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HomeMy WebLinkAbout021-190-04221-19-42 WALTER LITTLE SIS Petersen Ave' 200'W Lew s Oak Gridley Permit 816-=80E(replace ele ser.) S 21-19-42 Permit-86P,E(util, MH) ELEC 5 �DD.4 �FoP GAS N.�, / '� / Qp' SUPPORT STRUCTURE RE Ivo COMPACTION TE Q �D �a7913 .g 21-19-42 Per #653-85NIH�I� - sued /Q -/,! = h14 PERMIT NO. - PERMIT EXPIRES OWNER WALTER LITTLE CONTR owner ASSESSOR PARCEL 21-19-42 LOCATION S/S Petersen Ave, 2OOyds E Block Rd Gridley 10 (0 :IS C1�� 1K W _ ; j/T P t' OFFICE COPY Address I I GAS Meter By Date — E y ELECTIC Temp. Power P� Meter By Date — Called—__, - 13 Temp. Elea Servi GAS Meter By Date Called PG&E ELECTRI 11)= Meter By Date — Temp. Gas Service — -- -- - - - Called PG&E JOB FINA Signa it -= Olt - 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOB)LEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Z ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors20,41: 3 ewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing lectricity; Lon—Clearances—Grnd.—/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, s; Location—Test—Wrap:' 'P'L" ft./ "Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 00'Utility Clearance / t _ 7. Elec. Card -BI Cpo Date 6 Card -BI Date _jj Card -BI Date Card -BI t"bate Card-BI61 Date!7, Card -BI Date " Card -BI Date Card -BI Date. Date OBIL HOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except N's Ae-loq,' equirements—Setbacks—Easements 1 • Setbacks—Easements o 'ngs; Size—Spacing iage Laine 2. Soils; Compaction—Structure Stability G MH Tes De V8k Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining , 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI Electricity; MH Test—Crossovers—Breakers—Clearances rain; MH Test—Fall—Flex Connector at r; MH Test—Regulator—Connector 6• Elec.; Enclosures; Conduit Entries—Terminals—Listed r aSewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater " 8 nd Electricity T gged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Ex' ; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—water Supply Test Card B -I ' Date and -BI Date Card -BI Date Card -BI Date Card B -I Date)9,,rd-BI Date Card -BI Date, Card -BI _ Date. f J OK 0 T Not OK - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � Date UNDERFLOOR Plans OK except #'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 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers S. Stemwalls, Main; $tee I -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. 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 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 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-Bj Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card:B( 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 --r 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 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 N'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 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al - 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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ _30. Card B -I Card B-1 Clothes Closet -Light -Shower Light _ Date _ Card BI _ Date _ Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except 11's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts: Insulation & Support _ - Vent Fan; Exhaust above Insulation Condensate Drain & Overflow: Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 88, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. -Sills;-Proper Material & Anchors _ Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center-Drrve, Orovi Ile — Phone; 5y4-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 =- CORRECTION NOTICE 4 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. f i r � Inspector_ _ Date MOBILEHOME INSTALLATION ACCEPTANCE k COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.* ir Address or location of mobi lehome 1,0wrier's name 1� - TOWner's address -7 1 o -r J57 nsi gn i a or hud number /L�w 7 Q� S - *t4anuf acturer's name vA� � \ c� Serial number of V.I.N. M01- h1m ;24 1. Year of manufacture 2 � -� (,-,-bk -, rj-!,:; 3-&> (�, r;lng Installation) 100'N'i-al-App, -(Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE "A"'MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. AS 4v> 6 Address or location of mobilehome VA N� y -,;L r7" Owner's name UJ - L A ­�'t Owner's address -7 11-r t - Insignia or hud number IL(.w �gManufacturer's name <-2 Y' 0 S Serial number of V,I.N. IV fUttidial Ap /\ 1% 1 'A I I ng Installation Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION -%ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE BILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541 • F - APPLICATION AND PERMIT PERMI NO. ASSESSO PARtE= NUM ER //((77jj ZONIN BUILDING PERMI OWNE I 1 TELE HONE _ SO. FT. OCC. BUILDING VALUATION OWNE'R' Al IN DD SS Nrl ()Jr, Y CON A TOR'S AME w TELEPHONE CON A TO MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1S,QQ� LENDER'S MAFLING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDRESS V` Si Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MA Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE pi��, SF [IDuplex❑ Mobilehomel/el Other SPECIFY fN Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home 14A1W_V 5.00 10.00 ea TYPE OF WORK New ❑ Addition❑ R;e&iodelq Jitiliti SA Installation El Other ❑ Describe work: ®t� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlnes$ 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 OCCUP.ad, A h¢sgft New CONerRULTBI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu 20 0 50s Occup(OUTLETS OR FIXTURES sALO 30 Ex. Occup. OUTLETS IIRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g 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. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-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 said County in consequence of the granting of this permit. �fJ�Q.t%lPlt—� / / X _ Date 3 _ 8 L Signature of Applicant — Owner ® Contractor ❑ 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPC I I FLOG ARRC PD D 8 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF P BY the applicable provi- resolutions to do fees have been paid. IC WORKS Date Receipt No.___11S_A11,M0 WNITC-D.P.W., YELLOW-A58L980R, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date nel COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, rQALIFOANIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER /; r Proposed Building Use `f Permit No. A. P. No. Permit Fee Based Upon: Complete Contract Price 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 All items have been submitted. Plot plans in duplicate/triplicate." A0 c�r . . Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement 6. State Energy=Forms-Na 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. ' 10..Sanitation approval from �� Health Dept. JT�/�' 0 d(D 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .'. 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector (Date) 8. Recorded copy of Agricultural Acknowledgment Statement.►�a9�86 When you issue the permit, process as follows: \ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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 t' e a p icatipn it I m.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans checked by. Plans approved by Other: Copy—DPW Date Date _Mail Date Other To: Building Department From: _environmental Health `,ubject: Sanitation Clearance Owner Location e AP// Plan hp proved for: Sewage disposal _ water supply Hold final for: crater supply Final clearance O.K. for: water supply Clearance for. / bedro obile e. Other P10Tts 1 r Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). i 2. I (have/.I — 't) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I 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 No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: -7 2��a• Property Owner Social•Sec urity Number Date `— a 3 - R,(, 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 per- mitted to issue the permit. AEOORDED IN OFFICIAL RECORDS Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COUNTY.CALIFORNiA FOR RESIDENTIAL DEVELOPMENT AT THE REOUEST OF Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a,building permit. 86-2983 1986 JAN 27 PH 2' 34 The property described herein is adjacent to ladcl or included ELEANOR M.BECKER within area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE - proper T.._. may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not.„limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purpoles, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: / i(�Q' AL,.. &,,,-AInce,/ 0-+� - �e� y6 '11 C� / 9 �� - a;¢�l�it • `may �, � � /'�:� '''"`� + ' .400j' Date: / 2 PROPERTY OWNERS: State of �� ”) On this the J�/L2 day 'of 19EL, before SS. me, the undersigned Notary PuMic, perso lly appeared County of ) �, '77- 0 IC L 71 ---- OFFICIAL SEAL Personally known to me. / / Proved to me on the basis MARI0RIEI CARTER of satisfactory evidence. art�+NOTARYPUBLIC- CALIFORNIA to be the w person (s) whose names) �. s bscribed to BUTfE My Comm. Ex'ire,NDec.c. 14, 11x7 the within instrument and acknowledged that � 1 } executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal Zj, Notary Public Present A.P. No. 0 This set of plans and specifications MUST km kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public Works, County of Butte'. MOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for t: -,c S --'ifie:- use in the Uniform Building, Plumbing say Mechanical Codes and the. National Electrical Code. or A setback ofMit• from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang.. A permit will be required for the installation of the mobilehome. Ird Utility connections shall beWithin hin 4 ft. of the mobilehoV , directly be r within the rear half of theide (left)b f th® roadsr r6obilehome. BUTTE COUNTY o BUILDING DEPARTME-W APPROVO Ird ENCROACHMENT PERMIT " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville. California 95965 Phone: (916) 534-4266 APPLICATION Permit No. g� G • ............. -- I, WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the county roads and highways, all in accordance with county, ordinances and general laws. NAME-Y�l.%'...:.1.��.................................................... SIGNATURE '�'....... ' 1 MAILING ADDRESS ��� i__ _ _..,O.t% .1.. _L .:._._... Phone $7.(�� '. a. �................... -...... -------------- _..... Date. ....-----.........................------........----......................--•------.... Location of work to be done ---- ..... j�L' ._..�.�L1 U....,:....Q...��4!.G11....%�R�,�................ -- r- .-w-ay...... _ ..3......, r- zlz..../V!.---.........................................................._..... TYPE OVWORK TO BE DONE 1.' Curb ......................................... Gutter .. Sidewalk .... "Please check" 2. Driveway (List type)-------- L:�aY.._&.�........................................................ ..»......_........»......_......•----•--•--........---.....---- 3. Underground Conduit .................... ..... _...................... ..... ....................................................................................................... ............... 4. Other .. PERMIT GRANTED In compliance with your above request, and subject to all terms, conditions, or special conditions written below or printed on the back of this form, permission is hereby granted: SPECIAL CONDITIONS ...... �/1....... a. -C .�G..r�4%.._ 4%�L�.�1i:. ....� .............. ....-----31-------------------------------------------_.....---........_........----...................................................-----------.......--•------.........----...........---....... This permit is null and void after Date Issued ._l..___..:.... ......_....... Surety..........................................•----.. DIRECTOR OF PUBLIC WORKS ; � Z14: � 4 5 �2�0- AGRICUL`.UURAL AFFI-QA:V•IT E;MPLOYE9 :ploye� �i'Y� / C �� �� f � Phone mpl-oyee's Address (Present) 1-775�,�Ccl ame of Owner Il'r'S Address - I �� C�ii AY/ i,JT -- 4mer's Assessor's Parcel Noe )) 19- uilding/Environmental Health ',,rmit Description and Plumber late Issued Ey - - 'lanning Department Approval. 7,one P,:relling on AP/,f��/9� iy- C,f`G/� Flo declare, subject to the :enalty of perjury, th�it�I ani the employee, of address (present) -____:o n APS_/-/ ind that I will be employe-e'under Section 24-21 a2 to for at least thirty-two (32) hours per week for at least sixteen 116) weeks per year on Signe Dated AGRICULTURAL AFFIDAVIT a n IP.LOYEIR a Z�M_ Oy e � I N Q ! fC'./- ( � � �f /� Phone ;�� mployef' s Address -(Present)_�L7�/�� /rN ame of Olaner IA! C 9-: t4 l , •jner I s Address i O wner's Assessor's Parcel No. o� 1 ' /9 .. 41 ,uilding/Environmental Health 'ermit Description and Number, )ate Issued Bye 9 Tanning Department Approval: :ate � /Zone D Dwelling; on A Ir JJ ��l/ Q �f r ��. �/ fi��P do declare, subject to the )enalty of perjury, that -I am the employetrofi� ,�i 7 address (present) on A 17 r5 ^ �/ CG 7'1'10 l�' �- �Si` C• �.��_ P#_---�- - :nd that I will be employed under Section 24-21.2 for at least tag) hirty-1.110 1(32) hours per week for at least sixteen (16) weeks per year on Signed Dated AP # OWNER PERMIT'�� MH UT IL .CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction iTest.Req. Service Size Other Load Type Pipe Size Length YES NO YES NO s 0A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959e:5 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO./ d ,en ASSES R PARS L NU BE `/ — ZO G BUILDING PERMIT OWN7R 1 T L NON OWN S MA LING A © 1. l SO. FT. OCC. BUILDING VALUATION CO T T R'S NAME Tr EPHONE CONT C DR'S AILING ADDRESS Fireplace CONSTR TION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation is Filing Fee Permit Fee $ 10,00 $ ARCHIT OR ENGINEER LICENSE NO. L_Energy ARCHITECT ORENGINEER'S MAILING ADDRESS Plan Checking Fee Plan Checking Fee Penalty $ C $ $ BUILDING ADDRESS Permit fee $ s� PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 �. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: _ r j d D- o. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r 800V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L too AMP 2.50 CON RACTORS LICENSE LAV'NEW 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 CONST. ( DWELLING OCCUP.N , h2sgft New CCONSTR.A MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS B. SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES eAL@30 °ALO so \ Ex. Occup. OUTLETS FIXED P(RESID,)REA.F 2.00 Temporary service 10.00 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. ❑ 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. 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. MECHANICAL PERMIT Filing Fee 10.00 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. 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 said County in consequence of the granting of this permit. X� %L, �S�2` —8� rn �Date Signature of Applicant — OwnerJ�j Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I IFLOODIPARCELI PD I ND UE This rmit is hereby issued under sio of the Butte County Code and/or 'wo in icat ab ve for which R Toa OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �^ Date �j ®� �L'T Receipt No. WNITC-D.r. W., •FLED W-A58C$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT q/ COUNTY OF BUTTE - DEPARTMENVFO(-P'WLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 • TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET o / Permit No. V/ OWNER a �� !� [�^ r A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Ot r (Ex ) 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 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. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. 0 'ner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15 Improvements may be required. . . . . . . . . . . . _ 6 Mobilehome Installation Data. . . . . . . . . 17. Pre -inspection for Re uired..Puildingen request to (Date) (� q Building Inspector 18. lA� . RecordB9 f 1t I Acknowl d ment State ent . 19. Other �iGonstruct�o approval required prior to occupancy When you issue the permit, process as follows: K Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other Applicant OI - Date kle 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 t_ .irp of application, circle item.) 1. Index permit for above Items No. �_ 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by to Other: Copy—DPW •� 3 i A, DO i �/f ,ai Pvry W F� Hli�" asr) ,Q/o COUNTY OF BUTTE = Department of Public.Works 7 County Center. Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) . . 2. I av /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I 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 No. 5. I will provide some of the work but I'have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: qq �+- Property Owner�� dry o} Social,Security Number � , © Date 3 -- al — FIL 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 per- mitted to issue the permit. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET P 5. What is the mobilehome electrical rating? --------------- 1. Owner's Name: 6. What is 2. Installer's Name: j� Amps 7. What -is the mobilehome site circuit breaker rating? ----- 3. Is the site currently under permit? Yes No 8. Is there any other electric load to be served by the _ (if yes, furnish permit number �� ) OR F mobilehome Is the site an existing site? Yes No Yes No (If yes, furnish two 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 F] (If no, clarify P 5. What is the mobilehome electrical rating? --------------- % �r�. Amps 6. What is the mobilehome site service rating? ------------- j� Amps 7. What -is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the F mobilehome site service? ------=-- ----------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- / (in.) 10. What is the type of gas service. Natural R] LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------- ------ f �G� (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.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA ti If other than single wide, Mobilehome Mfr. 5- i/ // i7 furnish Setup Model No. Year Width (ft.) Box Lengthy' (ft.) Tagalong or Expando Size ft. x ft. 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). FOOTINGS (check one)F1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) F4-- Concrete block. 19-1.01 2. Other (specify) Pier Footing Sizes and Locations /P, Y'316 _ .GJ SINGLE -WIDE Main Beams 4 1 -in, '1'1 — — + Line 2 Main Beams Line 2 Line 1 s -Line Tag or Triple tine G , Line 1 Piers: Size -Min- ------------ M-O Spacing-Max. ---------From Ends -Max. ------- Line 2 Piers: Size -Min .------------ „x Spacing -Max.--------- From Ends -Max .------- Line 3 Roof Loads: Size -Min ------------.- Location (From Front) Line 1 Openings: Size -kin- ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only). Size -Min ------------------- Sc , n Spacing -Max---------------- From Endo -Max -------------- �_ u e 4 Piers: Size -Min ------------- Spacing -Max.--------- From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walla On Size-Min------------------- Spacing -Max.--------------- . n From Ends -Max -------------- '- I ��S ��� �D r� Gem Oe✓ �✓Du y� 4 ' DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 r RONALD D. McELROY Deputy Director RE: Building.Permit No. Expiration Date (A.P. No. With reference to the above subject, our records indicate that your Building Permit on the above date. Building.permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend --the Building Permit for an additional year from the original expiration date. Should you not renew vour Permit in a timelv manner, it cannot be renewed and all X32 s C A Ave; P-xw Dak COUNTY OF BUTTE — DE,4ARTMENT.017_)PUBLIC WORKS 7 County Center Drive �- crcville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / r1l f .y �4 Date- 19- SlL Signature of Permiiee or Agent Receipt No. 3 S 02-3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -Building permit expires Date BUILDING Owner (& �_ G �� SO. FT. OCC. BUILDING VALUATION Mailing Address -*30 Contractor (1f,1 � Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S/$ I)L rck s4: A I /7 VE Plan ng Fee&/or Penalty Permit Permit Fee A K PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 L /� IT Repair drainage or vent piping 1.50 A. P. No. / "� �/' +� Zoning &401<ng Water piping 1.50 Each gas water heater or vent j 1.50 Fees WFC' Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg,Pfans-Re`c d— Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0� Permit Fee $ $ PrP _ W _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `,CAO Main service 600v OR LESS 100 AMP OR LESS 5.00 500 Single Family Q' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 2¢sgft NEW OR ADDNST ( ACC`BLDGS.LING CCUP. s1.' 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. BRANCOUTL T NON.CONST ( BRANCH CIRCUITS2.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) IB 1� 00 FIXED ALNS Ex. Occup. (OUTLETS 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 $ /C/ - LS 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 I J 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 relatinq to buildinq construction, and hereby Land Development Fee $ , TOTAL PERMIT FEE is 74 lis authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / r1l f .y �4 Date- 19- SlL Signature of Permiiee or Agent Receipt No. 3 S 02-3 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 -Building permit expires Date �J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive ' Oroville, California 95965 Telephone: 534-4541 ,( /(// APPLICATION AND PERMIT V "��" BUILDING Owner A��Z GI%%Z�� SO. FT. OCC. BUILDING VALUATION Mailing Address /2-30 6&V &1e_,_ /2) tom- q _S q ff Y&n Contractor G4A,1 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S s �T�5C-Al 4vE Plan Checking Fee &/orPenalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 /� A. P. No. G. / — Zoning anning Water piping 1.50 Each gas water heater or vent 1.50 F es I W. Sarmift en FireDept. FireZone 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 BIt,:=,n=sr,,==J Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ G-% �/Z(I/Ci�j ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .Qd Main service 600V OR LESS 100 AMP OR LESS 5.00 00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMP60ov OR LESS 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELINGOR ADDNS. ( ACCLBLDGSCCUP S\ 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: NEW CONSTR MULTI-OUTL T NON-RESID ( BRANCH CIRCUITS 2.50ea NEW CONSTR /POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OccuD(OUTLETS OR FIXTIIRES g L 250 1� Ex. Occup. ( OUTLETSP(RESID )REA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 1 /,,, License No. Classification 14 am exempt from the Contractors License Laws of the State of California. 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. ElI 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. 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. Signature of Permitee or Agent Receipt No. 34--.02:3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ 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 for which fees have been paid. DIRE TOR OFBLIC WORKS By—E o DateA�4.9D q permit expires Date—��