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028-400-004
J --Dan Williams N/S Bangor Park Rd., app.1 1/10 mi -SW of Oro Bangor Hwy, Bangor contr: Stuart Const., Oroville Permit #1LO 7-80B, 28-27-38 Permit#1482-80P,E (ut.j-1, MH) ELEC GAS 40r-- 0 SUPPORT STRUCTURE REQ_p,_ COMPACT +QN TESF A0EQ, yT r----- �� W. 28-27-38 Contr: Earle Towne, Paradise Permit.#,1.56,-8.0MHi. Issued — - y �4 028-400-004 03-3437 HENDERSON,RAY 31 SUNRISE HILL RD, BANE Cont: UNKNOWN _ EXTEND WEATHER HEAD 028-400-004 05-1302 HENDERSON,RAY 31 SUNRISE HILL RD, BA 6 ftp Cont: OWNER NEW DECK k i NOTES RESIDENTIAL PERMIT NO. 028-400-004 -" - 05.1302 HENDERSON, RAY 31 SUNRISE HILL RD, BANGOR Cont: OWNER NEW DECK SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER wr of JOB FINALED (Date) v �` Signature CHECKED BY = OK =Not OK = Not Applicable MOBILE HOMES = Not Readyeady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line - 3. Blocking . 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date .( DtCKS-COVERS, CARPORTS, GARAGES (Plans) OK except #'s / 4. Wood Awn.; P6sts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1 . Braced Wall Papels J r` Dae Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I =OK = NotOK Ap = Notp6phle RESIDENTIAL (Single & Duplex) = Not Ready , Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blackouts -Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg,-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive O Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe: Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fre Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral D Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet • 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound, 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill HL & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive O Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P051307• PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/26/2005 APN: 028-400-004-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number. Site Address: 31 SUNRISE HILL RD BAN Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: deck (600) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior Owner: HENDERSON RAY & DORIS to Its Issuance, also requires the applicant for such permit to file a P 0 BOX 424 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95914 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an Applicant: HENDERSON RAY & DORIS owner of property who builds or improves thereon, and who does P 0 BOX 424 such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 95914 year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). .❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does nolapply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of t usiness and Professions Code Date' e- Owner: WORKERS' COMPENSATIO DECLARATION License M I hereby affirm under penalty of perjury one of the to declarations: O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit iArchitect: s issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and -policy number are: Carrier: 600 S.F. Total Square Ft: Policy Valuation: $6,000.00 1 certify that in the performance of the work for which this permit Is Census Code: 0 issued, I shall not employ any person in any manner so as to �/ become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' (,{ compensation provisions of Section 3700 of the Labor Code, I shall �L�Itt(7 forthwith comply with those provisions. Date: Applicant: F WARNING; Fai ie to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Whereby l ued-unde -fie ap cabie • ovislons of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolull r s to do W indica above'" ewhi fees have been paid. performance of the work for which this permit is Issued (Sec 3097 Civ.) 5 6 ` D5 Name: By: Date: PERMIT EXPIRES ON: Address: (Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. a) Notification In accordance with Section 18827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with .all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substanceyy official form or document of Butte County. I hereby -Wthorize represe lives of Butte ounty to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Dale: / / / / O&i Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor y COUNTY OF BUTTE YN BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 ;4 CORRECTION NOTICE '".k OW ER J PERMIT N0. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional" explanation, please contact the Building Inspector as indicated below. Date Inspector REV 4/05 / Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 • BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT Bp051302" 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/26/2005 APN: 028-400-004-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Site Address: 31 SUNRISE HILL RD $AN Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: deck (600) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HENDERSON RAY & DORIS to its Issuance, also requires the applicant for such permit to file a P O BOX 424 signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section BANGOR, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95914 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the " applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and •the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: HENDERSON RAY & DORIS owner of properly who builds or improves thereon, and who does P 0 BOX 424 such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95914 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of t ustness and Professions Code �— Date,• cj Owner: WORKERS' COMPENSATION DECLARATION License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: otal Square Ft: 600 S.F. Policy#: Valuation: $6,000.00 1 certify that in the performance of the work for which this permit is Census Code: 0 issued, I shall not employ any person in any manner so as to �� become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' (j compensation provisions of Section 3700 of the Labor Code, I shall /QIT,If� forthwith com I with those provisions. 01 dS_ Date:(q/ 0� Applicant: WARNING: Fai re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for 1n Section 3708 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit' ereby�ISs�ued unde a ap cable ovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolull s to do v� indicat above whl tees have been paid. � performance of the work for which this permit is issued (Sec 3097 Clv.) 5 ` G •�� Name: By: Dale: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. 10 Notification in accordance with Section 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. 1 hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with :all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance official form or document of Butte County. I hereby *8ulhorize represe lives of Butte ounty to enter upon the above mentioned property for inspection purp es. a , Print Name:WAV Signature: Date: ,� / XOwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X 11 For office only: OWNER Last Nae J irst ame Address 0-�2 Po-n'e" State State �Zip Phone _ Fax E-mail Lic. # APPLICANT SIGNATURE X 11 For office only: CONTRACTOR Name W Address WORKER'S COMPENSATION City I Yes State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT SIGNATURE X 11 For office only: ARCH/ TECT/ENGI NEER Name W Address WORKER'S COMPENSATION City I Yes State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT SIGNATURE X 11 For office only: APPLICANT NAME Name W Address WORKER'S COMPENSATION City I Yes State Zip Phone Type Const. Fax E-mail Map Book APPLICANT SIGNATURE X 11 For office only: Zoning City �j`6 Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION Pro erty Address ,/ Svr�2/5/�lI-LSO, City �j`6 Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker s compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: p��i� bots Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received //byi (� Amount: / S—D Bldg Receipt #: f ®�j Sheriff SMIP r� Date: �I Other �- Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 A SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / / r `RA ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: a Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signedyby the preparer of the plans. �"�5 rN 2. Complete plans, 3 or 4 sets' signed by,%the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with.wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layo t in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings f ❑ 12. Hazardous Material Form I IJ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other `Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) L� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 19. on an 20. Fees as showrnlonl the attach d Schedule of Fees Due Sheet ................ t� 21. City of Chico Plumbingpermit........................................................................ ❑ .22. Site plan and business lice se approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) UseUX- (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ..........V ............. ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... /N 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization .................................. :............ ........ ............. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: permit application for e b a ile s n Plan Check L ter 2. Additional items r ed 111-62? Contractor, designe a vis the ove ata by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date:ans approved by: Date: Structural reviewed by Date: Structural approved by: Date: S Note transfer by: Date: Yellow: Building Division di 0:y; - X14 w''x�L,-•3''-"' '; i.�� }d� u3raJii.�'d.^'n:;.3:'E�,..i: i•-:.�.v'�X:yC;rn,....--. ur:%a�fi77u::.:`S'_• ?i�tG,::.7:.�': �Y1 ?�LrO e 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 material for construction of this proposed property improvement: YES [--I NO [ ]. 2. I HAVE [/]'HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION t BUILDING' GIS t PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, Califomia 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieirl C.B.O. Mailager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. E.H. USE OAl Y Plot Plan Attached Floor Plan Attachad' sort: to S.D. r TO: Building Department ' FROM: Environmental Health SUBJECT: Sanitation Clearance 1,6X J6,E/RS©icA4. f�,2� - loo -q o V Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ivate Well Clearance for dwell' g. Other a e x1-57'/ti9 _ G� sC 03 ie-, o ink /O kc:00 ¢- /'64 X ,.Zx 10 Hold final for: Final clearance O.K. for: NOTE: Environmental Health 8/96 alist Date We LL ® ` t N_ POLE I d � N G -j R P�RIf R� f� I NTS 1►J � � �[il� ,.rte �`• rC % . u e County En .ron ental Health .911/677 IV 1-� ENVIRONMENTAL HEALTH MAY 17 2005 7 COUNTY CENTER DRIVE er"isT��� Butte County Department of'Development Services °vrr�° 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone °„-. �� ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. o I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire,- agriculture buffer zones, and habitat/species). Please print: Applicant Name: ����6Y_1j1 Building site address: APN: 02-g- l o0 —De/) y Permit No.: l ;P6_5_ / > 0 2-- I have read, understood and accept the terms and conditions as expressed herein as indicated by my subrriijssion of the above -referenced building permit application and my signature below: S OF APPLICANT /7 oS DAT Copy to Applicant/EH/File K:Forms/BldgPermitwithoutClearances 020705 '�rSTr' �p iJ7 I %.T r Department of Development Services O G o o Building '�'�'" Division � ��% :, ,r O �;;: O 7 County Center Drive �^� o o Oroville, CA 95965 _r� °=a = O (530) 538-7541 (530) 538-2140 FAX s HANDRAIL DETAIL HANDOUT Nailing shall comply with Table 23 -II -B-1. Minimum underfloor clearances from finish grade to wood joists is 18"; (UBC 2306.3) and minimum 12' from the finish grade to wood girders or treated wood is required. Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Stairs serving 3000 sq.ft.and greater, risers shall be 7" max and treads.1 V min. The dimension difference between the smallest and largest tread run or riser height within any flight of stairs can not exceed 18o Toenails subject to Stair stringers shall be anchored toprimary structure withdraw are not acceptable anchors (2320.13). 4' Max. 36" Min. Top of 4— Top ofDeck ty Anchor stair stringers to the primary structure with an approved joist hanger and screws, lags. M.B. Pier posts greater than 3 feet in height need to be diagonally braced between posts. 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete fnntinn. LA U 3-1/2 1.1,4• 3-112 - May to • Mar 1 -1/2Min. 2-112- A Intermediate rails 4' Max. spacing shall prevent 1-112• the passage of a 4" 3 may - diameter sphere. 1 -SA to 2-712 4• Max. HANDRAILS 1 -1/2 Min. , TGirder 6'Max An approved post cap connection or connect girder & post with 1/2* plywd gussett & 3 - 16d nails top & bottom% 3-2x12 6' Min. Stringers 12 x 12If000ting 8" Min. embedment 12 x 12 Handrail height 34"-38" im r -----, Not Acceptable 4 x 4 post min. Min. clear width at stairs shall be 36" Min. 2 - 1/2' dia. thru 7a" GWV-S*-�vired Attach stringer to sill plate with angle clip p1�urer sill plate --- . Inf, -1� Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX GUARDRAIL DETAIL HANDOUT Nailing shall comply with Table UBC 23 -II -B-1. Lumber shall be at least Douglas Fir #2 or better (D.F. #2). Minimum concrete compressive strength shall be 2,500 psi at 28 days. (UBC 1922.2.4) Minimum underfloor clearances from finish grade to wood joists is 18'; (UBC 2306.3) and minimum 12" from the finish grade to wood girders or treated wood.js required. No wood shall be placed closer than 6" to earth unless it is foundation- grade or pressure treated. (UBC 2320.13) 4- Max] . a- ! Max. I 36" Min. m 0 U). LL 1� Top of SIDE VIEW a" Max. Deck Min. 2x pressure treated ledger Min. 2 -'i/$tr 1 x-4-" LAGS PrER Mi) or call out size. & spacing, diameter & length of rag bolts or screws. [A TYPICAL LEDGER If the deck/porch is 30" Pier posts greater or greater above the than 3 feet in height finish grade a guardrail is need to be diagonally required. braced between posts 4 - 16d nails or an approved post base connection If using precast piers, wet set precast pier into concrete footing Guardrail 1997 USC.xis Min. 4 x 4 post @ 5'- 0" o.c. Intermediate rails spacing shall prevent the passage of a 4" diameter sphere. Top of 3/4" cleara'rfce Joist to the edge of -�--the wood p member joist Min. 2 - 1/2" dia. thru bolts required GUARDRAIL Girder Post An approved post cap connection or connect girder and post with 1/2" plywd gussett and 3 - 16d nails top & bottom 12" x 12" Footing "fin em edmeeritt TYPICAL PIER FOOTING 1 GUAR/ES 36" MIN. a �x r a m 3 rnm v NN n Zca.. '• f I o iT1 Ca ih . .• rn m T Cr , c3 -n z m A• a t� c b MAX. ?� MAI o LkTSO *. •' _. •_ � !' x ' ' .n i 34° Iti � r a g°2 3 6"MIK. S 7AIR 'MAX. LIS rz rn W I Did' O , HO' .T'o. fi •--- c --+ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89172751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE looa 8,- 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. 1 I � l= Inspector �✓,�`-='-'^ - Date r Owner: Address Tenant: f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. # Date of Ins Inspector Building Location: Type of Inspection requested: t T% i. Housing. /7'2. Financing ,(,� 3. Change of Occupancy to 77 4. Other (specify) 00XA1010iAt�CLIrC�__�____ eo /1 UC �S� O✓` ' 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. .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. Receptac es• 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. Corm:sents F. Ccmmiercial Building . 1. Roof covering:_ '2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6.' Improvements: 7. Zoning 8. Comment G. Field Problems or Violations 1. Problem or :Yiolatior.i (give complete description) 2. What action taken (give complete-d-escription): 3. What acf-ion recommended: A. znfornation only - fi.-,-. / B. Hold for ten (10) days, then writ -e letter. C. write letter. /% D. Other: z Z's 3 28-400-004 . ';5t -O3-3437 HENDERSON5 RAY 1, I ' 31 SUNRISE HILL RD, BANGOR Cont: UNKNOWN EXTEND WEATHER, HEAD OFFICE COPY Address GAS :Date---- 4 Meter By. ELECTRIC ELECTRIC I Meter BY COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541--PE4MITVNOZ (Rev. 12/96) APPLICATION AND PERMIT ASS ESSOR PARCEL NUMBER 028-400-004 Z°NING A-5 BUILDING PERMIT OWNEMV mmLsm TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNkIDUI�E5 HILL RD, BANGOR 95914 CONTR( AyCTO, R_ S.�NA1�Mi� TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCH1rECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDI3O 1 SUNRISE HILL RD BANGOR 95914 E$ Energy Plan Checking Fee PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Iii Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 9 Describe Work: ESD WMTM HEAD Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home i S I GI @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 4 ` LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `1. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. .15 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions -Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ' ` Main Service zooA To ,000A 46.00 NEW CONST. DYT-UNG OCCUR S° OR ADDNS. ( 8 ACC. S.3.50FT. NOWREESID. MULTi0UTLET @7.50 PowGERLE APP U`3 8 SINOun.ET CIR. Ex. Occup. OUTLET OR FD(TURES 20 Q 1.00 BAL @ .SO Ex. Occup. ovnFrs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ' E4 1 certify that in the performance of the work for which this permit is issued, I shall not employ 'any person in any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,.,�� X � J �,,� �� Date � Signature off Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excava 'os o r 60" deep and demolition or construction of structures ov Mobile Home Installation Fee $ Energy Inspection Fee " $ occ CONST. TYPE TOTAL FEE $ - 43.00 HAZ. D. FEES IMP FLOOD COF PARCEL I Po HD ISSu SO 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. I Date PERMIT EXPIRES ON d'T I IDate Receipt No. � I I C."! (rI LJ — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-400-004 ZONING A -5 BUILDING PERMIT ""%Y HENDERSON TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MA, UNG ADDRESS 31 SUNRISE HILL RD BANGOR 95914 CONTRACTORS �N�A�7M�E7 UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 31 SUNRISE HILL RD BANGOR 95914 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome O Other sPECIw Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: EXTEND WEATHER HEAD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200.1, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ja I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. owELLING OCCUP. ORADDNS. ( a.cc. acs. SO 3.5¢FT: NOµR61D ' MULTI.OuCU @7.50 OWER APPARATUS 8 SINGLE OurLET CIR. EX. Occu OUTLET OR FIXTURES BAS @ 1.50 Ex. Occup. our rs Aa 0 EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 14 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall with comply with those provisions. �Jof __ Date �_ Sig ure of 1 i n - caner Contractor O Agent An OSHA prWhitis required for excava ' s ov r 5'0" de and demolition or construction of structures r 3 stor' i igt. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corsT. TYPE TOTAL FEE $ 43.00 "^Z D. FEES IMP FLOOD CDF p.R00. pp HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicate ve for which fees have been paid. Date k D PERMIT EXPIRES ON 111('1042 ate Receipt No. — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L. 1427-80B,E +z NO. PERMIT EXPIRES Dan Williams SOWN ER {CONTR. Stuart Const., Oroville LOCATION (A.P. 28-27-38 N/S Bangor Park Rd., app -1 1/10 mi.SW of Oro Bangor Hwy, Bangor As Il Vi ip Temp. Power Pole Called PG&E - Temp. Elec./ erv.- C alled PG&E TemGas Serv. PG&E JOB' FIAALED (Date) (Signailr�ur—e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s BUILDING INSPECTION REPCORD BUILDING BUILDING (Cont'd) PLUMB Setback Firewall it Piping Forms Parapets %1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings QA Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph handicaed sicaltgt Conformance of ex. structure -Appliances Gas Piping & Test Temp. Gas Slab Final Z — C Sanitation Patio FIREP CE Final Footings Footinq ELECTRICAL Masonry Walls Throat Rough -� Reinf. Steel Final Fixtures FIRE SPRINKLERS btucco V Final Subpanels Mesh MECHA CAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILIT E ----•------------- Elec. Service _ .� � Elec. Pedestal Water Piping Sewer Gas Piping ' ' Y L-i— ILEHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ILA �AD I� (NOTE: An entry must be made on this form each time you visit the job site.) . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orcyille, California 95965 ` - Telepllone� 584-4541 APPLICATION AND PERMIT / BUILDING Owner �I L 1. .' SQ. FT. OCC. BUILDING VALU TIO Mailing Address Telephone No. Contractor �L.� g— Mailing Address 7 _5� Fireplace Total Valuation r�elephone No. Permit Fee Building Address 5 �� Plan Checking Fee&/or Penalty ,cm $ Permit Fee i 6)9p0,LLw PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — Zoning & lanning Water piping 1.50 Each gas water heater or vent 1.50 FVJ Vfce. .SaR�n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parc !20KI60' R/W Improvements additional outlet .30 sewer 5.00 �Building Bldg. P14Ks Recd Parcel A royal Plans Approzel� Lawn sprinkler system 2.00 NEW JZ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.@ FEE PERMIT FILING FEE J$3.00 5 .0 , Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others'ER Main service EA. ADD'L 100 AMP 2.50 t Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. //OWE LI G.�p�C CUP. OR ADDNS. ( ACC GLS 20 sq ft 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: ' ST VA/Q) C'OJ✓S%/Q�J C O �% NEW CONSTR BRANCH C1R T NON.RESI D, � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 5 NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES) s @L @251'00 FIXED ALNS. Ex. Occup. ( OUTLETS PP (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 3�s��- ��, License No.t � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7, O $ $ 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 Work n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E)I certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date YL-?y-9-0_ Signature of Permitee or Agent Receipt No. 3 � ��� White-D.P.W. — Yellow-Assessor — Pink-Inspector — Goldenrod-Applicant Land Development Fee $ TOTAL PERMIT FEE $ o20 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. DIRE OR OF PUBLIC WORKS BY Date d-z 7- Fb i ding permit expires Date 2-7 — �� tt ttZ PERMIT NO. 1482-80P,E PERMIT EXPIRES ,OWNER Dan:Williams I CONTR. pr�12r 28-27-38 LOCATION (A.P. ) + NIS Bangor Park Rd., app.1 1/10 mi.SW of Oroville Bangor Hwy, Bangor fi "r 'r 6 I i Temp. Powell Pole Calle PG&E Temp. Elec. Serv. Called PG&E r� k Temp Gas Serv. 9 Called PG&E JQ 1A L E D (Date) (Signature) e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck I Fir all I A Pioino Mai Bldg. Fo in s Stem all Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings sorry Wall: Reinf. Stee Restrodko Finish Windows Siding Roof Sheath) Roofing Fdn. Vents Garage Vents Insulation Prov. for phy slcally handicapped Conformance of ex. 1 A Floor 2n loor 3rd Noor To out Water PipiNg Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final I TRIOL stucco f Final N Subpanejb Mesh MECHANICAL Grd. FrJult Prot. Scr ch Heatid Servi B wn C0016y T p. Pole Fffnish Dults nderoround I erior Lath M Closer r. MOBILEHON Water Piping MOBS Water Piping DATE V/Final ITIES------------------ Elec. Se C;42 Sewer ALLATI N --- ------ ----Support /;F:O r-& Drainage REMARKS OR CORRECTIONS AJ tt--r_ -b&QfD T 4 -R6 - T�� 0-f�, (Final Elec. Pedestal Gas Piping a! Elec. Continuity Gas Piping 1A} (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobile�iotue'(must equal rating of mobilehome with a minimum of,10 amp') and other facilities on lot, i.e.; water pumps,_ 1 garage, cabana, -etc.? Yes o_ B. Is there proper clearances around panels? Yes✓ No_ C. Is power supply cord or feeder assembly properly fused? Yes �No_ D. Is continuity test satisfactory as per the following procedure? Yes (/No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and.sanitation? 11. If everything okay, sign off -card and tag services. MOBILEHOME DATA a Manufacturer and/or Namestyle- rr' RID atB�6 Length Width Vehicle Serial No. -- State Identification No4, y1 Additional Information or Comments: Y MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeo 3. Are footings and supports properly sized, spaced, and braced as approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 1 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If mo r�than a single unit, are crossover connections properly installed? (Sec. 5088) Yes V ,o 6. Water A. Is flexib—connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes C- o C. Backflow - If coach is not State lifornia approved, does station have backflow device and pressure -relief valve? Yes _ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes ��No B. Does it have minimum k" per foot slope and is it properly supported? Yes 11'*� No C. Are any leaks detected in drainage system after rVnn g 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coa i t State of California approved, does station have required trap and vent? Yes— o . 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes,,V No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy Water. C. Are all appliance vents properly installed? Yes v 140_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. a� ar W., 1 1 •. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE; CALIF. - '534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: IAC 9211"1211/ V-VK- P-tt— M Y { "IN b,n 1 S1 W Q Hn 'iZ err► n h Y Pt 111-6 Owner t+ h u h Owner's Address 9 7-!i- 41 Ili =3 Ap m - Mobilehome Mfg..A-1ku k0w1vc. —1— �^ Model?+'r- Year C Insignia No!P%sDLi 5-04; 4 S-004 Serial No. S 1 b It is hereby certified for occupancy at the above-described location and may be occupied. �j Director , of (Public -Works Date' 14 —� % ' P6 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. V COUNTY OI .'BUT.TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -, Oroville, California 95965 Telephone: 534-4541/ AA f�iq APPLICATION AND PERMIT 2.6 all LIIUIIG! ICIJICJCIILQIIVCJ UI 111! t_,UUFItY U1 .DUMC lU elllll UNUM the above-mejltioned property for inspectic p 1poses. r. Signatureof'Permmiitee orVAgent ' Receipt No. _5 6 `�� White-D.P.W. - Yellow-Assessorf- 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 �hich fees have been paid. V LUMP PUBLIL WORKS V � Building per expires Date ��� BUILDING it V Iffy Owner SQ. FT. OCC. BUILDING V LUATION 10 Mailing Address3 _ ellk2hn No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee D O G!J ®E ©oe©urL(U PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 NQ © AP Repair drainage or vent piping 1,50 A - P. "' — on ng 8 Planning Water piping 1.50 6100 Each gas water heater or vent 1.50 es I W ni 'on I Fire Dept. Fire Zone Use Permit Parking rcel EQA Plans claration Parcel Map 60' R/W Improvements Gas piping system 1 - 5 outlets 1.50 1,6,00 Each additional outlet .30 wilding sewer 5.00 Bldg. Plans Recd P arc2L A rov Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 33F, 6)0. r ( ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .Ov 00V OR LES SLESS 5.00 ' Op Main service 100 AMP ORS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. !i) 22Sgft OR ADDNS. ACC. BLDGS, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, BRANCH CIRCUITS) NON .CONST � BRANCH CIRCUITS 2.50ea NEW CONSTR. /POWER APPARATUS a NON-RESID, `SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTIJRES @ ) BAL@ios APPLNS, OR Ex. Occup. \OUTLETS (RESID.) EA) 2.00 (OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 /B License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 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. certify that in the performance of the work for which this ermit 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee , D0 57 (j4 TOTAL PERMIT FEE r all LIIUIIG! ICIJICJCIILQIIVCJ UI 111! t_,UUFItY U1 .DUMC lU elllll UNUM the above-mejltioned property for inspectic p 1poses. r. Signatureof'Permmiitee orVAgent ' Receipt No. _5 6 `�� White-D.P.W. - Yellow-Assessorf- 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 �hich fees have been paid. V LUMP PUBLIL WORKS V � Building per expires Date ��� COUNTY OF,BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - rOroville, California 95965 Tel ophbne: 534-4541 APPLICATION AND PERMIT 4u111UIILt7 IepleSentGtIVCS DI trte L.ounty of t5utte to enter upon the above-mentioned property for inspection purposes. X �Date Signature of PermiteeGor�Agent Receipt No. 3 T�0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButtP unty Code and/or resolutions to do work indicated above 6,r wlich fees have been paid. DI' F PU IC WORKS 3 d _ _ Date�� Building perm expires Date BUILDING Owner I- L /"� SQ. FT. OCC. BUILDING VA UAT Mailing Address Telephone No. Contractor FAMLc ` —b Mailing Address js Fireplace Total Valuation ►N) 15E A/244T ne o Permit Fee Building Address / c zed Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — 8 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FeesS Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Improvement Each additional outlet .30 Building sewer 5.00 Bldg. PI s Rec'd Parcel Alvsyal Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ nc ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 11 OR ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW OR ADONST % ACC. BLDGS.CCUP. S) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business,& Professions Code under the name style of: gZe�;& NEW.NONRESID.CONSTMRL BRANCH CH -LET ESI D, l CIRCUITS)i 2.50ea NEWCONSTSL fPOWER APPARATUS d NON -R ESI D. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIPES) B 1 Ex. OCcup.(OUTLFIXEETSP(RESIO)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.M f 5 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ I 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 Land Development Fee $ 1. TOTAL PERMIT FEE $ 4u111UIILt7 IepleSentGtIVCS DI trte L.ounty of t5utte to enter upon the above-mentioned property for inspection purposes. X �Date Signature of PermiteeGor�Agent Receipt No. 3 T�0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButtP unty Code and/or resolutions to do work indicated above 6,r wlich fees have been paid. DI' F PU IC WORKS 3 d _ _ Date�� Building perm expires Date 1. 2. 3. _ a, • • BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's name: �fU �" %�— C Installer's name: L E CO d� Is the site currently under permit? Yet / / No (if yes, furnish permit number / O Z "- -C) ) OR " Is the site an existing site? 'Yes / / No (If yes, -furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / 7/ No (If no, clarify 5. What is the mobilehome electrical rating? -------- /&7 d Amps r 20© 6. What is the mobilehome site service rating? ---------------------Amps 7. What is the mobilehome site circuit breaker rating? -------- �f] Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ------------------------------ ----------------.- Yes � No '%� c7 (If yes, identify the load and size: ul/ (Load) 2 (Amps) 9. What is the mobilehome site gas pipe size? ----------- (in.) 10. What is the type of gas service? ------------------------------ Natural / / LPG / G��r 11. What is the. gas pipe length from meter or tank to the mobilehome? / - (ft•) 12. What is the mobilehome.gas demand?------��!------------ LEE (BTU) (This information not required if pipe length less than.6 ft..on.riatural gas ; or less than 50 ft. on LPG.) J MOBILEHOME SUPPORT DATA If other t'Han single wide ] C90 Mobilehome Mfr. Wlar furnish Setup Model No. '7 YQar Width ,;/f (ft.) Box Length- i�:j (ft.) Tagalong or Expando Size1E) ft. x 3: Z) ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). LO4aJ �% All center supports measured from front of f"W�` `r OL✓A " r" mobilehome unless otherwise specified. ��-- I Footings (check one) �r/L �i6e�t w Single 1. Wood either �—� qwyAol ✓ pressure treated or n foundation grade. (in.) (in.) (ft.)(in:) (in.) (in.) 12- x -- Typical Support ❑ 2. Other (specify) (in.) (in.) Footing Size Center support Center suppo;:t locations* footing sizes (ft.)(in.) (in.) (in.) Supports (check one) (in.) (ft.)(in.) 1: Concrete block. LO Z , -- Max. Overhang (ft.)I(in.) / ❑ 2. Other (specify) (ft.)(in.) BUTTE COUNTY (ft.)(in.) (in.) (in.) 8UILDING DEPARTMENT �� 3 APPROVED y�(�� / I,rc--Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) 12- x -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) 5 = (� -- Max. Pier Spacing (ft.)(in.) Z , -- Max. Overhang (ft.)I(in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY 8UILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in. -locations. spacing, and dimensions. APT —R �����t�l flll• ' db UART CO S { .� t5 �1 CT fr RESIDENTIAL COMMERCIAL LICENSE NO. 30325, 3975 HILLUALE AVENUE OROVILLE. CALIFORNIA 95965 s PHONE 534-1185 PROP f Ngo tAl 0 � 06 SD -O �r ' 1 Utility connectionshall be Wii111 w% bile omei, either m 4 ft. of the N directly behnth in the tear in °r eft�f NMW em��cN Pc half of the roa ide ) �-�� o - ,�$ mobilehome. �p� C> r d 15 q-0 POLE %o` F'4 v y 06 F f- 7-0 d� N Go R P�RIf �d A setback of 5 ft. from the property lines and a setback of 50ft. from the road ,q centerline shall be clear of sttructures or equipment except for a 2 ft. eave overhang. This set of plans and specifications Ml�5T be kept on the job at all times and it is unlawful male any changes or alterations on same without written permission from the Department of Public - Works, County of Butte. ateriais & workmanship Shall Be in All M Good, Proctic in tfibe Nand OTE:-- With Recognized S ec,fied Accordance rescr'bed for the achanical C of a quality P plumbing & M uniform., a1 Electrical Code. the S a � BUTTE C NTY BUILDING DEPARTMENT APPROVED `�: aT � /I bl, bw-c .— $z ve"cou �l 0), 1 � .,f —4 JOL coact, oljq �:Ql t'09 al. 0 elclq it- f--,0j.A IkAJ 00�.WJ_JOU Lj:G Drbc74Wv&4 ot 3 tIl uUA coudo ij? OL I'llk UJ ZL UJO MI Ow - �;..G lop, t;4 t3!,iu;G WJ9 Ij !.,? ri!)ICIA'AH + b1cj"i OU Wq Irma 4 eta . Ojj,;l C(-"J')Gc4!01Ja 2 .-W UG 2T !il t I 'tit c"t. f'j� 1,11C.1 ov q u(I Pcr.,I( t. I' - - - - - - y, ................... - - - - • t ' 1 .i.:.._: .. ... .................... 4 .. ...I. .. .. .. .. .. ... .. _ .... .._ .. .. 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