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028-040-001
28-U4 -1 vi R. Penman fa o S S-Ahart Rd.,app.550'E.of Palermo Hncut-Hwy, Honcut Permit #18-25�-81P,E til . ,MH) GAS --B-S/ SUPPORT STRUCTURE REQ;, COMPACTION TEST REQ,' rmit, Is ued I le _ .28-04-1 Permit #4151-81B,P,E(new cabana: i) 28-04-1J __David._R."-P-enWtLn-- -SE cor.of Ahart Rd..& Palermo'H• � - -Permit #4177-81B,E(remodel/SF) 028-040-001 06-0867 . PENMAN, DANIEL 9720 AHART RD,-HONCUT OWNERCont. DEMO -07 PENMAN, David 177-67B* 5401B 3� 1131-67E V/ s/s Central House Rd. just east of Palermo- -- Honcut Hwy., Honcut (close i patio cover) ("RENEWAL of 5401) , PENMAN, Dan 1290-70B 1198-70E. I, tL 8-0 - s/e: corner Palermo-Honcut Hwy. & Ahart Rd., Honcut (new fam' y room & study adjacent to mobile home) �/ 71 A& eut[e ci 028-040-001 06-0867 FREE O T O S 7 Count. ; PENMAN, DANIEL t 9720 ARART RD"AONCUT (530) 53; Cont: DEMO R- SI-DENTIAL APN: Permit No. Owner. Site Address: Contractor. Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: t SIGNATURE: a` o'r 1?1 o' e` Drawing . =OK o = Not OK MANUFACTURED HOMES M I S C E L L A N E 0 U S DATE PERMANENT FOUNDATION Lj SOFT -SET DATE ID E C K S -C O V E R S'C A R P O R T S -G A R A G E S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils -Sz-DpthSpacing-Cnnctrs-Steel 3 Sewer; Loctn-Test; FalUC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-CIrncs-Grnd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test -Cross overs -Breakers -Cl rncs 8 Frmg; Sills-Anchrs-Studs4Utrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing-VeneerStucco-lath ' Ii Wtr & Sewer Connected -00 to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs Q Foundation Q 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE IP O O L.S 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries-Tenninats-Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Bones-Encisrs-pnlboards4risultrr to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr-, Fencing Alarms 13 Bonding, Diving board or Slide a` o'r 1?1 o' e` Drawing OK Not OK _ RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test IFittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6.1 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel - 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test ° o'er 1•t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn &Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & OvrfIw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic mac` �c o'er o` d o• DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Dnnr-tns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Tres or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doorsill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rffr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loon 36 Shear Walls; Nailing-BolLS 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Ornge & Wood -Earth 86 Clrnc Dmge Planters Oyes ONo s 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vets abv Roof, Plmb-Appinc-Frplc-CImc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs S CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-O/0 to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 92 ❑CU orElAL 98 Address Posted AC Wire Sz ga ❑ CU or OAL 99. Fire Sprinkler 48 Range Circ gaO CU or nAL 'Oven Circ ga ❑CU orOAL Insulated Neutral Dyes O No o` 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO60867 OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/17/2006 APN: 028-040-001-000 the Business and Professions Code, and my license is in full force and effect. License Class :. License Number: Site Address: 9720 AHART RD HON Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: demo dwelling Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code:Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: PENMAN DANIEL H ETAL to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PENMAN DAVID R & DORA (LE) the Contractor's State License Law (Chapter 9 commencing with Section 9712 AHART ROAD 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE CA 95966-9690 she is exempt therefrom and.the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PENMAN DANIEL H ETAL owner of property who builds or improves thereon, and who does PENMAN DAVID R & DORA (LE) such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 9712 AHART ROAD sale. If however, the building or improvements are sold within one OROVILLE, CA 95966-9690 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State Licens w.). ❑ 1 aLm� Exempt under Article f e iness and Professions Code Date:`J ?-CC Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy#: Valuation: $0.00 I certify that In the performance of the work for which this permit Is Census Code: 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: UAff -- WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby iss d under the pplicaKe provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio o do work dicat d ov forAigh fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: ` PERMIT EXPIRES ON: G �/ Address: a ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above tnfor ation Is correct, and that I am the owner or the duly authorized a of the owner. I agree to comply with all county and state laws relating to building construction. I ackno edge it is unlawful to alter the substance of any fficial form o oc(hent of Butte County. I hereby authorize repr¢se tiv of Butte County,e ter upon the abov mentioned property forinspection purpos Print Name Signature: Date: ❑ Owner ❑ Contractor Agent for Owner ❑'Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name t��N� irst Nae I t✓ Address� i Z t I VV� 77 City RC) , State L Zip Phone 530 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name Address P. City /V IL _State/ Zip Phone Zip Fax E-mail Fax Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name P. Address /V IL City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name t l' =i2 -- Address CityLA4 n n� 14— State Zip Phoneme Fax E-mail APP1k1tANT SIGNATURE X V For office use only: Zoning Flood Zone City C�3Vf1-C SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP 66686 BIN # PROJECT LOCA TION P{ Property Address. A City C�3Vf1-C Cross Street 13"00(— 41,00'. Sq FT- Living Garage WORKER'S COMPENSATION Policy Number IA - Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. ❑ Proposed Change of Occupancy LENDING AGENCY Name Address Description or Scope of Work: I Li .� vcivl2E Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: (.// Receipt Ab qT . ,I�o b REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 c� a�woz-i-ioi\l P /m/ T �X7 y ,ox /Y // /�EX/w 4 /V J I- t, c 0 S �D - 7 PERMIT NO. , 4'177-81B.El c PERMIT EXPIRES U OWNER David R.', Penman CONTR. Owner ASSESSOR PARCEL 28-04-1 LOCATION SE corner of Ahart Rd.& Palermo Honcut Hwy, Bangor r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E r Temp. Gas Service Called PG&E JOB FINALED (Date) Signature OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) , .;xcept 4 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; 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) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.--Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enc es 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 Card -BI Date Date Card -BI Date ^_ POOLS (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 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- Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 4 J = OK 0 = Not OK - = Not Applicable �k = Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR (Plans) OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -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 Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p'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.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors _ 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 Date Card -BI Date ELECTRICAL Permit OK except p'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. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. &Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic 1:1 Yes 73. Guard Rails & Deck Construction -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 uYes ED No 75. Following ❑ instld.: Drive Yes No; Walks Yes Planters❑Yes ❑No ❑ ❑ ❑ No; 28. Service -Riser Conductors & Grounc-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 Card B-1 Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade _ _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI-- Card -BI - -- -- - - ----- -- Date -_ _ _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. 37. 38. 39. Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailin_g___ _ 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-_Connect_ors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access; Size & Rom_ex Prote:tion-Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 a APPLICATION AND PERMIT PERMIT NO.. til ,• "• �.:. ASSE/S�SOR PARCEL NUMBER .1 , q- ZONING BUILDING PERMIT OWNER - -" n��.l� e4R V I"n ` TELEPHONE 1��I S0. FT. OCC. BUILDING VALUATION en � OWNER'S -MAILING +IN(ADDRESS `y - CONTRACTOR'S -NAME TELEPHONE f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE -DER, r�t 11 � �®. � t ►r11 UNKNOWN Total Valuation $ y Filing Fee $ 10.00 LENDER'S MAILING ADDRESS "' r` n Permit Fee $ %d,SZi ARCHITECT OR ENGINEER j j AV/ LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 'L '%S' BUILDING ADDRESS (1 ` �--") rC, �C3 d PLUMBING PERMIT Filing Fee 10.00 }^j C � � G4 Trap 2.00 Repair drainage or vent piping Repair 5.00 Water piping %r LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 { GasI p'ping system 1 - 5 outlets USE OF STRUCTURE f Duplex ❑ Mobi lehome ❑ Other SF❑ SPECIFY Building sewer Lawn sprinkler system 5.00 r TYPE OF WORK New❑ Addition Remodel® Utilities❑ Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8101 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING CC.UP..y OR ADDNS. ( ACC. BLDG A ��) q ,f ID20S it O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BU$IneS$ and Professions Code and my license is in full force and effect. License No. Classification FT 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 NE -0 N5T NON-RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS.9 NON.RESID. SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES _ BAL@1 IXED 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 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities,, judgments costs,�and expenses which may in any way accrue against said�County in consequence of the granting of this permit. <, / X_ -- Date <.. Signoture`of Applicant Owner ❑-, Contractor IDAgent❑ 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 p TYP of CONST. PARCEL PD HD 1551E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC _ By �! �i �. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 15 ?7 xx Receipt No. ..Y�.J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r } PERMIT NO. 4151-81B,P,E PERMIT EXPIRES i ' OWNER David R. Penman CONTR. Owner ASSESSOR PARCEL 2$'04'1 LOCATION SIS Ahart Rd.,app.550'E.of Palermo Honcut Hwy, Honcut Temp. Power Pole 1 Called PG&E 1 Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature = OK = Not OK = Not'Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, STC. (Plans) . :xcept N 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.-Rfg. -Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;,Js..res 6. Gas; Location -Test -Wrap:/ /"L"it./ /"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 Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Fr/ J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / %" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'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. 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; Breaker Sizes -Labels _ _19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails 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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70, 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction-Pos1 Caps - 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 At, Insulated Neutral Yes ❑No 75. Following ❑ instld.: Drive Yes No; Walks Planters❑Yes ❑No ❑ E) Yes [)No; 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- 79. Water Well; Disconnect, Electrical, Plumbing -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -- 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air-Retirn Air Vent -115V outlet - -- 35. -.-- Attic Access & Platform if Furnace in Attic Card -BI Card -BI - --- - -- -----_-. Date _ - - Card -BI Date Date Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ - 36. 37. 38. 38. 39. 40. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ Bearing Walls over Girders & Floor Nailin_g__ _ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin_-Roof Brac.-Truss-Shthng.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access: Size & Rom ex Protection. -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_ Garage Fire Protection Framing - (NOTE: An entry must be made each time youvisit jobsite) i t� COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .� ���J / ..-f% U V v ZONING BUILDING PERMIT OWNER /3 TELEPHONE tSQ. FT. OCC. BUILDING 1�6Z4 VALUATION OWNER'S MAILING ADDRESS A:?T- �7 C. OX �71/(, , OeVVILLL, 6-1 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A/000. UtJ CONSTRUCTION LENDERUNKNOWN 'Total Valuation is o .,pp Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - +_ •r{,�ty— Permit Fee / �7 f�', jC $ A;= ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 1,(� x� $ q�• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee ��, �c�, ,r1$ BUILDING ADDRESS' .�/.5 .'� f.��%�� �D_ ����^ �'0 . �/:.'- PLUMBING PERMIT Filing Fee 10.00 � �f'�� r•-�fL%G /,�V�'f.,� �i/�,�(' Each Trap 2.00 _.f. UW Repair drainage or vent piping 5.00 A% AJ? /_ Water piping Vis. U O 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❑ MobilehomeEoo"bther SPECIFY Building sewer Lawn sprinkler system 5.00 ' TYPE OF WORK New❑ Addition©!Remodel❑ Utilities❑ Installation[— Other❑ Describe work: ri7�c�--- Permit Fee $ f 7, pU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING 0,7J;.M\ OR ADONS. ACC.BLDG 22 S ft / / / tl �4.4 • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 ElI 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 0 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR./ POWER APPARATUS 6\ NON-RESID, %SINGLE OUTLET CIR, 1 51 P 250 EX. OCCUp OUTLETS OR FIXTURESBAL�1 IXED P Ex. Occup. OUT LETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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 of Consent to Self -Insure. t� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County inconsequence of the granting of this permit. f x ' I �i��//�%j.•71� Date �� �" 3 ~ I X �''"� ' 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 $ �ia I/Z) occuP.GROUP 2_'3� • I TYPE OF CONST. �-j_ � f �J tV PARCEL PD ND SSUE V 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 a� to ..t -I _ �} �t -- r L - •7 C� �[J Receipt No. f/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 60 EE DATE 4/2/2006 REPORT TIM 14:36 INCIDENT NUMBER EVENT NUMBE LOCAL FIRE NUMBE STATE FIRE NUMBER CASE NUMBER LOCATION, 9720 AHART RD .._..:._._.._..................._.....__ .. RP IOU j PHONE NUMBE 370-9166 a WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE RESIDENTIAL OTHER FIRE MEDICAL AIDS PSA/OTHER HX MAT Billable Incident ❑ COMMENTS EMD ❑ OES ❑ Interesting Event ❑d �-()qoIoo I 3536 3815 LOGGED B MDS i aAf Lnral Firw RO SONDAY _102 1 aaf Sfwfw Fi�w flrorc BI 1aatCawwe MEDICS PRA R4 ECC ❑ I REPORT METHO 911 I FIRE INFORMATION FIRE INFO SENT HO EMAIL BY MDS TO FS72 7 -DAY LOGGED O INITIALS MDS I INCIDENT NAM CARPENTER START DATE 4/2120061 START TIME 14:30 DIAMOND # 2.0 CAUSE EQUIPMENT LAND US DOMESTIC ACRES 0TYPEOF ACRE DIAMOND 5 ONLY $ DAMAGE TYP DOLLAR DAMAGE 45000.00 SAVE 0.00 INJURIES/FATALITIE ❑ #CIVILIAN INJURIES 0 # CIVILIAN FATALITIES # FF INJURIE 1 01 # FF FATALITIES 1 01 r FC -40 INFORMATION New Incident FC -40 ❑ DATE OF FC -40 INC = AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications R EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916 34 1 �� I APPLICATION AND PERMIT ASSESSOR PARCE NUMBER ZONING _ BUIL ING PERMIT ow R TELEPHONE T L2 in M Bn!�N �2� Q. FT. BUILDING VALUATION OCCL R. OWMcaalp N R'�ICING ADDRESS & r 'TELEPHONE CONTRACTOR'S NAME CONTRACTOR'S MAILING ADDRESS Fireplace COPR ON L E UNKNOWN Total Valuation $ .20 Filing Fee $ 10.00 .LENDER S M IL NG DRESS Permit Fee $ S. ARCHITECT OR ENGINEER N LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � r ►, e PLUMBING PERMIT Filing Fee 10.00 UJRepair Each Trap 2.00 drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PA c L MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE Of WORK New ❑ Addition ❑ Remodel eUtilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. OR ADONST (ACCLBLDG�C 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 NON -ROE R BRANCH CIRCUITS 2.50 ea NEw CONSTR, ( POWER APPARATUS e) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUROUTLETS OR FIXTURES BAL@1 00 IXED 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 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. ®il�shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost and expenses which may in any way accrue against said o ty in cons uep a of the granting of this permit. � X Date / Signature of Applicant = OwnerContractor ElAgont ❑ 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 OCC P. GROUP _? b� TYP DF CONST. PARCE f% PD 1550E This permit is- hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF;PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /1-1 /I o f Z Receipt No. T -39Z ..J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 a -� PERMIT APPLICATION DATA S-HEET � Permit No. OWNER A. P. No.01�—l`� — Proposed Building Use =J /— I , Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 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 $ . . . . . . . . *-1, Letter of signature authorization. . . . . . . . . . .Sanitation approval from t Health Dept.. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . • • • • • • • • ' 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Date) p q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspectoct Other Applicant, �! �r�9'.A /. .direr"' Date // ���� k j 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 at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date —80 Other: Copy—DPW ►, UeZ.Z�'�"CUe� d� Pir.'ry (AP -\4-p-(/ ' Yy jo UOT41ppe .Toj soupa"PTn .........� a.......o...., . �qq,�(: ° OVGIOVi� 9ti�OW WOO.IpBq _...�..� JOJ iDOue•, e, -T°) je OA! :yoj -Y-0 moueJeOTI Teur�a STddnS .zea eM : JO.T T eU? a piaci sTdriOc; Joj eHa TesOdsla OlemOS : ato j penoidd a ue-.4 �J eOVeJesTO UOTliniueS 3�;kgnc; tMesH tejuowuojTaw; : woi q .:BUY PT -r n q : Off, 4 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner:, An "owner -builder" building permit has been applied for in your name -and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit.for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 1 Address City Phone Contractors License No. 5. I will provide some of the work but.I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. Social Security number - Dat NOTE:. This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. This set of plant and Specifications MUST 6 kept on the iob at all times and it is unlawful to make any changes or erltf�rN4ions on same without written permission from thr Department of Pubic Works, r�r,4%i of Buffe. Sq IpENTIAL ENERGY PIQUIREMENTS for this builds ' QDegree Days, and c*--- Design Temp Insulation: Slab edge - - - • • • R- �-� Fdn. Wells----- R c" Floors - - - - - - R�_ Walls- - - - --- 00 Ceiling/Roof - - - - -� Circulating pipes - - '�=----_ Ducts Table 10-D U.M.C. Htg. & A.C.: Type BTU Max. Wtr. Htr. Type Glazing: Sinc}le-allowed; sq- ft. /n /, i 2 _ �"�'`",�— Sirrgle-actual; sq. ft- L — SpecW-allowed; , sq. ft. --Aa— Special-actual; sq. Vapor Barrier Wds. & Drs. not required cert. & labeled Swinging Doors weatherstripped back dampered Exhaust Fans Gas Pilots intermittent ignition All Appliances certified Other: 41177 BUTTE COUNTY BUILDING DEPARTMENT APPROVED NOTE,7111�iLaferRecognized or Goo hI PractaclBe es� and Accordance with of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. /C. `,) 1 C L ILLLLICL LL V LL . ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. F final Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. r_1 (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Access ibility:"'(2) Support. (3),,pontrols. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 r� ;.•• •c z„1•�,v?�w,_�,-x!�a r4ti.�,;r. �ez--y'sr;rr s:�-sed:.�s�+yam:,^* .• �x.,E,,:;.:T %�k• "-:s;•'��>�ar_<�..'r.._.?.a;^' �r . '{�"�;.�•'.,'".;-"-.� '-.�. .. . -i•t. � J `1 3c C'11.+y�.tr .i:.5 r".1. '""i'+j'i+C c.»r..wf,.Yzp,:fr �ij, y:,•; S ' , .y.m S.w '•a.; e.'�'-,. _ _'. +y. ••�""• ,^ r_:k �. -Y'f. •�.�'r..'� �d ;.,�.:' C - �' :x• .+ _ . . jam' TY This s6+ 'o tans°ands ecrfic,ifion`s x _ F ke "t on`the ob•.at�all times and +f is,,unlawful-to - y :aiCe any.charnges`or alterations orrsame without ,.a - written pe n, the` Department of Rublic 3 -� t+ <. Work Wormy of;By teYr/.. + - V7 ji code per aDr TI Oq pgc'3�iio�CO defector. � ~ . • � _ -- .�.� - - . - - ^ , - I J _ O . , _< �rYs' i _ _ _ = _ _ _ _ _ _ -_ `•f = - _ _ Aa A sefback of 5 ft. from the .a� a •r-c.�<.: (j P r f � ,,,,,�...... ' - . _ -R A fi•t'r G _ i property lines and a setback r I "'' - stR15 e of 50ft. from the road L� Mcenterline shall be clear of ; r' structures or equipment enept 1 <� for a 2 ft. eave overhang. . � a J� -. V - � �y�✓JCC Gi � S' - — � X Svot.t. � i r per COC�Ao, Iw1 r In ®SII Smoke detector p ° - % 3x3, n� w 13`0 .. j-0. V) BUM-Ri-COUNTY BUILDING DE?ARTMEPWg � APPROVED A, 1 • ••,' + ,w I ('� Uhl•.: 'e. "9 - Y h w 111 �7w V � � — •? Y•.. T..� .�+. '�+��1�".,. „"',q,".i erc`�"'�' _ tiJS� -� .6, . Y�:�1''' s; hs s-'=+.+.�" ��,_ -s. , i v..: � �. : N /,7�e- .. '.�G' w 2 �:rt tit .g. ....ft' �,-.'�'` �•. ,e, '° �- s �a:' /� =',i I � �+." a. �i ,iS�'7' i��. Zi�F-+ �} •�Y• kS G. �.yi /�(/</�'^.-�"`/i '-i^ g� L /� t .��+.+_'. s,•.•..� A'.r �r � , f!i.3 'i?- S.�i:C•.. `':ic.. ,��A..A..•. riL 1..•.-.,.'17-rF.S v1`6.�Y,>i1:'"<;:iFt-.aY-.n3:N�''S%.`7/:tl4-.....f�3/-dr sr�+•�./r.:.r�/✓.z ••er .+•.l��ti:i':Y. <w,.. .. ._.'- _. ,,� F 09 CLQ rrI. 4 �i fly r5 p C. C. L U 's _ ' r � c�t-• V ;77 x", I I I •J . 1"r,' e ' :. N. r s a. W.�- J p " ; q. I t.l Y �����',�r .1 !• ` 1. - may.. 4 + • e. ' A , . �9 - v � v S7 r O u :I t <I Z rn --I F 09 QCL- V\ V) m C-1 P1 CLoc root 1/9 BUTTE COUNTY BUILDING 1DEPARTMENt APPROVED I UNIFORM BUILDING CODE, 1973 Edition - Loose Leaf $16.00 Soft Cover $14.00 or DWELLING HOUSE CONSTRUCTION PAMPHLET, 1973 Edition $2.75 per copy Send to: International Conference of Building Officials 5360 South Workman Mill Road Whittier, CA. 90601 1976 Edition - Loose Leaf $22.00 Soft Cover $19.80 1976 Edition- $3.30 per copy UNIFORM MECHANICAL CODE, 1973 Edition - $8.00 per copy 1976 Edition - $10.80 per copy Send to: International Conference of Building Officials 5360 South Workman Mill Road Whittier, CA. 90601 or same address as shown for Plumbing Code UNIFORM PLUMBING CODE, 1973 Edition - $8.00 per copy 1976 Edition - Loose Leaf $12.30 Send to: International Association of Plumbing & Mechanical Officials Soft Cover $10.80 5082 Alhambra Avenue Los Angeles, CA. 90032 or same address as shown for Uniform Building Code NATIONAL ELECTRICAL CODE, 1975 Edition - $5.50 per copy Send to: Stacey's Technical Store, 581 Market Street, San Francisco,.CA. 94104 or National Fire Protection Association, 470 Atlantic Avenue, Boston, Mass. 02210 1978 Edition available for $6.25 per copy at: International Conference of Building Officials 5360 South Workman Mill Road, Whittier, CA. 90601 d ''5 t 2 s ❑ Ducts: (1)'Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5).Class 2 refrigerant. 5/79 d7 S-0 vZ6 % 4-6 Q z 4F) e , q,, i ")- . f -S ---� ❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation , (6) Fire Damper. ❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5)'Condensate drain. t Final ❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. ❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief valves. (5) Class 2 refrigerant. 5/79 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 if APPLICATION AND PERMIT ASSESSORA CEL NU ER --0 ZONING BUILDING PERMIT OW5,4oz) p0im T1jH �j^ SQ. FT. OCC. BUILDING VALUATION 2 OW R'S MA/IJLING ASS R'S D� � /� lu o .505, .,o4) CONTRACTOR'S NAME T LEPH0NE CONTRACTOR'S MAILING ADDRESS Fireplace A o a CONSTRUCTION LENDE UNKNOWN Total Valuation $ 0 .o0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ,5 $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee Z $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee ..10.00 BI}J DING AD/DD EES �,/-�-/�� PLUMBING PERMIT Filing Fee , CU , 1, U ,� /V J-�1i Each Trap / 2.00 „u0 Repair drainage or vent piping 5.00 Q % Water piping 5-00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF ST UCTURE SF [:1Duplex[-]Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 -- TYPE OF WORK New Addition [gl /nR�erroodeelnl `❑,// t)lities❑ Installation❑ Other ❑ Describe work: C A1,3, �N� Permit Fee $ , Qv Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING •M) OR ADDNS. ACC. BLDG 2� 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 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 MULTI -OUTLET T 2,50 ea NON.RESID BRANCH CIRCUITS) NEW - 6\\ CONSTR. R ESID. SINGLE OUTLET CIR POWER APPARATUS .J NON ( Ex. Occup OUTLETS OR FIXTURES 5 L25 FILEXED 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. f�( 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 S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 a said Cou onsequence of the granting of this permit. ��" _ �/ 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 $U ,HD OCCUP. GROUP 3 TYPE oNST. f CO v rV JPVLJ PD 169 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date j 1 _ / L .dam L �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4R. � -.,� ..-.. ,�,.-r•-w.. e:,o-:a ..a ++--.^^r r- ...,y;TL`.2JiI'�:FEh..�''`,�..,a.1 , `:r. r. ... __-..-.r-...-.r ......,-�++-�.a1"�...+�.ro✓---..,�+, . r --e.. _.�_ COUNTY OF BUTTE - DEPAR'7MENT OF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 , PERMIT APPLICATION DATA SHEET OWNER Dfi1 /"' 1t>C/V� f A, v � / Permit No. A. P. No. Proposed Building Use iy�N/7— ) Permit Fee Based'Upon: Complete Contract Price -DPW Valuation Other (Explain) Building Inspector -� Date IZ--.3 =kZ i 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 $ . . . . . . . . ,/9. Letter of signature authorization. . . . Q 10. Sanitation approval from . Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Date) p 4 Building Inspector 18. Other 1-1 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican f Date//-- Copy ate%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 at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked Date Plans approved b Date I� Z Other: Copy—DPW To: Building Department From: Environmental Health club j ect : Sanitation Clearance ��r Deal on Plan approved for: sewage disposal _� water supply Hold final for.: Anal elfia ranee O.K. for: Clearance for bedroom mobile home„ Other NOTE * * * %x/1%.•....1_..._ �..__.�_ a ar an. water supply water supply �.. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) = 2. I (have/have not) azle___signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: O Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the person to coordinate, s pervise, and provid Name the major work: �/U✓�� Address City Phone Contractors License No. following 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name T�Address Phone Type of Work '%i2 V Signed: Property Owner Social Security number $- Date f / 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. i ti's rf;.:.,; �` a ti�f/s+Y• G'1, • • < David R. Penman Rt. 2, Dox 2716 ©roville, CA. 95965 Dear Mr. Penman: '` ,butte C PF LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD October 29, 1981 Deputy Director RE: Building Permit A.P. # 28-04.1 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Constructing a cabana adjacent to a mobile, a deck, an inning, and a second - story addition to a residence on your property located off Ahart %d., Honcut. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans apply for the required permits, and pay the appropriate feest inCludiSIX 0e04111e0. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector• ©roville Assessor ki File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information �) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Building Location: Type of Inspection requested: 7 1. Housing "'2. Financing " 4. Other (specify) A.P. # Date of Inspect ion% -d- --�% Inspector LL 3. Change of Occupancy to Present use of building: A Sanitation (Housing)_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities:' 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to watec-.supply: 13. Rubbish and garbage facilities: 14. Com ents: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service n d ground: 2. Recep« c. �s• 3. Fusing:_ 4. Conm►ent s : D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: • 3., Safety hazards:'-^.� 4. Weather protection: _ 5, Underfloor and attic. ventilation: — - - 6. Coiia::ents F. Conmercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. R est:-ooma floors and walls: _ 5. Exits: _ 6. Improvements: 7. Z on-ing : _ _ - 8. Comment G. Field Problems or Vir>la:.ioras 1. ProhlSm e~ :violation ;g 2. � .at action taken (give compete :-Jesc 3. Wha 77A. s.nfor..,iatioo' only - fil B. Hold for tcn (10) days, mien wri.,e litter. r Write let -ter. 77D. ",thee FORM, BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant: - Building Location: Type of Inspection requested: 5 J A. D t of Inspect n Inspector 1. Housing. T/'2. Financing 3. Change of Occupancy to f� 4. Other (specify) Present use of buiiding• A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior. to sewage disposal: 12. Connection to watec-.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Coimnents• C. Electrical 1. Service n"d ground: - 2. Recep,::'c. as: 3. Fusing:" 4. Corrm ent s: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4.. Comments E Other I Maintenance and repair: 2. Fire hazards:.-.- • 3. Safety hazar.ds:' 4. Weatl!er protection: -5. Underfloor and attic ventilation: 6. Coram encs F. CoTmercial Buildings 1. Rcof covering:_ 2. Distance to property lines: 3. Physically handicaF'ped: 4. Arlest-oom floors and Twalls: 5. Exits: 6. Tmprovements: 7. Zor_ .Ir.g:-. 8. Cotrrnerit:- G. F lel(: I ^---L 1 - -- - -- - - -y - - - - - - 2. 3. Whzat ao-Lion recarm.ended: T7A. -Imfo-maation only - fil,,-. B. Hold for tcn (10.) days, then write 1.�!tter. Write Ietter, 77D. Other: Cll IV it /�7 j/ I BUTTE COUNTY o BUILDING DEPARTMENT APPROVED tb� • � -qpm , - -- _ ;_ -�- - ��� -- -_-- - -.- �- - _----- ----' -- I ---- i -- - --- ---- 411 Y, -- - - VZ1 Meb OCAOD - _ _ � .--- - -- -T- -- -- ----�— `�� /� �. .—--------- i + — � __ Pe .✓_o-w n�✓Jia_2 Vii_ _ i � _ i -- -- - -ley, -� Z" M(N_ BASS ` \ --- I -- — - -- - --- , — — - - — -�-- - - ry BUTTE COUNTY BUILDING- DEPARTMENT ------- - -___ .----- -- APP.ROV EQ - ----------- - A V. let --- /7?- t 71 zz— r-- 770 41 BU E -COUNTY - --- - _ -- - _ - - - BU i LQ(NG L5EPARTMCNT 1,1,L4L-'iZZ 1"L--1LJ1-2At1V AU .5 Z v - -- V -V 'DO49 13v 106 uj p4NA F7A-/u i Or P -N A --7 1p xv, 4. 1 T' BUTTE COUNTY BUILDING DEPARTMENT APPROVE 4k' Ile 7 eo o. c.77 �11V :.ie--ewV% ka✓dkvam► sdl pe C BUTTE UOUNTY Bq.l.LDI NG DEPARTMENIT APPROVED c PERMIT NO. 1825-81P E ' PERMIT EXPIRES- OWNER XPIRESOWNER David R. Penman CONTR. owner ASSESSOR PARCEL 28-04-1 LOCATION S/S Ahart Rd.,app.55.0'E.of Palermo Honcut Hwy, Honcut Temp. Power Pole Called PG&E' Temp. Elea Servi" ce 4�/o Called P/E Temp. Gas Service Ca.)Ied PG&E r J FINALED (Date) Signature 7 IE J = OK tt 0 = Not OK t — = Not ApplicableMOBILEHOMES' = Not Ready / MISCELLANEOUS Plans) OK except #'s Date MOBILEHOM UTILITpss Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning quiremeet acks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Specta Hrt—Sketch 2, Footings; Size—Depth—Spacing—Connectors 3. S wer; Loc o —Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. er catio TEasement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. I ctrl ity; ocation—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. s; L ti Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Cleara ce 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION_ (Plans) OK except #'s Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s oning Requirements—Setbacks—Easements 1. Setbacks—Easements 00 ' gs; Size— pacing—Marria Line 2. Soils; Compaction—Structure Stability 1915G—,CDe d—V e—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Zi! le MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI ra' ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 ater and Sewer Con ected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. nd Ele city T 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit its; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-Ize to Card -BI Date Card -BI Date Card -BI Date Card B -I ate Card -BI Date Card -BI Date Card -BI Date S SS33 `�o�s i 01rwe. ZL = OK = Not OK t = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#is 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. 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 Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting Q 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 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. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic E] Yes 73. 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 Al 27. Range Circ. / / ga. Cu or A; -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 75. Following instld.: Drive C1 Yes E] No; Walks ❑ Yes [3 No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above InsLlation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow- Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ----- -- Card -BI Date Card -BI Date Card -BI - Date - _ Card -BI Date Card -BI Date Card-Bf Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. 41. 42. 43. 44. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post -Caps -Anchors -Connectors Cing. Joist -1111r. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Fram.ng (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5,' under permit number ja'�` af' for the following location: `l� Owner jvci...�,%' �=?�L-Q,ro _<s.,-✓ % Owner's Address n � Mobilehome Mfg. Model �� �' -_ Years Insignia No. �`?'�%'� % Serial No. 5 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date /j', By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE f 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 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this_,• - matter, or need additional explanation, please contact this office immediately. Inspector Date �- s` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • > i 7 County Center Drive - Oroville,' California 95965 - Telephone 916/5 4 41 49- C6 . APPLICATION AND PERMIT I ASSESS R 7CEL NUMBER ZO ING BUILDING PERMIT OWN ELEPHONE SQ. FT. OCC -1 BUILDING VALUATION Owt6'S M IL NG ESS A CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN. o;N- Total Valuation $ Filing Fee Q $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER l 8'rl � LICENSE NO. Plan Checking Fee $ o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee �1 $ am BUILDIN ADORES 5 `` ! ��v� PLUMBING PERMIT Filing 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 OF STRUCTURE SF ❑ Duplex❑ Mobilehome[�Dther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [_JAddition ❑ Remodel ❑ Utilities ❑ installation R'Other ❑ D /scribe work: / x/1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 5.00 _ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.p1) 2Q OR ADONS. \ ACC. BLDGS. / 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. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. ,, Business and Professions Code for this reason NEW CONSTR u I.OUTLET 2.50 ea. NON.R ESID BRANCH CIRCUITS) NEW CONSTR. /I POWER APPARATUS e NON.RESID, (SINGLE OUTLET CIR. 50@250 Ex. OCCUp OVTLE TS oR FIXTURES BAL@1 Ex. QCCUp.� OUTLETS FIXED P(RESID.)REA. 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&4 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 3 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save demnif and keep harmless the County of Butte against all liabilities, ju a ts, s, and expenses which may in any way accrue said Co ty i c quence of the granting of this permit. %� Dat '_� 9 `�/ 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 TYPE OF CONST. PARCEL PD HD IS -SU E v This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE T R OF PUBLIC Q�.A By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — Q Receipt No. s— I D" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 2. Instal_ler's name: 3. Is the site currently under permit? Yes / 2� No (If yes, furnish permit number b 2—S �� ) OR Is the site an existing site? Yes / / No (if yes, furnish two (2). plot plans.) r 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and No clear of.all setbacks,and easements? Yes d i (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome • site ---------------- ------------------------------- service. ---- Yes No (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the.type of gas service? ----------------------------- Natural / / LPG / 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.) J MOBILEHOME SUPPORT DATA x If other than single wide, Mobilehome Mfr. �,(hoqp_. Lm�:rAc, furnish Setup Model No. Year Width I,, (ft.) Box Length (CO (ft.) r Expando Size _ft. x i f -–ot. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single x . (ft.)(in:) (in.) (in.), Center support Center support locations* footing sizes (in.) I I x J (ft.)(in.) (in.) (in) �J X (ft.)(in.) (in.) (in.) Q G�) ►- Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supports (check one) 1: Concrete block. F7 E] .2: Other (specify) fJ► I4—Tagalong or Expando,• J show support details. ' • . 1c3D `l _t to x ? -- Typical Support in.) (in.) Footing Size APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.) (in.) x Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 -Telephone 916/534-4541 APPLICATION AND PERMIT I X AA ASSESSOR PARCEL NUER 'OL Qvr- ZONING BUIL DING PERM( o T LEPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAILING ADDRESS Vt CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS -� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ --1 -'}:(� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r 1D Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRES C4 :2120 r PLUMBING PERMIT Filing Fee 10.00 (� Q.l� � J � Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping It), 00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets/OM USE OF STRUCTURE SF E:1Duplex❑ Mobilehome�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 600V OR LESS 100 AMP OR LESS 5.00 S t Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y\ OR ACDNS. ACC. BLDGS. / 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. l(cense No. Classification 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 .OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS NEW CONSTR. I POWER APPARATUS b\ NON-RESID. (SINGLE OUTLET CIR. I 50 @ 25a Ex. OCCUp OUTLETS TS OR FIXTURES BAL@1 APPLES. OR Occup (RESID.) EA. 2.00 Ex. OCCU OUTLETS 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 Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agreeto save, 'ndemnify and keep harmless the County of Butte against s, and expenses which may in any way accrue all liabilities, jud n��'n galnst said Cou y nence of the granting of this permit. (� 8 r Signature of Applicant — Owner Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiieess in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. CROUP TYPE OF CONST. PAR L P H ISSUE 41 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF UBLIC By. PERMIT EXPIRES Date the applicable provi- ate resolutions to do fees have been paid. WORKS Date�� p Receipt No. SE/ 0 5 ,� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .4,-' -rr-y J Gc h , /' - G /V'/" %I K. s I i `ors Sr�\\e4 pec ehoc�@ n�a t`lo he c�°�ov'N'is ��b e<oads`,��. tk NN t 01061 • t NOTE:—All Materials & Workmanship Sfiall; Be 1W ' -- Accordance = with r.Recoq ized Good Practices and;} of. a -quality. prescribed f r the Specified use in the. Uniform Building, Plumbin & Machanical Codes and the National Electrical C de. , A setback of -5 ft. from the �J / 1� ��property lines and a_setback ' fd) �C � of 50ft, from: the road ; centerline shall be dear of va ti ' yha structures orie quipment ex xpt i fair a ?ft, 'Pa"14le we99 rltarsg. .._ P �c oo °� S \\ ` i MUST 9e This sebplant =4speeifications - -- -. �- - - _ - ke t on.the 8 job at all +Imes and it is ic+�l w# ' _ f" make any changes or aitPrn+ions on s�v�t►Q vTy from the Departt�®nt of l'ublk ' BUTTE COUN written permission :. • Works, -County of Bufte. WDiNG DEPA MENT r ; ! IV 44-