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028-130-006
•�C7 `'`�. _ - ----- - - � - - AP 28-13-06 Hal Trosin�:"' --TROSIN, Harry R. 1048-67B , East/side Cf La Porte Rd., app. # 843-0,E i 1 3 miles south of'Bangor Permit #2694-75E (replace service 28-1 -6 � �ole /MH)�-li . -��-7t ��. e�s LaPorte Rd. app. 4 mi. so. of King Raixch 28-13-6 Rc., Bangor HALE OSIN (Living r om & orch to be used w/mobile hme 8608 La. to Rd, Bpngor Contr: Ceps _ Mercado MH Ser Permit#1382-8 as line/MH) /`1 28-13-6 S Contr:-,Ce aAr Mercado MH Permi383-86MHI(e sting site) 1 Is ed .�-�.?�G ., r# 7/��/48-13-6 Permit#1524-86B(new open deck/MH) 028-130-006 05-0775 TRONSIN 4806 LA PORTE RD, BANGOR Cont: TODD HEMSTALK CONSTR r FIRE DAMAGE REMODEL J F Ik , � r PI) C*4 �s gyp► r— M i • . L INCIDENT NUMBER DATE111/2005 EVENT NUMBE 34 LOGGED B TMJ REPORT TIM 17:51 LOCAL FIRE NUMBE RO MCLEAN STATE FIRE NUMBER BI I. CASE NUMBER J i AA►cAAA s F MEDICS . (. LOCATION 4806 LAPORTE ROAD ( PRA S7 ECC; El ;,RP HELEN (PHONE NUMBER 679-2373 REPORT METHO 1911 WILDLAND FIRES ❑ ESTIMATED ACRES 0, FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL , ( FIRE INFO SENT HO EMAIL '_ BY; TMJ TO FS55 OTHER FIRE 7 -DAY LOGGED INITIALS 'ITB MEDICAL AIDS ( INCIDENT NAM j, PORTE PSA/OTHER (, START DATE 111120051 START TIME 17:10 HAZ MAT ( DIAMOND # 1.1-1.8 COMMENTS CAUSE 11MISC LAND USE DOMESTIC ( ti ACRES .0 TYPE OF ACRE . DIAMOND 5 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 30000.00( SAVE r 200000.00( ' INJURIES/FATALITIE ❑ #CIVILIAN INJURIES__Oj # CIVILIAN FATALITIES 0� , EMDTI OES Ll# FF INJURIE 0 # FF FATALITIES 0 ♦ I New Incident FC -40 ' INFORMATION FC -40 ❑ DATE OF FC -40 INC AGENCY INC # ( 'INC P# 9C-40 COMP DATE ' ( FC -40 COMP. BY County Notifications ;� EARS Hard Copy Recieved ❑ EARS Checked Agen§t EARS Computer, ❑ • v r L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Projgsslons Code, and my license is in full force and effect.A92 1 -53LO-1 Z7 License Clas License Number: Dale*Z—?,4^5 Contractor 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law -for- the following reason (Sec. 7031.5 Business and Professions CodeAny city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Profes@ions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.).' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Dater Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Si orrF_ IV NJ ]IN Policy ff: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant..— WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. PERMIT NO. BPO50775 Issued Date: 03/24/2005 APN: 028-130-006-000 Site Address: 4806 LA PORTE RD BAN Map Index: Description: fire damage remodel (400) Owner: TROSIN HAL R & HELEN G TR TROSIN FAMILY TRUST 4806 LA PORTE RD MARYSVILLE, CA 95901 Applicant: TODD HEMSTALK CONSTRUCTION 75 SHELTERWOOD LANE OROVILLE, CA. 95966 . 530-589-0271 Contractor: TODD HEMSTALK CONSTRUCTION 75 SHELTERWOOD LANE OROVILLE, CA. 95966 530-589-0271 License #: 536727 Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This I hereby affirm that there is a construction lending agency for the Rew performance of the work for which this permit is Issued (Sec 3097 Civ.) Name: By' - 0 S. F. $0.00 8_7 thea b provisions of the Butte County Co a and/or ova . r vy " fees have been paid. Address: I ( le ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety handling and use of hazardous materials. ❑ Notification In accordance with Section 19627.5 of Callfornia Health & Safely Code is not applicable to the(noticial eduled construction ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the' above information Is correct, and that I am the owner oduly a orized a e all county and slate laws relating to building construction. I acknowledge it Is unlawful to alter the substanc of orm or do u authorize representatives of Butte County to enter upon the above mentioned /property for inspection rp es. Print Name: 1 14tE�-1—E. E S7f-CIJV Signature. Date: F2 Ll- Owner ❑ Contractor for Owner which regulate the storage, this project. the owner. I agree to comply with of Butte County. I hergby %=W for Contractor B. C. Building Permit 01-1b-04 pq 1 OT BUTTE BUTTE COUNTY 0 " o DEPARTMENT OF DEVELOPMENT SERVICES o 0 BUILDING PERMIT APPLICATION o O AND SUBMITTAL REQUIREMENTS p - _.r .= p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O =- =�' O OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION CO(J 14 Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name Address irst Name , Address ZAzK>0LP LL 0 TE D. City-�AN��� Fax State Zip t�A- Phone,,-, n 7M `1 Type Const. Fax E-mail Map Book CONTRACTOR Name Address CityD�U J l LLE State Zip Phonee> , O I Fax E-mail Lic. 2 Clasj APPLICANT NAME ARCHITECT/ENGINEER Name City F 0 J' Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name -opt ��Y�S'iK� Address n 5 City F 0 J' State C Zip Phone , Fax E-mail APPLICANT SIGNATURE x For-e-tion y: AP# dCO co Zoning City Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. o?7 BIN # LOCATION AP# dCO co Property Address City Cross Street C> Pao WORKER'S COMPENSATION Policy Number , 1 Carrier (� S"T�E 1' VuJ'L� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: �2E= /': >il-rgr��j�L-7�4i Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on ar. application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b� Receipt #: LI_7'� Date :�1 0� `7 i Amount: 7/V6 - Bldg VLI ICI �_ Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS .0. `' The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. . EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 )-9 , ,- .i PERMIT NO. �6i �, .'j jj PERMIT EXPIRES 5/23/87 '+ i i" OWNER HAL TROSIN +, ` CONTR. Ceasr Mercado MH ` ' ASSESSOR PARCEL 28-13-6 LOCATION 8608 LaPorte Rd t ezL Cal OFFICE COPY Address f GAS Meter By p� ELECTRICS g� f Meter By Dat Temp. Pow • � Called LPG&E '— ti Temp. E14 Calle Temp. Ga Calle JOB FINE Signa V OK 0 = Not OK a — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1: Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete _ 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILE46ME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s . Zj.-(,ng Requirements—Setbacks—Easements 1. Setbacks—Easements Fos; Size—Spacing—Marriage Line k 2. Soils; Compaction—Structure Stability 3 as; MH Test—Dem —Val Conn r 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ricity; MH Test—Crossovers—Breakers—Clearances t 4. Elec.; Receptacles and Lighting; Distances—GFI ra' ; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7 ater,and Sewer onnected—C/O to Grade—HD Approval I 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8?' a d Elec ricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit its; Insp.—Sketch 1 . Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date — and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date In V = OK 0 -`Not OK's Not Applicable RESIDENTIAL (Vingle'and Duplex Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 56. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector _ 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water.Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting +17. -Shower Pan; Test; First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth -" 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date J. Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter - Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of -Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes DNo Service -Riser Conductors & Ground -main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes [J -No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - Card B -I Card B -I - 30. - -_ Clothes Closet Light -Shower Light ----- Date - Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ _ 31. 32. 33. A.C. Ducts: Insulation & Support -- Vent Fan: Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. Furnace -Vent: Access -Comb. Air -Return Air Vent_ -115V outlet Attic Access & Platform if Furnace in Attic - Date Card -BI _ Date _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - - Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _ 3_6. 37. 38. 39. 40. Sills; Proper Material &_Anchors__ _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & F_loor_Nailing`__ _ Draft Stop in Walls (rat proof)_ Fire Stops: Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ -_ _ (NOTE: Anentry must be made each time youvisit jobsite) 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 I CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector \ 0 '//`�/ Date � ] �a9—_ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. - Address or location of mobilehome i Owner's name Owner's address Insignia or hud number_ Manufacturer's name Serial number of V.I.N. Year of manufacture ji (Official Approving Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEr�rANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Instoller, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i PERMIT NO. r1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT Ow ER fDs/ TEL PHONE SQ. FT. OCC. BUILDING VALUA N ,r6_6SMAI LI NG ADD rSS PJ 14 AR -4s c/ fONTRACTOR'S NAME�U �KJt�✓�lY TE PHONE 33 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z 61 On Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑✓Other ❑ Describe work: Acw X V I_ ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ! 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code �ryand my license is in full force and effect. License No.}�Z �`7 Classification (± F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 A , /4sgft New ADDS. C. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. 1 0@50C Ex. Occup( OR FIXTURES 2AL@30 eAL030 FIXED APPLNS Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Ho me Facilities 15.00 Mobile Ho Misc. g 15.00 T I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®,_I -shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �2� <��a Date Signature of Applicant — Owner [E'__ Contractor I�J Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE FLOOD PARCEL PD I ND, INSUY This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which rDI=RIECTOF PUBLIC By PER E PIKES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J_ L� V Receipt No. Iger WNITC-O.P.W.. YELLOW-A58E990R, PINK -IN SPECTOR, GOLDENROD -APPLICANT N,- 1 j 1 `,i 1. "4 t.J ti. .r• r i v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CFvL,I:FORTIIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLaCATION DATA SHEET Permit No. OWNER / YQ �V'05 ✓l jI A. P. No. C ' 0 Pro osed Building Use A/V / f � v/ /( P Permit Fee Based Upon: Complete Contract Price D W Valuation Othe07(M Building Inspector Date O(O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . ... . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with.Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . . . . . etter of signature authorizatio . . . . . . . Sanitation approval from /6Health Dept. 11. anning 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. Mobi lehome Installation Data. . . . . . . . . . 1 Pre -Ins ection for Re uire 4 Pre-Inspec. request to (Date) P q Building Inspector r AFecord%jq&&%Rjj ur Acknowledgment Staterpent . R9ther- (�onstructian approval required prior to occupancy When you issue the permit, roc ss as follows: Mail to owner. Mail to contractor. L`__ Telephone and hold for pickup at n(10 office. Deliver w/inspector. Other Applicant/{ , _r` i i�`{,/ ,;�X, Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above, tim of ADPlication, circle item.) 1. Index permit for above Items No.00 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by ,,l Date S Other: Copy—DPW To: Building From: ivironment al le:�l t 1-1 Subject: Sanitation Cl.^r:u;ce Imo) % a.r.v 0 kv, 0,,rn e r Location Ap# Plan Approved for: wJter :�umoly Hold final for: O.K.Final clearance Kfor:' or:I Clearance for i-)edx-oc..u,, wo'bile homi.:.. Oth. r Sanitarian I '..upply Ler supply r Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS FOR RESIDENTIAL DEVELOPMENT OF BT E COUNTY. RNIA REQUEST OF A Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. AM*'/ `,HOtiNIN 86-16539 1986 MAY 28 AM 9' 08 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOP,M.BECKER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,, smoke, noise, and odor. Butte County has established agricultural zones which have as a i priority use for productive agricultural purposes, and residents within said zones and on 717 adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Beginning at a post from where the U.S. Survey quarter section corner between Sections 5 and 8, Township 17 North, Range 5 East, bears South 36o 291 East, a distance of 9.90 chains; thence Nqrth 600 West 2.65 chains to a post on South side of the Marysville and Bangor County Road; thence North 300 East along South line of said. County Road 3.80 chains to a post; thenceSouth 600 East 2.65 chains to a post; thence South 300 West 3.80 chains to point of beginnings Containing 1.007 acres, more or less, according to the official survey of B.L. McCoy, State Licensed Surveyer, made March 3, 1905. Date: .� :• ! �i State of California ) County of .Yuba ) PROPERTY OWNERS: On this the 27th * day of -May 19 86 , before SS. me, the undersigned Notary Public/c personally appeared Hal R Trosin . Helen G Trosi p✓r L/ Personally known to me. /X/`,Proved to me on the basis of satisfactory evidence. too be the person(s) whose name(s)' are subscribed to the within instrument and acknowledged thateY executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Present A.P. • This set of plans and specifications MUST be ;sept. the job at al times and ' it is .unlc wful to make any changes or alteroltions on some .without ... written {permission from the Department of Public . . Works;. County of Butte. FE�./CE /Q OAfC NOTE--. All Materials & Wor Go dhiPractice Be and Accordance with Recognized .� of .a quality prescribed for the Specified use in the rv� Uniform Building, Plumbing &Mechanical Codes and 4' .WALN� National Electrical Code. 2''WArER Lo4E ti ity connections s a7rear 4 ft. of the mobilehome 4) directly behind or withi z half of the roadside (lefmobilehome.Ac-GaaPrRF WAr£p Liuc 'ATER ;4YO. CLEtii✓ aur 3,1K io k a'.� Cdze P 5EPrlc rANK wArra NYo. A seia(k of 5 ft. from th proper lines and a setback of 50ft From the road cehterlir a shall be clear of structutes or equipment excel fora . eave overhang. W ' '. 14-- WAr& R HY: P/Wr CR �'3AsKEr LAN r -f 4" U7E COUNTY BUILDING DEPARTMENT APPROVED DRpIh I-IELO —;•�------------------ -- k -WATER HYD. CNICKET\1 YJC p SCALE : / 20' EAST PROPE2TY -LINE t zit.,jr, .n fj� it ...nO 3f,"14 10 srif rncf -1,1 F- lo ,bc,dtoa e:n'3 bcol -Ifll lyl(-. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive; Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: / / O�l� 2. Installer's Name: ��Sr4�'L /"le[re-fk-dd 146b r— 14ymn 3. Is the site currently under permit? . Yes F] No B _ (If yes, furnish permit number ) OR Is the site an existing site? Yes No (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 [�]— No F] (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------ ,;-o Amps 7. What is the mobilehome site circuit breaker rating? ----- a Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- ------- Yes � 'No (If yes, identify the load and size: (Load) / Amps) 9. What is the mobilehome site gas pipe size? -------------- �i (in.) 10. What is the type of gas service. Na ural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- BTU) *(This information not required if pipe length less than on natural gas or less than _50 ft. on LPG. BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA If -other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width 1'2— (ft.) Box Length_Z— (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 (if not on file with the County of Butte). FOOTINGS (check one)R1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)Concrete block. a 2.- Other (specify) Pier Footing Sizes'and Locations SINGLE -WIDE Main Beams— Line eamsL ne 2 Main Beams — — — — — — — — — — .4 -Line 4 Tag or Triple t.inA Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min .------------ „0 „ Spacing -Max---------- Prom Ends -Max .------- '_ Q Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 1 Openings: Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- �_ '� Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „ Spacing -Max.--------------- From Ends -Max .------------- Line 4 Piers: Size -Min,------------ „ Spacing -Max.--------- , « From Ends -Max -------- Size -Min.------------------ Spacing -Max ----------------- From ------ ------From Ends -Max .------------- Line 5 Roof loads: Size-Min.------------ ux n % „x a nx a ,,x a ax a ux n ux n Location (From Front), - i 'i�1 � t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT f PERMIT N OKI— ASSESSOR PARCEL NUMBER 3—o u e>o &--t7 ZONING BUILDING PERMIT OWNER L —Tv-o,5,/L/ TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME C-- ej-4. & Rog, , rile TELEPHONE S33 -n-0- CONTRACTOR' tJA1 L1_Nj, �D S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ©r Permit fee $ 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 SF ❑ Duplex[] Mobilehomevi Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ` Building sewer 5.00 Mobile Home S 10-00 ea T TYPE OF WORK New ❑ Addition ❑ RerIlodel ❑ tilities 5all", Installation❑ Other ❑ Describe work: n t Yl l= _ t_� I Permit Fee $ Jo. ig Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCode and my license is in full force and effect. License No.Classification 7 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.& , /2QSgft NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CRC ITS 2.50 ea POWER APPAIRATUS e (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES 20050Q BALD 30 Ex. Occup. OUED P TLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g ++ Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ ,The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. i agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permfit. ` X "� Date S&� ,C,A, Signature of Applicant — Owner (� Contractor ®Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPe I I FL000 PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OF PU BY PERMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS ate Receipt No. SD`7` WHITE-D.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT f x 0 Owner A,� J` Mailinq Address Contractor Mai I i ng Address -�,...�-.-..-•r.--.,.�,...s7� ,_,..ti ,rte �. a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi Ile, California 95965 Tel ephf, 6: 534-4541 APPLICATION AND PERMIT BUILDING SQ. FT. I OCC. I BUILDING VALUATION Telephone No. .6 25:�' 23 7 Fireplace Total Valuation Permit Fee Telephone No. Plan Checking Fee &/or Penalty Permit Fee Building AddressPLUMBING i9 ca�'J4-7. Oe S7�S i�Ir ^44 No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 !/v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F.4es W!C� Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 If Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ 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: License No. Classification v 0 I am exempt from the Contractors License Laws of the State of California. 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. r 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r/ �/i] �i� lY� �� Date �' 71� Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 1: Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq @ FEE $3.00 m� 1.00 1.00 1.00 201(42 1.00 1.00 5.00 5.00 Permit Fee $ /,j-4,-0 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating i I Coo I i Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE I $ ,lam OD 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 . r�s.�-t J 'tet �. Date G A% 225 rBuHlding permit expires Date �/7�%! A-1 4 i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, 7 Count Chico -- Phone 343-4211, Ext 70 Skyway ay CEn er Drive Road Oroviile — Phone 534.4541 Paradise — Phone 877-3435 CORRECTION. NOTICE Q l` BUILDING 08 p e� ' 7 3 ROPERTY ADDRESS A routine inspection indicates that the followin exist at the above address and g violations of when correction of y� should be corrected. Please County Ordinance matter, work Is completed. I} o notify this Office or need additional explanation, y u have any question Please, contact this pertaining to this . office Immediately. 4.:. Hal R: Trosin Assistant District Traffic Engineer' Administration &Operations Section (916) 6744363 State of California Department of Transportation District 3 Traffic Branch 603 Third Street, P.O. Box 911 Marysville, Ca 95901 r f 0 COUNTY OF BUTTE DLPARI(MENT OF PUBLIC WORKS 7 County Center Drive — OroviI'le, California 95965 Tel ephont?: 53.4-44641 APPLICATION AND PERMIT duinunze representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date 6-�'-7S Signature offPe'rrmmiteeee or Agenvt Receipt No. 3-34 7c� 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. By /DIRECTOR OF PUBLIC WORKS rO Date *U 9 Permit expires Date 40 ,�17 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address T S� n o/ T lephone No. -Z 3 73 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee 1 Building AddressGc ��TC ��i� ,eyePERMIT PLUMBING No. @ FEE FILING FEE $3.00 3.-o c� �'o v T O o&5Wly6af Each Trap 1.50 low Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W saaitian Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements.Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 (d2 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 /300 Temp. Power Pole 5.00 License No. Classification Misc. wiring �( 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. 1, I certify that in the performance of the work for which this permit .is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTALPERMIT FEE $ duinunze representatives or the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Date 6-�'-7S Signature offPe'rrmmiteeee or Agenvt Receipt No. 3-34 7c� 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. By /DIRECTOR OF PUBLIC WORKS rO Date *U 9 Permit expires Date 40 ,�17 PERMIT NO. /1524-86B PERMIT EXPIRES y /,L/ OWNER HAL R. TROSIN CONTR. Owner ASSESSOR PARCEL 28-13-6 LOCATION 8608 LaPorte Rd, Bangor Temp. Power Pole Called PI Temp. Elec. S Called PI s Temp. Gas Se Called PC JOB FINALEI Signature OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's Date DECK OVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Zoni ..Requirements-Setbacks-Easeme 2. Soils; Special MH Support -Sketch _ otings; Sip S ting -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) eck ire and/or Jo6w-Dec g-Braw"q--staiFs�ails 4. Woo ms-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Aum. Awn—Columns-Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap: / /%"ft./ /" Nat. or/ /"L"ft./ /"LPG 6.-6erperts-, *tndDws-Doors 7. Utility Clearance _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 11's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date)—I/- Card -BI Date LS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) ' Date_ UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth _ 3. Ftg., Garage; Soils -Steel- / /': Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / t /" Ftg. Depth' 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6.Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab _ 7_Piers-Fireplace Ftg.-Steel _... _-8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI__ Date _ Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Vent- Access -Combust ion Air 15. Water Pipe_Test & Anchors -Nail Protection 16. D.W.V. Test-Fttngs & Anchors -Nail Protection 17: Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date Card -BI - Date Card -BI Date Card -BI Date DateELCTRICAL E P Card B -I Card B-1 Date Card -BI Gard -81 Date Date FRAMING (Continued 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51., Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68 A C Duct in Gara a -Dam er ermit OK except q's 9 p 20. Fixture &Transformer Clearance - Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 26. Subfeed Wire_ Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes [ Insulated Neutral _,Yes�No _ _ - _ Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect__- 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels. Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower -Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Date Card -BI _�y Date 81. Ventilation throughout House Date Card -BI Date 82. Glass Protection 83. Corrections from Previous Inspections MECHANICAL (Permit) OK except N's 84. Gas T est -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86• Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air V_e_n_t-_115_V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date No; Date Card -BI Date - Card -BI late Card -BI Date _.. Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except q's Com tents at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops:_Furre_d Ceilings-Stairs_Chases_-Tub_T_ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. AIlic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE An entry must be made each time you visit job site) ermit OK except q's 9 p 20. Fixture &Transformer Clearance - Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 26. Subfeed Wire_ Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes [ Insulated Neutral _,Yes�No _ _ - _ Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect__- 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels. Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower -Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Date Card -BI _�y Date 81. Ventilation throughout House Date Card -BI Date 82. Glass Protection 83. Corrections from Previous Inspections MECHANICAL (Permit) OK except N's 84. Gas T est -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation _ 86• Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air V_e_n_t-_115_V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date No; Date Card -BI Date - Card -BI late Card -BI Date _.. Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except q's Com tents at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops:_Furre_d Ceilings-Stairs_Chases_-Tub_T_ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. AIlic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE An entry must be made each time you visit job site) 34. Furnace -Vent: Access -Comb. Air -Return Air V_e_n_t-_115_V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date No; Date Card -BI Date - Card -BI late Card -BI Date _.. Date Card -BI Date Card -BI Date Card -BI Date FRAMING(Plans) OK except q's Com tents at Final: 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops:_Furre_d Ceilings-Stairs_Chases_-Tub_T_ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. AIlic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE An entry must be made each time you visit job site) 1 11 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Ca4i.f,orn.ia.95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARC NUMB .. --n ZONIN BUILDING PERMIT O WNE r TE Ho SQ. FT. OCC. BUILDING VALUATION OWN MG ADDRS CON CHAME TEL PHON CONACT R'S AI ING ADDRESS Fireplace CONSTR TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,0 LENDER'S AILING ADDRESS Permit Fee $ ARCHIJEJFT OR ENGINEER LICENSE No. Plan Checking Fee $ 1. k Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS V �O o Permit fee $ 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 SF ❑ Duplex[] Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG JW I 110.00ea TYPE OF WORK New Z Addition ❑ Remodel Utilities ❑ nstal ation❑ Other ❑ Describe work: CY Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification License ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , OR ADDNS. ACC. BLDGS. 2/20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. 1.20@50t Ex. Occup( OR FIXTURES 2ALO 30 FIXED PR Ex. Occup. OUTLETS (RESID )EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg(nentS, costs, and expenses which may in any way accrue against said CounWl'n copequence of the granting of this permit. JI IJ f X _%F J /AA..eA A Date ' S - 8 Signature of Applicant — Owner:Z Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occ"P. CONST.TYPE FLO TA�� PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DRE TOR OF PUBLIC By / PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 6'11--v �Qo � ���r/ Receipt No. WHITE-D.P.W., YE110W-ASe1330R, PINK -INSPECTOR, GOLDENROD -APPLICANT c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF RNIA 95965 - TELEPHONE: 916/534-454 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. Permit Fee Based Upon s► Complete Contra Permit No. Q / A. P. No. DPW Valuation Building Inspector uate ✓ i rj�,/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED L, All items. have been mitted. . . _ �3Complete Plot plans in plicate ri licate. � �• ' P P P ,� f,�{p�C pl s -in plicate triplicate. U 4. Complete engineere pans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . .. . . . . . Letter of signature authorizL,17_V0_��/Giea*lth '. Sanitation approval from 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. Mobi lehome Installation Data. . . . . . . . . . Pre-Insprequest to (Date)17. Pre -Inspection for Required- Building Inspector 18. Recorde�c4�*Aj �gAyju & Actnowtad ment Stateent . 19. Other ons ruc 1 approvalrequired prior to occupancy When you issue the permit, process as follows: Mail to owner. Mail to contractor.*. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant n,�.� Date 16 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following dat (For required items not checked above 1. Index permit for above Items No. _ 2. Additional items required: must be submitted prior to permit issuance: (Aim"f application, circle item.) (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other 1 By .' Date Plans checked by Date Plans approved by Date Other Copy—DPW To: Building Department From: Environmental Health Subject: Sanitation. Clearance Oianer Location Plan Approved for: Sex-vage disposal Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE *** � -C)Sanitarian 6 "-13-d,6 AP// water supply i,Jater supply water supply Other Date a FaNc E —�-- =-/4 OAK This ttef of Pfddg Old specifications MUST be kept an the job d4 all 46e1 and it is unlawful to Make any e.6- nget dr a4erafions on some without wrM@n pemissian Pram fhe Depai4ment of Public W' WALNur Worla, County of "e. r W�rrp LiNa Z:WATER LiNR ; ` WgTER HYD. CceAN our Sox DRA11y' FIELD W :01 Z i S� 3 J. J w►vERaulr rt 1= �Q' 7�2Qi SEPric TANK 3 y 3 w � a SERWCe P.41 e�o.�� Q . �1C�p�Q�!?� ;�a_ QJ,�QI i I r a e a moo► �� WATaR "�NVA. ., i a 2 p3 `�yv m � n ao � . CH ICW.E1\1 YAR D nso� BANKBOARo Cie,,� } f CN/CKEw GAre A setback of 5 ft. from, the - Coo property lines and a setback '"^'IR of 50ft. from the. road�Y STOQA6E centerline shall be -clear of SHED structures or equipment except WILDING EXPARTM 1 .• ' . fora 2 ft. eave overhang. : :APPROVED SCALEF: / s20 /�r Sspr. B, 196 '[ �:. EAST P/2cpE2TY. LIME. 3 .-? T2VM eno;fo:: Ti-3gz br,.n mi,4 is ioi} aMT i� ;�,�,�ntr zi Ti brst• t :rnii '.fib ir, dcj Jr -i oa *4 v 3moz n:, -.0 +yie'.3tota A&A 10 insmfioga(J eAf mo; notzairry q ooirthw i �4L 10, l ,_ �4:�- SHIt mOli' Al -++U ; .iodtez s b7c. gni! \ ti,.iq.oiq brim trot mo -ii .;I r)?- 3q ed 115da I�yODXO trl,,4mgiup3 iQ aonutjvj1' I OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA'LIFORN1A 95965 - TELEPHONE: 916/534-4541 Proposed Building Use Permit Fee Based Upon: Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: PERMIT APPLICATION DATA SHEET 6. Permit No. ' Q A. P. No. () Q Complete Contract Price DPW Valuation li All items have been aubmitted. lot plans in�inplftate ri licate. >S f h�C �3Complete pl triplicate- /rTE,ux 70 $:OLLOcJ C0LALM OF ^3�iTF Tt�L 4. Complete engineere pans and calcs. Qt_ON� Butz. 'TYPltA4 (Z�StO�N 5. Plans with Energy Design Compliance Statement. 5TE-9s (,n101 UIPt� eGt� - W/o Ca�c.FR9 6. CUSD "Fees Paid ' Stamp on Floor Plan. (&py 7. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ Letter of signature authoriza 10. Sanitation approval from Health Dept. - �� 6 - - i�(o 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. Contact Land Dev. Sec. of D.P.W. (see address below). 16. Mobilehome Installation Data. 17. Pre -inspection for required. 18. Recorded co of A ric Itural Acknowledgment Statement . 19. Other DRIV IAY PT (Construction approval required prior to occupancy When you issue the,permit, process as follows: _ Telephone and hold for pi Other Applicant Mai I to owner. Mai I to contractor. p at office. Deliver w/inspector. GENERAL INFORMATION BUILDING DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Phone: 891-2751 Hours: 8:00 a.m. - 10:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 534-4541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . . . 747 Elliott Road Phone: 872-2961, Ext. 57 Hours: 8:00 a.m. - 10:00 a.m. f Date 6 - :'- R 6 HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Phone: 891-2727 Hours: 8:00 a.m. - 9:30 a.m. OroviIle . . . 7 County CenterDrive Phone: 534-4281 Hours: 8:00,a.m: - 9:30 Paradise. . . 747 Elliott Road Phone: 872 961, E 5 Hours: 8:0 m. - 9: a PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 916/534 CALIFORNIA ENERGY COMMISSION - 1516 - 9th Street, Sacramento - Phone: 0 LAND DEVELOPMENT SECTION DEPARTMENT PUBLIC WORKS - 7 County Center Drive, Oroville - Phone: 916/5 Original—Applicant J . e �� L`��� �� ����� n.��, �' .r J . e �� L`��� �� ����� n.��,