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028-410-103
11 10 'An 4-3.1, t a P t t o.es io > 22 t - s s ion Olive Rd., EARcel#l, 028-416-103 :PERMIT#977-126AG WyandoNt. 1126AG ri,2-T� 80P. POTESTIO; Aniita Missio Permit 7i2 -80P,E(util.,MH) 370 Mission Olive' Rd. Oroville ELEC.— Ag Ex Peirmit-Horse'-Stall'ij'- re GAS f -15L -'B SUPPORT STRUCTURE Rr1 1 COMPACTION TEST HQ. I>or contr:: Ge Schmitt Serxb, Chico Per 1608-8 MHI . . . . . . Is' ed 28-1;T-103 Permit -82B,P single famil LL 2083 Ti 28'.;-W,-103 7 Perm* 063-83.B(Ist renewal -/-2.083-82) Pe L-1: 3063-83B(lsl 028-410-103 799-0639 POTESIO, Ann 370 Mission Olive, 0roville Contr: C & N Heating & ACC gas line - One electric circuit U 028-410-103. 99=0639 F POTESIO,'Ann. • 370 Mission Olive, 0 ville Contr: C & N Heating.& AC =' gas line - One electric cucwt.; t 6 f . ,j t 1C ' 0 . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4�39 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 !_PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99� ASSESSOR PARCEL NUMBER QRaa= 028-410-103 8-410- ZONING BUILDING PERMIT (� OWNER ANN PMSIO TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 70 MISSION OLIVE OPO CONTRACTOR'S NAME C&N HEATING AND AC TELEPHONE 5_34— 9419 CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. - � SUBDNIBIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 f USEOFSTRUCTURE SF f] Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Describe Work: GAS T41 061141 F. E GXR HVAC Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A 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.PSING i License Class - `2 f-,Lic. No. i [^ h (• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that lam exempt from the Contractors License Law for the following reason: ' + h ❑ 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. , I ❑ 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 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.) El 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 forthwith comply with those provisions. X `1 4 .4 r. t t e ��� L•(�( _ Date — S� ' Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction I of structures over 3 stories in height. �' Main Service zooA TO lOooA 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. a ACC. S.3.50FT; NON-REs DW CONS T RANCHO TLERCUITS @7,50 OWERLE APPARATUS a OUTLET CIR. Ex. Occup. e� @ Iso ,. OUTLET 1 . FIXED APPLNS. OR Ex. Occup. OUTLETS REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i PERMIT FEE $ 21.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 3O.00 Cooling Hood 6.50 Ventilation PERMIT FEt $ 5O.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE �OV.� •06 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE 1,r This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do`wolrk indicated above for w.,i�ch fees have been paid. . _ . '" C •+ PERMIT EXPIRES ON `[ `-�C�- go Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n r Ind" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4?,37 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R 41T rho. (Rev. 12/96) APPLICATION AND PERMIT 11 q9 ASSESSOR PARCEL NUMBER 1@10HRON 028-410-103 ZONING BUILDING PERMIT OWNER ANN POTESIO TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORE 170 MISSION OLIVE OPO J CONTRACTOR'S NAME C&N HEATING AND A534-9419 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ]p Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (;AS-LTATIZYZ-ONE BLTCIR. HVAC Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600VMain Service 20 A OR IESS 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 1 In full force and effect. License Class — 20 Lic. No, -% p � C % � 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. ❑ 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: ❑ I 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.) ® 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. Y C X (B. AA O_U!.(/�_ Date 7 —S ' T f Signature of ApplicantOwner ❑ Contractor ❑ Agent An OSHA permit is requir- for excavations over 60" deep and demolition or construction.. of structures over 3 stories in height. Main Service TO + 46.00 NEW coNST. DWELLING occuP. 3.5QsG. W U .50SQ OR ADDNS. ( FT. NEW CONST. MUACC-Ou�TLS. ET NON RESID. @7.50 POWGERLE APUTLETPARATUS 8 SIN OCIR. Ex. OCCU OUTLET OR PTxruREs sA20 p'. o Ex. Occup. ouTLETS RESID.GFIXEEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 21 .0 MECHANICAL PERMIT Fling Fee 20.00 Heating 30. Q Cooling Hood 6.50 Ventilation PERMIT FEE $ 50-0 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE $ 106.00 AZ. DFEES ETOTALEE COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for 'ch fees have been paid. n PERMIT EXPIRES ON ..- B 0 ate Receipt No. 264596 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� R> rr (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMM ! �G3 ZONING BUILDING PERMIT ---R /v v TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAUNo ADoRM 5 1 l0 yv oG I t,/IE O,Qe,) CONTRACTOR'S time TELEPHONE s3 CONTRACTORS MALJNG ADORESS CONSTRUCTION UMEA LENOU" MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGMIEERS MAJIUNG ADDRESS Permit Fee $ Plan Checking Fee $ euILDINwADOResa Energy Plan Checking Fee S S PERMIT FEE _ LCT No. 9UBON13I0NSNIU! PARCEL MAP PLUMBING PERMIT RlIng Fee 20.00 USEOFSTRUCTURE SF4T Duplex Cl Moblehome ❑ Other ate' Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ Describe Work: TYPE OF WORK lities ❑ Installation ❑ Other ❑ Gas piping system 1 - 5 outlets 15.00 Building sewer - 15.00 Mobile Home S G W X20.00 PERMIT FEE ti — ELECTRICAL PERMIT Filing Fee 20.00 Main Service °0°vA 00a IN. 23.00 ReceiptNo. WHITE-D.D.s7i.D.. SOR PINK -INSPECTOR GOLDENROD -APPLICANT I Main Service soon TO IOWA 46.00 NEW OR AODT' Dva ACC. & 9 - ' 3.5¢ 7 NS. NolFRESIO. MULTFOLlTLEr @7.50 P.0lKiIE APPOUTLET ARnTLAESA i Ex. Occup. OUTLET OR FORURED io 0 too RAL .6o Ex. Occu FOlEO APPLNa. OR ounETs Esm. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MEC CAL PERFAT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEl_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST' TYPE TOTAL FEE $ HAZ 1 O. FEES IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date R PERMIT EXPIRES ON to BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed a constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This struct shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 03 ZONING OWNER - S O 0 PHONE NO., OWNER'S ADDRESS A'\.`l SS l U1� ED, I t i, 1? `� LOCATION OF BUILDING 81-70 nhu USE OF BUILDING LIQ 1 U lXJ SIZE OF STRUCTURE IP ' X = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING aG- ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ c� Ltl• AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r �S a0 20 FRONT SIDES 4k—L--' REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupanc i. x Date=Fee--$60.00 Receipt No. J l Signature of The above described AG Building is exempt from a buildina permit Manager Building Division /Q By uV White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD PAR ROOG I ISS Date •1 �1-�-v-���Iti-','nr m•f''��'�Sv7..•....^•+.�.....r.+..,t;t�'Z .rv_57•t1. ,��.`_....r�`^'^T!?.Y;..� _ •{v,.�..Y..�.. y, .. ..�L., Ty'4•twi«� �.✓•.ar..^._� . r... � �„E. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF�C�RNIA 95965 -TELEPHONE (916) 538-7541 4 - PERMIT APPLICA TION DA TA SHEET OWNER: ASSESSORPARCEL Proposed Building Use: Building Inspector: Date: At time of permit applicati , I was adv' d the to data must be submitted prior to permit p c ss' an or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E32. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- Ell 5. ------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19: Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- El 20. Pre -inspection for required Request to Building Inspector on 021.'Contractor's license information. (Number, Name Style, Classification). ----------------------------- 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - ------------------------------- 024. Letter of signature authorization 025. Recorded copy of Agricultural Acknowledgment Statement. ---------------- ❑26. Letter of intent on building use. ------------------------------------------------- El 27. Manufactured Home utility clearance. ------------------------------------------ 028. Existing violations and/or expired permits. ------------------------------------ 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E330. Other: When you issue the permit, process as follows AMail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at Applicant: office. ❑ Deliver with inspector. Date: (Date) Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1 t a 343 ` PERMIT NO. 2083-82B,P,E,M PERMIT EXPIRES) OWNER Anita Potestio CONTR. Owner ASSESSOR PARCEL 28-19-103 LOCATION 228 Mission Olive Rd, Ordville r ,r r t 0 77OFFICE CO Py,, Address Temp. Power Pol �;.`..r' i a r4 x :'•e,y;-,, Called PG&I . Meter By >? Date(�'l I _ ELEC.TRIC w , / 3"�r.�'¢��;p;. _«rv,j V Temp. Elea Sere „Meter`By Called PG&�-a i I Temp. Gas Service 5 • Called PG&E JOB FINALED (Date / ` E:/, . Signature .a J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTa, c'rC. (Plans) 0,. ,xcept 6 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2., Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs=Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.--Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location. -Test -Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Eng-I)s.ies 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date . Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy - + 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (6ingle and Duplex) Not Ready I Date UNDERF R Plans OK exce tk's Date FRA ontinued oni g requirements -Setbacks -Easements Property Line Firewall & Openings g., Main; Soils-Steel-Elec rnd.- / -' tg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- ri " Ftg. Depth 5 -Headroom-Rise-Run-Landing-Fire Protection orches & Decks; Soils -Steel- / /" Ftg. Depth ywoo oof Overhang -Attic Vents -Rafter Outriggers - temwalls, Main; Steel-Blockouts-Wrapped-Slab 52-eMing-Nailing-Veneer emwalls, Garage;.Steel-Blockouts-Wrapped-Slab 3- Stnc.qj�esfe-grip Screed-Fdn. Vents-Underflr. Access place Ftg. Sy azing Area -Glass Protection -Skylights -Plastic earWalls; Nailing -Bolts 7r II -Fittings -Test -2 way C/O -Sewer T - as Pipe; Size -Anchors 0. Water Pipe; Test -Anchors -Regulator -Service Test 1011. Electric; Underground W2. Plenums & Ducts; Clearance -Material -Support -Ins. 'q 3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples I at Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date ate Card -BI Date Date FINAL P s) OK except if's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 5 xt. S eps'Door & Sidelight Protection -Landings oke Detector _ 14.-WateH� ant -Access -Combustion Air 1 ater !ipe; Test & Anchors -Nail Protection 58 ce; V earance-Comb. Air -Co r- -tr PrutuCTIon V.; Test-Fttngs & Anchors -Nail Protection edroom__E&jSiag fixtures & Tub Access 17.r -Ran; Test, First Floor -Tub Access Shower, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes-Loel—s-\ 1g_Gas-P7jYe7Size & Anchors 62 -6ta4r&-&-Raifs-,, _ _•03: Fireplace or -Stove; Clearances -Hearth AE/,S-T_ j0'J" 4 t,r QPdo'B7M,^-15_atSf;,�-3Card-BI Date c. 2WJais-eFWood Panel; Int. & Ext. . Fixt. ce; Grnd.-Ai• Gap -Cooking Clearance Card -BI Date Card -BI Date 6 c. Outle eptacles at Kit. Counter Date ELECTR AL Permit OK except q's 6Lje Fi!2 IIr; Swing -Landing -Closer 68 Duc e -Damper fixture gLJransformer Clearance -Ins. Protection 69 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Gar bove Floor-Mech. Protection ec. les Spacing -Lights &Switches at Doors 7 •, Elec. & Mech. Equip. Listed for Location 2 ize B o. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 7�, c. Receptacles in Garage; (G.F.I.)-Romex Protec. 24 uip. Ground made up w/Mech. Fasteners—Bond Gas &Water 7,a?�tn ulation-Foam-Looked in Attic 2� ppliance Circuits in Kitchen &Conductor Size 7�Ooard7fj Ts -&-Deck Construction -Post Caps - 26 / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7 n. Vents & Crawl Hole D - rainage & Wood -Earth Clearance Looked under Floor es 27. I-Ov�.n Girc. /L ga. Cu or Al, Insulated Neutral ❑Yes o 75. Followinginstld.: Drive Yes �N= Walks NO: ❑Yes ❑ Planters❑Yes o 28: --Se a -Riser Conductors & Ground -Main Disconnect 74,-StU:cp3S�- grow- inish 29: Equip. Clearances; Panels-Motors-Mech. Equip. 14Lt—Unit; Disconnect-Clrnces-3rkr. & Cond. Size -115V Outlet 71L_V9_nts Above Roof; Plbg.-Appliaice-Firepl.-Clearance to Opngs. - 38'-CtUtMTT`Crosret Light -Shower Light A9�-Water Well; Disconnect, Electrical, Plumbing d B DatetK`jW Card -BI Date 80 _Exterfo'r Elec. Trim; G.F.I. ReceotacIe-Underground 81._Ventilatibn throughout House Card B -I Date Card -BI Date 8a__tgl s -Protection Date _ MECHANICAL (Perrr,it) OK except q's 31. A.C. Ducts; Insulation & Support _ 83,�Co ecti fr m Previous Inspections 84. Ga est -Meters Tagged; Gas -Electric 85vcW5`fer & Sg Connected -C/O to Grade -HD Approval Bfjtnergy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade v - — _33. _ 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 Datete,zm Card -BI Date Card -BI f`OaT6 and BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMI lans) OK except q's 3 ills' Proper Material & Anchors _all - uds-Nailing, Spacing & Bracing -Plates -Sound _ ea __ alls over Girders & Floor Nailing raft Walls (rat proof) _in _ire s; Furred Ceilings -Stairs -Chases -Tub 4 e r &Beam -Size &Bearing 42. ngers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Root Brac. T s- thng.-Rfng. 4. Fireplace Ties or Type A Flue -Fireplace Throat - - tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4_ indows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE aEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. Or) j If A10 A --f ,-( ® ♦a I A ail r_V / n , Ai _Jx � cif/y j IS Z7 Inspector—/ _ C7//, DateZ'_ �—r✓ I Y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE S Tr o e S 41P OWNER PERMIT- NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. ( _[J �!� r? f1 �✓ ry- �- L L S o a � �/�� Utt%D f��t...� ri_rar�a�.- Inspector j�J� Date �� Af/� !J irn:, i inn;rat'tnr, ENERGY CONS10R Ai'lON STANDARDS CCN`�THUC`I'If)N ��i)MPI,]AIVCL CLRTIF'ICAT' `PHIS IS TO CERTIFY 'rHAP ENERGY CONSERVATION REQUIREMENTS HAVE, BF.�.N INSTALLED IN CONFORMANCITAT 22W LL A CURRENT ENERGY CONSERVATION R4ULATI0N5 BUILDING PERMIT # A.P. # THE FOLLOWING HAS BEEN INSTALLED AS PER APPROVED PLANS. if•�t •1f il• � *�(-lf"N• �(.*-�{, •K•� iF-K•-lf••lFit itil• •IF it if-lt iF •!f•-�F-1� * k -1F it ii1E iF to i(• if •� IF iF if••if •1F •IF•�t ifx• •iFil'iF if •IF•�• •�••�.�-�,.K. *�.�, � * �iF INSULATION: C;LALTNC: SLAB EDGE J , �.. . SINGLE GLAZED /V FDN. WALLS FLOORS 3 /2 SPECIAL(INSULATED) `� (� WALLS 31 2- - 1} C ERT . & LABELED WIGS . L---'&' CEILING/ROOF %'r _ SLIDING DRS. 2 1 9 tEATHERSTRIP DUCTS RACK DAMPERED FANS CIRCULATING PIPES � �" APPROVED HEATER IN'TERMITTENT IGNITION DEVICE �- APPROVED WTR . HTR CERT. APPLIANCE �- •x"k"N iF i61E il-ih iE iF -1t-1�-1F -1F-it •!t iF iF iF iF iF if il• ih� i1 .� iF il•-)f if �tiE N iF iF-N i(1r -It iF•K iF is *"1Hl••If itil-IF iFiF iHf• if'N'if iEiF'IFiE•1i•7i if''F'�1•'k ii I DECLARE THAI' ALL REQUIRED ITEMS AS NOTED ABOVEHAVE BEEN INSTAL IN ACCORDANCE WITH THE ENERGY CONSL1tUATION REQUIREMENTSAND AGREE 9n LED THE COMPLi-I'ENESS OF Tws/CER'1'I INSULATION APPLICA E: H OWNER/APPLICATOR: S AUR GENERAL CONTRACTOR/OWNER ME GENERAL ON RAC`I R/OWNER DATE '�/1. 7� "/ S SUBMITTED. WKIN INSULA'T'ION C 378407 LICENSE THIS CERYIFICATE MUST BE ON FILE W:L`l'ti '1'}tE BUILDING DEPARTM REQUESTING FINAL INSPECTION AND S}t1 LL BE POSTID INEms' PRIOR TO A C WITHIN THE DWELLING. CONSPICUOUS LOCATION 1/84 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N �a ASS ESSO PARCE UMBER ZONING BUILDING PERMIT OWNER 11, �S TELEPHONE S0. FT. OCC, BUILDING VA ATION D R SS OWNER'S MAILINDph O` (J v ~ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER e LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD SS�y 16 SS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 1 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,—� USE OF STRUCTURE F EJ Duplex ❑ Mobi lehome ❑ Other SFE"" SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition [:1 Rgrpodel❑ Utilities Installation❑ Other Describe work: �C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST.OR AODNS. C ACCDWE. BLDGS.LING CCUP.&\ / 2'h0sq ft 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 m license is in full force and effect. y 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 CONSTR. ULTI-OUTLET NO BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS &\\ NON-RESID. SINGLE OUTLET CIR. 1 Ex. Occu 20@SOC P�o Ts OR FIXTURES BAL@30Q FIXED Ex. OCCUp. OUTLETS P(RESID,)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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-mentigned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment costs, and expenses which may in any way accrue aga' said County in n- que a of the granting of this per it. Date Si nature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. CT R OF PUBLIC WORKS By7 Date/��/�C PERMIT EXPIRES Da //— ^T ,in,/height. L�eceiptNo. b.% 0 `7 V TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS PER IT NO. j 7 County Center Drive - Orovill6, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 0 ASSESSOR PARC L NUMBER 8� D ZON11!IFF F BUIL I PERMIT O�VITn 1-_:> T EHONE SO. FT. OCC. BUILDING ZaqVALUATION r0 GGG }}�� O r/NJJEVVR�S-MAI I /�� ®Gil VE ' d&V/1�y� n Ila ZU F36" CONTRACTOR'S NAME D� _ / TELEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace 2(jOO, Ob CONSTRUCTION LENDER UNKNOWN Total Valuation $ , od Filing Fee $ 10.00 LENDER'S MAILING AD R SS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee ,$ L Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 30 BUILD c,,.,XDRESS La �15S/OAI OZ -1 Vr � - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 20.60 Repair drainage or vent piping 5.00 .// Water piping JT,OQ LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 0, 00 Gas piping system 1 - 5 outlets S;p0 ,5;00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ,00 Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 570, 00 ' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS /0,00 Main service EA. ADD'L 100 AMP 2;50 2,gb NEW CONST. DWELLING 02 OR ADDNS. ACC. BLDGS. sgft , t CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business El� 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 CONSTR •OUTLETITS 2.50 ea N .N.RESID BRANCH CIRC NEW CONSTR / POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. ExOccup(OUTLETS OR FIXTURES �@� . BAL01 IXED APPLNS. OR Ex. OCCUp.%OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , O' Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating MOOD Cooling LIA-10 Hood 3.00 3, 00 Ventilation Permit Fee S Z L av 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 agains said County i onsequence of the granting of this permit. XThis Iy� Date y ' na Sture of Applicant — Owner l/tj Contractor ElAgent EJ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE Occup. GROUP I TYPE O CONST, PARC ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC tSR OF PUBLIC By PE#VT EXPtRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datep��%%� p33�stories Receipt NO. , 00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. JUL 2 46 Pm 19$? ELEANOR H._3c-C,r,ER The property described herein is adjacent to land or included C`ERK'RECOROER LILA within an area zoned.for agricultural purposes, and residents of SZ.ZZ_1j2 FEE this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �einsfhG n/Qr�heRs� �u4111/ C/ Sec�:o:, L 1g, No r ih, lr�t n f C S L -Qs ty7 ., yt� o rt ^r CL F//.oco / G3 5 pawn Ov2 b� 7h e ��COr deC o� 4A 06,4 oT L�r77'� d of �� i2 / �Or►tiR 6'h 5an ¢ XT/9:%t vF r�$rcC-, tuay5, 474- -or oarf -77 Date: ♦ i /._ L22 PROPERTY OWNERS: State of On this the I�'C day of �TLf,C y , 19, w , SS. before me, the undersigned Notary Public, personally County of �42L f mei ) appeared �,U I Tfi IV- iPO T r 5 Tj0 iK >'� >- > X- 9 P,,(b✓£,b 'Fe /,VI- -OA) 7141 to be the person(s) whose name(s) / S ■mnuunnennnnnnuuimmmuem�emnara subscribed to the within instrument and acknowledged OFFICIAL SEAL that executed the same for the purposes MELISSA M. NIXON therein contained. NOTARY PUBLIC - CALIFORNIA COUNTY OF BUTTE IN WITNESS WHEREOF, I hereunto set my hand and official ' `•• My Commission Expires April 12. 1985 - seal. �enununuu„��„»n�ounutuumuut�unnea� '7 Notary Public Present A.P. NO. PERMIT N0. 260))9��-80P,E A.PERMIT EXPIRES �A) Anita Potestio OWNER CONTR. owner 28 -19 -04 -port. LOCATION (A.P. ) 228 Mission Olive Rd., parcel #1, Oroville G Temp. Power�Ole Called PG&E a —Z"W Ele/Serv. Called PG&E Temp. Gas Serv. C led PG&E W JOB ir"LED 4, (D e) (Signature) t i { COUNTY OF•BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck 1-1 wall SdXI Piping Fornk Pahpets 1 t Floor Mail Bldg. Rest om Finish 2n Floor F tins Windo 3rd k0or Ste wall Siding To out Slab Roof SheaNino Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for physical handicapped Conformance of ex. structure Appliances Gas 1ping & Test Temp. Gas Slab A Final Sanitation Patio IREPXACE Final Footings Footing ECTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLERk Motors Framin Test Water Htr. Stucco X Final Subpanelsf Mesh MECHANICAL Grd. Faitit Prot. Scra h JDv`cts eat Servic B n o Ing T p. Pole F Ish der round In rior Lath entllation ennanent or Closer anal final MOBILEHOME TILJTIES - - - - - - - - - - Elec_ Service 3Q Elec. Pedestal Water Piping 3 6 Sewer Gas Piping c MOBILEHOM15 LNGIALfATO - - - - - - - - - - - - Supportlz4Zr--AElec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ✓rl Q .- O D � /.�6ff Gc,/-�• ter-. fb 6.�7,� O (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 mobilehome (must equal ra ging of mobilehome with a minimum of 1Q0 amp) and other facilities on lot, i.e., water pump )s, garage, cabana, etc.? Yes_ No_ B. Is there proper clearances azound 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 Manufacturer and/or Namestyle Length_ Width . 2, Vehicle Serial No. r� State Identification No. Additional Information or Comments: e MOBILEHOME INSTALLATION' INSPECTION CHECK LIST 1. Is the mobilehRme located wit .required 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) Yes 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes �Vo 4. Is the mobilehome level? (Sec. 5088) Yes. No_ 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexib 'connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes el_No Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes A- No_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes l/No C. Are any leaks detected in drainage system after running 3- Ions of water through each fixture including washing machine standpipe? Yes_ No— If coach is not State of California approved, does station have required trap and vent? Yes— No� 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 e gas line inlet without reductions other than the mobilehome connector, Yes No B. Test OK as per following procedure? Yes 1.1No_ 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 !1 - No 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: A - ' Owner Lf 'i:r • Owner's Address Mobilehome Mfg. 1 Model Year r Insignia No. °� 5[Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works i By / THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White' Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT • 'I ASSESSOR PARCEL NUMBER ♦ 2g— _ ,� Coq ZONING .� BUILDING PERMIT NER Ey TELEPHONE S0. FT. OCC. BUILDING V ATION OWN 'S VIL, G ADDRESS CONTRACTOR'S NAME fTELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS -- Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee '$"' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �- Permit fee $ BUILDING ADDRESS Y- 2 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping /0.00 LOT N% ��'r�C.2) i SUBDIVISION NAME 1 PARCEL MAP 1%&o " 7v Each qas water heater or vent 2.00 Gas piping system 1 -5 outlets /0 00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome® Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation ❑ Other ❑ Describe work: Permit Fee $ -00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 ,� :00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq ft 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 CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occu / 50 L zsa P\OUTLETS OR FIXTURES BAL010C FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / d0 Misc. Wiring 6.25 d .OG Permit Fee $ r Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE I eclare 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. XI 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. Heating Cooling Hood 2.00 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. 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 again id Co my in conse ce of the granting of this permit. X Date -Z Si ature of Applicant — Owner, Contractor F1 )OrqAgent - n OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ &0 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARC PD HD y`/// 1550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR OF ELIC O By � ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ���� /J LReceipt Na ,Fg '7R q HITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT — COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 -County penter Drive - Oroyille, California 95965 . - Telephone: 534-4541 APPLICATION AND PERMIT A auuwl IZ [WiJ1 SDC1ItaUVWo UI UIC I,UUIIty UI DUttC tU CHILUF UPUII UIC above-mentioned operty for ins ection purposes. X � Date Signature of Permitee or Agent "Receipt No. '36-72, / ge 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. DIREC OF PUBLIC WORKS BY Date 3� -,,?a (ding permit expires Date BUILDING Owner 00 1 r,4 PORS5T/O� SQ. FT. OCC. BUILDING VALU ION Mai I i ng Address Telephone No. Contractor G4W(:! I 4T ) n H $ EPU ICE Mailing Address P. 0. (30 �( 25 I Fireplace Total Valuation CH(,o el phage t o l{ (p ) Permit Fee Building Address P I an Checki ng Fee &/or Penalty Permit Fee 02 , PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 ©�� 1 s Repair drainage or vent piping 1.50 G A. P. o. 2. p — I � - � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s C. w (ion FireDept- FireZone Use Permit Gas piping system 1 - 5 out lets 1.50 EQA Parking ans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld tans Recd Parcel Ap al Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER LQ permit Fee $ $ J)') (` ��P ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADONST %ACCLBLOGSCOUP. 4) 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: �v (5dA1E S'L/>✓/-7i/7 /`7, TLET NEW RESID. BRANCH CIRCU NON.CONS ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES) BAL@; FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ? 12 .3 -2Z Classification C' l / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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. @ FEE 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 M472; $ W) (X TOTAL PERMIT FEE $ �Q auuwl IZ [WiJ1 SDC1ItaUVWo UI UIC I,UUIIty UI DUttC tU CHILUF UPUII UIC above-mentioned operty for ins ection purposes. X � Date Signature of Permitee or Agent "Receipt No. '36-72, / ge 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. DIREC OF PUBLIC WORKS BY Date 3� -,,?a (ding permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. vunn1T?- r"AA-A V,1 . MOBILEHOME INSTALLATION SHEET 1. Owner's name: ,� ,U / � i¢ ('/1 1 661121 2. Installer's name: G L A16 CAS /`71� 1� 3. Is the site currently under permit? Yes /t// No (If yes, furnish permit number ) 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 J Vi . No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- -;t D o Amps 7. What is the mobilehome site circuit breaker rating? ------------- / 4 Amps 8. Is there any.other electric load to be served by the mobilehome site service? --------------------------------------------------- _Yes _1 No (If yes, identify the load and size: j°u/-7 (Load) /,S (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- in. 10. What is the type of gas service? --------------=-------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? / (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) MOBILEHOHE SUPPORT DATA If other than single wide, Mobilehome Mfr. F.4ZEi wDO.n furnish Setup Model No. 4 Year �/ 9 Width L/ r (ft.) Box Length '�4� • (ft.) Tagalong or Expando Size ft. x 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). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single ©'' 1. Wood either A A pressure treated o; foundation grade. (ft.)(in.) (in.) (in.) ❑ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 36 X O a1: Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) 1 ----Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) :1 "x Typical Support (in.) (in.) Footing Size X_ (ft.)(in.)- '�%.,(in.) (in.) Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) (BUTTE COUNTY 3UILDING DEPARTMEN ► APPROVED *.If center piers .are other than drawn above, draw in location's, spacing, and dimensions. NOTE: --All Materials & Workmanship Shall Be in v a Accordance. with Recognized Good Practices and _ "i. of a quality prescribed for the Specified use in the t' Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. Utility connections shall be within '- r4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. : r., {, At re req . etc S ©� permit o{ too look insta�lation 14 500 SQ. FT. MINIMUM FOR MOBILES 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 for a 2 ft. eave overhang. 's This set of plans and specifications MUST be kept on the job at all times and it is unlawful to 7'.!re any chanaes or alter_�ions on some without written permission from the Department of Public Works. County of Sette. khe 2/�0� X40 f -8o BUTTE COUNTY BUILDING DEPARTMENT APPROVED