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028-061-014
11 Lf 28-061-14 Manuel Duran ©�$-(gyp(•-Q/�� n s 'vate road approx. 300' S. of Middle cut Rd. off Palermo-Honcut Hwy., Honcut 28-061 Permit #1841-76B(d6mi lit ion/SF) f• - �; —Y-kHermilo Carrillo j ,no M/S School St., app.175'W.of Palermo Hrncut Rd.; Honcut Permit #989-79P,E(uti15,11H) ELEC-.;. A- 1 9-6 ,+Ate GA S � SUPPORT STRUCTURE REQ. -7-,0 COMPACTION TEST REQ.--k-V 20-06-1-14 'ermit #1351-79MHI Issued +' 028-061-014 99-1541 CAR_RILLO, Hermilo�- 41 School Street, Oroville Contr: Owner MHI, Existing site 028-06-1-014 99-1995 B ~ CARRILLO, Hermillo 41 School St,' ORoville a-g-e-4-o._ ermit s ) FINALED 10/5/9 . 0 t 7r=� O QPa�'^EN TTFT OA, Department of Public Works '0 C o u n t y o f B u t t e 0 1 O J. Michael Crump, Director LAND DEVELOPMENT DIVISION O O 7 County Center Drive UN yWarner C. Phillips, Assistant Director Oroville, CA 95965 . ,o g (530) 538-7266 tic W�� (FAX) 538-7683 December 22, 1999 Hermilo Carrillo 41 School Street Oroville, CA 95966 Re: Certificate of Merger, AP 028-061-014 & 015 Dear Mr. Carrillo: Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on December 7, 1999, under Serial Number 1999-0050800, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, i �l Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: "$uilding Division Environmental Health Dept. Ron Graves & Associates (99-127) f Oroville, CA 95965 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBERS) 028-06-2-14 and 15 SUBDMSION / PARCEL MAP: 3 BOOK 7 PAGE 85 BLOCK LOTS) 97 (Portion) BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create one parcel(* of land as described in Exhibit(s) A attached hereto. DECEMBER 6, 1999 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER M MIL6 B.-CARRILLO and MARIA LUZ CARRILLO, husband and wife, as joint tenants , as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(S) A attached hereto. ALL SIGNA7URESMUS TBENOTARIZED.- SIGNATURE SIGNATURE D:\Land Development\Applkadon Forms\Cerdf. Of Merger -LD 1530 (2/99) August 19, 1999 DATE August 19, 1999 DATE II�III�III'll'I'II�"III��III�'I'I 1 999-0050800 Recorded I REC FEE 13.0e Official Records I AFTER RECORDING RETURN TO: CountyEOf I CANDACE J. GRUBBS I Butte County Public Works ROSEMARY DICKSON I LAND DEVELOPMENT DIVISION Assistant I Fay 7 County Center Drive 11:56AM 07 -Dec -1999 I Page i of 3 Oroville, CA 95965 CERTIFICATE OF MERGER LANDS BEING MERGED: AP NUMBERS) 028-06-2-14 and 15 SUBDMSION / PARCEL MAP: 3 BOOK 7 PAGE 85 BLOCK LOTS) 97 (Portion) BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create one parcel(* of land as described in Exhibit(s) A attached hereto. DECEMBER 6, 1999 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER M MIL6 B.-CARRILLO and MARIA LUZ CARRILLO, husband and wife, as joint tenants , as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(S) A attached hereto. ALL SIGNA7URESMUS TBENOTARIZED.- SIGNATURE SIGNATURE D:\Land Development\Applkadon Forms\Cerdf. Of Merger -LD 1530 (2/99) August 19, 1999 DATE August 19, 1999 DATE C. M JE ♦ •1 x Mid Valley Title and Escro w Company STATE OF CALIFORNIA }ss. COUNTY OF Butte } On August 19, 1999 personally appeared before me, Michelle A. Miller, Notary Public , Hermilo Carrillo and Maria L.. Carrillo , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (This area for official notarial seal) Title of Document Certificate of Merger MICHELLE A. MILLER Cmmr�n t�117R 1 Q Notary Pub7( ko Cony, Whbdrndk. : My Commbft E)V. APR .�3�., 20020 002' Date of Document August 19, 1999 No. of Pages Other signatures not acknowledged None Oroville Chico 1 Paradise EXHIBIT "A" Legal Description Carrillo Merger A portion of Lot 97 as shown on the map entitled "Honcut, Butte County, California" recorded in Book 7 of Maps at Page 85, Butte County, California Recorders office described as follows; Beginning at a point 100 feet South of the Southeast corner of Lot. 98 of said map of Honcut; thence Southerly along the Southerly 'projection of said East line also being parallel to the California Northern Railroad Tract (now known as the S.P. Co. Oroville Division), 100 feet to the junction of the County Road and North side of School Street; thence Westerly along said North line of School Street 200 feet; thence Northerly along a line which is the South extension of the West line of said Lot 98, 79 feet more or less to a point 100 feet South of the Southwest corner of said Lot 98; thence at right angles, Easterly 200 feet to the point of beginning. Merged as one single parcel. Containing 0.41 acres more or less. The Basis of Bearings for this description is the same as shown on said Map of Honcut. Job no. 99-127 Apn 28-062-14,15 LANA j RONIIID1.. GRAVES * PLS4085 EXP. 6/30/00 �F . ore \ OF LI�� c a _� NOTES s R � t i RESIDENTIAL 028-061-014 99-1995 PERMIT NO. _ CARRILLO, HERMMO - . 41 SCHOOL STREET, HONCUT CONTR: OWNER GARAGE BUILT WITHOUT PERMITS 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) S Signature ✓ = OK 0 = Not OK - = Not Applicable . MOBILE HOLIES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable RESIDENTIAL 4Single & Duplex) = Not Ready Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Fig. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D. W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing MECHANICAL (Permit) OK except #'s 87. 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 91. 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes 0 NoMalks ] Yes :) No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O. (Rev. 12/96') APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028_061-014 ZONINGARI BUILDING PERMIT OWNER HERMILO CARRILLO TELEPHONE 533-3337 SO. FT. OCC. BUILDING VALUATION 196 @ $18 3,528 OWNERS MAILING ADDRESS 41 SCHOOL STREET, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3,528 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40-95 BUILDINGADDRESS 41 SCHOOL STREET, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE BUILT WITH OUT PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Lathe following reason: Vas 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 Main Service TO 46.00 NEW CONST. DWCCU000A W OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT; NEW UT RESID. OR MULTI.OU CIRCUITS @7,50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. DFIxu a. ) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 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 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.) 191 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw" h comply withythoprovisions. X Date �f '�7� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE on TQM F E $ HV 0. I D CD P ISSU This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have BY / PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Q/1? Da4 W?9 ,2 Qt� t(D,t, Receipt No. 27%.3,747 $123.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541�� ��M (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMM i aX ~ d6/ 0 Of ZONING BUILDINGPERMIT OWNER &iGO (7 lam TEu=r►- w"e SO. FT. OCC. BUILDING VALUATION °WNEA9 WAILING ADDRESSI/ CONTRACTOR'S NAME D�Ne� TF.LEPIWNE CONTRACTORS WAILING ADDRESS CONSTRUCTION LENDER [Fire lace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO' Filing Fee S 20.00 Permit FeeS , 60 ARCHrrECT OR ENGINEERS WILING ADDRESS Plan CheckingFee S p I SULDNGADDRESS so Energy Plan Checking Fee S S PERMIT FEE $ LOT NO. SUBDNISIDN9WLME PARCFL "NAP PLUMBING PERMIT9 Filin Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex 0 Mobilehome ❑ Other SK -Cry Solar or heat pump water heater 23.00 i Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Describe Work: f.-- Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 0.00.v OR LLESS 23.00 - — --- -- • Main Service 200A TO 1000A 46.00 NEW CONST. DWELII�IG OCCUP. s0 OR AOONs. a ACC. SIDS. 3.5¢1'r. NEW CONST NOI+RES D. MULTFRANCH OUn.Ei @7.50 POWER APPARATUS L BINDLE OUTLET CTR. 20 1.00 Occup. OUTLET OR FKrAEI &AL .so Ex. Occup. o "� 6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE Ila 11, TOTAL FEE $ Z.�, NA2. 0. FEES 7;77D I COF PARCEL I Po MO i -UE 2-730,66 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. By PERMIT EXPIRES ON Date TO: Building Department FROM: Environmental Health' SUBJECT: Sanitation Clearance Owner Location E.H. USE ONLY Plot Plan AWstj ad`r�=- Floor Plan A ehad Sant to 8.1) Z� -v�) IV AP# Plan Approved for: Sewage Disposal Wat Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date ."'�,,.�lr.e,;�'tl%�„'.+j�:r=�F�iejti,��`tis=Rw�..ti.(1�`�'^`�t+►.�;�`f�,L jt"d°,��'"4�,-•��irAi ' . 3':�,�r'�.r,,�r�j•v �::;;,ti.,.:ut-5�''�`i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ' ASSESSOR PARCEL NUMBER: 02- - O, - O � Proposed Buildingse: g Building Inspector: Date: / 2 At time of permit application, f was dvised the following data must be submitted prior to permit processing and/or issuance: Date Received By 1. ems have been submitted -------------------------------------------------------------------------------------- P t'plans sets, signed by the preparer of plans. ------------------------------------------------------------ Complete plan sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- E35. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- E17. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------- ------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .----------------- . ❑ 10. Fees of $ ----------------------------------- =------------------------------------------------ ❑ 11. Impact fees as shown on the attached schedule. -.7 --------------------------------------------------------------- 13 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Elood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval Qj-n Health Department. ------------------------------------------- lc� ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 7. Planning approval for (A) Use: (B) Parking:-------------------------- 18.i MErnt, on �. ✓ 1°irvu�ss Contact Land Development about ❑ Improvements, ❑ Drainag Legal Parcel. ----------------------- 9/23%y4 S� ❑ Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------- 0 27. ---------------------------------------------.❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. ---------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: (Date) When you issue the permit, roeess as follows ❑ Mail to owner, ❑Mail to contractor. rl-elephone.5a 3 -3§3 7 and hold for pickup at dA13ce. ❑ Deliver with inspector. C Applicant: Z/�_Date: ,?'' 2 7 / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O r Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bui r ' ter, by ate: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 13Plan Cabinet, 1:1A.P. folder. Note transfer by: Date: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. 1':'i- .*.^-.-'!. Please complete and return this information at your ., earliest opportunity'to avoid unnecessary delay in processing and issuing your building permit. No building permit will. . be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESV* NO[ ]. 2. I HAV HAVE NOT[ ] signed an application for a building permit" for the proposed work. t, 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: l: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following -persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK- . SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 7- % % NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 youi benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for you if you do not carryout these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 C Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor.or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 aiod �, diad B a L4.4 'o L . a W z cn z— 01310 U 0 ULuzW Q =� i m� m -MQ%L!8'3T ' ' AND EWIPMENT i :w= --- - --.-- -OVE CSS SHALL BE CLEAR OF ALL EAS A SETBACK OF (D �. FROG c :IDE ` AND y oo FT. FROM THE REAR PROPEF'TY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. I 1�� � �� � � � � �v � � � . .� � p o �� �� � � � � � � � °� � - o _� _� t — — ^�••wne�.: .. .: �."'rr�=::7:� 'aat'y�'.. �.�—``a.4`is,wr.r+r..`^.rr.:.ia'.�.� .w'.....�o.:,y'i„�,1 i•�... -Lr : ! NC . 7-24 dh OR ST' "The ;.ioneer a� nzcbiie home tte-dowim" jnC. NINliT=—u.Y ANC:ioRS, IMC. ZINGINEEE°D I Tie uowNS S -a ='e of Cal_=orn4 a SPA' -No. E.T. S. I �llg S�2N'r'RaCr'o�S V�T'•r pTT�,►,r I ca_tify zt I have installed tie .; Zrc. anc mor ing system _nute-Lan �nc.*�ors, instructions . as gene j =nstallation arc::oring systen orhtoe innade no Inodificaions to th t._e building st-u• e CooganY Name: r --------------- Contactors License No. Sig, attire /� I Date: 12, / I y� I 305 West Wa��er Street . East Flat Rock, North Carolina 28726 Tele hone'7 - P 04l 2-0256 ''TOTFL P . .0 ❑ B.I.N. REQUEST, /FOR INSPECTIO%N (�'�ermit Np. Location: �tl�L�n/ d^� ,i • Owner. Complaint:_ Contractor or Tenant: BLDG. PLUMBNECH ELECTRIC M.H.I./M.H.U. P E - Form Rough Rough INSPECTIO Frame/Underfloor Top Out Temp. Service Corrections Hou Stucco Lath Gas Piping/Test Service Final Job Status Stucco Brown Temp. Gas Underground Permit Renewal Fireplace Sewer Piping Well Circuit c- rify Utilities Bond Beam Water Piping Light Niche THE Insulation Shower Pan Nailing Corrections Corrections Cor ctions READY FOR A.M. Final Final Fina INSPEC.ON 19_ P.M. Date: Time: Note: FIRE DAMAGE REPORT' OWNER:Oay-r'l t V r% , (p LOCATION: CONTRACTOR A �� DATE TO INSPECTOR:PERMIT HISTORY:( )NONE Building Description: Electric: Commercial/Usage: DATE: 2OIq 2 A.P. # -0691-(0 I ZONING ( FOLLOWS: A&— BUILDING INSPECTOR'S REPORT Residential/# of Units: 77 7— Currently Occupied AbandonedNacant Ye No No Condition of Electric Electric currently On S Off Gas: Natural Propane 04,— None Currently On Off Obvious Problems: /U1 Sanitation: Plumbing Working Well Working Potable Water, Obvious SewageProblemsif/U Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation Mobile Home: Condition of U o�r� Date /Z -/Z& Inspector: � 7 Sketch building on reverse and indicate area of damage. � aS` o(a I—LI f DF/BUTTE COUNTY FIRE INCIDENT LOGI DATE 6114199 -INCIDENT NUMBER 5339 REPORT TIME 15:02 LOCAL FIRE NUMBER 0 STATE FIRE NUMBER 266 CASE NUMBER 0 LOCATION 41 SCHOOL STREET, HONCUT RP ISUZANNA HONE NUMBER 742-9 COUNTY NOTIFICATIONS ❑ OES ❑ EMD ❑ STATE WILDLAND FIRES [ STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSA/OTHER STATE HAZ MAT LOGGED BY DAN RO MAGANA STATION # 72 MEDICS: OFFICER 2117 B WRA R4 AGENCYID BTU LOCAL WILDLAND FIRES ❑ LOCAL ACRES 0 LOCAL STRUCTURE FIRES LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSAIOTHER: LOCAL HAZ MA INCIDENT NAME ISCHOOL I START TIME: 1445 CAUSE 1EQUIPMENT -LAND-USE IDOMESTIC -� ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 300001 LOCAL TYPE $ DAMAGE: SAVE 10000 DIAMOND #: 12.0 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES: F-01# CIVILIAN FATALITIES: � FF INJURIES: � FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC I SEN FAX STATION 72SE AGENCY INC #: INC P# LOG © INITIALS SKE COMMENTS: SINGLE WIDE MOBILE HOME 7 NEXT RECORD LAST LOCALL FIR +LAST STATE FIRE#` LAST CASE:# ; 28-061-14 Manuel Duran n vate road approx. 300' S. of �Middle ut Rd. off Palermo-Honcut Hwy., Honcut - -- 28-061- --- - Permit #1841-'96B(de-mo lit�ion/SF) -�/� 28-06 14 —X He rrillo j YE���/7/� r 1 Ca _ N/S School St., app.175'W.of Palermo Hacut Rd., Honcut Permit #989-79P,E(uti15,MH) 14� 444W_n 040 ELECT / �i—� !I / f}✓xP GA S_�1 SUPPORT STRUCTURE REQ.— COMPACTION TEST REQ.� 2e-061-14 Permit #1351-79MHI Issued 028-061-014 99-1541 CARRILLO, Herimilo 41 School Street, Oroville Contr: Owner MHI, Existing site I 4 28-061-14 Manuel Duran n vate road approx. 300' S. of �Middle ut Rd. off Palermo-Honcut Hwy., Honcut - -- 28-061- --- - Permit #1841-'96B(de-mo lit�ion/SF) -�/� 28-06 14 —X He rrillo j YE���/7/� r 1 Ca _ N/S School St., app.175'W.of Palermo Hacut Rd., Honcut Permit #989-79P,E(uti15,MH) 14� 444W_n 040 ELECT / �i—� !I / f}✓xP GA S_�1 SUPPORT STRUCTURE REQ.— COMPACTION TEST REQ.� 2e-061-14 Permit #1351-79MHI Issued 028-061-014 99-1541 CARRILLO, Herimilo 41 School Street, Oroville Contr: Owner MHI, Existing site I a NOTES RESIDENTIAL PERMIT N0.028'061-014 _99-1541._- CARRILLO, Hermilo 41 School Street, Oroville Contr: Owner MHI, Existing site i I i 10- r SPECIAL CONDITIONS SRA . FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY r� USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 CHECKED BY 11 1. JOB FINALED (D 4 P� Signa t } 11 1. JOB FINALED (D 4 P� Signa 1 v ✓ = OK 0 = Not,OK.; = Not Applicable • = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Special MH Support Sketch 1,',Zoning Roquirements-Setbacks-Easements 3. Sewer; Location -Test -Fall -C/O -Concrete ✓2.-"Fobtings;.Size Spacing -Marriage Line 4. Water; Location -Test -Easement Needed (Sketch) s; MH Test -Demand -Valve -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Electricity; MH Test -Crossovers -Breakers -Clearances 6. •Gas; Location -Test -Wrap;-/ /" L'tt. / P Nat. or/ /"L"ft./ PLPG rain; MH Test -Fall -Flex Connector 7. Well Clearance & Disconnect 6. W.)4, MH Test -Regulator -Connector V. 8: 'Utility Clearance ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1,',Zoning Roquirements-Setbacks-Easements Siding; Nailing -Veneer -Stucco -Mesh ✓2.-"Fobtings;.Size Spacing -Marriage Line 10. s; MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances Ext.; Steps -Doors -Landings rain; MH Test -Fall -Flex Connector 12. 6. W.)4, MH Test -Regulator -Connector V. 7. ater and Sewer Connected -C/O to Grade -HD Approval 96;as and Electricity Tagged -.4---die Downs -Type -Installation Cert!E`xits; Date Insp.-Sketch ' 11..: Cert. of Occupancy 12;. Permanent Foundation Only; License Decal 5 Da Dat ard B- ate , Card B-1 e_qard B-1 ate Card B-1 r p� r MISCELLANEOUS i Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rhrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rffr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor I] Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ❑ Yes D NoMalks D Yes D No/Planters D Yes iJ No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Instld./Drive ❑ Yes D NoMalks D Yes D No/Planters D Yes iJ No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, C?lifornig 95965 • Telephone (530) 538- $1 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 7 1 TELEPHONE 531-3317— SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41 S0400T. STREET. OROVIT.I.E. CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS u Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other sRclFv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation 10 Other ❑ Describe Work: MF.I/EXISTING SITE ;�� i(lGtil�rtp��i'1�[ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VR LESS Main Service 20OAORLESS 23.00 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 91-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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BIDS. SO 3.50FT. I,DNN N -R OSID. T. MULTI.OU CUITS T @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup.OIJTLEf OR FIXTURES 20 @ t.00 BAI @ .w FIXI Ex. Occup. Oln� pR=.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) VB 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 provisions. G a X Date 7-k-22 _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLooD COF PAR PD HD UE This permit is hereby issued under of the Butte County Code and/or indic d above r which fees have ,, ee-- By IIJ� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. C�l/ Date/ ffV / &4t Dare Receipt No. 3 3 WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT q E.M. US ONLY * Plot Plan Attached Roo► Plan Attached Sent to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Lk P"o 1 /0 (i C 1 9T c:V:, -.60 --1 L' Owner Location AP# Plan Approved for: Sewage Dispos Water Supply• Public Private eller Clearance for dwelling. Other BP -�/YIiJ 40aoC0 rn P.71 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date . y�r.T y ^�,:;1 '�:1 rif —ri r , y �- •� r iLsl� �d!*aT.,aw�wL ry �r�kr�ttRiiifir+'M+ T "r,,� �" yr'?115i� Zr W 'COUNTY OF BUTTE -DEPARTMENT OF 101 VV KOPMENT SERVICES - BUIWJG DIVISION y., 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (53 ) 5 -7541 PERMIT APPLICATION DATA SHEET OWNER: CA 2- R (L—L—.0 ASSESSORPARZbmitted ER: C� 0Z "'06 /40 Proposed Building Usenj ( —.ry Building Inspector:Date: :::7 At time of permit applic tion, I was advised the following data must prior to permit processing and/or iss ani Date Received ❑ 1. All items have been submitted .------------=------------------------------------------------------------------------ 6 lot plans, 3/4 sets, signed by the preparer of plans. ----------- —--------------------- L N 03. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8 "ardour Material Form. ----------------------------------------------------- ---------------------------------- 9,01manufactured Home Ti own Specifications. ------------------ Feesof $ ------------------------------------------------------------------------------------- z ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- 1�alifomia Department of Forestry plan approval/fees.-----------------------------------=--------- '- r ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- �� - �_'_ -47 4. Samtation and plot plan approv Health Department. ---------------------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------- ---------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- tr: ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- --------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------=----- �❑ 1 . Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- U. Pre -inspection for I; required Request to Building Inspector on (Date) ❑21. Contractor's liceormation. ber, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number------------------------------------------------------------ r ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ---------------------------- -- ❑24. Leiter of signature authorization.-------------------------------------------------------------------------------- ,p ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. -------------------------------- ------------------------------------------------- . Manufactured Home utility clearance. ----------------------------------- ---------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑2 . 0433 A, ❑Grant Deed, ❑ M.H. Title; ❑ Check to H.C.D $ . --------------- Other: ------- When you issue the permit, prows as follows ❑ Mail to owner, ❑Mailltt�o contractor. elephone '33 3 and hold for pickup at �G'� office. ❑ Deliver with inspector. Applicant:'q4__ ( ` ate: 7 -,r— —,9% Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 4 Date: By: 1. Index permit application for the above items numbered: D Plan Check List 2. Additional items required: �— Contractor, design was advised of the above required data by ❑ phone,�mail, ❑ Building Division counter, byAO? Date: j Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: ,11=—'�� Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Volt...., !'...,., _ rlo•..,.+...o..r .,f Tle..el.,.....o..+ ee...:,.,,.. U..aA:_.. n:.::..:_'. _ Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing andissuing your building permit. No building permit will be issued until this verification is received' :, 1. I personally plan to provide the major l5bor and materials for construction of the proposed property improvement :YES NO[ ]. '— 2. I HAVE[ ✓f 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: i CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but'I have" contracted (hired) the following. ..persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: — 22 NOTE: This owner -Builder Verification,is required by Section 19831 and 19,832 of the California `Health"and Safety Code. May 1995 This verification must b'e,completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 w e exception of various trades that you plan to subcontract, you should be aware of the followin ' ormation for y benefit and protection: 0 If you employ or othe 'se engage any persols other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcon ctors,`tten you ma oe an employer. 0 If you are an employer, must re's#er with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations,'! and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 C �t D 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, CaFifornia' 95965 - Telephone (530) 538-7541 PE No. (Rev. 12/96) APPLICATION AND PERMIT A z/ ~"'eORPAMM ZON1108BUILDING PERMIT OwHeR ti'1 I Lo C Pr 9P_ 1 LL O � 3 337 SO. FT. OCC. BUILDING VALUATION pY.►Ql, �.,.,►� AooRese y 1 S C 900 t_. OOHrRAC10Ra HAAs D CU N TeunaHa CoMMCTOa7 MA&P O ADOAM CONSTRXIM UDOCR UMUM7 VARM ADDREle —Fireplace Total Valuation = ARCHMT OR EMNUR ucEHae "o. Firing Fee S 20.00 AACWMCr oil OWNS l7 VARJHO ADDA09 Permit Fee t+ Plan Checkin Fee $ SULDM ADOMS Energy Plan Checking Fee i i PERMIT FEE _ WTw. eueowr�cMSKArie PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFS UCTURE SFO Duplex O Moblehome Other e `r Each Tr 7.00 Solar or hent um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O lltlMes O Installation O Other O Describe Work:_ 2 /1/ L ST//y [ - Gas piping system 1 - 5 outlets 15.00 Building sower 15.00 Mobile Home I S I G I W@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service =coo-, 23.00 c�- Main Service 20oA To -A46.00 NEW COMT. OWELL+O occur. 3.54 OR ADONS. A ACC. KW. HONRE9ID.NULTLov CL @7.50 POWER APPAMn A R 9 CDt Ex. Occup. owner oa nm o GAL s - EX. OCCU MD APPL/. OR ovnFrs aro. eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood e.50 Ventilation PERMIT FEt: t Mobile Home Installation Fee t+ Energy Inspection Fee 5 D« `O -T. -P£ TOTAL FEE $ HAZ p, iEp IMPP.000 oDf PARCEL PO to 6SLI 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. By Date PERMIT EXPIRES ON ReceiptNo. WHITF.n n C _e n Mobilehome Manufacturer:_ [-t��wno9 Manufacture Year: _19q If other th single wide, furnish Setup Model Number: Width:(ft.) Length: ft.) Tagalong or Expando Size •— (ft.) x --- (ft.) On all mobilehomes manufactured after October 7, 1973) furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete blocV1114 J1 Other: Provide Tie Down Specifications for all Mobilehomes: ffl(d Lei rt AAA A1 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 + Line 2 C� G'=� l —B4 .. .... ...{ .... ...p.... fl.....ED ....E�3 .............. M. - Line2.....p..........��.... e..��.....L'1..........�.....,�. Line 1 Main Beams ............................................... Eine ine 5 Tag or Triple ine 4 I Line 1 Piers: Size minimum: r I x Spacing maximum: ` From ends -maximum: ` Line 2. Piers: Size minimum: ] x I� . Spacing maximum: to U ` From ends -maximum: 1 0` Line 3 Roof Loads:. Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Ane 1 Line 2 ,ine 2 Line 3 Line 2 Line 2 Line 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: I I` Line 4 Piers: Size minimum: x Spacing maximum: ` From- ends --maximum. ` [LE C FN* Py MLF7.-I g. ;t��' :.� �. s,`, .+;t.,.:.n,,.,:.;.,.;>..�,{.:;;:<R:ii:;;r: `.i:k:i;Yir:•>:;,i�"•: •:k.r.,:y;..,s: i::�•::;::.•.,o•.:;u::, .. 1. Owner's 2. Assessor's Parcel Number: 3. Installer's Name:. 0 /Or_iZjD 4. Is the site currently under permit? Yes[ . ] NoW Permit No. 5. Is the site an existing site? Yes No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? J40 Amperes. 7. What is the mobilehome site circuit breaker rating?_] �� Amperes. 8. What is the electrical rating of the mobilehome site? 25 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No{�], If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes j-kNo [ ] If yes, please identify the load and size: a) The mobile home site: Load- ZZ�o j we , Amperes- _ �o,K b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ l Propaner-k None[ ] 1,2. Size of gas pipe at the mobilehome site from the meter or tank:? inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?($,) 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). i TATS' nprusD arm," May 1995 PROCESS THIS PERMIT APPLICATION 8.5 APPROVED Butte County Environmental Health Date Signature I ... ...... .. Z� -3 August 2, 1999 Hermilo Carrillo 41 School Street Oroville, CA. 95965 - utte ount 'Ld - -97,'. ,. LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE,,CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 Assessor. Parcel Number: 028-061-014 Building Permit Number: 99-1541 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Obtain a building permit to repair the damaged mobilehome utilities. This permit must be obtained and approved prior to the issuance of the mobilehome installation permit. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely,. Glenn Gibbons Plans Examiner �MOBIILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES =.BUILDING DIVISION --7 COUNTY CENTER DRIVE t" OROVILLE, CA 95965 --PHONE (916) 538-7541 APN;`' PERMIT NO.: Owners: J Name:' f • ..._ , Owner's: 1 Address:` -� LJ./ f`,+ f ( j. Mobilehome `-r/ Yerof Manufacturer `► Manufacture: Serial number ��� �~4 /� y,. ,�- `� Insignia or ./ j 3� (/ or V.I.N. (:�•? HUD number: Official approving installation: r Date: —� y If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. r 5136 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor Int. -v s.�Y.�--...��-.-����� +^\.!"'....rry+'�.• �`f�'+."-.wv.w..�i�,y,....�.,,r,iL•r-•-"'v.�"�'v�^�'*I-�I.^.^`J'-• '^v"..-.. �...j._-�...�„t_-.R,�,4,..-��..-_„-.v+4•^-^!^-••�.,a'.-r-rte`" 11-4 MOBILEHOME INSTALLATIONACCEPTANCE `= COUNTY OF BUTTE !DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE `-% OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: , PERMIT NO.: ,�� C _ 5 Owners: _j"" t / Name: _ ! 1 Owner's: Address: Mobilehome `'�-- ly'arof Manufacturer Manufacture: Serial number ,[,��. t/ I j 57 1 "`' Insignia or �^— T3J J or V.I.N. 7' / ,— �,,5" . HUD number: Official approving stallation: 7 Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. v• 5138 , White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main.St eet • Chico, CA • (530) 891-2751 a 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER �' PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the Htv 10/92 v_. s '' � .. v_. -'-- 989-79P,E 3 PERMIT NO. PERMIT EXPIRES Hermilo Carrillo j, OWNER j CONTR. owner ^ LOCATION (A.P. 29-061-14 N/.S School St., app.175' W.of Palermo Honcut R Honcut 7 1/ �f O Tem/Power Pole ailed PG&E lmpe. Elec. Serv. Te PG&E . Gas Serv.alled PG&E 0 FINALED /7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING i ae acK FIF wall Soil iping For Parlpets 1 SNF loor MaN Bldg. Restr om Finish 2nd Xloor F tins Windo 3rd F or Ste all Siding To out Slab Roof SheAbIng Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sica handica e.1 Conformance of ex. structure Appliances Gas 1ping & Test Temp. Gas Slab Final A Sanitation Patio FRE ACE Final Footings Footing E CTRId#L Masonry Wall Throat Rough Reinf. Steil Final Fixtures Bond Be m JFIRE SPRINKLE Motors Framinq Test Water Htr. Stucco Final Suboanel Mestr MECHANICAL Grd. Falfit Prot. Scl4tch Heatl Servic !inn Coo ng Te p. Pole finish D is der round 1 erior Lath ntllation enoanent 40. or Closer anal anal MOBILEHOME UTILITIES ---------- ------ Pier. Service _3 --/— Elec. Pedestal -- /4f-7 Water Piping Sewer _ 20 Gas Piping MOBILEUOME INSTALLAT12N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ✓ � r `f'� � / REMARKS OR CORRECTIONS "Leo (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, 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 /--�+ 'Z'/-- 7 S for the following location: w//c. ;P- Owner 1-0'40s.. Owner's Address Ali- a- Mobilehome Model Yeari2�3- Insignia No. -/A-," Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direecctor of Public Works Date `�' / �/ 134re/ ` THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large ,enough to provide adequate amperage -to mobilehome (must equal rating of- mobilehome with a minimum oamp) and 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? YesNo D. Is continuity .test satisfactory as per the following procedure? Yes_ ,o 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 s1ding, 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 te. hen be made between the grounding electrode and the chassis of th mobilehome. Upon satisfactory completion of theelectrical 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 Length Width S Vehicle Serial No. �N� /6W State Identification No, Additional Information or Comments: MOBILEHOME.INSTALLATION INSPECTION CHECK LIST b 4* 1. Is the mobilehome located with kequired separation from lot lines and -buildings and generally conform to plot plan? Yes= 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes` No 3. Are.footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec.5082 & 5083) YesC, No 4.- Is the mobilehome level? (Sec. 5088) yes v <oC _ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No��. 6. Water A. Is fle ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yest,, No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes4----No C. Backflow - If coach is not State of Cal' ornia 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? YesL-IQo B. Does it have minimum k" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after runnin 3-galloju of water through each fixture including washing machine standpipe? .Yes No D. If coach is no tate 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 mobil ome 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DNve - OroviIIe, California 95965 ?� Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the Vounty or tsutre to enter upon the above-mentioned property for inspection purposes. X Date — TSignature of Permitee or Agent Receipt No. Z S --)Y7 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. DIRECTOR OF PUBLIC WORKS By Date ilding permit expires Date J BUILDING Owner d 4L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan 4 15< -Aft L 47' 44zog!�� Checking Fee &/or Penalty Permit Fee �U t3yL is Gt,� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C90 Each TraD 1.50 a Gcf / Repair drainage or vent piping 1.50 �� �Zi P. No. Iq Z a n i g Plannin ater piping 1.50 , Each gas water heater or vent 1.50 F`etls I Icee S i tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 (jO EQA Parking Parcel Plans Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � Q Bldg. P s Recd Par A royal Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ` $ (x ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p4D Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER & O 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. l ACC•BLDGS.LING CCUP. 7i\ 2¢Sgft / CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name le of: style MULTI -OUTLET NEW RESID, BRANCHCIRCUITS NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .& . 1 50 L 1 Ex. OCCUD(OUTLETS OR FIXTURES IB @ 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 3 'j -41-C 01 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ (Q MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I 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. RI 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 $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 1 Land Development Fee $6wcx TOTAL PERMIT FEE $ autnorize representatives or the Vounty or tsutre to enter upon the above-mentioned property for inspection purposes. X Date — TSignature of Permitee or Agent Receipt No. Z S --)Y7 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. DIRECTOR OF PUBLIC WORKS By Date ilding permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS A 7 County Center Drive — Oroville, California 95965 961 �^ Telephone: 534-4541 ` / 1 APPLICATION AND PERMIT / Z-11, authorize representatives of the county or tiutte to enter upon the above-mentioned property for inspection purposes. X - rte '—L&j Date — % - Signature of Permitee or Agent Receipt No. / 91`� 5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abo fo which fees have been paid. CThR?nG 121116 .,C WORKS ,A�7 Building permit expires Date l_/ ::S / BUILDING Owner Ld ef�OWR)LL0 SO. FT. OCC. BUILDING VALUATION Mailing Address rt_ 6 Q r e..,-L-!�6I� Telephone No. "741-667 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �/ �CL` 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. Z? -06—/ �( j� Zofirfig Planning Water piping � 1.50 Each gas water heater or vent 1.50 s Fire Dept. Fire Zone I Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.li� I'ans Recd I Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Af/011 `02 9F 999" 217 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home C9Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s OR -LESS 25.00 100 AMP Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. !i) 2¢Sgft 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 -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR. Ex. Occur)( -OUTLETS OR FIXTURES g @2j FIXED APPLNS. OR Ex. Occup. 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 $ $ MECHANICAL N0.1 @ 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 $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 Land Development Fee $ TOTAL PERMIT FEE$ dC authorize representatives of the county or tiutte to enter upon the above-mentioned property for inspection purposes. X - rte '—L&j Date — % - Signature of Permitee or Agent Receipt No. / 91`� 5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B County Code and/or resolutions to do work indicated abo fo which fees have been paid. CThR?nG 121116 .,C WORKS ,A�7 Building permit expires Date l_/ ::S / MOBILEHOME SUPPORT DATA �.'If other than single wide, Mobilehome Mfr0jqUFAAA4jj64ftDA furnish Setup Model No. , Year -23 Width_/C� (ft.) Box Lengt(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. Single CenYclat r support 1ions- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or -foundation grade. 2. Other (specify) Supports (check one)' K?r—.—Concrete block. 2. Other (specify) <--Tagalong or Expando, show support details. :cal Support :ing Size Pier Spacing Overhang. BUTTE COUNTY BUILDING DEPARTMENT .APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: nn -- 2. Installer's name: C/ -U 3. Is the site currently under permit? Yes /v/ No (if yes, furnish permit number 7f ) OR r— Is the site an existing site? Yes / / No % (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes V'l No / / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 0-V Amps 6. What is the mobilehome site service rating? --------------------- Z S/ Amps 7. What is the mobilehome site circuit breaker rating? ------------- 0 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / Lt/'No (If yes, identify the load and size: D2 -,. (Load) �� (Amps) ML�9. What is the mobilehome-site gas pipe size? ----------------------(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG r 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) Lr_:_�,._I .'SII -}--�f--';--I i=�i {• }'- j71�-'�'- -- T-1 -, ;-r- � -f3•T--�i-Fi l�Fft ' f4���'F-�rJJL nt Orm- inn, it the NatiQiiat-f_E�trlcal-Cade. i. �� 'rte, ��i 1 , T- r t i ���� i � I_1 1 I r�L• 1,.-� , 1 1 , , , , I i t , t j - 1 �- � y—•-�---+' __ t.T- ' f _ 1�-, __ _� t 11! I 1 � 1 j I -�� I t r i ' 1 i iJ L I- tT;--- i , - L-J_y - I Y, I II •I � I ; �"" ; _y Ah _J— .1_ .�L_�_ Irl I I 11' �- .•-ter.-� 1 -� I( 1_�_ _-_� y ' ;- I i_t 1 I I I I --f-, I 1 j T i ,Tj r- I Til -Y t- -i- I TI i I I I I I Hf � .�_ I—.' I '_ _i_: _'_1 _�I + .� ' ' i--l_I_' '_'_ ._--'r�-`_.. .ki_ T i -�_� T -1-L� ' ...-- ;-i - _'_ {__r T ._.fit---iT( - I 1 ai_L -= - - L4___ 12 -r ----r '' 8 - -- --E _ _ _ - ��'-o--_• teFii- ond. � ::�-_ -- �_ -' _ _. _�-�1 , . L. _ �--:Try-._,__., G----�---- •-----• -- • -i_" 1 i *"e` Cm 'D,erentL _ f -Ti __ �*1.1! _r-' � .�I_! ! �_..i i '--`'T_--•-I: I 'All utility :.conn'sctions shall -We -t-_ -.. _ -- -• ' i_ `Ti -T 60'- -� 1vGuiE withm-ft: ��ttsiste-tke _.- ion of ---the!. mhome-'t--= -- ` - "Section e'. obile ' •� i' - _La] --- _. i. on the teff; (road) side of the mobile" I - =home: .,__.�_-•-- - :--- -•-' w •---- _ _- � — . - - —' _ i� I I 1 I I ! 1 ! _• �__ J X permit -will-�e required for• t -: ; - -:_ _ -'_ _ -� ' r - 40 1: _ _ , msfallafron - o the Mo IS e. I Al -- - - Setb4�ck shall * - 4 - The property_(•e-aeiil_5�_ft -- -- _ rline•of this road; permitting -a =I-+-; a - --- __ conte , }iieljr.'_ , } ft. cave overhang but -bpi - O ! t _� -_ •_- - - - - •- -- inum of a 21- .. ...;._ +--�--,�T � �-t r; *�:`_' ' e, -all,_.' r t I r _ L .40; 600 i F $s > S,���'CX 1 PERMITAO. 1841-76B PERMIT EXPIRES. TOWNER Manuel Duran CONTR. owner LOCATION (A.p. 28-061-14 NIS pri.rd., app 300' S.of Middle Honcut Rd.,'of Palermo Honcut Rd.,Honcut (2 s' U -J/ PAL No—c-�) --"-4 tb 0 -3 -7 tl Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 0B 4FINALED (Date) (Signature) Setback Forms . Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) Firewall Soil Piping Parapets Yst Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing ' Sewer Fdn. Vents t Fixtures Garage Vents Water Htr. Prov..for physically handicapped \ Heaters Appliances Conformance of ex. ,s�' / structure �GclTC� �3" 7 Gas Piping&Test Temp. Gas Final ��,� Sanitation FIREPLACE. Final UMBING b / Footing ELECTRICAL Throat Rou h Final Fixtures !' Final MECHANI AI Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) Q R COUNTY OAF, BUTTE — DEPARTMENT OF RUBLIWORKS 7 County Center Drive - Oroville, California 9596.1-3* / 7 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X O!kA 44 b,L,b ��t Gti✓! Date - - Signature ofPermitee or Agent F Receipt No. _I -4-7-7 (647 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 bee aid. DIRECTOR 0 UBLIC WORKS BY Date �L— _LISI euilding permit expires Date -( -y"- -2% BUILDING -. r.. OwnercL SQ. FT. OCC. BUILDING VALUATION .OMO 1�0 Mailing Address e vZ S� �0 ©t' 6`0 114 .� Tele nk1e Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 5, ot) s-1 p. Building Address J�rl QTc cJ, farolt PLUMBING No. @ FEE PERMIT FILING FEE $3.00 30 o r S 7- Pd. o r Z Each Trap 1.50 Ler tilp V C_ TPd Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 6 % _� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 [Building A04,51U1 Sann Fire Dept. Fire Zone Use Permit sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .-�- , A c2 / 1 / L Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Famil Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OR ADDNS. 1 ACC. BLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.5Oea NEW CONSTR. (POWER APPARATUS & NON-RESID, (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)@L� BAL@T Ex. OCCU P•(FIXED APPLNS. OR 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 I 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. MECHANICAL No. @ FEE 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 information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ _5 70 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X O!kA 44 b,L,b ��t Gti✓! Date - - Signature ofPermitee or Agent F Receipt No. _I -4-7-7 (647 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 bee aid. DIRECTOR 0 UBLIC WORKS BY Date �L— _LISI euilding permit expires Date -( -y"- -2%