Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
021-050-020
i / '-- Id 49 G�idliy I Lis r,-.Coj Li:..,--tiorth,,-Vtt�ll,.Rie.v'!.tle;;c4tric�'-G3rid�. Permit 301-73E 21-rO5 20 (elec. iervice only for m. ane) Pe��F#51,60-84B(lst renewal/l 1-83) UU TYPE OF PERMIT NO. PLAN NO. DATE ISS s1s West Liberty_,_�_. just east of CONTR: NORtH VALCEY-ELEC. PERMIT Farris Rd.) Gridley 1797 W -LIBERTY RD,,;.' Permit 377-73P ELEC SERV/MH f Giater piping, gas piping & sewer - 5 -20 n LSUPP STRUCTURE REQ. lu-01 aOMPACTIN TEST REQ. _Zro '1 -1 Sales, Oroville Mom- Permxt #2254-78111 ssued 21-05-20 21-05-20 Cont�: Oroyille Trailer Sales, Or Issuedp 21 05-201 Samuel Gridley 41- �:;; rle r`m' 3- t nnington Rd., Gridley Permit #1068-80B(new open deck/MH 4- G ntr.t Ernies MH Transport, Mysv I PERMIT DESIGNATION: B -BUILDING' Permit#1109-��PI�I (existing site) PERMIT DEPARTMENT OF T -TRAILER. PERMIT -BUILDING AND.SA.F,ETY �tp+4�'n �'.y,�"''"�','�"i�i°`�'g''�'Ai', l�i�`� '��;'e�'•9i�ir' 1 f 4'ti 1 '�ila" "te ��"%•F'4'ti'i'r-� "��.�'r#Ti's �;``��.�M} 17*'+"``+F�'.�"r's..q� ,�c� r .a• , t 021-05-0-020 92-0097',, LEE , •STEVEN & JULIA~ CONTR: NORTH ,VALLEY ELEC '+ 1797 W LIBERTY °„RD, ' GR'I DLEY ELEC SERV/MH .� 'r- "may `' - 'F' �y� .�''` "n�':y sa s r � °` v; � ,•, . -AIWI V' � .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS., P RMIT N0. 7 County Center Drive - Orovlllet California 85985 - Telephone: 818/538.7541 • 406 APPLICATION- AND PERMIT III q7 A8111111i PARCEL NUMBER 021-050-020 ZO AW= BUILDING PERMIT wNEIRSILMM A JUM in LE HONE SO. FT. OCC.'_ .. BUILDING VALUATION OWNER'S MAILING ADDRESS 154 IM VM OT VACAVIM 9-W7 CONTRACTOR'S NAME NDrffl .if�d�Crl �V � F L� p H p N E T QAI.- 7f101 G7�Til/V I CONTRACTOR'S MAILING ADDRESS P.O.GUMET 95%8 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING Air 118 11 �� � 177] Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Uti lities;S Installation ❑ Other ❑ Describe work: MSTIliiG M SITE EU= SEMCE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 69 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi ns Code and my license is in full force and effect. License .Jo. Classification El as the owner, or my employees with wages as their soleicompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST./ DWELLING OCCUP.6\ 3.6asq.tt. OR ADDN5. \ACC. BLDGS. // NEW CONSTR MULTI—OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES L) S 76 FIXED Ex. DCCUp. OUTLETS ((RESID )REA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 48,50 — 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 becomeisubject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction; and hereby. authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and"keep harmless the County of Butte against all liabilities, judgments, costs, and a enses which may in any way accrue against C,pun in C' pan of Ye granting of this permit. Xr • Date " Signature of Applic Owner ❑ Contctor Agent — � ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.OF Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 5 d8• S0 I I HAz I DFEES I IMP FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte.County Code and/or resolutions to do work indic�te^,d abov �or which fees have been paid. r PUBLIC WORKS By Z,47/90i Date is' fi PERfNII EXPIRES Date / Receipt No. 103757 1 WHITE-D.P.W., YELLOW-".r.330R, 1114.1 -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918/538'7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 021-050-020 ZONING A 40 BUILDING PERMIT OWNER STEVEN &JULIA LEE TELEPHONE« SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 154 LONG VIEW CRT VACAVILLE 95687 CONTRACTOR'S NAME NORTH VALLEY ELECTRIC INC TELEPHONE 846-2081 CONTRACTOR'S MAILING ADDRESS P.O. BOX 911 GRIDLEY 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1797 W. LIBERTY ROAD GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomQ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities Installation❑ Other Describe work: EXISTING MH SITE ELECT SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 2ocATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E6 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professi Cod and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 OR ADDN5. (ACC. BLOCS. ) _37.50 3.64 sq.ft. CONSTR ULTI.OUTLET NEW NON-RESID BRANCH CIRCITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@76 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15.00 d I Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmentssts, d expenses which may in any way accrue agains _, unt in7��f)le granting of this permit. X Date Sig A lic pp — Owner Connature of ctor � Agent ❑ ❑ An 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Indic abov r whi work ch fees IR O PUBLIC By PERMI EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Da te �s'fL757 Receipt No. 103 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT When issue the pperMit,procs�s as follows: Maio -mer. Mail to contractor. Copy of Hdz-Mat form sent Health Dept. '.1Fire Dept. Air Pollution Date Copy of plans sent L.,. Health Dept. Fire Dept. Other Date . By The following data must.'be submitted prior to permit..issuance: (Circle new' item not checked above). 1. Index permit for above -'items No. '` L 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI-counter by .date Contractor, designer, owner, was advised of above required data by -phone _maII-counter by, date Plans checked Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date , COUNTY OF BUTTE - DEPARTMENT ( PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV LLE,:C LIF QF3NIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATI,A %T •SHEET Permit No. S 7(�t✓�� (/L //4 L - Qo -OSD'' OWNER A. P 0. V S�i� Proposed Building Use r✓� Building Inspect Date At time of permit application, I was advised the following data must be submitted prior to permit processing an /or iss ance: DATE RECEIVED APPROVED •1. All items have been submitted. ............................:....... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for.other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 'o, Mail to owner a)..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When issue the pperMit,procs�s as follows: Maio -mer. Mail to contractor. Copy of Hdz-Mat form sent Health Dept. '.1Fire Dept. Air Pollution Date Copy of plans sent L.,. Health Dept. Fire Dept. Other Date . By The following data must.'be submitted prior to permit..issuance: (Circle new' item not checked above). 1. Index permit for above -'items No. '` L 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI-counter by .date Contractor, designer, owner, was advised of above required data by -phone _maII-counter by, date Plans checked Sets of plans on hold in Copy -DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION. AND PERMIT ASSESSOR PARCEL NUMBER ZONING A 7—Q1 BUILDING PERMIT O NER �' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER AI LINGONt/ SV V19 ILL 1 /Q ,/ V C TR TOR/f-S\N`%9-LLI r Z7ZabE � CON TRAC ORIS MAILING ADDRESS/�6��� Fireplace CONSTRUCTION LENIOEIR UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ! O y Permit fee $ PLUMBING PERMIT Filing Fee 15.03 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome_X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home JSJGJWJ 41 15.00 TYPE OF WORK Newl i Addition[] Remodel❑ Utilities Installation❑ Other[] Describe work: �i�` S 6 � � _ �L�� s��f✓� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1500 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000Ai 37.50 CONTRACTORS LICENSE LAW I declare under penal[ y of perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. 1 ACC. BLDGS. I 3.60 sq.ft. NEw CONSTRULT'.OUTLET NON.RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e SINGLE OUTLET cIR. Ex. Occup( OUTLETS OR FIXTURES AO 76d Ex. Occup. OUTLETS P(RESID .FIXED APLNS.)OR 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. MECHANICAL PERMIT Filing Fee 1E.00 Heating Cooling rHood 6.50 I Ventilation permit Fee $ LSontractor 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor E]Agent ❑ An OSHA permit is required for excavations Over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ /o, HAz 1 0FEES I IMP I FLOOD CDF I PARCEL I PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions -o do have been paid. WORKS Date Receipt No. WNITC•D. P. W., PINK -I SPECT OR, GOLD ENROD•APPL I CANT YELLOW -ASSESSOR. 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ._ J r OWNER o� PIERMIT NC 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. =lf you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. iDate Inspector �— 1068-80B �. "PE IT N PERMIT EXPIRES 'OWNER Samuel Gridley owner ;'CONTR. F21-_05-20 'LOCATION (A.P. ) S/S W. iberty Rd., app.12 mi.E.of Penning n Rd., Gridley .a —� X41 ,tjs�� ' T • „Xr ' ti. .c Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. - L Called PG&E JOB FINALED (Date) (Signature) Yt FI Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final I Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL FI Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC s 7 County Center Drive — Oroville, California 95965 ' v S Telephone: 534-4541 APPLICATION AND PERMIT WORKS BUILDING Owner v �sL � SO. FT. OCC. BUILDING VAL TION o a G. � Mailing Address C, Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ^ szz!,O Building Address y WPlan Checking Fee&/or Penalty Permit Fee 1Ott2n PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 s� A. P. No. O� l — G `— — O2� %� �onning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fd,e- V�e Sana Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 6 R/W Improveme Each additional outlet .30 Building sewer 5.00 ,Bldg. Pans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ja Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OLE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST V ACCLBLDGS.LING OCCUP. I 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 style of: TLET NEW CONSTR. /MULTI BRANCH NON-RESID. `BRANCH CIRCUITS) 2.50ea CIRCUITS) NEW CONSTR. POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETSOR FIXTURES ) 50@BAL@10s FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® 1 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No. @ 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X % //- &, Dat,5— Signature of Permitee or Agent Receipt No. —3 5 In 8 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector _ Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF -PUBLIC WORKS By Date 3 / — 3 Iding permit expires Date 3 :COUNTY OF BUTTE — DEPARTNIE:N,T, %OF -PUBLIC WORKS — BUILDING DIVISION County Center Drive—'Orovill•�es;Gi'ifornia 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET. OWNER Proposed Building Use_ Permit fee based upon: Building Inspector At time of permit ` issuance: Compk )cher (explain) Z cation, I was Price Permit No. A. P. No. .;2/--(f) --DPW Valuation Date _ Vr /T' O must be submittecrprioFto permit processing and/or DATE RECEIVED. APPROVED 1. All items have been submitted................................................................... 2. Plot plans-in.duplicate/triplicate............................................................... 3.. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. -��1 Sanitation approval from �"'`�`` Health Dept.... 1. Planning, approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept: Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg.inspector (date) _ When you issue the permit, process as follows: v Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection Other % 6,—v2 �.s i 4f £1 Applicant Date -- Z —zD Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For'required items not checked above at time of apgljEation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer wne was advised of above required / /,) L Y. Plans checked by_ Plans approved by OTHER: Coov/DPW by _ Telephone Xther Date Date Date YV, 0 � \ § � C— ■ ■ a $ = o $ — ■ g cc k / \ / * . » c Z / o .7 7 0 \ � % 0 (cm § / co \ | & 0 7 � | � / 'This set oT plans and specifications MUST be kept on the iob at cA times and it is unlawful to make any changes or alterntions on some without written permission from the Department of Public,, Works, Count I of Butte. 1� �V, T NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in. the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 4 J f A setback of�t.'f - the property lines and a the , of Soft. from the r ad centerline shall be�,clear of structures or equi e ment except 1 for a 2 ft. eave ov`erhang• I 5Si � g CP BUTTE COUNTY BUILf I DEPARTMENTi c i. -- m i. 5�4�125 o S��►�X� �.�5� . � 4 q �, � l� Top rail to be 36 in. high with intermediate rails to be not over 9 in. apart. (TYF-) -------------- 4� `� Q WoslE; IPPR ®VD COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ; 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 =" CORRECTION NOTICE .A iroutine inspection indicates that the following violations of County Ordinance exiist 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. .i; iDate! ` Inspector U On FC -18 (1/80) 0 R I G I I N I r)rATI OM _./(_)RDER NlUf,lL31_rq U. INC+C+,:NT NO. FIRE NUMBER D ART MO. DATEE� Cou rz FIRE NAME: SEC.'OWNSHIREN TRANGE 1. S]E thru J-, 0S ts OW STATE, of 1 2 &/or BRUSH 1002 5008 8 Veh/DwIg TIMBER &/OR SEC.'OWNSHIREN TRANGE 1. S]E NO DAMAGE IN J-, 0S ts OW MILES DIRECTION RFROMIN NATIONAL FOREST, FIRE DIST.. CITY & STREET NO ETC. NO DAMAGE IN Number 1� - I ern X0 . "ROOF', - ., 4 r'.1 . .. .. I I - . t—, -%INCIDENT TYPE F:0WlRE!r[j FALSE ALARM I ESTOP EM6 I El GO TO 10 o I i ZYr,, �RESPONSIBILITY (AT ORIGIN) — DIRECT PR_0T. RESP __(•D.P.Fv)\Z; STATUTORY Ref. / STATE ZONE : . RESPONSIBILITY 10 E]WILDLAND BURNED OR THREATENED SCHEDULE A D.P.R.,-,, flE]STATE ' 71' 03 UNPROTECTED' DISTRICT- ' OTHERER AGENCY, D.P.R_' CITY LOCAL ZONE, OCOUNTY 05 SCHEDULE A D.P.R. U:S.F.S' E) ozHER. AGENCY D.P.R. (Unincorp) -i B.L.M. FEDERAL ZONE B.I.A. FEDERAL(except MI itary) D.P.R. N.P.S. SCHEDULE A D.P.R. [:]OTHER FEDERAL ® ❑ IVIISC.%OTHERVz *NE-) OTHER [ r,"-%CAUSE(STARTS IN OR ONLY) 5 CAUSE 1 2 or<��E]SMOKING . OEOUIPMENT,, 0: L 5 [:)�IGHTNING 41:%:,��fl DEBRIS ❑PLAY W/FIRE, • E❑ C MI ] CAMPFIRE„ti NE]ARSON MOTHER/MISC.” PLAND'USE('S'T'—ARTi IN -0-Rv0-NL-Y.)- 6 [:] I. :., Did 7not start in (�l�"25 ;<�B _10FORE9TINDUSTRY DOMESTIC ATIbN E]RECdE RANCH -FARM [:]OTHER INDUSTRY- COMIRCL. Ej DUMPOWILDLAND" E]ROAD E]NON-WILDLAND UTILi []OTHER L TY. RAILROAD' Ej UTILITY. ELECTRIC _fes r 7 BURNED RESPOW NO DAMAGE IN Number 1� $ DAMAGE (Nearest $100) - STATE, of 1 2 &/or BRUSH 1002 5008 8 Veh/DwIg TIMBER &/OR ..... AGRIC. PROD. (Ex -BOR) YOUNG GROWTH XX ... ... FED.,. OTHER WILDLAND VEGETATION �%TALI (Other than T3 Y G) AGRICULTURAL PROD (Other than T&YG) DWELLINGS &/OR CONTENTS OTHER STRUCTURES &/OR CONTENTS VEHICLES & CONTENTS OTHER X. TOTAL $ rAUKt5 OF VEGETATION BURNED 8A "tZ' DIRECT 0 AGENCY PROTECTION ACRES BURNED X X: ZERO GO TO 10 CDF V 8Ci ACRES OTHER TOTAL Vr8B SIZE CLASS A.25 ACRE OR LESS F-] B _26-9 ACRES 10-99 ACRES D 100-299 ACRES;;o 300-999 ACRES F 1000-4999 ACRES G 5600 ACRES OR MORE 0,%QN ARRIVAL VEGETATION FIRE I SIZE VEG. TYPE BURNED RESPOW ACRES BURNED TIMBER STATE, WOOD LAND U.S.F.S.. BRUSH GRASS B.I.A. tk AGRIC. PROD. (Ex -BOR) OTHER, CDF TOTAL FED.,. STATUT.1 RESPOW ACRES BURNED OF STATE, - U.S.F.S.. B.I.A. tk W.P.R.S. 71v. (Ex -BOR) OTHER, FED.,. OTHER �%TALI ❑ OTHER, GO TO @ DISTANCE (Origin to head) ACRES C j FEET WEATHER (ESTIMATE AT SCENE) WIND 4 - DIRECTION FROM TEMPERATURE �TIO M.P.H.", OF 10 OVER PLEASE CDF 7540-130-01 IS tt .,• d:� S ado X616' ��°•� 1�. �ly`YO . ��J,l��O ORD[ --:R INUTABER _ 9 REG. k'.0 INCIDENT NO. —� YcAR "1 FIRE RECORD I I OUTSIDE 1 O 2 5 OR 8 q4 ,,CDF ACTIVITY ONLY ) .. ORGAN- IZATION GO TO 12 • FIRE STARTED Enter 1ST. CDF Dispatch ORGAN- MAN HRS. AIRCRAFT S 7 INSIDE 10ooOR 8 c RATION LOOKOUT: (If 1ST.or 2ND. report made by Lookout) FIRE DISCOVERED ST. ATK. L J d 0 FIRST REPORT - - 150k SITE NAME: , SECOND REPORT - + x SITE NAME: FIRST ATTACK BY CDF �3) FIRE CONTAINED \ORIGINAL REPO A TITLE OF APPROVED BY: DATE IINTL. DATE CREW/OVERHEAD RECORD(ON 3 4 000"%,RECORD. ,,CDF ACTIVITY ONLY ) SCHEDULE A, B, OR C. CREW NAME, AND OTHER AGENCY TOTALS ORGAN- IZATION MAN HRS. AIRCRAFT FLT. HRS. SCHEDULE A. B. OR C. CREW NAME, AND OTHER AGENCY TOTALS. ORGAN- MAN HRS. AIRCRAFT RATION FLT. HRS. ST. ATK. IY CDF DF OVERHEAD (Schedule A, B. 3 C)ti r •' n t 4 ± i i.S.F.S. (IncL`Overhead) i '"' -�'• ti. _, 4 ,. ': r: 1THER FEDERAL (Incl Overhead)._ 'IRE DIST. 3 OTHER LOCAL •- AID HOURLY (E.F.FJ . - - •' _ � N ' OLUNTEERS (Unpaid) E3FC-188 (Additional crew activity) ATTACHED ' t MAP' .. COMMENTS 13 _ MAP IS: GONE SECTION FOUR SECTIONS MAP ATTACHED Rea,, Dr) D 6 ei RO: �Q� • . \ORIGINAL REPO A TITLE OF APPROVED BY: DATE IINTL. DATE 1 •10 � ..«._wf 9 I Temp. Power Pole s- Called PG&E ri 4 Temp. Elec. Servi, S j' PERMIT NO. a�s3g.• Temp. Gas Service A Called PG&E. y PERMIT EXPIRES Signature f OWNER TED WHITE (samuel 4idley) R CONTR. owner ASSESSOR PARCEL 21-05-20 R LOCATION__ S/S West Liberty Rd, East of Farris r Road, Gridley I Temp. Power Pole s- Called PG&E ri 4 Temp. Elec. Servi, S j' Called PG&E a Temp. Gas Service A Called PG&E. JOB FINALED (D Signature f J'= OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES t ` 1 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/O—Concretecks; ing Requirements—Setbacks—Easements otings; Size—Depth—Spacing—Connectors Girders and/or Joists—Decking— ract —Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Awn.; Post s— Beams— Rftrs.n 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG -7. Utility Clearance 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Ca d -BI Date Card -BI Date Card -BI Date CAWIII _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements 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. Blec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6: Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged. 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date la t V OK O r Not 0* - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) ONR Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors _ 22. Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ --_ _ 23. 24. 25. _Size Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor E) Yes -- - 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ ❑ ❑ 9 ❑Yes No; Walks Yes No; Planters Oyes ❑No 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -- -- ---- - - --- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I - ----- ------ Date Card -BI _ Date -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. 84. Glass Protection - Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Date MECHANICAL - 31. (Permit) OK except #'s A.C. Ducts: Insulation & Support _ 85. Water & Sewer Connected -C/O to Grade -HD Approval - - - 32. 33. V_ent_Fan_E_xhaust above Insulation --- Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates � __Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI - -- -- ----- _ Date _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dale Card -BI Date Comments at Final: Date FRAMING(Plans) OK except #'s _36. Sills; Proper Material &Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailin_g__ Draft Stop in Walls (rat proof) i - 40. 41. 42. 43. 44. 45 46. 47. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat At Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm._Windows or Exiting Doors -Sill Hg_t. & Dimensions__ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) P,z 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 n//CORRECTION NOTICE — 3MIT 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, need additional explanation, please contact this office immediately. P` A 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` —^- 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. i ASSESSOR PARCEL NUMBER 21-05-20 ZONING BUILDING PERMIT OWNER Ted White (Sam Gridley) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEjt:JDMAth.LtJL ADDRESS gni Gri CONTRACTODDVVS22iiN ME TELEPHONE ist renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 original $ 12.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 22.50 BUILDING ADDRESS S S West Liberty Rd East 's d Gridley- PLUMBING PERMIT Filing Fee 10.00 , Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 St renaWalL11-83 (rovered desk) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penal of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx and Professions Code and m license is in full force and effect. y License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NO N.RESID BRANCH CIRCUITS) NEW CONST R. / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. 20@50C . Occup(o TS OR FIXTURES BAL030 FIXXEEDD APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. p� 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against 'd County in onsequence of the grantin of this permit. _ X Date 2 Signature of Applicant — OwnerO Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep end demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 22.50 OCcUP. GROUP I TYPE OF CONST. I PARCEL I PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 0EJ T R OF PUBLIC By PERMIT EXPIRES JIVate the applicable provi- resolutions to do fees have been paid. WORKS c� �L Date -k-� 7'o "t 1/5/85 Receipt No.� iS �r �� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r COUNTY OF BUTTE -_ DEPARTMENT QF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -, APPLICATION AND PERMIT PERMIT NO. i M ASSESSOR PARC L NUMBER ZONING BUILDING PERMIT ;; PHONE N m/TES 8/ SO. FT. OCC BUILDING VALUATION0wlD 6 . ov S MAI LADDRESS � OWN `O?Sp-/ 64 6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS,, Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - efj Permit Fee $ QU ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Q!7 Penalty $ Or 0a ARCHITECT OR ENGI EER'S MAILING ADDRESS Permit fee $ C9.0 BUIL ING ADORES& T/l���f �' Jas%.s� ��/�(�/�// PLUMBING PERMIT Filing Fee 10.00 �. Each Trap 2.00 Solar Water Heater 20.00 D( 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 SF [_1Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition [!J Remodel ❑ Utilities ❑ Installation[–] Other ❑ Describe work: f� 'Zi — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L'100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. - 2th¢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.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR.` POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occu ZD�som p( BAL@30Q FIXED ASPPLNS. ORRES Ex. OCCUp- OUTLETS (RESID•) 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against a' unty in con uence of the granting of this permit. X Date �— 3 `� , Signature of Applicant — Owneraz Contractor E]Agent F1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ /QDr !+� OCCUP. GROUP I TYPE T. " PA C71 (J/ P HD ISS This permit is hereby issued under sions of the Butte County Code and/or indicated' above for which DIR R OF P BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ' Date 'f �' C3� Receipt No.� ✓ - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Samuel Gridley P.O. Bon 442 Gridley, CA 93345 Dear Mr. Cr id ley: ffatte Count LAND OF NATURAL. WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director December 28, 1967 RE: Building Permit A.P. # 21-05-20 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Installed a covered deck on your property located off West 'Liberty Rd., ter id ley . Since permits and inspections are require& by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of plans, apply for the required permits, and pay the appropriate feesm the lading penalties. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:dd cc: Building Inspector ` Qxovillc� Assessor Yours very truly, Clay Castleberry Director of Public Works DAg ml signed by J. F. Glan-der J.F. Glander Chief Building Inspector l Owner: 54W(j BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: a. • Q) 4 &41 QLAE-1 Tenant: WJIWOW Building Location: t Type of Inspection requested: ' J - r A.P. o), / Date of Inspection',; k/ Inspector .......-T% 1. Housing, /7'2. Financing 3. Change of Occupancy to M'4.. Other (specify) SaCSi O--- 1-16 (A(IL" P/ -1t Present use.of building: A. Sanitation (Housing_ .1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4.: Kitchen sink: 5. Hot and cold water to fixtures: ..6' Heating'facilities:` 7.' Natural light and ventilation: 8, -Rom and space requirements: - 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior-to sewage disposal: 12. Connection to water•supply: 13. Rubbish and garbage facilities: 14. .Comments: B. Structural 1. Piers and footings: 2.. Floor construction: 1 Wall construction: 4. Ceiling and:roof construction: 5. Fireplaces: 6. Comments: C. Electrical. 1.. Service and ground: 2. Receptac es• 3. Fusing: 4. Comments: D. Plumbing - 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments: E. Other 1 . Maintenance and repair: 2. Fire hazards:. 3. Safety hazards: 4. Weatl?er prote*ction: 5. Underfloor and attic ventilation: Conuients: F.- Comercial Buildings 1. Roof covering:_ 2 -"'Dist-dr.ce to property lines: 3. Physically handicapped: 4"0 Rest-o'm floors and walls: 5. Exits: 6-. bnprbvements: 7. Zoning:' 8. Comments: G. Field -ProbleEts or Violations 1. Problem o. -r. -.riolation 'gjve r. 2. What action taken (give complete ,L-. -3... What action recmm.lend-ed: description) : IMS lW5V-44j_� 14 %% A. -Inforuation only Hold for ten. (10) days,.then wri:u letter. Write letter. 77D. 'jther*: 4e IX ales r Pe4e Se -Ah 0 re ep File No BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. L.00001 D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits S !`r `PERMIT NO. 892=$OMHI PERMIT EXPIRES. OWNER SAMUEL • GRIDLEY CONTR. Orovi lle Trailer S 1 es 4. LOCATION (A.P. 21-05-20 ) SIS W Liberty Rd, app 12,mi-E of n. 'Pennington Rd, Gridley i � a F Temp. Power Pole Called PG&E _ 1 Temp. EIec. Serv. k Called PG&E `�C �� Temp Gas Serv. i / j, Called PG&E /.FINAL ED (J (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION'RECORD r BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidin To out Roof SheathingWater Piping' Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation FIREPLACE Final Footing Throat Rough Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Pro HeatingService DATE Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final Elec. Service Elec. Pedestal Sewer Gas Piping Support Elec. Continuity Drainage Gas Piping ' Brown Finish Interior Lath Door Closer MOBILEHOMEUTILITIES ------------------ Water Piping BI E OME INSTALLATION -------------- Water Piping , _ DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.- Is the mobilehome located with required separation from lot lines and buildings and generally conform 'to plot plan? Yes 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note i possible variation at spring shackles,) (Sec..5082 & 5083) Yes /NO 4., Is the mobilehome level?'(Sec, 5088) Yes No 5. If more t a single unit, are crossover connections properly installed? (Sec. 5088) . Yes N 6.. Water 'A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Yes I/ ' No B. Test -,Does water piping withstand working pressure or 50 lbs, air test? Yes ✓No C. Backflow - If coach is not State o ifornia approved, does station have backflow device and pressure -relief valve? Yes N _, 7. Wastes and Drains A. Is connection made with Schedule 40-DWV and have flex connectors at each end? Yes 1,-�No B. Does it have minimum 4" per foot slope and is, -it properly supported? Yes LI No C. Are any leaks detected in drainage system after running ons of water through each fixture including' washing machine standpipe? .Yes— No__ D. 'If coach is t S a e of California approved, does station have required.'trap and vent? Yes® 'No r _ 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`atrleast as Targe as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes No e� /No - 1. B. Test OK as per following procedure? YesOpen 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/'No. n on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes 9. Electrical A. Is service large enough to provide adequate amperage -to mobile�iome (must equal rating of. mobilehome with a minimum of 10 amp) and other facilities on lot, i.e.,, wdter 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? Yes— No_ D., Is continuity test satisfactory as per the following procedure? Yes_! 0 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 j J Manufacturer and/or Namestyle cL Length_ Width Vehicle Serial No. IV) K -3 -7 p q State Identification No. �D 0 / b� Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' I or 7 County Center,Drive ' Oroville, California 95965 fi % Telephone: 534-4541 APPLICATION AND PERMIT authorize represent ives of the County of Butte to enter upon the above-mentioned p perty for i/ns/perc�t/ioses. �7 x 1 ✓// flatu oC �S=ou Receipt No. I — V` 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 which fees have been paid. REC 0 OF P BLIC WORKSPIZ — W Z.# L4,d `� By Date ^1 Building permit expires Date �'''�"��/ BUILDING OwnerSAMOEL r I LIZ V SQ. FT. OCC. BUILDING VALUA ION Mailing Address JqSQ pQ E D LEY Telephone No. Contractor OROVILLE ERAILER 5A L S .INC. Mailing Address 1790 WELLERRIVER Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan ST LIGCSR0,i WILEY Checking Fee&/or Penalty Permit Fee AM lk PLUMBING No.1 @ FEE ��•, PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / A. P. No. / -� O� ` o2O �- Zonin&, Pl ning Water piping. 1.50 Each gas water heater or vent 1.50 F s10 S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Deciaration Parcel Map 60' R/W Improvers Each additional outlet .30 Building sewer 5.00 Bldg. P ans Recd Parcel royal Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 C—)J 7Av C/'7 -L OVER Main service 100 AMaPoOR LESS 25.00 Main service EA. AOD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ACCLBLDGS.CCUP. I 22sgft 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: //� ZZA71ZCze 5,1 NEW CONSTR BRANCH CIR T NON-RESID. / BRANCH TS)i 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES B L�; FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification C-tl< Misc. Wiring 6.25� ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ F_EE - WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE 1$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 reWing to building construction, and hereby La A19-1 $ Wrap TOTAL PERMIT FEE authorize represent ives of the County of Butte to enter upon the above-mentioned p perty for i/ns/perc�t/ioses. �7 x 1 ✓// flatu oC �S=ou Receipt No. I — V` 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 which fees have been paid. REC 0 OF P BLIC WORKSPIZ — W Z.# L4,d `� By Date ^1 Building permit expires Date �'''�"��/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541' Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY 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 cont this office immediately. ti I 4j 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 rejuirement.s of the, California cAdministrative Code, Title 25, Chapter 51' un er permit number'-,�,��—,- for the followina location: Owner Owner's Address Mobileh, ome Mf g. Model"' L Year Insignia N Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works, U Date.', By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PLOT PLAN 5NM 6ODLEi "./ A setback ofX ft. from the Property lines and a setback C, I' C-. r) t. from the road ce, ,rline shall be clear of structures or equipment except a ? ft ^="A overhang. A4 1q) ©p c Utility connect ons shall be within ft. of +1�e ;-_;ol. either ,. ,�,;, r 4vithin the rear dir,�clr� ��,;►e (left) of the m obiiehome. b k. �0 o BU FT6 COUNTY I "UILDI IG DEPARTMENT Q AP ROVED O b v 1. Owner's name: Sa m Ga►oLY 2. Installer's name:' -&46 MAILER 5,44a 3.: Is the site currently under permit? Yes 7-7 No (If yes, furnish permit number ) OR ' Is the sitean existing site? Yes / No .(If yes, furnish two (2) plot plans.) 4.1" Will the mobilehome be located at least:5 ft. away from septic tank :and leach fields and clear of all setbacks and easements? Yes %7 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6.: What.is the.mobilehome site service rating? -------------------- l APs 7.. What is the mobilehome site circuit breaker. rating. :------- SOD Amps . 8. Is there any other electric load to be served by the mobilehome site service? -----.---------------------- ----------------------- Yes / / No/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? /�(n•) 10. What is the'type of gas service? ------------------------ Natural T7 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.) i MOBILEHOME SUPPORT DATA If other than single wide, •O Mobilehome Mfr. CLEETWDQD furnish Setup Model No. Year Width (ft.) Box Length 56' (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 f ile with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. • �` x (ft.)(in:) (in.) ('n.) 2. Other (specify) 61CAysroNE Center support Center support locations* footi g sizes Supports (check one) ( ) l: Concrete block. x 2. Other (specify) n. 4—Tagalong or Expando, show support details. . (ft.)(in.) (in.) (in.) x,?/ -- Typical Support in. (in.) Footing Size as (ft.L)('�n.�) (in.)(in.) v l I 1. . x- I (ft.)( (in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) r 0.. -- Max. Overhang (ft.)(in.) BUTTE. COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. PERMIT NO. -136� DATE REMARKS OR CORRECTIONS l /0t V I. � 76 �- h o ' (NOTE: An entry must be made on this form each timeryou visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS } { BUILDING INSPECTION -RECORD ' A 1 BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping ; Forms Parapets 1st Floor k. Main Bldg. Restroom Finish . 2nd Floor Footings Windows 3rd Floor, Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer .141 '114 ' Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T s Temp. Gas Slab Final Sanitation 34. to Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Pennanen Door Closer Final Final DATE REMARKS OR CORRECTIONS l /0t V I. � 76 �- h o ' (NOTE: An entry must be made on this form each timeryou visit the job site.) Manufactur DATA 41,�l Xi.��Manufacturer and/or Namestyle Length ' Width .Vehicle Serial' No. .State Identification No.i' , Additional,Information or Comments: J 9. Electrical A. Is service, large enough to provide adequate amperage to motlilehome (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? Yes No_ D. Ss continuity test satisfactory as per the following procedure?, YesNo 1. De -energize electrical wiring system of the mobilehome at the pe estal. 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 m.obileliome 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 gigned'by Health Department for water and sanitation? rl 11. If everything okay, sign off card and tag services. Manufactur DATA 41,�l Xi.��Manufacturer and/or Namestyle Length ' Width .Vehicle Serial' No. .State Identification No.i' , Additional,Information or Comments: MOBILEHOME INSTALLATION, INSPECTION CHECK LIST 1. Is the mobilehome Located i h 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, No 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at 'spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. I.f an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is f Vxible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 7ZANo B. Test - Does water pipin ithstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coac is not State of California approved, does station have backflow device and pressur --el.' f valy ? No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YesXNo B. Does it have minimum k" per foot slope and is it properly supported? Yes X` No , C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D._ is no .alifornia 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 mo i home gas.line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No. COUNTY OF BUTTE DEPARTMEk,T OF PUdLIC WORKS 7'COUNTY CENTER DRIVE OROVILLE, CALIF. 534-4541 ----CERTIFICATE OF OCCUPANCY This mobilehome has 15'een installed in accordance with the' requirements of the California Administrative Code, Title 25, Chapter 5;' unde permit Ue number fo"r the following location: -5' Z_ . _"" z � �7- , -ZVlf . , 10 '-�_4557 - *. I Owner�_,52� Owner's A d d r e s s -48 V, Model Year/ Mobilehome--Mfg: 7—(a -7 �Ins ign ia No. -27 1,5_SP4�) Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director o Public Works ]3, Date ;1 t2"_ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED • COUNTY OF BUTTE — a �PARTMENT OF PUB -L --FC WORKS 7 County Center Driv. �.Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ie �V 0 —7�7 /—y authorize re resentat(vest t Cou of Butte to enter upon the above- lone Fopert or 'nsp on purposes L ate �'��216 Signal re of P rmite or Agent Receipt No. `4 S-:6(( / 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 p DIRECTOR OF LIC WORKS Date e'{- Z'7 uilding permit expires Date _ y'" 1-27 BUILDING Owner -:AKA G2\ SQ. FT. OCC. BUILDING VALUATION Mailing Address P 0. e>OK 02- 2C)L K� C) L Telephone No. Fireplace Contractorf(�(„ (L -203+ Total Valuation Mailing Address KNEe woPermit Fee Plan Checking Fee &/or Penalty n 1-0^ V I LLE Telephone No. V Permit Fee $ Building Address r RD- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 x , '/2-�,& i F Each Trap 1.50 .I �"� FZ Q " �t Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zl —OS'- 2-C) Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F UR- Sar(—?w I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Lawn sprinkler system 2.00 Bldg. s 'Re cd ParcellApproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION [:]UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ' NEW CONST. OR ADDNS. ( ACCLBLOGS.LING CCUP. &) 20sgft NEW CONSTP. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal' rnia Business & rofessions Code under the name style of - c Ex. Occup(OUTLETS OR FIXTURES) 50 @a¢ BAL@1 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ��� Classification - Misc. Wiring P6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Z?r'/hhave 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to corn ly to all County Ordinances and State Laws relating to b Ing construction, and hereby i�.t L- •TOTAL CJ Ol7 PERMIT FEE $ CQ -J 0( authorize re resentat(vest t Cou of Butte to enter upon the above- lone Fopert or 'nsp on purposes L ate �'��216 Signal re of P rmite or Agent Receipt No. `4 S-:6(( / 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 p DIRECTOR OF LIC WORKS Date e'{- Z'7 uilding permit expires Date _ y'" 1-27 1., Owner's name:" 2. Installer's na 3. Is the site -currently under permit? Yes No (If yes, furnish permit number' ) OR BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Is the site an existing.site? Yes / / No /✓/� (Ifiyes, 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? ----------------------e ziw Amps 6. What is the mobilehome site service rating? _____________________ �a? 5 Amps 7. What is the mobilehome site circuit breaker rating? ------------= U Amps 8. Is there any.other electric load to be served by the mobilehome site service? --------------------------------------------------- 'Yes / / No ' (If yes, identify the load and size: (Load) (Amps) What is the mobilehomesite as i e size. -- - g pipe ? ------------------- //v_9. (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?Rde . (ft.) 12. What is the mobilehome gas demand? ------------------------------ "(BTU) (This not required if pipe length less than 6 ft. on natural gas -information or less than 5p0,ft,. Ion LPG.) VC MOBILEHOME SUPPORT DATA Mobilehome Mfr. Si¢n) t) po,--a Setup Model No. i" Year Width (ft.) Length (ft.) .Expando Size ft.x ft. (Draw 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). Center) Support Locatio *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Foo s-- ( check . one) Wood either , pressure treated or fdn.`grade..' 2. -Concrete pad. 3. Other, -specify Supports (check one) / . Concrete block 2. Concrete piers 3. Steel piers . .... 4. Other, specify Typical Support Pinj.;Footing Size -�in.) A. Pier. . Spacing in. Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVE® COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ellhone: 534-4541 APPLICATION AND PERMIT X " Date Z Signature of Permitee or nt Receipt No. C-)� White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date •� .� % 7,� B ding permit expires Date BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ' rr d L Telephone No. E!!? 6' 12 F2— Fireplace Contractor �� 6 ., 0 y Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ is Building Address 2�T PLUMBING No. @ FEE PERMIT FILING FEE 3.00 PJ o !i /& AA i L e E.4 57— D GT'o t_; Each Trap 1,50 L e Repair drainage or vent piping 1.50 Water piping 1-�517 Each gas water heater or vent 1.50 A. P. No. O ��' o� O Za P n Gas piping system 1 - 5 outlets L -1iW Each additional outlet 30 F . Sit, n Fire Dept. Fire Zone se Permit Building sewer0 p,00 EQA IParking ParcelParcel PI ns Declaration Ma P 60' R/W Im P rov ents Lawn sprinkler system 2.00 B dg. Plans Recd // J/Apd Parc6proval Plans Approval Permit Fee $ 0 $ 33 led NEW ❑ADDITION ❑ UTILITIES g- OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p Main service 100 AMP OR0V OR SLESS 5.00 O Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home RL Others ❑ ER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. OCCU FIXED APPLNS• OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15%C License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 1:1 Workmen's Compensation Insurance. I certify that in the performance of the work for which this IaJ 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 1 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 representatives of the County of Butte to enter upon the � ,k_ a TOTAL PERMIT FEE $ 621 JI —416Z This permit is hereby issued under the applicable provisions of X " Date Z Signature of Permitee or nt Receipt No. C-)� White-D.P.W. — Yellow -Assessor - Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date •� .� % 7,� B ding permit expires Date NOTE:—All Materials & Workmanship Shall Be Accordance with Recognized Good Practices i of a quality- Prescrih,?a for the -Specified use in Uniform Building, Plumbing & Machanical Codes the National Electrical • Code. i his set of pians,--- ' 01—H a i I MUST be cept on the job at all times ad it is unlawful. -Io .mako any changes or alterations on same without written permisson from the Department of Public Works; County of Butte. �a �r. ke e 40 `J 046• Af IP_Q • , C�iS%,IU�L S�o�s Septic system and location - Z6o'a e to be as per, permit ill be required for th G Butte 'County Health Dept. Re- installatio of the mobilehome:' quirements. - _ MAIAll utility connections shall be The Setback shall be 5 ft from located within 4 ft. outside the +ra2r. the side property line and 50 f# from fihird section of the mo ile h . on the left (road) side ofe mobile the centerline of the roa&.'perm itting home. rpt/ a maximum of a 2 ft BUTTE CQUNTY. /V BUILDING DEPARTME �,.NT p A_P'PR 0ff/ F D. _ /0 easy PERMIT NO. 1109-81MHI PERMIT EXPIRES— XPIRESOWNER OWNERSAMUEL GRIDLEY CONTR. Ernie ' s Mobile Home Trane or• _ Mysv. ASSESSOR PARCEL 21-05-2 0 ij LOCATION SIS W. Liberty Rd, 1; mi E 4 Pennington, Gridley A' Y S Temp. Power Pole Called PG&E / 7 Temp. Elea Servicee Called P Temp. Gas Service ti /Ie C PG&E JOB FINALED (Date) C" Signature, J=OK 0 = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBIL OME UTILITIES (Plans) OK exc s . Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except N's 1. Zonin equirements-Setbacks- sements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Speci H Support- etch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location-&-fall-C/0-Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location- st- sement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; cation -Clea ces-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6- ;Gas; L5_0140n-Test-Wrap:/ /" 't./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7! Uti Clearance ' 7. Elec. - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL5ROME INSTALLATION (Plans) OK except q's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's Zo equirements-Setbacks-Easements 1. Setbacks -Easements ooti s; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure' Stability as; Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining ci y; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI Drain' MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI at Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ater and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater _-S -Gas a lectricity Tagged JExx 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit xit �sp.-Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B- Date �"" Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I i J = OK 0 = Not OK = Not Applicable Not Ready RESIDENTIAL' (Sing,re and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection (NOTE:Anentrymust be made each time youvisit jobsite) 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive ❑ Yes E] No; Walks ❑ Yes C] No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI _ Date Card -BI Date Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing_ _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERT 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. !;, r e Inspector i`pate ���j COUNTY OF BUTTE DEPARTMENT OF PfJBLIC,WORKS 7 COUNTY CENTER DRIVE 6'AOVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the re uirements of the/,,Calilornia Administrative Code, Title 25, Chapter 5 , Mer permit nu____ -,, for the following location: Owner Owner's AddressD A "t, (4;zj(-)4 Mobilehome Mfg. —Model _50-5/ —Year -,1'_'L_ Insignia No At. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direq,tor of Public Works Date By IS RELOCATED THIS CERTIFICATE IS VOID WHEN MOBILEHOM White - Owner, Yellow - Installer, Pink - D.P.W. !�1 L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 �- / T- APPLICATION AND PERMITAn AJA ASSESSOR PARCE UMBER - _aD,L/ ZON G BUIL NG PERMI OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNS'S MAILING ADDRESSfe, . - CO T ACTOR'S TELEPHONE r , CONTRACTOR'S AIL NG ADDR SS t+ ow-I Fireplace -CONSTRUCTION LENDER ANKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $_ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ESS / PLUMBING PERMIT Filing Fee 10.00 Im19ch V1, Each Trap 2.00 Repair drainage or vent piping 5.00 A, I Water piping LOT NO. SUBDIVISION NAME I.RCELIMAP Each qas water heater or vent 5.00 = Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg4l**"Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK ,, 1"/ New ❑ Addition ❑ emodel ❑ Utilities ❑ InK Inst at Other ❑ Describe work: If Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 r Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N� OR ADDNS. ACC. BLDGS. 22 sq ft - TRACTORS 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 oOrr , o my mployees 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. TI.OUTLET 2.50 ea NO ...ESDBRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS 6 NON.RESID%SINGLE OUTLET CIR. 5D@25a Ex. Occup. OUTLETS OR FIXTURES BAL@1 EX. QCCUp.(OUTLETS P(RESID.)FIXED APLNS RE A. 2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 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 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 again t said Co ty in con quence of the granting of this permit ' 4-7 X 4 Date ,h Signature of Applicant — Owner LJ Contractor( Agent ❑ An OSHA permit is required for excavations over 5'0" eep and demolition' or construct- ion of structures over3lsto'riies in height. Mobile Home Installation Fee $ ' Q .o TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. " PARCEL PD HD I ;SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dated `1-6-g Receipt No. J D/ Y'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT { NOTE:—All Materials & Workmanship Shall Be in 9 i Acrt>rdance with Recognized Good Practices and L F of n clualiti pie- Cc4pci• for the Specified use in the ! �c�'farr� Building. Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST 66 kept on the job at all times and it is unlawful td mal -e any changes or alterations on same without `- � written De�rmission fromunfy -of the Department of.PuVo t 100-f-17 (T,'- 47 5 S Iz 5, 114 A setback offrom the property lines and a setback of 50ft. from the road centerline shall be clear of Utility Gonne tions shall be withiA structures or equipment except 4 ft. of them bilehome, either for a 2 ft. eave overhang. d' tl b h' d 'th' th irec y e iI or VV in a rear half of the ro idside (left) of. the mobilehome. !o o' All N 3 A0 BUTTE COUNTY a BUILDING` DEPARTMpNT APPROVED k, 1 Z BUTTE COUNTY.DEPARTMENT OF PUBLIC.WORKS. . 7 County Center -Drive, Oroville, CA. , PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's name: 2. Installer's name: S %9J//�` /7©�� /;A41Y/�©/'� 3'. Is the site currently under permit? Yes / / No/ (If yes, furnish permit number l�) OR, t f ~- Is the site an existing site? Yes No (If ye`s, 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? -------------- lC�ll 419 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No /�7 / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------------/ 4 10. What is the type of gas service? ----------------------------- Natural/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 230 (ft.) 12. What is the mobi-lehome•gas demand? ---------=- =--- - 0 N1 (BTU) -------------= M A -X. (This information not required if pipe length less than 6 ft. on natural gas., or less than 50 ft. on LPG.) MOB ILEHOME SUPPOWDATA % If other than single wide, �? Mobilehome Mfr. S'� y / /�/ e— furnish Setup Model No. Year / Width_,Z t. 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) pfj9vl nr- . d s uppoeTe. A7 -,S • • G ,0C4 -77,9A13 A-5 1. Wood MI DIC4 TZ� BY M /VVF. AJIYW Pp, either pressure treated or foundation grade. % (ft.)(in;) Ax- (in.) 2. Other (specify) Center support Center support locations* footing sizes Supporta (check one) (in.) 1: Concrete block. e ❑ .2: Other, (specify) (ft.)(in.) (in.) (in.) o -2r 3 (ft.)(in.) (in.) (in.) x 30 (ft.)(in.) (in.) (in.) 2��C3�7 (ft.)I (in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. Tagalong or Expando,' show support details. xO -- Typical Support (in.) (in.) Footing Size c� -- Max. Pier Spacing (ft.)(in.) (ft.)(in.) -- Max. Overhang $U1TE COUNTY BUILDING DEPARTMENT APPROVED 2j2 ' 2431-79B PERMIT NO. PERMIT EXPIRES ✓�/ //�� OWNER Sam Gridley CONTR. owner LOCATION (A.P. 21-05-20 S/S West Liberty.Rd., app.12 mi.E.of Pennington Rd . , . Gr idLey v Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 'Temp. Gas Serv. / Called PG&E - / JOB VVN// FINALED (Date) (Signature) COUNTY OF BUTTE — DEPAATMENT OF PUBLIC WORKS- BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Flrewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footin s A Windows 3rd Floor Stem wall Siding To out Stab Roof Sheathing Water Piping PiersRoofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures -Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal ' Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - -.- - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) Y 9. Electrical - A. Is service large enough to provide adequate amperage -to mobileh• a (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 pioperly-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_ • a t 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 mobilehorse supply conductor, including neutral.. C 5. All non-current, carrying metal parts1of 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 comple' ion of the electrical tests, the lot or site service'equipment may be approved for energizing. Health 10..Is fob card signed by 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. i Additional Information or Comments: z i MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with 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_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5: If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible 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_ No 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? Yes No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. 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 mobilehome gas line itilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF,,BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dfive — ' Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit.. or Agent Receipt No. ,-52 -35-1:5— White-D.P.W. S!:5—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 hich fees ave been paid. JrEC 0 F P LIC WORKS Date(�.—c f_7 Building permit expires Date — �"" ?6 BUILDING _ Owner 01 D SQ. FT. O C. BUILDING VA ATION U fJ� Mailing Address 0 (R t Telephone No. Contractor DW, ex— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Z Building Address �( PI an Checki ng Fee &/or Penalty Permit Fee a y _ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Tray 1.50 �9 t04.E. Repair drainage or vent piping 1.50 A. P. No. 1— O5 -- 2 O Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 fte4s` Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parce roval Plans A royal 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•DD Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O EA. ADD'L 100 AMP 1.00 Main service// NEW CONS.OR ADDNST LBLOGSCCUP. Y (DWELING ) 20sgft ACC CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI-OUTL T NON-RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES B L0; FIXED ALISIS Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify.that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ OZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit.. or Agent Receipt No. ,-52 -35-1:5— White-D.P.W. S!:5—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 hich fees ave been paid. JrEC 0 F P LIC WORKS Date(�.—c f_7 Building permit expires Date — �"" ?6 am Clearing Landleveling Bulldozing P. O. Box 442, GRIDLEY, CALIFORNIA 95948 Phone 4282 Gridley /5`79 i t. 4 Ix.A1A0- r rs v NorE:_ Accordance ll Materials Workmanship Cuotiit With Recognized. Goo Shall B of a d Practices a in, un" ,�,�!;presciibe;l for. the S and �c r,c rn9� .Rlun�aing Fx Mechanicaj Use in the the N.atioeigl Electrical Ced@, cod@s Ana -- �•� � - ®��- u�Q� of . This set of plans and specifications MUST be kept on the fob at &?I firnes �►rui i. is :unla:vful to it ma! -.e any clwingos or c l r'c ilOns 0n sa;710 !: *-,-hou'i wr•iiien pormissi-an from 413 Depa.rt►nent of Pub' lic Works, County of Bufte. �rDUnc� • • via amu. , 41 g� 6 �,P��e �� g �4J 1 I �` �-•C.U�.iN R eves. /-Aa r Ile fi7; $.. a X `/ �� G, eh Te r vl ��/NG p �-. �xq =3� 3 /+ EpART 3 X y'- /a q� 3- /�'� v1�i, r ,I a rs a 5 i 1e- e 1r -®o t . A p l� MEIV Gen-C'eme11%/►'� I�'�0� /" lD• IY �Is�WDOd 5 �. � . Tee / sW ap s 17; an r,06401'17 / i Ied W i - �mrn %�o �� � rG � hG3� � ?'d -%"Gable �oe��d wife �ad/� ClanrPs R I F The Bldg. Se#back shall be 5 ft, from the side property line and SO ft, from the centerline of the'road, permitting q, - maxi -mum of a 2 ft, eave overhang but entirefy out of cll:easements. guTT& COUiVit BUILDING DEPARTMENT ApPROVGp Owner: h, Address:—Ta2 Tenant: c Building. Location: MUTE COUNTY DEPART_MEW OF PUBLIC WORKS `SPECIAL INS.PucrI N REPBRTY P -A.P. # Date of 'Inspections/ -a 7g Inspect Type of Inspection requested: 2. 'F inaric ing 3. Change of Occupancy to I L/ 4. Other (specify)__ ` Prescut usF: cif -building-: A. Sanitation IP�usin 1. Water closet: 2. Lavatonj--L Bathtui) or shawer' — 4. Kitchen_ oink: _... a. Piot an cold �;a.r_er to fixtures:�- 6.. •Heating ;a.c::lities: f 7, Natural light and venfglation: 8. Roc -.n and space. requirements: - 9. Bedrocn,vindaw or dour Lfor second,.exit:_ -� 10. -Infestation �of—iase ts' , vermin, o� ; , rod '_nts: --- - 11. Connect::.on to , ew age disposal.: (12. Connect, -ton to grater supply: 13. Rubbish and garbage facilities:A 14. Ccwment:s: --- B. Structural 1. P.ers and footings: 2. Floor constnicti.cn: 3. Wall cor_.str=acFIon: 4. Ceiling and roof construction: 5.C6., Xcrinents� . Electrical a,. Sebricc end f --round- , 3. Fusing:---_.-__.,___� D. Pljxmbinj,, 1. F .x;: r. es connect( -d and 'vea:te3: 3. Gras t.c.zLing-- 4. Co,.ment..s, E. Other 1. Maintenance and repair: 2. Fire hazards: _ s. Safety hazards: 4. Weather protection:_ 5. Underfloor and attic 6. Comments: vens i.iat ion • F. Cormercial Buildin s 1. Roof covering: 2. Distance to property lines: 3 Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: T. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or*io tion (giv complet, descr' ti,srj) 2. What ac "on taker (g v,�e Complete des�ripte.on� : t � p L., -x y,� r-� 1 3. What action recommended: id T7A. Information only -- file. _ F! B. Hold for ten (10) days, then write litter. C. Write letter. 77D. Other: albse.rved L41.�\e. �.�.Qckjn vVo'� 1a ev-h. h� 1z COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �� 7 County Center Drive Oroville, California 95965 c>? c?> �Telephone: 534-4541 APPLICATION AND PERMIT Receipt No. I /7 7-S.), >� W, -VV t"; vS - White-D.P.W. — Yellow -Assessor'— Pink -Inspector — Goldenrod -Applicant Building permit expires Date — 0, 7 i BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address `® elep one No. o Contractor y` Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5 S PlanCheckingFee &/or Penalty Permit Fee PLUMBING No.1 @ FEE f 1 N I PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ^^` Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F llj�(y SQtkoon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla/.�A 'd Parcel royal Plan proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ S ELECTRICAL No.1 @ I FEE PERMIT FILING FEE • $3.00 00V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST � ACC. BLDGS.LING CCUP, Y\ 20sq ft I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ±) NEW RESID_ BRANCH CIRCU NON.RESID. � BRANCH CIRCUITS 2.50ea NEW CONSTR. /POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OccuD{OUTLETS OR FIXTIIRES a ,@ � 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 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �j I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee ti $ $ 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. X452Date — Signatures f Permitee or Agent a A,.s- $ o TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. CTO PU RKS R �i/� _ � Receipt No. I /7 7-S.), >� W, -VV t"; vS - White-D.P.W. — Yellow -Assessor'— Pink -Inspector — Goldenrod -Applicant Building permit expires Date — 0, 7 i _ This set of plans and specifications MUST be kept on the job at all tir'nes' and it 'is lawful ie make any chv_nc-,s or al-lieralsons on same witl;au wr filen permission from the Department of Pub lic Works, County of Butte. D Q t Q-5 All utility connections shall ° She located within 4 ft. outside the rear ' third section of the mobile home on the left (road) side of the mobile home: • ° XIS � V The. Setback shall be 5 ft. from the a �hA side- property line' and 50 ft. from the. 9P centerline'of the road, permitting, a maxi- . mum of-a 2 ft. eave overhang but entirely out of all easements. BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOMZ�SUPMRT DATA ' If other ..than single wide, Mobilehome Mfr. �-� // furnish Setup Model No.� Year, Width' LD (ft.) Box Length (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 - pressure treated or z,. foundation grade. (ft.'(in:) x (in.) (in.) ❑ 2. Other (specify) ' Center sup ort Center s port . Supports .(check one) locations` footing sizes (in 1: Concrete block. 2. Other (specify) X (ft.)(in.) • (i •) (in,)' - Tagalong or Expando, show support details.. (ft.)(in.) ('n.) (in.) x� -- Typical Support x. Footing Size x (f -t.) in..) (in.) (i .) �--��j -- Max. Pier Spacing (ft:)(in.) L x J -- Max. Overhang (ft.)(in.) BUTTE• COUNTY BUILDING DEPARTMEN APPROVED *If center piers are other than drawn above; , draw in -locations, spacing, and dimensions,,-. 1. Owner's name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 r MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site curre (If yes, furnish permit number ) Is the site an existing site?. Yes / v� No (If yes, furnish two (2) plot plans.) OR 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? ----------------------- ljoel Amps 6: What is the mobilehome site service rating? ------------- L Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- - Yes / / No / yr (If yes, identify the load and size: (Load) (Amps) 112 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? 12. What is the mobilehome gas demand. ------------------- -- '� A4_(BTU) 4 ��'"9�'' v l5 �l BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR g9 j n 7 County Center Drive — Oroville, California 95965 Telephone: 534 -4.541 - APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x'Vl/ Date —41-7-4— Signatureof Permiitee or nt % Receipt No. ` a (te/ CP— I)— — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above.for which fees have been paid. DIRECTOR OE PUBLIC WORKS By Date Building Permit Expires Date BUILDING Owner `�� SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor L. Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or enalty Permit Fee $ J $ Building Addresss� PLUMBING No. @ FEE PERMIT FILING FEE $2 60CV Each Trap 1.50 1.40 Repair drainage or vent piping 1.50 Water piping 1.50 , S Each gas ter heater or ver" 1.50 % �D -- A. P. No. p� v Zoning Gas piping stem 1 - 5 o ets 1.50 Each additign I outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewe 5.00 Plans _ Fees . C. R/W Encroachment Lawn sprin" syem 2.00 NEW ❑ ADDITION ❑OTHER Per i" ee $149. a$ % (j s> E No. @ FEE FI LI G EE $3.00 3 OZ,— e- d ai servi incl.a er USE OF STRUC°TUBE Single Family ❑ Duplex ❑ Others dit' ne,( eters, each 1.00 ub-p I (12 or less) (more than 72) n e, dryer or water heater 1.00 Ov n, Cook -top or space heater 1.00 Light fixtures 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW , I am licensed under the provisions of Chapter 9, Div. of the State of California Business & Professions Codeear he name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classificatio — 1 am exempt from the Contractors License Law of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATIO INSURANCE 1 am aware of the provisions of Section37 0 of the California Labor Code which requires every employer t e 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• @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 SjPermit In$T! menrationirpn gtarn $0.07/$1000 Evaluation Is TOTALt PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x'Vl/ Date —41-7-4— Signatureof Permiitee or nt % Receipt No. ` a (te/ CP— I)— — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above.for which fees have been paid. DIRECTOR OE PUBLIC WORKS By Date Building Permit Expires Date 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �tA !�� ��-�-- Date Z-3 Signature of Permtee or Agent Receipt No. � lo -1022 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By. Date -� Y Building Permit Expires Date BUILDING Owner S_�qlll 03/ /r-� SQ. FT. OCC. BUILDING VALUATION Mailing Address 1,41eG I I Fireplace Contractor v Total Valuation Mailing Address � Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ . ,. Building Address '/ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ` / oC 1 b5d? 3 Each Trap 1.50 Repair drainage or vent pip' g 1.50 Wate iping 1.50 Each gk water heate or vent 1.50 A. P. No. Zoning -z Gas pi6i syste . - 5 outlets 1.50 Each addi on outlet .50 Fire Zone Fire Dept. Sanitation D PIin BuU4ing seyAAr 5.00 v Fees ;/ W. C. ai I R/W Encroachment LaV rinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑1k^ �yf'e mit Fee $ $ F(I CA L No. @ FEE PERMIT OLINGWEE $3.00Q Q EK� 6-,Ed? i, servic cl. 1 meter Moi U /I//C USE OF STRUCTURE Single Family ❑ Duple ❑ th s itional meters, each 1.00 ub-panel (12 or less) (�^•� ti�� 17) ange, dryer or water heater 1.00 e---✓ _%i ri I E /�i� o U Oven, Cook -top or space heater 1.00 Light fixtures / Receps., switches & fix outlets CONTRACTORS LICENSE I am licensed under the provisions of Chapter Div. 3, of the State of California Business & Professions C e under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring �i�Ti� 1 License No. 027-���'. Clas fication ❑ i am exempt from the Contractors Lice a Laws of the State of California. Permit Fee $ $ WORKMEN'S COM PEN ATION INSURANCE I am aware of the provisions of Se tion3700 of the California Labor Code which requires every empl er to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 441 Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permitis issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 Instrumental onirpn a Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �tA !�� ��-�-- Date Z-3 Signature of Permtee or Agent Receipt No. � lo -1022 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By. Date -� Y Building Permit Expires Date [ftE T 17N.R.2 E. M. D.B. BSM.BK22�,r`571 Y6-ode21-05 66'GRIDLEY COLUSA 31 75-03 HIGHWAY ' i 75-21 i Q i I 3 1% 1200 2 _T4. 11 �314i9c 11 %26�Ac. /5560"gc /27.Q'5AC. ,5.•�� �5�1°Oqc. S�°°<h - 80-SPAc. 458•e2yc. ;• 1 i `---------- 45;6 7 g I 39.759 /6O WEST LIBERTY I ' .3975Ac. ROAD so' a 50-7'3 W3 Op®qc. 833 4 3 2 ai t r • N I 7e/7/750n . i LLI I 3?a. /O° 0:°' /00® , /24 0 OAc. 8 /57.35 AC / z35 oo�c 93.964e. 45.3.i6Ac. �V I _ T 0 5 6 V Z , (Z 4.77Ac. a 60" I f EVANS REIMER f � ROAD L60 IF21 11'oS MAP N0. 21— 05 GRIDLEY ESTATE M. O. R . BK. 5 PG. 10 :Assessor -s Pdi-ce/ B/oc.�= ASSESSOR e170' L02' N�1177be,- s Shorr� 1�7 circles, COUNTY OF BUTTE,CALIF. MAR, 1951 REV/SED IAA(. 1960