©?e(- iT - ^-m11?)14v'_ DE -TA l L pal e 2-9;w1 `� `; (-rD P V I w J Parcel number: 026-08-0-053-0 m MIgT*L oTow, Est 4x�� PoSr i�s`rr oto 4'1 c� G� 6 Pte' T - x isi ? c � '<S/alb BUTTE COUNTY BUILDING DEPARTMENT -Y APPROVED 707q 2-w(71 Parcel number: 026-08-0-053-0 S3 -yy