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Home My WebLink About021-260-016-1V 21-26-16 -84P,E(util —ell R4Y LOLMAUGH I�M24v,,Losser Avenue, Grid -ley' -1-... --PermitMi 2 NH ex s zca GAS CONPACTION TEST SUPPORT STRUCTURE AA f e C at�" Ott, 7.6 03. 2 A� I . F7,777 7'1 *ERMIT NO. 724-84P2E(MH) VA" PERMIT EXPIRES OWNER RAY LOLMAUGH CONTR. ..owner ASSESSOR PARCEL 21-26-16 LOCATION 1232 Losser Avenue, Gridley OFFICE COPY Address G'S -Age A' Met r By ELECTRIC Da Meter By -A&= tze:o� -Pd-- Temp� wer P�le Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E V -3 JOB FINALED (Date) Signature V I '= ok - 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready - MISCELLANEOUS Da te MO-BIIX'HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s ,P"Z_oafn—g Requ irements—Setbacks— Easements 1: Zoning Requirements—Setbacks—Easements ,OK'Soils; Special MH Suppo�t—Sketch 2. Footings; Size—De'pth . —Spacing—Connectors -Ofz. Seyer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decki.ng—Bracing—Stairs—Rails �e�Xer; Location—Tfs—t—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Brac—i ng ,mri le city; Location—Clearances—Grnd.—/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures �6jKas; Location—Test—Wrap: / /"L"ft./ P. t.or/ /"L"ft./ LPG 6. Carports: Windows—Doors Utility Clearance 7. Elec. � —a �'rd - I C Datq Card -BI Date Card -BI Date Card -BI Date Card -BI Date -SJ -7W Card -BI, 2V / Date Card -BI Date Card -BI Date Date MOBILEHOME INSTAA ATION (PliWOK except #'s &-Kn'ing Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbac ks— Easements 201,Fo'otings; Size—Spacing—Marriage Line 2. Soils; Compact i on—Struct6re Stability 5P-ed"s; MH Test—Dernand—Valve—Connector 3. Pool Structure; Stee I —Connect i ons— T h i ckness—Dead Men—Lining J4:;fffectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5_�,Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures: Conduit Entries—Terminals—Listed ;,��er and Sewer Conne6ted—C/0 to Grade—HD Approval 7. Elec.; Bonding: Metal w/5'—Circulating Equipment—Heater S�-:as and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc losures— Pane I boards— Ins. to Main in Conduit 1J. Exits; Ins.p.—Sketch 16Z�,�artof Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Ci?B-1 25; Datej-�XT_Ward-Bl Date Ca'rd B -I — Date - 6aid-BI Date Card -BI Date Card -BI Date %/ = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -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; Stee I -B lockouts -Wrapped -S lab 52. Sid ing-Nai I ing-Veneer 6. Stemwalls, Garage; Stee I -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protect ion -Sky I i ghts-P last i c Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regu lator-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 -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protect ion -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-Naill Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access ___17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI -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 -C loser 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. RoAceptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. 73. Insulation -Foam -Looked in Attic 0 Yes Guard Rails & Deck Construct i on- 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 El Yes 27. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral Dyes ONo 75. Following instId.: Drive E) Yes C] No; Walks [j Yes El No; Planters El Yes EJJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearan6es; Pane I s-Motors-Mec h. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs._ Card B-11 Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. R eceptac I e -U nderg round 81. Ventilation throughout House Card B -I Date Card -61 Date 82. Glass Protection Date MECHANICAL (Permit) OK except #*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 -61 C -a nd -EFI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -131 Date Card -131 Date 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 Nailing Draft Stop in Walls (rat proof) __10. _FLire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42.- 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hang-ers-Post Caps -Anchors -connectors OLT-17 r 6�oj -6 c CIng. Joist-Fifir. Ties- in- ra uss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic c cess; Size & Romex Protect i on -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89lt2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE JER PEF 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. z- Inspecto Date ,I% COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 _ma44efr-4u�_ineed additional explanation, please contact this offic4 immediately. fX A --A- fl /I A It i ]A I I I I A Ir V Ai i I I f Inspector Date 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 =emeRt.s of the C ' alifornia Administrative Code, Title 25, Chapter 5, permit number!�'122- for the following location: Owner 0 Owner's Address Mobilehome Mfg. d6del Year Insignia No. Serial No. -'I -r- t; It is hereby certified for occupancy at the above described location and may be occupied. Direaof of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville,'California 95965 - Telephone 916/534-4541 APPLIC TION,,AND RERMIT. -r,� PERMIT NO. -�7 5.'— ASSESSOR PARCEL NUMBER (0 ZOI1rING 5tL-1 BUILDING PERMIT OWNER "'t %f I I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER's MAILING ADDRESS I , — L05e,127K kc, v4P_,1*P1 eA CONTRACTOR'S NAME /q0,Biu5 OQUE CaJ1EV_ TEILEPHONE I CON,TRACTORIS MAILING ADDRESS Fireplace CONSTRUCTION LENDER M001E N Total Valuation 1$ Filing Fee $ 10.00 LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ o -a Penalty $ ARCHITECT OR ENGINEER's MAILING ADDRESS Permit fee $ BUILDING ADDRESS 112,317- Lp .5 se r2_ A�eNLAE PLUMBING- PERMIT Fi ling Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 V -IT> Ley Water piping - 5.00 LOT NO. SUBDIVISION NAME I PARCEL MAP Each qas water heater or vent .5.00 1 Ga s piping system I - 5 outlets 5.00 USE OF TRUCTURE SF [I Duplex [3 Mobi 7ther SPECIFY Building sewer 5.00 _T_ Mobile Home TS IS TW� [10.00 Be " I TYPE OF WORK New F -I Addition [:1 Remodel[] Utilities[:] lnstal�ation O!her Describe work: Foy- -UTIL, f,-C—f>kJ Permit Fee $ Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2-.50 NEW CO NST DWELLING OCCUP.&) OR ADDNS. ACC.BLDGS. 21/20sqft CONTRACTORS LICENSE LAW I decla�e under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness and Professions Code and my license is in full force and effect. License No. Classification El 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) El I am exempt under Sec.—, Business and Professions Code for this reason 11 D N ULT'_OUT LET W CO S STI�L M CU, N 1,J -.E ID, BRANCH CI TS) 2.50 ea NEW.CONSTFL (POWER APP,�RATUS.&) NON RESID. SINGLE OUTLET CIR 20@50t Ex. OCCUP(OUTLETS OR FIXTURES ISAL0301 . OCCUP. FIXED APPLN5 R Ex. OU TLETS (RESI*DO I EA.) 2.00 Temporary service 10.00 1 -_ Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 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 Insurance or a Certificate of Consent to Self-Inslure. 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 miust forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cool ing Hood 3.00 Ventilation Permit Fee $ Contractor _t) 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 t ' o enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabill'11'Lps, Judgmentsi' costs, and expenses which may in any way accrue - r aga7in.,�a�o County in conse7ue�oe of the gWting of this permit. X —Date Y" cant- —/wnerE:l &ZontractorE] Agent El SignatVe of Appli 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 $ 4f 0 TOTAL PERMIT FEE $ 70, V 0 occUP. QROUP I TYPE OF CONST. I F PARCEL PD I "D I I;,0 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi By D:=OR OF PERMIT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. LIC WORKS i Date Receipt No. /405�� WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 Counfy Center Drivb, Or6ville.- CA; - PHONE: 534-4541 MOBILEHONE INSTALLATION SHEE� owner's name: 2. Installer's name: 3. Is the site currently under permit? YO; No (If yes,. furnish permit number OR. Is the site an existing site? Yes 7 No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating?, ----------------------- Amps 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 mobilehome site service? ---------------------------------------------------- Yes 140 (Ifyes, idqntify the load and size: -(Load) _(Amps) 9. What is the mobilehome site gas pipe size? ---------- ------ 10. ------ 77 What is the typeof gas service? ------------ L ------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome-gas demand? ----------- -------------------- (BTU) (This information not required Upipe length_ less than 6'ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If �ifier 'than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAns BELOW) On all mobilehomes manufactured after October 7, 1973j 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) (ft.)(in;) (in.) (in.) I . enter support Center support locations* footing sizes (in.) 1 -1 (ft.)(in.) (in.) (in.) (in.) (in.) (in.) (in.) I . . (ft.Vin.) (in.)J(in.) S ingle 1'. Wood either pressure treated or A foundation*grade. 2. Other: (specify) Supporto (check one) 1, Concrete block,', E]..2i Other.(specify) �If center piers are other than drawn above, in.-l-ocations, spacing, and dimensions. ragalong or Expando,' show support -details. -_ Typical Support ln_.�_( �in. ) Footing Size (ft.) (in.) (f t.) (in.) -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Cenitdi Dkiv6, Orovil,le.' CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET owner's name:, eAY I-MU,446# 2. 'Installer's name: 4�081�f Allc"f C45A- /7ZF9- 3. ..Is the 'site currently under permit? Yet No (If yes, furnish permit number 7Z4-84� &PAVE) OR. Is the site an existing site? Yes I L4 No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No (If no, clarify S. 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 mobilehome site service? --------------------------------------------------- Yes o L (Ifyes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------------- ------ 10. What is the type of gas service? ------------------------------- Natural /7 LPG 11. What is the gas pip e length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? --- 7 ------ -------------------- 524 0,9.0 "AX (BTU) (This information not required if'pipe 1�ngth less than 6 ft. ;on natural gas.. or less ihan� 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide OKO Mobilehome Mfr. VIQ�J (COJ�fLD)furnish Setup Model No. Year 111'SH Width (ft.) Box Length 4-0 _(ft.) Tagalong or Expando Size ft. X f t. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973j 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) <---Tagalong or Expando,' show suppott-details. 7— (ft.)(in.) (in.) (in.) Z it) > Typical Support ( 6in. in.) Foot ing Siz e (f t.) (in.) (in.) (in.) Max. Pier Spacing J (ft.)(in.) Max. Overhang (ftl (in.) (in.)l (in.) BUTTE COUNTY BUILDING DEPARTMENT APPp""On *If center piers are other than drawn above, MOVED 4raw in -locations, spacing,, and dimensions.-. Single Wood either A .1 pressure treated or NX foundation grade. (in.) (in.) 2. Other: (specify) Center support Center support Support . a .. (check on . e) locations* footing sizes (in.) I Concrete'block. E]..2i Other. (specify) (in.) (in.) <---Tagalong or Expando,' show suppott-details. 7— (ft.)(in.) (in.) (in.) Z it) > Typical Support ( 6in. in.) Foot ing Siz e (f t.) (in.) (in.) (in.) Max. Pier Spacing J (ft.)(in.) Max. Overhang (ftl (in.) (in.)l (in.) BUTTE COUNTY BUILDING DEPARTMENT APPp""On *If center piers are other than drawn above, MOVED 4raw in -locations, spacing,, and dimensions.-. This set o� p)ans and t poci'f "cations 'Mu'sy �3pt on the'job at all time -s, and it is bnlawful to M�-ke anY �11,Vnges or alteratinns on m C = 2 v4th_ 6,7151—vritl �ZtT�c rm izs 'on f rc m th a Depp rtment of P)bk Works, County of Butte Materials & WoikmariAlP 8W) Be In Accordance with r=9MlxCd G' �)f A Nibdf'-, . f . ood Practices ancl 1- , -V 101 1 no Vecif ied use In tho UAIW�ilu"IWM,- Plumbl'n'o &MOChanical CodC3 li;W tht, ki. U10ftcal Code. 100 1 0 c:) q T -AN K, Uj -z Utility 'connections shall b e vithin 4 ft. of the mobilahome eit) er directly behinclor wit half of,th l" ' the rear WE I LL e roadside. (left. 'ti Lj be vi e itl e the rj tj —7 2-50A MmUL 0 E \,Jpt y 4- I Aparmit will. bo mquired for i�'i Cq I", I I F,7 Inttollation, of the mobilehomo. RA Y L e, -IM A U& H ?232 105SE-9 A V8, AP ;q'21-2-6 —'/6 KOBILE l000 k(;f'5ft-'t10 M- the M031 LE 'i T XNk- setbac -.15eoperty 1i ies and a'tetback. BEAR WJI.D. 4XBELS -em -g - . * - --*>- I=, of a 50ft. f rc yi the road - " 10 centerline iha,11 be, cie-ar of -uqu-rpment exGept ------ ttructures for a 2 ft. r avL �'qverhango 7- -7 Z A Q BUTTE COUNTY BUILDING DEPARTMENT -APPROVED,j B ull, t e County Department of Public.Health. .6.9e.OLEANDER AVE. 2430 BIRD'STREET DIVISION OF. SANITATION CAICO.,CALIFORN,IA OROVILLE, CALIFORNIA: 343-4111; EXT. 51 533-1130, EXT. 297 'Septic Tank. System Inspection Certif icate The Septic Tank S'stem'was'lns tolled at Y. FOR-- ------- --- - ------ --------------------------------------- ....... SEPTIC TANK LEACHING FIELD Length — ------ ft. Length ...... . . ........ ft. Width _.', . ft. . .............. . in' ............. Width . .............. Water* No. of Lines--_; ..... . _' eX. Materio Rock Under Tile in. 6-V The above dimens lons.rrser the mininium requirbinents of -County Ordinance No. 699. Additional.leaching aroo.will be. e6quired if 6xperien'ce qhow's it to be necessary. R E'MARXS:-. ... . .......... . . .... . ................ ....... ..... ... . ......... 71 .... . ........................ . .... . .... . . ... Date: ........ . ..................... .................... . ... ....... ... . .......................... I ...... SAMI'i"AMAW dZ41 oe i R ity 175 U. V, - - — 0 PO'S N I T,iA:T 0 H tip K 1V 9110 N 'A 11 " 1, . i h'. Trx 11T._1.`___T T 17 , -:,, _,�, 4 1- ^-- - -R, :6LiANciah Av & PRO N, ki W T'. 5 3 3112 i 0,'� p- x 4 i'v�, R"T EPA rm 'I 343-�2 j 1 Pil Pe T dr Date issued Z'7 9 x P I R i�g, 6 ii g v i A"R" A R*� 6 M ii x y ii, 6 V, iS,"v— �k N C E, t ie.� Permit Issu /""e ............... ...... To construct�a se*age,.disposdl system foi-;.�� ....................... ......................................... 7. Lo'cdfed at! ....................... ..... ....... ...................................... SEPTI(t TANK SYSTEM REQUIREM18NTS Septic.tank.- ure"w'ents Leaching Field .(Insi weas ......... ?.. ft.' Tota ....... J-1 rich. Vwdth:_,;.�..�- t Width: Tre inches, 'd depth: M* nimum No. f lines: ............ ........... 1 0 capacity, d. h* ..,_TL: iquid gals. Rock un ei ti d ............ i nc es.. x ry Sial n iti ....................... p .......... d", o-Cro -,-14-. ..... ........ ......................... ........... .................. ..................... ................ ............. ev;; ........... ...... ..... . ........ ............. .7 . P r c ary o e'iefi: e shows it to be hecess part of Additional' leaching ii d Will be -requited. i x N -the system:: 50: t. f the center line of any County Road.. - 'located wit in ma be h f 0 y QTEi -Satisfactory, Inspecii b",* ih eAlth -D6 ' rtment is required. before N on e .14 bac'kfilling or y pa -t e sys' ding is,nof permitted i . inti the putting h' tem'i=6 use: -'Occupan6y'.of a new. bull e system is.approv'd Perin Tota Fee S I J;Fee Penalty Fee 4 ec co ._1 , 6", 4L� -Building S6wer Fee,$, d By: Issue' Sanitarian. Rece�pt'N oii 531�i%!R 2430 BIRD STREET I wN OROVILLE,. CALIFORNIA 95965 533-1230: EXT. 297 APPLICAITION FOR PERMIT TO CONSTRUCT A'SEWA'G'E DISPOSAL SYSTEM -Applicant's Name: ...... . . ......... ...... ............. ...... 'Mailing Address: .................................... ..................................................................................... ...... . ...................... 7 ... ....PhoneS /V ...V 6 .................................................................................. ..... ....................... Name of Owner: -7 ............................. ............................................... .................... 4.4 /< Z, 1. Construction site-, .(STREET &,NUMBER OR DIRECTION & DISTANCE TO NEAREST CROSSROAD) ft.. x .......... ft.; .2. Lot ................................ .. . ...... ....................................................................................... acres 3. Application for new- system for new buildirigi 0; auxiliary or second.aryi sysie MA Repair of or addition to old system New system to replace existing sewage* disposal facilitiesf—l' 4. Type ofbLuilding.to.be served by proposed system: HOME No.. Bedrooms? ............................... ................ Nb. Baths? .................................... Garbage Giiinder 0 Y es[�kNo OTHER E].(5pecify).... .............. ... C ............... 7 .......................... 7 ............................ 7 5. Watersupplyf6r.plremises:: Community0; Private well,P;T; Other .................... . ....................... . .... ........ .............. Water supply for adjoining properties.: Community[]; Private Well*F,;;I.; Other- .................................................... . .......................................................................................................... *If private �well,. how many'feet from your nearest property line? . ................................................. . ......... .......... I .................... .61. SCALE PLOT PLAN TO BE FURNISHED. Sketch to,scale on reverse side. hereaf, or attach .*scale sketchof plot plan of the prernise-i showing: a) Property lines. .b) Location of proposed building- and driveway Y. c)'Location- of large trees, rocks, or other obstacles. d) -Location of any -well, spring, '�reek or other'body of water. e) --Show direction and approximate ainount of slope�. I.hereby.state that the information above and on the reve.rse side hereof or attached hereto.is correct'and true to the best -of iny knowledge. ..I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactoq inspection o.f*the system . is re quired b e - fore the new b.uilding may be occupied or.the system bacWiQl4ed' o. put into -use. Date: ....................................... Signed: ...... ........ ..................... ............... ............. .............. ................. ..... ...... Zoning and access: 0 K[:) 1\1OK0 Cleared by- P1,d ini . ..... 11 ..! .......................... ......... . .................................................... Permit issued ...... ! ............. .................. Denied: ....... ........ By: ....... ...... ....................................... �Date: ............ ................ X. Remarks: 1010�00, COUNTY OF BUTTE- DEP�RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIqN ANq PERMIT PERMIT N 1-7 -?.�/ ASSESSOR PARCEL. NUMBER 2-1-7-6 ZONING sel BUILDING PERMIT OWNER PAY L04 AU 4 14 TELEPHONE SQ. FT. OCC.1 BUILDING VALUA OWNER's MAILING ADDRESS lv�*Z L05c_,C-V_ AVE VLC-f CA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER f,� ON c— UNKNOWN Total Valuation i$ Filing Fee $ 10.00 LENDER*S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEY S', 0(\1 E LICENSE NO. Plan Checking Fee m 44A $ I&IOG Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS IV17712- Lm-5,eg_ ANE. PLUMBING PERMIT Fi I ing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 LEY Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00. USEAOF STRUCTURE SF[:] Duplexf_� Mob� Other SPECIFY Building sewer 5.00 Mobile Home e -r (il;wr 10-00ea '30, a V TYPE OF WORK NewD Addition 0 Remodel[:] Utilities 2-*-,InstallationF Other[] Describe work: Q(tsm)(4 S I re: - UTILATY U P PA --A_1_—_ Permit Fee -n!! $ 40�co contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD -L 100 AMP 2.50 2, 50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC.BLDGS. 21/20sqft 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 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. NON RESID, T' -2U MBR 2.50 ea UkNC CT142TITS) NEW CONSTR. I POWER APPARATUS IN' NON RESID. %SINGLE OUTLET CIR . 20@50t Ex. Occup(OUTLETS OR FIXTURES 1BAL0300 FIXED APPLNS OR Ex. Occup. OUTLETS (RESI'D.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IS. oo Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. E] 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-Ingure. 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. 0 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also ag�ree p-�ave, indemni f y and keep harmless the County of Butte against tp t all liabil 'j�e�sjudgn�ents, costs, penses which may in any way accrue agains al ounty in co que the grantin f this permit. 1? —/ S _J�� Si A rure of Appi i cant �O W /erEJ C o4roo c t a r E) AgentF� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov!% 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ b, OCCUP. GROUP I TYPE OF CONST, I �JPAR;��[jVl �SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By. PE�6(T EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date. 7 Receipt No. WHITE-D.P.W., YELLOW-ASSFESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT