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Home My WebLink About021-131-028FG21-131-28 ary & Sylvia Sannar I * 7,9 French Av-;�,- ,,(-,ri P p d le: y, ermit #1751 81P,E�util.,MJ) E -E L C 1:26s�� zoo,+ GAS. 6-t- Vl� 1W7 SUPPORT STRUC E REA. 40 COMPACTION TEST REQ. 4-t6 �j- -2 'ImG -41omc--� -orn - Contr: Permit#3055-- Issued A m AA IA -T- 30-63� P ERMIT NO. 0 PERMIT EXPIRES- Gary & Sylvia Sannar OWNER CONTR. C�wner 21 -.:131 -28 - ASSESSOR PARCEL 1379 French Ave.,, Gridley LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service 9 - Called PG&E - Temp. Gas Service CalledPG&E- . ........ JOB FINALED (Date) LuW450(;'LZj- Signature V = OK 0 = Not Ol?' - = Not Applicable MO B I LEHOM ES MISCELLANEOUS * = Not Ready Date ---MOBILEHOME UTILITIES .(Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plang) OK except #'s teloning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 9 S-I&� M'&L-P P 2. Footings; Size -Depth -Spacing -Connectors Se-er; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails -4-.'water; Location-Test-Ea*eneqt_��) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing W'flectricity; Location-Clearances-Grnd.-4-� Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Dec6l-Enclosures jCP Gas; Location -Test -Wrap: OFVL"ft./ /"Nat.opg' 6. Carports; Windows -Doors Utility Clearance 7. Elec. 1"A )MC 417X' Card-BI,V'#L- Da" Card -BI Date Card -BI Date Card -BI Date Card -B Date Card -BI Date Card -BI Date Card -BI Date Date MOBIV.*"E INSTALLATION (Plans) OK paept Vs Date POOLS (Plans) OK except #'s Xing Requirements-Setbacks-EaeCents 1. Setbacks -Easements Size-Spaci�%Z`Warr` a> 2. Soils; Compaction -Structure Stability ,ti%FLA&_aings; ;i��_,�as; MH Test-Demaoo:-:�Val,,.�or��nector d_-ffq—Vj;�eity; MH Test- Crossovers- Brea kers-C I eara nces 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 415elfater; MH Test-QyM*Wd=-,,Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water andou"IF—Connected-C/0 t&.Gra'ffe_-HD Approval 7. Elec.;'Bonding; Metal w/5' -Circulating Equipment -Heater and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip.-Pool,Lghtg. Boxes- Enc losures-Pane I boards- Ins. to Main in Conduit ,.,)dWGas Y-1 ��Exits; Insp.-Sketch Carl. of Occupanc y 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card 13-44�t�ate?-/;7-JZCard-Bl Date Card B- Datee��'?:V Card -BI Date Card -BI Date Card -BI Date 4 %I = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning req u I rament s-Setbac ks- Easements 48. Property Line Firewall & Openings - 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One X -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50.. Stairs; Width -Headroom -Rise -Run -Landing -F ire 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-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protect i on -Sky] i ghts-P last ic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing-Bol.ts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Sery ice 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 -Bl 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 -Combust ion Air 57. 58. Smoke Detector Furnace; Vents -C I eara nce-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 Gas Pipe; Size & Anchors 62. Stairs & Rails __19. 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 Date Card -BI Date ELECTRICAL (Permit) OK except ft's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -C loser 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -C lea ra nce-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 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. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic C] Yes 25! 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construct ion -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 0 Yes 27. i Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al, insulated Neutral E]Yes EJ No 75. Following instld.: Drive [] Yes No; Walks F-) Yes Planters E)Yes E)No E) No; 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Pane I s-Motors-Mec h. Equip. 77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs. 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 -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr.it) OK except #'s 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HO Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet __35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI __ Date Card -BI Date Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. -Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. _4_2_-_Hang_e�s-15os_t_ 43. 44. Z Header & Beam -Size & Bearing Caps-Anhors-Connectors - CIng. Joist-Rftr. T - ies- Purl i n - Roof Brac. -Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protect i on-Dra It Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -6 4 7. rage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCU?ANCY This mobilehome has been installed in accordari7te with the =ements of the California Administrative Code, Title 25, Chapter 51 permit number_'301��- 9-4 —for the following location: 1342 hWA-_-.A_ "� Mobilehome Mfg. 4a IJ%'6V t g )Fc,� -Model C-41 I-e)f": YearF--/- Insignia No. CAL: _72:277.�L 1 1" 77 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. ..I�ircct r of Public Works Date THIS CERTIFICATE IS VOID WHEN MOBILEHOM'dIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 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 13.7 BUILDING OR PROPERTY ADDRESS A rou inspection indicates that the following,�dolations of County Ordinance exi a t the above address and should be dorrected." Please notify this office en correction of work is completed. If you have any qu*estion pertaining to this m m tt r, atter, or need additional expianation, please contact this office immediately. 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 PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 6, Inspectoi Date— N. COUNTY OF BUTTE - DIEP ARfMENT OF PUBLIC WORKS PERMIT NO. ,V 7.County'Center Drive - Oroville, California 95965 - Telephone 916/534- Z41' APPLICATION AND PERMIT /A ASSESSOR PARCE ABE E�, 'W� ZONING BUILDING PERMIT U ZN�l TELEPHONE. SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J C 07 )MO R'S ry-TR) A4 ES; ORVLJNG ADDRESS e a5Wk -Fireplac e7 CONSTRUCTION LEN:,E,�.. UNKNOWN' Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE 7;U_P1a_ 777,� SE NO. Plan Checking Fee 1W $ /0-00 Penalty $ ARCHITECT OR ENG114EER'S MAILING ADDRESS Permit fee $ BUIL R I- S Sr��Ij,�7 4 7911 A VaJUo5 PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME 1 PA'RCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system I - 5 outlets USE OF STRUCTURE SFEI DuplexF� MobilehomeE91"Other SPECIFY Building sewer Lawn sprinkler system :1� 5.00 TYPE OF WORK New r_1 AdditionEj Remodel[:] Utilities[:] In allation erEl Describe work: U 77 4, PEEM- .11761�� 4f Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS - __1100 AMP OR LESS 5.00 q-) Main service EA. ADD -L 1100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.8i OR AODNS. ACC.BLDGS. 120sqft ONTRACTORS LICENSE LAW I declar"nder 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 No6 46_7 3311 -Classification 0 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) FI I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F-1 I am exempt under Sec.-, Business and Professions Code for this reason NEW CONSTR. ULT_1-_0U'TLET (M N B RANCH CIRCUITS) 12.50 ea NEW CONSTFL I POWER APPARATUS & I NON-RESID. k SINGLE OUTLET CIR. I so @ 25C Ex. Occup(ouTLETS OR FIXTURES IBAL@IW ( OF IX 1- 0 APPLNS OR 2 Ex. Occup. T LE T S (R E S I*D.) E A. .00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 7.50 Permit Fee $ Contractor H N Fi I ing Fee 0.00 * 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 1 - Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information i s correct. I agree to comply to all County Ordinances and State Laws relating to buildin on t u ti n, and hereby authorize representatives of the County ot Butte t ent C r upon the above-mentioned property for inspection purposes. I als agree.to save, indemnify and keepAarmless the County of Butte against al I I abi s, judgmenFts�lcos el e�p�enses which may in any way accrue ,e agai d County in f he granting of this permit. 's el ? - X (JO Date Signat re of Ap i ant 'OwnerE] Contractor M Agent An 0 H ; er t d for excavations over 5'0" deep and demolition or construct- I(J , ryu; re ion q ru lurt)OV r s Cries in height. s Ove Mobile Home Installation Fee 00 TOTAL PERMIT FEE $ 00 OCCUP. GROUP I TYPE OF CONST. PARC L PD H This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF P,4BLIC By. - PERMIT EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS r dap_: Receipt No.-r5F97 / - WHITE-O.'P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's name: r-) 2. Installer's name: Is the site currently under'permit? Ye8 7 11� No (If yes, furnish permit number OR Is the site'an existing site? Yes -No -/77� (If yes, furnish two (2) plot plans.), 4. W il 1. the-mobileh.ome�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? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps -8. Is there any other electric load to be served by the mobileh�ome 777 site service? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Am,p s) 9. What is the mobilehome'site gas pipe size? ---------------------- (in.) 10. What is the type -of gas service? ------------------------------ Natural. 777 "LPG - 'wo; e? - (ft.) 1/ 11. What,is the gas pipe length from meter or'tank to th b PUY 12. What is the mobilehome gas demand? --------------- ----- A4 A -Y TO (B (This information not required if pipe length ess than 6 ft. on natural gas or less than 50 ft..on LPG.) 1APW 7V V�OFY MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mf r. furnish Setup Model No. ��A" Year K -R) Width (ft.) Box Length 60' (ft.) Tagalong or Expando S ize ft. x -&- f t. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973i 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. Single I C) I (ft.) (in;) Center support locations* I 1/%/ t)111 (f t.) (in.) (f t.) (in.) 37 / ovk4 3,-:� 1 o " 14-7" el (ft.) (in.) 0 V7 (f t.)j (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. (f t.) (in.) Footings (check one) P5.1. Wood ei ther pressure treated or foundation grade. 2. Other:(specify) Supporto (check one) 1 Concrete! block.' UN E] .2i Other,. (specify) Tagalong or Expando,.' show support-detaila.: Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMENT -APPROVED IT Ml WK T'l y x ., 1 �,i 4ME --OUNTY UILON.G. ''EPARTM EN A'...,OVED AP OWNER PERMIT # MH UTIL.CLEkRANCE DATE. SY 0 INSPECT RX, ELE RIC GAS Support Compaction Struc. Test Req. lervice ;ize Other Load TVpe Pipe Size Length YES NO YES NO 6 "I r1ki COUNTY OF BUTTE - DtPARTMENT OF 7 County Center Drive - Oroville, California 95965 - APPLICATION AND PERM PUBLIC WORKS Telephone 916/5 IT CW97,_=A ASSESSOR PARCEL NUMBERe -2- 1- 1 -3 1 - I..IN A BUILDING PERMIT,*,41-\ - OW ER ZF4�1 J SYZ- t114 5A1L141Ae_ f 7 ITION SQ. FT. OCC. BUILDINGf(ALY 07�R'S MAILI 79 �WM%q AVE., Q21N,� CONTRACTOR-5NAME ITELEPHONE CONTRACTOR's MAILING ADDRESS Fireplace CONSTRUCTION KNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee RN 7F $ /0,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILJ�VCJRESS 4VE - PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets V 19, CIO USE OF STRUCTURE SFEI DuplexR Mobilehomep---Other SPECIFY Building sewer Lawn sprinkl er system 5.00 TYPE OF WORK I-, New F1 Addition Remodelo UtilitiesE�4�lnstal lationO Other Describe work: Permit Fee $ Contractor 'ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 00 Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. (DWELLING OCCUP.&) OR ADDNS. ACC. BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F I am licensed under provisions of Chapt. 9, Div. 3 of the Bu siness and Professions Code and my license is in full force and e ffect. License No. Classification E�r 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) 0 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 N.EW CONSTP-(MULT"OUTLET 2.50 ea N.R E N _S RANCH CIRCUITS) NEW CONSTR. I POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 50 @ 250 Ex. Occup(OUTLETS OR FIXTURES BAL@100 (OFIXED APPLNS. R Ex. Occup. LITLETS (RESID0.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECH ANICAL PERMIT Fi I ing Fee 1 o.bo WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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 Insuran I ce or a Certif I ic0LW f Consent to Self -insure. -(S?1'0'P!1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Venti lation Permit Fee Contractor e- 1 certify that I have read this application and state that the abov 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 consequdenc of the granting of this permit. lot X Ofa4, -Date k5llq) Signature of Applicarll Owner El Contractor [:J Agent M " An OSHA permit is required for excavations over 5'0" deep and demolition of construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CO.ST.T_ tPA;�J :JJ I IS. E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9VOF PUBLIC C� Bv , 15�� IX—Da PEPAT EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS te S� zf — 0:�, 6 Receipt No. 15 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK�INSPECTOR, GOLDENROD-APPL [CANT COUNTY OF BUTTE - DEPARTMENT OF`PUB'0C WORKS - BUILDING DIVISION 6". 70 IF f � I C UNTY CENTER DRIVE - OROVILLE, CALIFORMA 95965 - TELEPHONE: 9f6/534-4541 PERMIT APPLICATi'O'N-DATA SHEET z ri, - Permit No. 0 W N E R 67 14 / � Yl- V1 �q 5'A1lL1AJfif_ A. P. N o. 7-1 - 131-2- k�- Proposed Bu . ilding Use M - /Y Z177 L Permit Fee . Bas4edpon: '—Complete Contract P I rice DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED .4 1- All items have been submitted. Plot plans in duplicat<Eip- 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 and AC Buildings. 8. Fees of $ . . . . .. . . . Letter of signature authorization. 10' Sanitation approval from '�� * Health Dept. 11. Planning approval for,(A� Use: — (B) Parking: - 12. Certificate of Workmen's Compensation Ingurance. i I , , / WContractor's License Information,.(no., nartie stlyl , classif.) 4-. Owner -Builder Verifficat ion �G iv&n t&owher[2*, Wil to owner d )iOl 15. Im,provements-may be requir��.. 16. Mo6ilehome Installation Data. . . . . . . . . . Pre*lns;ec request to 1-7. Pre -Inspection for Required- Buildir�g I n' s pector —(Dote) 18. Other When y ssue the perp)it process as f o I I ows: — Ma i I to owner. —Mail to contractor. ;IP'd-i h e �9 4Z(,, -' ZW_7 aQj�h�o for pickup at office. —Deliver w/inspector. Telep Lon I Othert"��) Applicant i �'ate &5_Z1Y 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 apptigation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by ---L.Telephone —Mail —Other By Date Plans checked by Plans approved b,, Other Copy—DPW Date Datd� To -. BuJAM-ti�; D.-partmerit; From -, Env;txonmental 11ca]-th Sanitat, on Plan approved for &-wag,!4 I-itivor Supply Hold tinal for: 'Fiza", Clearan'te O.K. Olearanoe for bacLoom mool j i; 110M Not, e Ot her suppl:j -- W,,-jfler Supply 57 2 g- e. 4 z ig'/- COUNTY OF BUTTE - Department of'Public Works 7 County.Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Prop6rty Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. I Please complete and re�urn this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. - 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) \IC42 2. 1 (have/have not) A4 41e -=d_ & sighed an application for a'building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City, Phone Contractors License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the.major work: Name Address city Phone Contractors License �5. I will provide some of the work but 'I'have�c�ontrcte (hired) the following persons to provide the work indicated: Name Address Phone Type of Work .0 con),ra ct,�2r-_s 0_)d/ xbe osc�7 Signed: Property Owner. Social Security number � Date NOTE: This Owner -Builder Verification is sent to you'as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. L-iTI-le- Tbils sef co? plans dQ specifications MUST to kept on f he job at a I'times and it is unlawful +0 make any chanqes or alterations on some W11+1100 written permission from f he Departmerif of Public Works, County of BLifte. 71- (Y) 330-0 NOTE:—All Materials & Workmanship Shall Ile In' Accordance with Recoqnized Good Practices oticl of a quality prescribed 'for the Specified use In Uniform Building, Plumbing & Machanical . Codes ind the Nafional Electrical Code. &Ay4ovi -9 rd +1' 55, 1-: – 330.0 - LL CO I ler c6 'er �2 (6 U) )4 U) 4.1 5 5 An, - 14 -54? 03 ,03 rJ n CS sann I LO \00 �61 Go if for A i - A permit will be require hwWation of e mobliehome. �3& 0- n Shall be within Utility connect, s r 4 ft. of the mobile rear directly behind or within the half of the roadside (.left) of the mobilehome. r) 0 Q r - IS. a//- 7 A setback of 5 ft. from the property lines and a setback r'-POUNTY of 50f t. f rom the road centerline, Shall- be clear of WILDING oE?' TMEW f SOW- Tt structures or equipmOn or a 2 ft. eave overhang. f APPROV -F- L 7 1[b C U� 60 C 4k 21-131-28 Contr: Beic, -i4Z.-Chico er - mit#1869-81MHI ssued --- - - - ------------- - - - - - --- - - --- - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS –PERMI 7 County Center Drive - Oroville, Californ . ia 95965.- Telephone 916/534-4541 APPLICATIONAND PERMIT /A67 c,11 ASSESSOR PARCEL NUMBER & 1,-)-9 1 ZONING A---z:�- r BUILDING PERMIT6),,, lo,OD OWNER TELEPHONE ? SQ.FT. OCC. BUILDING VALUATION OWNER'S ESS /3_7c! Ge"'01ra (2,51, CONTRACTOR'S NAME d—, "Ca ,Vw 4;' A,/ TELEPHONE CONTRACTOR'S MAILING ADDRESS S, L/ 0 �r- r to / 1,7 /V 4,0 0 CONSTRUCTION L.Et�DER A941 --'V— & W /5� UNKNOWN I Fireplace Total Valuation $ LENDER'S MAILING ADDRESS iDlf — ell -'Co /W ot,/,) 1/1 0 4 Li LL"*.y C Permit Fee $ ARCHITECT OR ENGINEER LI SE NO. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS _ 7 C( _X _ ? IC . / IV VJ C4, PLUMBING PERMIT FilingFee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. UBDIVISION NAME S 1P ARCEL MAP Each Qas water heater or vent 2.00 Gas piping system I - 5 outlets USE OF STRUCTURE SFE:1 DuplexEl MobilehomeRL Other SPECIFY Building sewer Lawn sprinkler system 2.001 # TYPE OF WORK NewD Addition [:1 Remodel E] U9Aj'esE] in Ilation OtherEJ Describe work: L 0 io c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST DWELLING OCCUP,&) OR_ADDNS. ACC.BLDGS. _NEW.CQN5TR 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [��l 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. Q W10 4' 9 : Classification (�_� 4 / 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) El 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 MULTI*OUT LET NON-RESID. BRANC H CIRCUITS) 2.50 ea NEW_CON,STF;L (POWER APPARATUS.&) NON RES D. SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 25C I FIXE D APPLNS OR ___.BALI�10� Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 1 Permit Fee $ A Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� ,-�he permit is for $100.00 (valuation) or less. 2' 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Ce.tiliCate of Consent to'Self-Insure. F� 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FilingFee 3.00 Heating Coo I I g Coo ing Hood 2.00 Venti lation 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 against sai County in consequence of the granting of this permit. X 21 Date _S Signature of Applicant Owner 0 Contractor E] Agent 5�_ 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 $ 3 0) 1 ID 0 Land Development Fee $ TOTAL PERMIT FEE $ TV's - %P%J OCCUP. GROUP I TYPE OF CONST. IPARCELI PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable p�ovi resolutions to do fees have been" paid. WORKS Date ,S'b 2 6 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT