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HomeMy WebLinkAbout017-160-016a Geo APp.4 run P vnPerm! ELEC GA S� ... S PPO 1 COMPA Cont: t t Perm: 'i Issue i J , t a .......,rn.:,.�.ra��..y,.. � _ ......ur �:+a.^u:r•a.s�,..o:��„e+ils i �µ.���i3C.ti„"ka%:%,�i.�r+” �{dxx t�k�+��"�$'� �;'i+'^T;�taS*+�C'I�Pa`F:� %"►�ti�ae`�icW:•:4rF:'�-Y.F- t• ��" y 011=260-016 CROOKS, GEORGE, 5120 OAK HAVEN LN. CHICO',j; iq`r RE-TAG ELECTRIC;- REPLACED`' 'POWER POLE &r METER r 1 • i (L & COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION , 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/ RMI NO (Rev. 12/96) APPLICATION AND PERMIT �" ASSESSOR PARCEL NUMBER 9i ZONING BUILDING PERMIT OWNER V v M11- arntzn>Q TELEPHONE a5_A7 SO, FT, OCC. BUILDING VALUATION ADD OWNER'S MAILING SS CONTRACTOR'S NAME OW ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flip Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5120 OAK HAVEN LN., CHICOCA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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: REPLACED POWER P01.F NEW ELEC METER ON POLE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFling Main Service zo.A OR LESS 23.00 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.POWER 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. Qol1, 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 TO I 46.00 WEL200A U NEW CONST. DWELLING OCS. OR ADDNS. ( a ACC. BLns. SO 3.5QFT; ,.,GµpOIpT MULTI -OUTLET 97.50 APPARATUS - a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 BAL @ .50 Ex. Occup. 0Flx' EDA Es&D EA, R 5.00 Temporary Service 1 23.00 Mobile Home Facilities 20.00 Misc. Wiring, 23.00 poe ins 3. 23.00 PERMIT FEE $ 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 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 those provisions. X..•._ i a�r (ar. ,. „ // Date ` �Q- 1);/ Signature In A4plicant - Owner' ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD cOF PARCEL PD 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 which fees have been paid. c B "" / �d ���(-,..� Date D� dL' Y !!! PERMIT EXPIRES ONst / I I Date ReceiptNo. 360956 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rug 14 02 03:01p ,, •2n PRE -INSPECTION REPORT OWNER: �E� DATE: 0 LOCATION: Gly/C� C/��L A.P. #- D f •4 `� CONTRACTOR: ZONING: / n A /. _ A PRE•1NSPETiON FOR { DATE TO INSPECTOR:V/f1PJ4rrH1!5TORy':( ) NONE ( 4.)6OLLows: DUELDING INSPBCTOR'S REPORT Building Description: Ca mnercia!/UsaV. Residential/# of Units: Currently Occupied Pz Abandoned/Vacant Electric: J Yes No Electric currently On Off Condition of Electric G" r Natural Propane None Currently On' Off Obvious Problems: Saaltntlon: Pluinbing Working Well Working Potable Water Obvious SewageProblems COalaltat3- V ACTION RECOMMENDED: ISSUE:. HOLD FOR • lnsptctor: Date Sketch buildings on. reverse and indicate location on proper 67 --moi 2� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541Iy N (Rev. 12/96) APPLICATION AND PERMIT ;Qa._ v � ASSESSOR PARCEL NUMBER Oil 260 016 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5120 OAK HAVEN LN., CHICOCA Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 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 ❑ Describe Work: REPLACED PQWF.R PnT.F NF.W F.T.F.0 MF.TFR ON POLE. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOVMain Service 2o.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. 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: D 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: ❑ 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.) 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 complh :,nh provisions. �iof Date L * mr Si re Applicant - Owner 0 Contractor 13Agent AW A permit is required for excavations over 60" deep and demolition or construction� of structures over 3 stories in height. Main Service TO 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO CCU000A .50so OR ADDNS. ( 6 ACC. BLDS. - FT. NOµRES,pT MULTI -OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR r-ocruREs BAL o .so Ex. Occup. oFlxuntrs R D DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 E e insp. ins23. 123.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP I FLOOD I CDF PARCELPD HD ISSUE This permit is hereby issued under the applicable provisions th tte County ode and/or Resolutions to do work in 'cate d e r w io fees have been paid. By0"x6� Date g J l0 PERMIT EXPIRES ON i', C 0, Receipt No. 360956 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,,: , i;+'v+.�+rar:a+u�;: =+'.vx ,�-�'+'►"'+-�•.ri .r-,.•, .r-.�.+.-�,-w,a�� +•�r�"�-4;:�"c: :„�a'ska�3r��:'��' �+�?'``-1,r; ;+" r ;:.�= -.,�a :.- s; ..=,--x,r � = �r :::x COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 %f / PERMIT APPLICATION DATA SHEET OWNER: C/ L- 'll /F/�/ + � •ASSESSOR PARCEL NU . O Proposed Building Use: I Counter Technic an: Date: Items required in order to apply for a permit. All boxes MUST be checed O marked NA in order to apply. ;t' ❑ 1. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. y,❑ 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 layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. ❑ 15. ❑ 16. ❑ 17. ❑ 18. ❑ 19. ❑ 20. ❑/21. ` 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ............................................. Sanitation and plot plan approval from the Environmental Health Department in City of Chico Plumbing permit......................................................................... California Department of Forestry plan approval ❑ paid. Sent. by: ...................... Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: Contact Land Development about ❑ Improvements, ❑ Drainage ....... ...................... Encroachment Permit fodriveway fro he Pu lic Works D i n ovalp for to occupancy). Pre -Inspection for (/ Contractor's license information. (Number, Name St e, Classificati ....... (/ Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been infor edrof the above items.a iid requirements for obtaining a building permit. Applicant: �,� / Date: �'y 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ phone, Q' mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑'.mail; ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by:. Date: Yellow: Buildine Division Plan Check Letter _Date: _Date: Date: Date_ �- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 .� tRev.12J96) APPLICATION AND PERMIT _��- � ASS;CSsoA4CIEL ER / ,G _ /T/U BUILDINGPERMIT Ow 024— G / SO- FT. OCC- BUILDING VALUATION nw►nLs LEcc„ VAUNoADOFESI CONSTRUCTION LENDER LENDERS "UNG ADORESS ARCHITECT OR ENOINECR LICENSE NO ARCWTICT OR ENGINEERS MAUNo ADDRESS ADDRESS LOT NO I SUBMISIONS NAME USEOFSTRUCTURE SF O Duplex O Mobilehome O Other cvtcsv TYPE OF WORK New O Addition D oddeell%❑Utilities ❑ lista O Other O Dejswibe Work: WWI o 44-vur- ¢ 044w► Jft be.. of"+ •1r4a ca+n�u� Fireplace Total Vatuatlon S Filing Fee S EX. Occup. O�p °� 5.00 Temporary Service 20.00 Permit Fee 2i Wiri Plan Checking Fee $ - Energy Plan Checking Fee i S PERMIT FEE _ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent I5.00 Gas piping system 1 - 5 outlets I Tr 15.00 Building sewer 15.00 Home .Mobile 2000 PERMIT FEE I f ELECTRICAL PERMIT I Flin Fee 20.00 MainEService 000H OR Less pow oR LESS 23.00 Mainvice aooA To iR100A 46.00 50 Ex. Occup. ovr ET oR FpmmEs SO 11x.00 I aAL a!0 EX. Occup. O�p °� 5.00 Temporary Service 23.00 Mo bile. Home, Facilities Y0.00 Wiri 23.00 u ERMIT FEE _ MECHANICAL PERMIT Flinp Fee 1 20.00 6.50 Ve PERMIT FEt S Mobile Home Installation Fee i Energy Inspection Fee $ «g «"ST rPrt TOTAL FEE $ 1,07; i HA2. 1 0. FEES I LMP I R000 CoF PAReel I Po I No i LSSIA 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 PERMIT EXPIRES ON Ru' j14 02 03:01p p.3 %,vun t t yr t!U 1 1 t_ DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroviller California 95965 • Telephone (530) 538.7541 t4,- 12/96) APPLICATION AND PERMIT ' asn+oA.,racnNu.ea � �� � �01N0 IUII�ING PERMIT owM � owmirn wa,w ��+5� _ / SO. FT. OCC. • BUILDING VALUATION CorankAnON 110001 11r001S YNuNO ADOM11 PERMIT FEE I f ELECTRICAL PERMIT Fireplace Main Service eRi OA Lass AACArtCCT OA Er4N101 Total Vsluetlon i Goo. oa ur+s 23.00 utEraE NO »a To la., 1 46.00 NEw cora : a,�� oocw. Filin Fee E MCMCCT OA WO�1[D1S 1MtJrrO •VOAESi Permit Fee 2O.0 = euao.c.00AEzs04 Plan Cheekinn Fee E Energy Plan Checking Fee i IDT NO +uepva0N1<TNIJE MCEL — PERMIT FEE ! PLUMBING PERMIT Fling foe USEOFSTRUCTURE Each Trap7.00 20.0 SF ❑ Duplex O Mobilehame p Other Soler or heat um water banter 23.00 soccoy Water piping 15.00 TYPE OF WORK Each as water heater or vent 15.00 New ❑ Addition ❑ odel O Utilities O lista > O Gas (in stem 1 • 5 outlets 15.00 pr+ Other n Buildingsower De,�yibe Work: sL//J15.00 Mobile Home S G W /n ., / _ �, _ _ .. X20.00 PERMIT FEE I f ELECTRICAL PERMIT I Filin Fee 20.0 Main Service eRi OA Lass Goo. oa ur+s 23.00 Mein Service »a To la., 1 46.00 NEw cora : a,�� oocw. Ex. Occu ovyw oe ronulcs» 0 1.00 ew a .w Ex. Occu o n 5.00 TemporsrX Service 23.00 Mobile Home Facilities 1 1 20.00 N PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.0c Heating Cooling Hood Ventilation PERMIT FEE S Mobile Homs Inata- -- Fee i Energy Inspection Fee S occ —"' "' TOTAL FEE_ //7F,9 r ru►t I o. net I rr. R000 wr rwrcn I io .o i n: This permit is hereby issued under the applicable provision - of the Butte County Code and/or Resolutions to do war► Indicated above for which fees have bean paid. By Date PERMIT EXPIRES ON x" A- � Y t j t ;,aye - -1 'f' Date: To: From: Subject: Number of pa Fax Number: Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX FACSIMILE COVER SHEET If you do not receive all of the pages,.please call (530) 538-7541 as soon as possible. Special Instructions: Review and respond accordingly. For y r information only. eA1_1 i ce ly, . CONFIDENTIALITY NOTE: The -information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. OWNER LOCATE PRE -INSPECTION REPORT. CONTRACTOR: PRE-INSPETION FOR DATE: O - A.P. #• D ZONING: DATE TO INSPECTOR: VERMIT HLSTORY:( )NONE, ( 4-j,�,S FOLLOWS: BUILDING INSPBCfOR'S MORT Building Description: Residential# of Units:! - Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On Condition of Electric Gas: Natural Propane None ------Currently On Off. Obvious Problems: ' Sanitation: Plumbing Working Well Working Potable Water ' Obvious SewageProblems Comments:' ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. t Date Sketch buildings on reverse and indicate location on proper `-vvn i v yr esu li I e: - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • OrovilleT California 95965 • Telephone (530) 538-7541 tRev.1?J'96) APPLICATION AND PERMIT ' asSCssoarMcnw%"WM BUILDING PERMIT G / "s SO. FT. OCC. BUILDING VALUATION CONST R.nO"LENDER LENDER= MYwG ADOREss MCWTICT OR ENOiNEIA MCWTECT OR EN0INaA7 VAjuNo ADDRESS euw«c.00aEss l LOT NO submaDN s NAYS MAP USEOFSTRUCTURE SF O Duplex O Mobilehome ❑ Other GPM" TYPE OF WORK New O Addition O qWn0d9l O Utilities O lista ❑ Other OJAve D"ibe Work � pd )C.f0� SR At � sttiert 1-3 f %CCA w► � bile, rirepiece I Total Valuation S Filing Fee S 5.001 23.00 Permit Fee S 20.c Plan Checkin Fee S &3.00.0Main EE 00 Energy Plan Checking Fee i 1 3.5e'o I Heating S PERMIT FEE f PLUMBING PERMIT Fling Fee20.0 Each Trap 7.00 Soler or heat pum water heater 23.00 Water )iping S 15.00 Each gas water heater or vent S 15.00 Gas fin stem 1 . 5 outlets S t S.00 Buildingsewer CONST. TV" TOTAL FEE _ o. FEES w► /L000 1 660-1 15.00 Mobile Home S G�— @20.00 PERMIT FEE 1 S ELECTRICAL PERMIT I Fling Fee 20.0 Main Service Row 9:mss 5.001 23.00 Mobile Home Facilities a 1 20.00 Service mA To mm. &3.00.0Main EE 00 NEW C0r6T: / OWEujm OCCUR ows. ) 1 3.5e'o I Ex. Occup. ( ouncr OR ronNnFA — —�a ouarn ESID. EA Temporary Service 5.001 23.00 Mobile Home Facilities 1 20.00 Wiri ' ERMIT FEE S 23.00 MECHANICAL PERMIT Fling Fee 20.0( Heating Coolin Hood 6.50 Ventilation PERMIT FEt: S Mobile Home Installation Fee S Energy Inspection Fee S occ CONST. TV" TOTAL FEE _ o. FEES w► /L000 1 660-1 i PAAcm I rO I to i as, This permit Is hereby Issued under the applicable provision! of the Butte County Code and/or Resolutions to do wort indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i I Wad ' 1 ��_I ` * ''. . _... )w• ,tom Js ' k r ",.a"r ":M. l w.. F:{Ia;r,,,+qa; ._.=±�• i•.. C'.".lrd�.;C Geora �•''' . P , * Y► - `,'.4 $ Crooks(.�3 u,� . i; V A. �1 `mac pp.400'to end of pri.dr.,off S/S Honey- .mss' .,- ,.•;"'"... run Rd., app. 1000' 3' ' Permit #7244-78P E(util t/h �- s '�wMAOZk7�r� ELEC GAS PPORT .STR CTURE REQ.n COMPACTION TEST REQ. Contr: Beich NH,,Chico Permit #1635-79NII3 Issued s 3 t 6. .' J • • �n, 1 } PiFiM1T NO. 7244-78P,E rj PERMIT EXPIRES ,2, OWNER George Crooks' owner t CONTR. X'�U55-39-12 port. LOCATION (A.P. ) -v App.400' to end of pri.dr.,app off S/S Honeyrun Rd., appID00'S.of Hon eWn Bridge fi ,K e d a I y 1 Y Temp. Power Pole L Called PG&E z3 7Ae Temp. E14. Serv. Called PG&E Temp. Gas Serv. ailed PG&E /OB FINALED YJ ✓� (Date) � 0 (Sign ure) k i c . MOBILEHOMEJNSTALLATION INSPECTION CHECKLIST 1. Is the mobilehome located with required'separation from.lot_lines and buildings and generally conform to plot plan? Yeses �To— 2. Does the mobilehome have required'clearances above ground? (Sec 5085) Yesj 3. Are footings and supports properly sized, spaced, and braced as per approved plans?. (Note possible variation at spring shackles.) (Sec.'5082'& 5083) -Yes &,-'o 4. Is.the mobilehome level? (Sec. 5088) Ye�No- 5. If more than than a single unit, are crossover connections properly installed? (Sec. 5088) Yes;/ No - 6. Water A. 'Is fle3wle connector of adequate size and properly installed .(1/2". ID min.)?. (Sec: 5566) Yes No B. Test - Does water piping withstand working pressure or,50 lbs. air test? Yes N C. 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? YesLiz�No B. Does it have minimum" per foot"slope and is it properly supported? Yes C. Are any leaks detectedin drainage system after runn' g 3 -gallons 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? VA No 8. a and Gas Vents. nector - Is mobilehome connected to the gas supply with an approved 3/4" minimum than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas 1' inlet without reductions other than the mobilehome connector. Yes. No B. Test OK as per following pr cedure? Yes— No 1. Open all appliance co ector valves. 2. Shut off.applian burner and pilot.valves. 3. Air test wit manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximu 8 oz.) calibrated in tenth pound increments. Test.for 10 min. without drop. 4. Connect/gas meter to mobilehome soapy ater. tor, turn on gas, test connections with C. Are all appliance vents proPerly installed? Yes No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilAhpme__(must equal rating of mobilehome with a minimum of 100 amp)•and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes(, -No B. Is there proper clearances around panels? Yes No C.. Is power supply cord or feeder assembly properly fused? Yesf No D. Is continuity test satisfactory as per the following procedure? Yes' 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 Vehicle Serial No, State Identification No. &4.2• Additional Information or Comments: 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 re' 5, iluirements of the California Administrative Code, Title 25, Chapter un er permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model —Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED I . � White - Owner, Yellow - Installer, Pink - D.P.W. and/or azer and/or Clearance(s) 0111-INER, are ,p,roved for:. I—I". for: Final Clearance ok for: LOC -A -I ION *slew date_ 5-,��1 Wat T- Water Supply__._. C I ca r ap.,: e is for a bedrcom (kez2==-. m ab i I e home) O"'bar additic7(s) will b= 0'7 guy, '9 71 COUNTY'& BUTTE — .DE'RFMVIENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING NSte F ewall oil Piping+ Par ets 1st Floor g. Restro m Finish d Floor s Windows 3r Floor all Siding To out Slab Roof Sheath\ng Water Pin Piers Roofing Sewer -Garage 'Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation _ Heaters Slab Prov. for ph sicall Appliances Carport handica ed - Conformance of ex. Gas PI in &Test Footings A structure Tem . Gas Slab Final - Sanitation Patio REP ACE Final Footin s Footing , - ECTR AL ' Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub anel y1ndoMesh MECHANICAL Grd. F It Prot. r h - Heati Servlc ' Coo ng T p. Pole Du is • nder round Lath V ntilation Permanentoser tinal MOBILEHOME UTILITIES ----------- -------- Elec. Service x.7.•7 :Elec. Pedestal (� • Water Piping S— i1'7 1 Sewer, Gas Piping E O E INSTALLATION- - - - - - - - - - - - - - Support T:5 jr7o,?p Elec. Continuity - S +, Water PipingDrainage Gas Pipin DATE REMARKS OR CORRECTIONS �7'SG�-�� .SLa�diG£ qhs d�/c� I" /c/ • . ��� Use �v � �7 S�wdic� �° /E� • � �' �-5�/l�' ��� �.r�r�o� o-� �//� • � o%. � l' TG's , �// . (NOTE: An entry must be made on this. form each time you visit the job site.) COUNTY OF BUTTE — `DEPAR-TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 --? 1'2�'� APPLICATION AND PERMIT ,oA / CLUU1U111C IWPICJCIILCLUVCS UI Lne VUunly of outte to enter upon ine above-mentioned property for inspection purposes. X ate/— Signal a of er ee or Agent Receipt No. _/X> y0'2 -- White-D.P.W. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF BLIC WORKS BY KDate lad-47� �y permit expires Date. BUILDING Owner v SQ. FT. OCC. BUILDING VALUATION Mailing Address ! V Telephone No. � Contractor w� Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPIanChecking 2 C O PlV Fee &/or Penalty Permit Fee O . O -C) PLUMBING No. @ FEE ! - y PERMIT FILING FEE J$3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. o. `� oning 8 Planning Water piping 1.50 /0100 Each gas water heater or vent 1.50 s C. Ste' tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQ Plans Parcel Declaration Parcel Map 60' R/W I lmprovpwents Each additional outlet .30 Building sewer 5.00 1—& o Bldg. Xs Recd Parce royal Pla Approvol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ � Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LEss / 5.00 ,p® Sin le Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service EA. ADD'L 100 AMP ` 2.50 SC> Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST ( ADWECCLBL GS.LING Ccup- 4) 20sgft 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 st le of: Y NEW CONSTRES'., MULTI -OUTLET NON -REBID BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES 1 g L 11 Ex. OCCU FIXED APPLNS. OR p^(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 2 A P U­,,�/ 14 ERfam exempt from the Contractors License Laws of the State of California. Permit Fee $ -7, $.2 7 $( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑/I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 $ TOTAL PERMIT FEE $ 75 CLUU1U111C IWPICJCIILCLUVCS UI Lne VUunly of outte to enter upon ine above-mentioned property for inspection purposes. X ate/— Signal a of er ee or Agent Receipt No. _/X> y0'2 -- White-D.P.W. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE OR OF BLIC WORKS BY KDate lad-47� �y permit expires Date. Owner G "r Mai I Ing Address COUNTY'' OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965'9 Telephone: 9 Telephone: 534-4541 / APPLICATION AND PERMIT A f rJ K-5 i- / a,,,o f. v�,rs% f Qo x / b? Alm `vr?t .CA Contractor �� `Gx/ Mailing Address 1JiZl0 Building Address 00,4-0., ehl"c v , p rz/V, . p� A. P. No. _ -- 9� /I e /✓ e)K BUILDING 11 1 SQ. FT. I OCC. I BUILDING VALUATION `7J7S Fireplace A/ Total Valuation 6001 OR LESS 100 AMP OR LESS Permit Fee Plan Checking Fee &/or Penalty rne No. � "72( Permit Fee f� " UN PLUMBING PERMIT FILING FEE DWELLING OCCUP. & ACC. SLOGS. /MULTI -OUTLET Each Trap Misc. Wiring Repair drainage or vent piping Water piping Each gas water heater or vent Permit Fee Gas piping system 1 - 5 outlets Zoning & Planning Each additional outlet ,des yYC. FireDept. FireZone Use Permit Building sewer EQAI Parking ( Parcel Parcel Ma I 60' R/W I Im r Lawn sprinkler system Plans Declaration P p ovements .,B'idg. Plans Rec'd Parce(o4*p7proval Plans rovol NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Sinale Familv n Duplex ❑ Mobil Home Others ❑ Permit Fee ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. ( OR ADDNS. NEW CONSTR. DWELLING OCCUP. & ACC. SLOGS. /MULTI -OUTLET $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 20sq ft 2.50ea 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 St Ie Y /y� , % � �/�OL�ir a 'O�Y'145' �^ Ex. Occup(OUTLETS OR FIXTURES)@ BAL�(6CiC FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) - 2.00 Temporary service 10.00 S t`®-,rP69L V4,PC C,—//, 1Gy Mobile Home Facilities 15.00 License No. '1b'/d <%�1 Classification e �� 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 Work me Compensation. I ve placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. iecertify 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. @ 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � --Date Signature of Permitee or Agent Receipt No. Ik8 &-7 4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant FEE FEE FEE TOTAL PERMIT FEE $ J./ IThis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. C R OF P BLIC WORKS e 6 `cDate Building per 't expires Date 5N1iOM �lit3(1�i •1t3 't.d��' '"rip BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive, Oroville,,CA. PHONE: 534-4541 MOBTLEHOME INSTALLATION SHEET 1. Owners, name D - 1/� p O �,�1' �. %� Q !I lis 2. Installer's name: �� �C /� '� fJ�. AOi�J, ^ s4ll 'S 3. Is the' site currently under permit? Yes No ( If yes, furnish permit number �o� 7 �— ) OR�� s ��✓ , 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. No / / (If no, clarify ) 5. What is"the mobilehome electrical rating? ----------------------- .0 Amps 6. What is the mobilehome site service rating? ------------------- Amps 7. What is the.mobilehome site circuit breaker rating? ------------ �.�y Amps 8. Is there any other electric load tobe served by the mobilehome site, service? -------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe -size? ---------------------- 4ZIV 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? r /4 _�J f (ft.) 12. What is the mobilehome gas demand? ------------------------------ /I/ t% ��(.Q (BTU) (This information not required if pipe -length less :than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA n If other than single wide, Mob ilehome Mfr. /rte �(/lJ© SIV furnish Setup Model No. 6 U�— � Year Width_(ft.) Box Length i (ft.) -Tagalong or Expando Size , 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. d, � � Footings .(check one) Single ' %L -1. Wood either pressure treated or foundation.grade. [dL%x.30 ( t.)(in.) (in.) (in.) J 2. Other (specify) Cente support Center support (Y'� loc tions* footing sizes Supports (check one) (in.) Concrete block. p) �x� J 2. Other ( specify) (f .)(in.) (in.) (in.) 4 ----Tagalong or Expando, show support details. \�A °i if 3d (ft. (in.) (in.) (in.) Typical Support (in.) (in.) Footing Size CSS o2Vx3� (ft.)(in.) (in.) (in.) �( 6� -- Max. Pier Spacing Max. Overhang (ft.4(in.) (in.) (in.) oil (ft.)(in.) BUTTE COUNTY .BUILDING DEPARTM&W APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. L D i /OZ /�A/ L -C. JD aU i✓ /P3 E: NOTE:—All Materials &; Workmanship Shall.:Be in fhis set of .plans and: specifications MUST be ' ST, ?� - 2 -- Accordance with Recognized Good Practices and for `the Specified use :in the xept on the job at all times and it is. unlawful ao of a. quality prescribed Uniform Building, Plumbing & Machanical .Codes and. make any. changes or. alterations on same without � . 'the National Electrical .Code. written permisson from the Department of Public Works, County of Butte. Setback shall beWft. frons the=.---r-.:--n�.-�-�• Septoc.system and location of - •� The' side property line and :50 ft: from the 3per u 'te to be as oun.ty Health Dept. Re- ;;en}erline of the road, permitting a maxi- overhang but entirely qui em pts. W p of:a 2 ft. eave .: out of all easements.Li I I A. permit will be: required for installation of the mobilehomp. :Ilp� : All utility connectionsshall be located within 4 ft. outside the rear third section of the- mobile home on Wcie... the left (road) side of.the mobile home. _S erre BUTTE COUNTY BUILDING DEPARTMa—r..- R APPRO*V[ RAt r 'OF ?«L fnV6 .4_ OZ r 7.�C�4 c� ._t4 %`2� �,L iZ- / ��-irk . pnr • Cv.4s (1IFf-- '-lclKDf-b 111 lwS� OUR SOMI