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HomeMy WebLinkAbout028-240-019y t.t/lJ L` ♦ ANLA.- 8-240-019 ba 2 , nopie- able v. + g g eliicles l .11,,-3-00 (30 day) See Scot J. 1,01 . � 3a � -W � s JOHN M. BENSON A.P. 28-24-19 ! t14I , 250' offr_E/S..Oro-Bangor HWy 40 ' N. t �Z-ZZ-p4 i of -Bangor Park Rd-, an Bgor- l.Ni0-l-q Permit 2859-73P,E (utilities' for MH 28-24-19..d.t�t ER AOLTo ti WIEBE VIV .2 Wpyne 1 m y,Bpngor l - Permit 249 '' 6' eisting site) Issued D t. -- -- ----------- $-24-1.9.--- 4, Permit#2639-86P,E(util, ) ELEC 5-400* Pd/M,.P GAS Aftl- / JJ SUPPORT STRUCTURE REQ COMPACTION PAC ION TEST REQ 28-24-19 Perm i 499-86B, P,'.k(r( einstall cry'" 1 co eck(lnundry room) y �. BUTTE COUNTY DEVELOPME NT SERVICES C®l2LAL tT FbRM This information is not available to the publ1c! ! ! ! ! ! ! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number. T.he above information is not available to the public!!!!!!! Cruse. — s) e4oQ"e& &J 6@ PS c. December 22, 2004 Jordan Murray 1701 Ellis Lake Dr. #70 Marysville, CA. 95901-4263 B E A L T DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH a18 -B County Center Drive F-141 1 Main Street LJ ' County Center Drive Oroville,, CA 95965 P.O. Box 5364 Oroville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530)538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 RE: Garbage and Household Waste Accumulation, 12 Wayne Clem. AP# 028-240-019 Dear Mr.. Murray, This department received a complaint regarding garbage accumulation and solid waste at the above location. An inspection was conducted on December 20, 2004, and a large amount of household waste and solid waste was observed scattered around the property. This is a courtesy notice to advise that you, as owner of the above mentioned property, are in violation of Butte County Code Chapter 31 Section 50, which states: The owner or tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of all solid wastes accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors, and the creation of a nuisance, solid waste, accepting non-flammable inert material shall not be allowed to remain on the premises for more than seven (7) days. . Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non=flammable, which are not properly stored, shall not be allowed to remain on a premises for more than thirty (30) days. It is the County's goal to obtain voluntary compliance with the Butte County Code; however, you should be advised that Butte County has an active Code Enforcement program that provided an effective means of enforcement if voluntary compliance is not obtained. Enforcement will be pursued through the issuance of citations, fines, and recording Notices of Violations including a description of the actions necessary to abate the violation. You have thirty (30) days from the date of this letter to abate the above violations. If you have any questions concerning this letter please contact me between the hours of 8:00..apuand 10:00 am, Monday thru Friday. /Sincrelb, Darren W. Jones Environmental Health Specialist AP # OWNER }' `a►r► C',1 S i / F,h o. PERMIT M UTIL.CLEARANCE DATE In INSPECTOR ELECTRIC GAS Support Compactior Service OtherPipe Struc. lTest.Req. Size Load Type' Size Length YES NO YES NO 1 'IRA �- OA �* - Jordan Murray November 3, 2000 Page 3 You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, 5 '� e-7--7 Scot Johnson Code Enforcement Officer SJ:pa cc: Occupant, 12 Wayne Clem Way, Bangor, CA 95914 Department of Development Services, Code Enforcement PERMIT N0. Z6386p E r•x site PERMIT EXPIRES OWNER FRANCES WIEBE d CONTR. Owner ASSESSOR PARCEL 28-24-19 LOCATION 12 Wayne Clem Way, Bangor �r k �j •a OFFICE COPY tP/►7'� t, Address"'/_��S�kj_Q GAS Meter By Da'L Temp. Powers ELECTRIC 1 (` Meter By { Called F� —merer-rsq Uate Temp. Elec. E ELECTRI Meter By Called P Temp. Gas Service Called PG&E ± JOB FINALED (Date) Signatun J = .'K. 0 = Not OK Not Applicable �1= R MOBILEHOMES MISCELLANEOUS = Not eady f ! Date MOBI OME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zo ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ . Solis; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing_Connectors ew r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ,_later; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ectricity;Loca ' —Clear s—Grnd.—/ Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures s; Locatior>—Test—Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /"LPG XGa.7. 6. Carports; Windows—Doors Utility Clearance 7. Elec. Card -BI &0 Date<j., —� Card -BI Date Card -BI Date Card -BI Date Card -BI 00PDat ' Card -BI Date Card -BI Date Card -BI Date Date BIL "OME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s o 'ng Requirements—Setbacks—Easements 1. Setbacks—Easements ootIngs tze—Spacing— riage -ine 2. Soils; Compaction—Structure Stability 3. H Test—De V —Conn or 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 4. EI H VkVCr Breakers—Clearances DPrdH Test—Fall—Flex Connector aper; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed •Water and Sewer Connted—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater !Gas and Electri Tagged . �` i B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures-Panel boards—Ins. to Main in Conduit 4.-b*+Ee--inep.--Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Cjo Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ! % z l,e S1 17A - Al) ' tl�l� ess rte. �.c-- �oac� iQ J OK • r 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) = Date UNDERFLOOR (Plans) OK except #'s Date Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stem -walls, Garage: Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI - - _- --- Card -BI -. _-- Card -BI Card -BI Date__ Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - 15. Water Pipe: Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection_ 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan: Test, First Floor -Tub Access 60. G.F.I. &Bath Fixtures &Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3 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 Date Date Date 61. Elec. Trim & Subpant 62. Stairs & Rails Sizes -Labels 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Gard -BI Date Card -BI Date 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Card -BI Date Card -BI Date Card -BI Date 61. Elec. Trim & Subpant 62. Stairs & Rails Sizes -Labels 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Gard -BI Date Card -BI Date 65• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper m 20. Fixture & Transformer Clearance - Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protea 72. Insulation -Foam -Looked in Attic E) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails &Deck Construction -Post Caps 25, 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents'& Crawl !sole Door -Drainage & Wood -Earth Clearance 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 ❑ No; Insulated Neutral Yes -No Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Di-sconnect - - --- 76. t Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet S 30. Clothes Closet Light -Shower Light _- - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- --- --- 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -Bi Date 81. Ventilation throughout House j Card B -I - Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas ;est -Meters Tagged; Gas -Electric 31. A.G. Ducts. Insulation & Support _ - 85. Water &Sewer Connected -C/0 to Grade -HD Approval ) 32. Vent Fan: Exhaust above Insulation_ gg, Energy Compliance Certificate -Other Certificates 33• Condensate Drain & Overflow: Size & Grade _ 34. Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet - 35. Attic Access & Platform if Furnace in Attic -- - ""--- - - - Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date _ Card -BI _ Date Card -BI Date _ Caid-BI Date Card -BI Date Card -BI Date Card -BI Date 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: Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE Anentry must be made each time you visit jobsite) y, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i. 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE )WNER PERMIT NO. A r utine inspection indicates that the following violations of County Ordinance ex. t at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this t or need additional explanation', please contact this office immediately. r. el i`�5.���jtal►� Iii �� �i��_ Inspector_ __ _ Date��—L-�l..� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please 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 q ^ .1 1=1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 �. PERMIT N0-63 9 —2. Cn Address or location of mobi lehome��_ WNlii h eIp�Y1 W �J Owner's name Owner's address I nsrgTii d or-hWd-Fn Manufacturer's name r Serial number of V.I.N.. Year of manufacturer (Official Approving In tollation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE or COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA —534-4541 ' PERMIT NO.� 0 9 - $ ( o Address or location of mobi lehome Owner's name Owner's address I n si•gri l a'orhud-n Manufacturer's name t'^ i Serial number of V.I.N. Year of manufacture"' (Official Approving Installation) / (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE „�MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 1,-513B' White - Owner, Yellow - Installer, Pink - D.P.W. rim COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT40N'AND PERMIT PERMIT NO. AA ASS SSOR PA}iC�NUMBER Q_ ))�� ZONING ° BUILDING PERMIT OWNER Z, TELEP,ty,..PNE SO. FT. OCC. BUILDING VALUAT ON O N R' MAILING ADDRESS 9 CONTRACTOR -5 NAME V TELEPHONE If, CONTRACTOR'S MAILING ADDRESS Fireplace C"�/jO�NNSTTRRUU��iC''TTION LENDER UNKNOWN Total Valuation $ Filing Fee $' LENDER'S MAILING ADDRESS Permit Fee $ . C0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ _1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARVEL 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 YG 10.00ea So. 6D TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CXI Installation[] Other ❑ Describe work: CV �57j(/SPAIC S'%TE� Permit Fee $ 4D.DD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 01 OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 0. SD CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ i, as the owner, or my employees with wages as their 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.61 OR AODNS. ACC, BLDGS. '/z2sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. , Ex. Occup(OUTLETS OR FIXTURES 20000t BAL030 FIXED Ex. OCCUp. PR EA. OUTLETS IRESID )7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I 15Z 00 Permit Fee $ Contractor 3 , S 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 becomesubject 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, judgments, costs, and expenses which may in any way accrue agai st said County in ons uen a of the granting of this permit. /]� Y j / ?4 Date `1 S `� Signature of Applicant — OwnerK 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 $ y. Occup. CONST.TYPC I FLoo PARCEL 1 PD ND t 1390E This permit is hereby issued under .his of the Butte County Code and/or work indicated above for which fees DIRECTOR OF LIC ,a BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Da �� "� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYYiOF BUTTE DEPARTMENT 4F1PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53.4-4541 PERMIT APPLICATION DATA SHEET �_ r // /� / Permit No. OWNER rOoPI � e S G— . (��/ e AL A. P. No. ,_-;T—c2'S/— /2 Proposed Building Use / / /'i` a Z_Ztz e Permit Fee Based Upon: Complete Contract Price DPW Valuation Other 4)x / Building Inspector 2Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED ✓1. All items have been submitted. . . • . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri-plicate. . . . . . . . . 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 $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . � 1(�Sanitation approval from oR-C� 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. Mobi lehome Installation Data. . . . . . . .. 17. Pre -Inspection for Required- request to /Date) . {� _ q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other 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 ApplicantC&/ ,,./2'4/ , ��/���1%``" 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 pit time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW To: .;uiidin;; Departmca,t From: Environmental 11c<11th �ubje t: Sanitation Clearance Offiner Plan Approved for: Hold final for: flt�n io disposal Final clearance O.K. for: Clearance for �_ bedroor: mobile home. �ther N0 Tr arian 4F-01 ?IV -/ 7 AP// , water supply v r,;ter supply eater supply l r7�r: -� Date This set of )Ions and �spc. kept on the job at all times make any changes or alteral written permission from the [ Works, County of Butte. "tions MUST be Of is unlawful to m sarne without finent of PubF Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear ` . �\ half of the roadside (left) of the `.. mobilehome. \. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except f r,r A 7 ft. pave overhang. C- qF 44.4- lW4� NOTE: --AD Moferials & Workmanship Shat) Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes arid tho National metrical Godes BUTTE COUNTY UILDING DEPARTMENT \ VD AppROVED ,'� Ti TVJ� cl. - Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEME86 28075 NT RECORDED Il+1OFFICIAL RECORDSFOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY.CALIFOR111A •AT Tlir REOiiES� 01Section 26-8.1 of the Butte County Code requires this acknowledgement , be recorded prior to issuance of a building permit. The property described herein is adjacent to land or includaG�280'75 `8 AUS �6 10-- within an area zoned for agriculturalpurposes, and residents of this ELEANOR M.BECKER property may be subject to inconveniences or discomfort arising from CLERK-RECOP ER FEEy 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 priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations.El I All that real property situate in the County of Butte, State of California described as follows: Pages Lot 699 as shown on that certain map entitled, "OFFICIAL MAP OF THE TOWN OF BANGOR", which map was filed in the office of the Recorder of the County of Butte, State of California, March 21, 1901 in Book 7 of Maps, at page 77. Date: August 25, 1986 PRO ERTY OWNERS: State of California ) On this the 25th day of August 19 86 ', before SS. me, the undersigned Notary Public, personally appeared County of Butte ) e k!2 /_/ Personally known to me.Proved to me on the basis of satisfactory evidence. OFFICIAL SEAL SHELLEY SHELDON o be the person(s) whose name (s ) G� °� subscribed to NOTARY PUBLIC -CALIFORNIA he within instrument and acknowledged that Principal Office in BUTTE County My Commission Expires Sept. 30, 1988 xecuted the same. for the purposes therein P P contained. N WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ;L8-" � I ! g bootary Public END OF DOCUMENT �� �� ��°� c' -� u j, ;,, �� ''. ;dam � `?,�b . �Jy�O v . This set oflans and spe ifications MUST be kept on the jog at all times d it is unlawful to make any changes or alteration on some withouf written permission from t Doa Works, County of P ent of Public NOTE -.—All Materials & Workmanship Shall Be in �Ltte. Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Utility connections shall b wit in Uniform Building, Plumbing & Mechanical Codes and 4 ft. of the mobilehome, ei er the National Electrical Code. directly behind or within the ear half of the roadside (left) of thl\ / f mobilehome. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except fr%r 14 7 ft, eave overhang. Ct.A Lim AljC I"..O&Lw &4f3 3s COUNTY OF. BUTTE - D.EPARTMENT OF PUBLIC WORKS N 7 County Center Drive - Oros?illi:, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0� ASSES O PAR U R ZONI BUILDING PER OWNFA-TELEPHONE 1 _ SQ. FT. OCC. BUILDING VALUATION OWNEjtj' MMAILIN ADDRESS � �e CO T ACTOR'S A �r ELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CO RUCTION LENDER t7h UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER r � LICENSE NO. Plan Checking Fee .$Pie / O Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ DDRE_ 1 i i d GC/ Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 if ►/ QIV,Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUB (VISION NAME PA VtEL 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 Is 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel[:] Utilities InstallationU Other ❑ Describe work: �1, & / Permit Fee $ Contractor 'ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1 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 OCCUPM , OR ADONS. ( ACC. BLDGS. 1 /20sq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OccupOUTLETS OR FIXTURES 2AL@ \ eL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.7 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 I shall not employ any person in any manner so as to become subject i.Aof Consent to Self -Insure. to the W. C. laws of California. o 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 a=tsaidounty i copse uenc of the granting of this permit. Date �— ��fo Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct -1 ion of structures over 3 stories in height. Mobile Home Installation Fee $ ` Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P, CONST.TYPc FLOOD ARCEL I P11 I NO I ISS E Thais hereby issued under siButte ounty Code and/or woted ab ve% for which E TOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �' `o�-T8 7 Receipt No. ��� WHITE-D.P.W.. YELLOW-A3EE1eOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ❑ Complaint -Data _ ❑ Other -Date - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner Address: Tenant: Building Location: ZONING A. P. # Date of Inspect Inspector Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / 5. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: _ 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerancer,HandraiU 15. Couim(:nts : B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: 14 D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. F. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy; 7. Comments: r Commercial Buildings 1. Roof covering: 2. yDistance to property lines: 3'. Physieally.handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: • 7. 'Zoning: 8._ Comments: G. Fields Problems or Violations' 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: / /.A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. D. Other: COUNTY OF BUTTE - DEPARTMENT OF PU13LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE'- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. �1 OWNER /__y_0 v) C tel/ l b � A. P. No. Proposed Building Use �' X ( /'h —57 �C Permit Fee Based Upon: Complete Contract Price DPW 14aluation Oth.r E Iain) Building Inspector Date ��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 11AII items have been submitted. . . . . . . . . . ..Plot plans in uplicate riplicate. . . . . . . . . . mplete 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 $ . . . . . . . . 9. Letter of signature author iza l 10 Sanitation approval from t� 1/0 Health .Dept.. 11. Planning approval for (A) Use: (B) Parking: — 12./ Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 14 . Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. �� Mobi lehome Installation Data. • . . . Pre -Inspection for Required. In request to (Dote) p � q Building Inspector cc// Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the permit, process as follows: Mail owner. Mail to contractor. Telephone and hold for pickup at_office. Deliver w/inspector. Other �r AppIicant�/ � t �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 at time of a pl• ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By G Date Plans checked by ?LUT O&J1 Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner L ✓ �� Social Security Number Date el"-- -A-6_,� "- T - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A " BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET j 1. Owner's Name: / . 1-6iGCt h C& S VV ' & 2. Installer's Name: C um cs ✓, 3. Is the site currently under permit? Yes F] No (If yes, furnish permit number ) OR Is the site an existing site? Yes No F (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 [] (If no, clarify �� 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --- - ---------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Jy 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) j0 (Apaps ) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the t e of service. --------------------Natural F-1 LPG gas 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- � / d (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,) MOBILEHOME SUPPORT DATA If other than single wider /- Mobilehome Mfr. rG 41 1 ill furnish Setup Model No. Year C. Width (ft.) Box Length (ft.) Tagalong or Expando Size ft, xft. 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)1. Wood -pressure treated or foundation grade. F]2. Other (specify) SUPPORTS (check one)1. Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Lin Line 1 — _ —Line 2 Main Beams -� ------ — _ —.---- Line 2 Main Beams — -- — — — — — — — — -*-Line 4 Tag or Triple �. — .-- ------ I.ine G Line 1 Line 1 Piers: Size-Min------------- Spacing-Max - -----------Spacing-Max. --------- From Ends -Max -------- Line 2 Piers: Size -Min .------------ „x „ Spacing -Max.--------- Prom Ends -Max .------- Line 3 Roof Loads: Size -Min ----------- Location (From Front) Ltne 1 Openings: Size -Min- ------------------ ..x Each Side of Openings With Width Over--------- '� Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- y� n Spacing -Max________________ From Ends -Max -------------- e 4 Piera: Size -Min .------------ Spacing -Max.--------- , From Enda-Max-------- -_ Size -Min.------------------ Spacing -Max.--------------- �_ n From Ends -Max .------------- '- Line 5 Roof Loads: Size -Min .------------ location (From Front) OU 11 E COUNTY Fd.ILDING DEPARTMEt4r; IFA ❑ Complaint -Date N ❑ Other -Date r Owner: Address Tenant: Building Location: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING V A.P. #-.�--y l� 'Date of Inspectionfb_-?,�Z Inspector Type of Inspection requested: 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage -disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise,'Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem violation ( ive complete d scriqtion): Cts &, A �. 2. What action taken (giv com Tete description): 3. What action recommended: V A. Information only - file. B. Hold for ten days, then write letter. 77 C. Write letter. X D. i 249886 ' PERMIT NO. 2499-86B,P,E PERMIT EXPIRES 2Zg OWNER FRANCES•WIEBE CONTR. owner ASSESSOR PARCEL � 28-24-19 LOCATION 12 Wayne Clem Way, Bangor Temp. Power Pole Called PG&E Temp. Elec. Service Called P( Temp. Gas Sei Cal led PC JOB FINALE( Signature J = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS,fiQGERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oni equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete _ ooLLqgt,iie—Depth—Spacing—Conrfectors ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. 'Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors _ 7. Elec. Card -BI Date Card -BI Date Card -BI ^50 Datej#--?!jj2Card-BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date V Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures— Pane Iboards— Ins. to Main in Conduit 10.Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK , 0 = Not OK ` = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR_ (Plans) OK except#'s Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Fig. -Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test _ 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 DateCard-BI Date Card -BI - Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent -Access -Combustion 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 Card -BI Date Card B -I Card B -I Date Card -81 Card -BI Date Date _ Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights _& Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or P 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent. Access -Comb. Air -Return Air -Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except #'s 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops. Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fire place Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baff_Ie_s 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) 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 Outrigg 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 I Date I Date I Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Land 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Ex 11 60. G.F.I. & Bath Fixtures & Tub Access 11 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 Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas lest -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com lents at Final: Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Land 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Ex 11 60. G.F.I. & Bath Fixtures & Tub Access 11 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 Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas lest -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com lents at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '-7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND- PERMIT ASSESSOR1 AF�CL NUt�BF�R �o��//II / (, ZONI BUILDING PERMIT ow N.E.R T Ey PH E S0. FT. 0 C. BUILDING VALUATION OW ER'S MAI �ADORE SS !/� •gyp ), V,40Q CO RACTOR•S NAME ELEPHOONSEt(, CONTRACTOR'S MAILIN D SS - Fireplace COMTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee j $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee lag: A Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS / �e " Penalty $ BUI DING A�DRES ( �' r a h o ✓' Permit tee ' PLUMBING PERMIT Filing Fee 10.00 ' i, Each Trap 2.00 Q 4 6 Y, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 ,-, (90 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK New x Addition ❑ Re el `�Util'ties Installation[] Other ❑ Describe work: /'1 ,G(. _ V L k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11100V 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): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their Sole Compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING 0c OR ADONS. ACC. BLDGS. 21/2 ltsq ft NEW CON5TR ULTI.OUTL 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS 6\ SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES 2 eAL(P 0 30 E X. OCCU FIXED APPLNS, OR P-' OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ Contractor j WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT,,-**FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue11/J again t said County in f/�nsej�uenc of the granting of this permit. �— .�� 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.TYPC FLoo PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which < DIRE I OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. ' C WNITC-D.P.W., YELLOW-ASBC990R, PINK -INSPECTOR. GOLDENROD -APPLICANT J w COUNTY OF BUTTE - DEPARTIVIENT;OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE DROV41 1M,O0l`i4A 95965 TELEPHONE916/534-4541 OWNER Proposed Building Use Permit Fee Based Upon Building Inspector PERMIT APPLICATION DATA SHEET _ t Permit No. a �Ifflrj� Complete Contract Price DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED All items.have been submitted. . . . . . . . . . . . Plot plans in uplicate triplicate. . . . omplete plans in d plicate triplicate. �&V' . C6L Nl 4—,5�-- 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 $ . . . . . . . . 9. Letter of signature authorizati - . 0_14Z10. Sanitation approval from Vol) Health Dept.. /7 Y4 11. .Planning approval for (A) Use: (B) Parking: . 12,," Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) 4. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. , . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for _ Required- Building In request to (Date) p q Building Inspector _ -i8. Recorded y f rip Itural� knowle men Sta ment . —other - L/ V P 1y► Wh n, you issue the permit, process as follows: Ma�il V'Q owne . Mail to contractor. Telephone and hold for pickup at `✓office. Deliver w/inspector. Other Applicants�Yl ,�. r /ems Date 'r- 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 time of atlication circle item.) 1. Index permit for above Items No. I 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other T By "!Date Plans checked by Date Z Plans approved by Date` Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. - h _ -MUT be fia M This set of plans and specions---- IInd it is unlawful to . kept on the lob at a times a make any changes or alterations on same without ., written permission from the Department of Public Works, County of Butte. NOTE -.—.All Materials & Workmans ip and 00 F Accordance with ecognized Red for he Specifiedctic u ee int e of a quality prescrib Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. A setback of 5 ft. from the- property heproperty lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except fore ? ft. gave overhang. 4 CLkA4L . O F A L.L F...A S F..rN F..NT3 BUTTE COUNTY BUIL ING DEPARTMENT AP\pROVEB ,vrA►Nd�-- /��c OAA o J-5 1 A � FooTiW&s Posy /it! aUG. b DCA MI,J AS f"f C"Ao X BUTTE COUNTY FX BUILDING DEPARTMENT sn„F_ s qr 4 APPROVED a�eoJv AAO � 9. QW ?,dos ic.e c/CS Q 4 "�•C • t�? � •✓ V NORTHERN AREA OFFICE W07 F.! -.o ,n Il1.d. 1,9--Hv1—ii69 Souauicn,o, CA 952 f, (916+ !45-0135 INSTRUCTIONS SOUTHERN AREA OFFICE 78 Ci.a Cenler Plora, Ro,. 639 Sonlo Ann, CA 97701 (711) 558-4161 71 NIC yr %.NLlrvnnim DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS APPLICATION FOR PERMIT TO CONSTRUCT ACCESSORY STRUCTURES COMPLETE ITEMS 1, 2, 4, 6 AOBILEHOME INSTALLATION COMPLETE ITEMS 1, 2, 5, 6 3 'ARK UTILITIES ALTERATION AND ADDITIONS COMPLETE ITEMS 1, 2, 3, 6, SUPPLEMENT 4EVI PARKS AND PERMANENT BUILDINGS COMPLETE !TEMS 1, 2, 3, 6, SUPPLEMENT RETURN ALL COPIES WITH REQUIRED FEES. ark Name i-�� f�' �f�G ���• ark Address nine. -Efty/CountyT l�i�'C __ Zip r' t. ner _ ___— Tel. No. .ddress 1+��' Zip _ ,pplicant _ n7%GG' (/ ���_�LL'' State Lic. No. _ ,ddress Te_ I. No. achitect/416;neer __—__._—_ Lic. No. ,ddresi ender's Name �.ddiils Tel. No. Branch of Work 4 MOBILEHOME ACCESSORY STRUCTURES New ❑ Reinstall Standard Plan Approval No. ❑ Awning ❑ Car�p_e�)/t Porch �Cpbano..❑Other Owner/Tenant L r•G �`/G< Le Lot No.zo 5 2 1 CONTRACTOR/OWNER BU!'_'D'=? ��` erfdy that the following Contractor's License No._____._ ____and Classifiea- 1' 6 in full force and effect. i� ,f curttfy that I am e,eempt from Section 7031.5 of the Business and Professions Code, D„icon 3, Chapter 9, Contractor's License Law, under the following section: O«ner Section 7044 1--] Minor work under S 100: Section 7048 ❑ Emp!o),e •working for wages only: Section 7053 ❑ t WORKER'S COMPENSA'T'IO,, N REOUIREMENTS C r Gtnsation 0 Certificate On File rol,cy No. Expirolian Dole _ �. EXEMPTION "m ,n the performance of the work for which this permit is issued, I shall any person in any manner so as to become subject to the Worker's of California. such certificate, the applirnnt for the !)ermi! should become r�a+ker's Compensation provisions of this code, he shall forthwith mo1.sions of Section 3700 or his permit shol' be cleemed revoked. Wx, that Ow information I ll:rvo plovidcd is c„rrvut and agree �s-u!I h,• iu ax:ur,I:nlec with allplilaldf! pr"visimis of the "�f''- I.;,I,,,r (:,ulr. (:unl rail, Irs� I.irrns,• I.:nv, ant! rclalt•sI X11” 11;,4. 1,1 (:alilmllia. :,n,l I ar!;nnsvl,:,lgr it is Illy insp.-c•liuns itn'idvill ll. Ow issu:uu•r-nl this Wtln,ri'r.,•,I p,•rsunncl lu in' ,vi,lr snrh insl'u•, tions. eRLL C, It — NO. n DESCRIPTION FEE IL MOBILEHOME INSTALLATION Owner/Tenant SERIAL NO. '�2 _7'/ DESCRIPTION INSIGNIA OR HUD LABEL NO. Approved: TE OF MFGR. Project Owner/Operator/Manager (SIGNATURE REQUIRED) DIVISION PROCESS RECORD APPLICATION LOCAL APPROVALS PLANNING FIRE HEALTH PUBLIC WORKS DATE ISSUED BY fir_ EXPIRES _/ ID No. - L; — �3 </ ❑ MP VACC/S ❑ MHI CLOSED BY _ DATE CLOSED DIVISION USE ONLY COL. NO.l0 FEE REC'D �? _e C ROUTE TO ROUTED BY ATE Lot No. t :> UPON DEPARTMENT APPROVAL TO RELEASE, AND PAYMENT OF FEES, THIS PERMIT IS ISSUED ONLY FOR ITEMS VALIDATED BELOW PERMIT NO./,�?-j MH a `n ACC/S MP BLDG MHI MISC. PLC'K-- S.M.I. ! �. ISSUEr! TOTAL 6/Ina UU%d) C nt.t U tv 6P ,a 17 CA 95809 DEPARTMENT OF HOUSING ANCL COMMUNITY DEVELOPMENT DIVISION OF CbDES iND STANDARDS lu NO. Col. No F-1 Southern Area 28 Civic Center Plaza Room RIO ACTIVITIES REPORT Santa Ana 92701 1721 Inspected by page --------- i—of UCI—UCR------PI—PIR 11-11R—CPT—GAO—GAP Legol—C/NA Project 741 Location TO: Name LL Address -Z: /1P M.P. A.S. M.H.I. NOTICE: Items indicating corrections are violations of the California Administrative Code, Title 25, Chapter Copies of these regulations may be obtained from the State of California Documents Section, P.O. Box 20191, Sacramento, CA 95820. A person served with the notice of violation contained in this activities report has the right to request, and shall be granted, a hearing on the matter before the Director of the Department or his authorized representative. A request for such hearing shall be in writing and shall set forth a brief statement as to the grounds therefor. Requests for such hearing must be presented to the Department by mail or in person at 6007 Folsom Blvd., Sacramento, CA 95819. THE FOLLOWING ITEMS SHALL BE CORRECTED WITHIN —DAYS. ❑ IMMEDIATELY A permit shall be required for work to correct items �4�herequired permit shall be obtained received k6l, : Original—Area Office Duplicate—Operator Triplicate --inspector HCO-61 (REV. 10-81) Quadruplicate fi-,."rvisor Title _c:"/_ '-"v-Ar CC: 1 `2 3 4 5 6 7 8 9 10 Other, r mp: 1 :2 3 4 5 6 7 8 9 10 11 .12 13 �J Col. No. CA{95809 DEPARTMENT OF HOUSING AND'COMMUNITY DEVELOPMENT ❑ Southern Area N OF CODES AND STANDARDS 28 Civic Center Plaza DIVDSIO Room 639 Poom l Arca ACTIVITIES REPORT Santa Ana 92701 0' St. 202, CA 93721 % Dote Inspected by--!: ?'/`" Page % of UCI / .-'UCR PI PIR 11IIR CPT -GAO -GAP Legal C/NA Project /� Program Hours , ,i S.H.L. Location;!� ��?' /yam.;.. rr:� E.H. M.P. A.S. TO: Name •- / i r_ M.H.I. Address NOTICE: Items indicating corrections are violations of the California Administrative Code, Title 25, Chapter — . Copies of these regulations may be obtained from the State of California Documents Section, P.O. Box 20191, Sacramento, CA 95820. A person served with the notice of violation contained in this activities report has the right to request, and shall be granted, a hearing on the matter before the Director of the Department or his authorized representative. A request for such hearing shall be in writing and shall set forth a brief statement as to the grounds therefor. Requests for such hearing must be presented to the Department by mail or in person at 6007 Folsom Blvd., Sacramento, CA 95819. THE FOLLOWING ITEMS SHALL BE CORRECTED WITHIN DAYS. " ❑ 11MMEDIATELY A permit shall be required for work to correct items `--'the required permit shall be obtained from �''f,'�%iY yt�_-.�i�_a'//i�Li -�,..� i• �.�•-.O1-�r•/1.: y_�,��.F t/ i•' ..cs:..r__,..or; �•t•�^•-_�,-�+-1�2•-_Z.: ! '-deceived b _ / _ , �; / : `, ,• ,; � I , ! Title ,y - j"" -;- Action cc: 1 2 3 4 5 6 7 8 9 10 Other. mp: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Original—Area Office Duplicate --Operator Triplicate—lnspector HCD-61 (REV. 10-81) Quadruplicate—Supervisor OUAO CAM W OSP COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ - 7 County Center Drive oville, California 95965 Teleph�n Sa541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. } ---`"' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By + `..Date BUILDING i Owner ; —, i •' i /'*' � 7 SQ. FT. OCC. BUILDING VALUATION Mai I i n9 Address Telephone No. Fireplace Contractor '- �Y Total Valuation Mai I i ng Address r _ ` Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ^/ { PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,� ,; • , - Each Trap 1.50 i Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ; ; - =I Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation. Fire Dept. Fire Zone Use Permit Building sewer 5.00 J EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ - $ / " NEW ❑ ADDITION ❑ UTILITIESE]' OTHER E. ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .?C -Ca r - Main service incl. 1 meter C'�'✓ 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 ba i_ d 10 Receps., switches & fix outlets za(d25 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 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 $ ;';1 GU $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. } ---`"' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By + `..Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telept :'§ 44541 APPLICATION AND PERMIT dutnunze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X //L2 F _Qs--•-' Date Signature of%PPermiteeororr Agent Receipt No. v � 9y 3 I=- White-D.P.W. = White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /2-1/•-7 1 - Building permit expires Date BUILDING Owner l •� Y SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��� Total Valuation Mai I i ng Address �� �t Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE -- $2.00 W r � [ t , �,� �,�z/ Each Trap 1.50 14- Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. , - - A zo�g P Gas piping system 1 - 5 outlets 1.50 / •s" Each additional outlet '.30 V a ` ion FireDept. Fire Zone Use Permit EQA Parking I ParcelParcel Ma 60' R/W Improvements Plans Declaration P P Building sewer 5.00 Lawn sprinkler system 2.00 =�] Bldg. Plans Rec'd Parcel Approval PlansXP_P_roval Permit Fee $ O -= $ zO NEW ADDIT ON UTILITIES&r OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 KGs-- d� Jr Jl. Main service incl. 1 meter CJ 7 Additional meters, each 1.00 Sub -panel (12 or less) (morethan 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal_625 10 Receps., switches & fix outlets 2uh.I(d23 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. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump / Mobil Home Facilities 5.00 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 $ 47"d $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No.1 @ FEEPERMIT FILING FEE J $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ dutnunze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X //L2 F _Qs--•-' Date Signature of%PPermiteeororr Agent Receipt No. v � 9y 3 I=- White-D.P.W. = White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /2-1/•-7 1 - Building permit expires Date