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