Loading...
HomeMy WebLinkAbout028-120-028'THOMA JONES THOMAS C.'JO�NES I 8583 LaPor d, Bangor Contr.: Dan Hei n -8583-La-Porte-�Rd_; _Bangor an ° �_-____-___ Permit�k83-86A(Agricultural Bldg Exem %1 rermit#-2"6-1-7-87P;E 1; P 1 t- g ELEC ?OO - 30 Gt/ permit/hay stg GAS 3 7.0 _ '{ SUPPORT STR RE 0 ,� ` COMPACTION TEST RE t9 �� f r Contr: S erio MI-I `' .., PErmit •77-8'7MHI ✓r//� '' �� t 4 Issu X i v low f , 0 o ', o a 8 I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N0.� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where' agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSQ ARCEL 0.� ZONING OWNER PHONE N0. O OWNE 'S A DRESS ago s LOCATION OF BUILDING USE OF BUILDING IC- 71 O , Z o af i U SIZE OF STRUCTURE X — SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME Y STEEL 8155 CONCRETE V OTHER (Specify) TYPE OF SIDING 5� C9c�4.�•� ROOF COVERING o Galva► �dl Ti FLOOR TYPE ESTIMATED COST OF CONSTRUCTION �' $ i' AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as foil FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG -Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �// %� �t� Signature of Owner Permit Fee - $25.00 The above described AG Building is exempfrom a building permit. Receipt No. 693�(aDirector of Public Works BY Date �� �f 7 " 2? � White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant ??7 A? '7 PERMIT NO. { Q� PERMIT EXPIRES L OWNER �unNtec r Tnnr CONTR. Dan Heilman ASSESSOR PARCEL 28-12-14 & 15 LOCATION 8-58-2 1 --Peel a Rd, Banger . i OFFICE COPY . Address i L GAS 1 ' Meter By D �.. j I ELECTRIC Temp. POrrer PI Meter By - Date Called PGbc ! Temp. Elec. Se Called PGI Temp. Gas Ser Called PGI JOB FINALED Signature = OK 0=NoiOK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILfMOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s - ng Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Soil ; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel e ; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing e ricity; L - rances-Grnd - mp-Concrete as; Lo io T rap: / /"L"ft. / /'Nat. or L"ft./ N'`LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Dat _- Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Dat 1 and -B1 Date 11. Ext.; Steps -Doors -Landings Date OBI HOME INSTALLATION (Plans) OK except #'s �rfng Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date . a ; MH Test -Demand -Valve -Connector j4 -Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s rain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ater; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability P. -Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining and Electricity Tagged kf E ' , Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Dat Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready, Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -131 Date Card -61 Date Card -B1 Date Card -B1 Date Card -81 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -61 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -81 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size 1 /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes O No; Walks O Yes 0 No; Planters O Yes 0 No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -61 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -81 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobi lehome Owner's name PERMIT N0. '!�L 7/77'27 Owner's address �i •� !C `moi `1 71 ? �' Insignia or hud number Manufacturer's name Serial number. ro of V.I>N '\ fCJ R Year of manufacture +--�— � (Official Approving lnsiallotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBIL"EHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 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 contacts this office immediately. �!ZNIT1 , SIR 0 "111 M411 Inspector Date. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott'Road, Paradise'— Phone: 872-6307 CORRECTION NOTICE JPr� VT N1te A routine inspedfion 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA CEL NUMBER ZONING BUILDING PERMIT OWNER /A TELE /TONE l i T SQ. FT. OCC, BUILDING VALUATION OWNER'S ILING AD ESS CONTRA TOR'S ME T€I{{� HO / ` (p/ J C T=A TO 'S MAI ING DRE ^ 5il Y Fireplace CONSTFUUCTION LENDER Or UNKNOWN Total Valuation $ Filing Fee $ .+&.M— LENDER'S MAILING ADDRESS Permit Fee $ 1.5.06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3 /f� / � h�/{' (�y(jr Permit fee $ �q -5,f PLUMBING PERMIT Filing Fee 10.00 ©� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 %—� Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex[] Mobilehome14 Other Building sewer 5.00 SPECIFY Mobile Home PSI G 10.00 ea O?(2 TYPE OF WORK New❑ Additions Utilities Installation[] Other ❑ Permit Fee $ - (� rRemode-IO Describe work: Contractor Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. / DWELLING OCCUP.61 1 / yzQsgft I declare under penalty of perjury (check.one): OR AODNS. ACC. SLOGS. NEW CONSTR. ULTI.OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER NON-RESID BRANCH CIRC ITS APPARATUS e) (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. No. SOS US � Classification A Ex. Occup(OUTLETS OR FIXTURES 0 0@5License eLO 2AL@30 F] 1, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCUp. P OUTLETS (RESID )REA.1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring QX 15.00 ❑ I am exempt under Sec. , Business and Professions Code p for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g 5J 1 shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee ; provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab ve-mentioned property for inspection purposes. TOTAL PERMIT FEE $ AA I also agr to saven mn" y and keep harmless the County of Butte against OCCUP. CONST,TYPIJ FLOOD PARC PD D I59UE all liabil ti s, g n sts, and expenses which may in any way accrue against a' ty co equence of the granting of thiVper it.X � 7 This permit is hereby issued under the applicable provi- Date Lure sions of the Butte County. Code and/or resolutions to do Sign o Applicant — OwnerK Contractor E]Agent❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTO F PUBLIC WORKS ion of structures over 3 stories in height. Receipt No.BY � Date?,It,-,P7 WNITE-D.P. W., 'F" LOW-ASSE33o R, PINK -INSPECTOR, GOLDENROD -APPLICANT PET EXPIRES Date w - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DI�JVISION 7 COUNTY CENTER DRIVE - OROVIWL .&ALIFORNIA 95965 - TELEPHONE: 916/538-7541 Y M y PERMIT APPLICATION DATA SHEET 1 Permit No. OWNER �- l�C7t3 C- S A. P. No. - Proposed Building Use _► Building Inspector Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED i 1. All items have been submitted. . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriza ' r n. _ 10. Sanitation approval from rCO; Health- Dept. A5 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. Pre-Insperequest to (Dote) p --- — - -- - q Building Inn spector Recorded copy of Agricultural Acknowledgment Statement. 9. Driveway Permit. 20. Pryt plar6 approval from city of 21. 1 afCe M4� re covc E'C off/ _ 22. 1A Q, O S14 �2�� When you issue the permit, process as follows: Mail to owner; .I<aii to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: —_— Contractor, designer, owner, was advised of above required data by—phone---mail—counter by date— Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date— Plans checked by 4KerDate—z�l_Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance O er Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _. Clearance for bedroom mobile ome Other NOTE *** Sanitarian "Dz OWNER. S PERMIT `# M UT IL. CLEARANCE DATE �r—a 6 INSPECTOR G2 ELECTRIC GAS Support Struc. Compactiot Test Req. Service Other Pipe YES NO YES NO Size Load Type Size Len th A �--� G -7<l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California.95965 - Telephone: 916/538-'7541 APPLICATION AND PERMIT PERMIT 0. r �f ASSESSPARCELNUMBER ZONING 45 BUILDING PERMi OW ER TEL P o 3 SO. FT. OCC. BUILDING VALUATION o wf- OWNER'S` IL NG AD RESS TELEPHONECONTRA TOOR NAME iYU C10tr .I3 CONTRACTOR'S MAILING ADDRESS _ j -2 -Is— ` r p I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee ,$ 0o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS `/� Permit fee $ 5-00 1 PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF [IDuplex[]MobilehomeX Other Building sewer 5.00 SPECIFY Mobile Home S G W .0 O.00ea TYPE OF WORK New❑ Addition El Remodel❑ Utilities/❑ InS,tallationK Other E] Permit Fee $ Describe work: _�tl%/� Y -/a— 7- 1.7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 1100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP.d C h¢sgft I declare under penalty of perjury (check one): OR ADDNS. ACC. SLOGS. NEW CONSTR. MULTI -OUTLET 2,50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS /POWER APPARATUS e) (SINGLE nd Professions Code and my license is in full force and effect. OUTLET cIR. License No. Z2- a - / Classification EX. Occup( OR FIXTURES 20050t 5AL030 ❑ I, employees with wages as their sole compen- FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID) EAJ 2.00 as the owner, or my sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIIng Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating have placed on file with the County of Butte Building Department �I a Certificate of Workmen's Compensation Insurance or a Certificate Vf Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against OccUP. CONST.TYPE�7A�JoDPND s all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. / This permit is hereby issued under the applicable provi- X fN t' Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner El K Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT9R OF PUBLIC WORKS ion of structures over 3 stories in height. 77 BY Qp Date v' 2-7-e Receipt No. WHITE-D.P.W.. YELLOW-ASDE330R. PINK -INSPECTOR. GOLDENROD-APPL I CANT P IT EXPIRES Date / —717 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILEE,; A�) Q IA 95965 - TELEPHONE: 916/538-7541 7 PERMIT APPLICATION DATA SHEET Permit No. OWNER �' A. P. No:ell Proposed Building Use m NBui(ding Inspector rz�/l Date At time of permit application, I was advised the following data must be submitted prior to permit processing an r Issuance: DATE RECEIVED APPROVED t/ 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans, _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . ?!r 17. Pre -Inspection for__.-__-_ _ .._._._- _ Required, Pre-Insperequest to (D.otel p - - - q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of _ 21. — 2 2. When you issue theer�iit process as follows: M I to owner, Mail to contractor_ ��`� (office, /X\ Telephone and hold for picku6/1&?i Deliver w/inspector. Other _ -- ApplicanL.�%%� Date ,Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: —_—_— Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by * date Plans checked by Copy—DPW Date Plans approved bye Sets of plans on hold in File cabinet AP folder Wn 4 , . '. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: C _6)vc S f 2. Installer's Name: 4 L.�� %%d /Z No''h �,--9 3. Is the site currently under permit? Yes ® No (If yes, furnish permit number? �T_) OR Is the site an existing site? - Yes No E (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes a No E *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) � ;71 7 BUILDING DEPARTMEM APPROVED (If no, clarify 5. What is the mobilehome electrical rating? --------------- �EJ 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 D F] mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? --------------� � (in.) 10. What is the type of gas service? ----, -----------L--,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:) � ;71 7 BUILDING DEPARTMEM APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.�!¢V ola/tC_ furnish Setup Model No. Width—(ft.) Box Length�(ft.) Tagalong or Expando Size, Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)z1. SUPPORTS (check one) F11. Line 1 Piers: Wood -pressure treated or foundation grade. 1-1 2 Concrete block.® 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE HU-.` Line I .! 2 _ _ _ — _ — Main Beams Line 2 Flint€, -Z3 �. -- — ----- Line 2 --- — —'-- Main Beams Size -Min. ------------ Spacing -Max- --------- _ Fr,Ends-Max.------- " Line 2 Piers: Sire -Mill. ------------ Spacing -Flax. --------- '_ G From Ends -Max .------- d " I.fne 3 Fir+of toads: Slze.-Min.------------ lncation (From FronL) 1_ine_4 Piers: Line 5 Piers: (Under Bearing Walls Only) ------------- Size -Min „ Size -Min.------------------ • Spacing -Max.--------- Spacing -Max ---------------- From Ends -Mex.------- _ From Ends -Max .------------- Line 5 Roof Loads: Tag or Triple - Line 1 Line 1 Openings: Other (specify) Size -Min. ------------------ x Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------x 11 Spacing -Max---------------- 11 From Ends -Max.------------- 1. x o„ -9'1"- 3 o , 36 „x o - 3 x o., Z„x o„ nx Size-Mill.--•---------- lucal-lon (From Front) "x "x "x "x "x "x "x "x � �r 0 t t,; ,.t �J 0 �;Pl 1 , {*q t r - ;z. 0 co {*q t r - 1