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HomeMy WebLinkAbout022-210-06722-21 Paul DeMe er I� E/S West Biggs Gridley Rd., app. 12 mi. {tel S'. of Farris Rd:, Gridley Permit# 6.4-76P,E(utsl.,MH) ELEC ,6�I Q t .c3.v, o GAS SUPPO T STRUCTURE REQ. COIdPACTION TEST. REQ. O �Md O 22-21- 6 7 CONT ,Curly's 'Trailer Towing, Oro. Permit #1978-76MH Issued r 22-21-67 PAUL DEMEYER 2176 W Biggs Gridley Rd, Biggs „ontR-*--North•-State `Roofing < Permit#3231-88B(reroof/SF) Z- 3�y- 9 , 022-210=067 PERMIT2 i LEISHMAN,. Dale 2176,W Big idley Rd., Gridley New D e Studio B08-09501. �%WO (!�' ` ""� `022-210-067 MISCELLANEOUS . Electric Panel ELECT SERVICE TO IRRIGATION PU �. W BIGGSGRIDLEY RE LEISHMAN DALE & LYNE ' 1 4 F t � A } ) f 1� 4 9 F } ) f 9 GCOUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 CountyCenter Drive - Orovine, Calffornia 95965 -Telephone (916) 538-7541 HERMIT NO (Rev.'2�6> APPLICATION AND PERMIT BUILDING PERMIT t - `1110 ",1 7 U .. G`4C[Li SO• FT• OCC. BUILnINfi vsI I 1w��... III ■ r■ su » a �F,aEna wwuo eoor+s� LICENSED CONTRACTOR'S bECLAR�TION .1 her y affirm under penalty of perjury that 1 am licensed under provisions of Chapter a (com ening with Section 7000) of Division 3 of the Business and Professions Code, and m license is In full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project O 1 am exempt under See. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation. as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is Issued. ' O 1 have and will maintain workers' compensation Insurance, as requir id by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number we: Carrier j Policy Number (The above sections need not be completed 4 the permit is for work of a valuation Of one hundred dollars (=100) or less.) O i certify that in the performance of the work for which this permit is Issued. I shag not employ any person In any manner so as to become subject to workers' compensation laws of CalHomia, and agree that If 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code. 1 shag forthwith comply with those provisions. X Data i °C'e co�ar. TYPO _ TOTAL FEE s ,:?. wu:. a race av R;000 cw rwRcrs ro w -a fl Fireplace onTotal Valuation Is kasFlUna Fee i 20.0 AAMMcrop a woaness Permit Fee i �� SULOMAMMM Plan Checkin Fee $ Energy Plan Checking Fee $ 1? f Lcrwsueavewrarriue ,�� fW PERMIT FEE III (' PLUMBING PERMIT RlIh Fee 20.00 USEOFSTRUCTURE Each Tr 7.00 /it,fir_ Solar or heat m water heater 23.00 SFO Duplex O MobOehome O Other ( Water 18.00 , e_ r` TYPE OF OR Each water heater or vent 15.00 Fee New Addition O Remodel O h O Gas 1 - 5 outlets 15.00 , c//. Building sewer 15.00 S' Describe Work: MobUe Home S G W 020.00 PERMIT FEE [.ELECTRICAL PERMIT _ I Filing Feel 20.00 LICENSED CONTRACTOR'S bECLAR�TION .1 her y affirm under penalty of perjury that 1 am licensed under provisions of Chapter a (com ening with Section 7000) of Division 3 of the Business and Professions Code, and m license is In full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project O 1 am exempt under See. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation. as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is Issued. ' O 1 have and will maintain workers' compensation Insurance, as requir id by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number we: Carrier j Policy Number (The above sections need not be completed 4 the permit is for work of a valuation Of one hundred dollars (=100) or less.) O i certify that in the performance of the work for which this permit is Issued. I shag not employ any person In any manner so as to become subject to workers' compensation laws of CalHomia, and agree that If 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code. 1 shag forthwith comply with those provisions. X Data i °C'e co�ar. TYPO _ TOTAL FEE s ,:?. wu:. a race av R;000 cw rwRcrs ro w -a fl Fee i Enerav Inaoectlon Fee ti c//. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fess have been paid. Signature of Applicant - Q Owner O Contractor O Ag An OSHA permit is required for excavations 0'� a/id d clition of structures over 3 stories in height V,! / By Date or construcOft tion kIR in Service ao tt`�as 29.00 in Service xos to NIN 1oaa► 15.00 ,00hs.i�a�• 3.5t�.wnesm. CONST. rnnhounZAPPOWMA r @7.50 rows Ex. Occup. owner on Foeunes 20 '•w awL .eo Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Allisc. Wiring 23.00 PERMIT FEE _ `; MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling s t Hood 0.50 Ventilation PERMIT FES i S • . Mobilo Home Installation T. COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: DALF & LYNN LETSHMAN ADDRESS: 2176 W BIGGS GRIDLEY RD CITY & STATE: GRIDLEY, CA 95948 DATE OF CLAIM: 8/14/98 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT. - SEE INSTRUCTIONS MI RCVCCCC 01ME DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED NOT TO BUILD. (.AP. #022-210-067, BP#98-1512,RECEIPT #244448, DATED 7/9/98, OWNER: DALE &-1Y-NN. LEISHMAN.) TOTAL AMOUNT PAID.....................................$404.60' RETAIN REVUND PROCESSING FEE .................... RETAIN BULDING PERMIT FILING E 20.00 ............. RETAIN PLUMBING PERMIT:'FILING:'FEE...............$20.00 RETAIN MECHANINCAL PERMIT FILING FEE ............ $20.00 i TOTAL AMOUNT TO BE RETAINED........... ............. $11.00 TOTAL AMOUNT TO BE REFUNDED ..............:...........$ 3.60 TOTAL $43. I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this – day of , 19�a, at _ Calif. —±�Signature�Claii'm�ant I, the undersigned, hereby certify that, to the best of my knowledge, the servicesMorcecified above a een erformed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check oneDated this 17TH day of AUGUSTI 9 98 at OROVILLE Cal Dep ment Head or Authorized D putt' i Dept. Code 440-002 Exp. Code 4210500 PAYABLE F OM CONSTRUCTION PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUN. Dept Code Exp. Code PAYABLE FROM FUN DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: . Receipt Information: Number: Date: Issued To: Amount Fees Retained: P/ Processing Fee: ✓Bldg Filing Fee: o' Plbg Filing Fee: /Ellec Filing Fee: �Mech Filing Fee: iP Energy P/C Fee: $ Plan Check Fee:(/ -/.69 $ Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE S a�3.c�o CLAIMANT'S NAME MAILING ADDRESS REFUND CLAIM APPLICATION nn Ledhntdv, ASSESSOR PARCEL #: 001d` — o)-10 _ ND �7 RECEIPT NUMBER(S) 0 � 9y6 / b Request a refund of fees paid on the above receipt number(s) for the following reasons: Lk- G Sl ton C m h CCc Kd -. E+- .r tt J to enf M Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) (X) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees Please mail plans to me at above address. ( ) . Please dispose of plans. `' t SIGNATURE DATE — g PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. I &;J �-+nprw-I1� (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaliTornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT -_.Z ASSESSOR PARCEL NUMBER J — 0 ^ / ZONING o BUILDING PERMIT OWNER TE ONEQpLL// ^SOT SO, Fr, OCC. BUILDING VALUATION OWNERNO ADDRESS 9TRk CONT R'S NAME TEUpIIONE ' CO RS MAILING ADDRESS CONSTRU NUENDER o 1, e LENDER'S MAILING ADDRESS Fireplace Total Valuation 3 ARCM ARCHR CT OR ENGIN EA UCENS NO. Flinn Fee $:20.00 ARCWrECT OR ENGWEER'S MAJUf4 ADDRESS Permit Fee $ Plan CheckingFee $ eu1LolNGAooREss Energy Plan Checking Fee S S PERMIT FEE _ (' U)TNO. SUBDIVISION'S NAME PARCEL PAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEc Each Trap 7.00 / ( j Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Each gas water heater or vent 15.00 S. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (920.00 PERMIT FEE _04 110 ELECTRICAL PERMIT _Mling Fee 20.00 Main Service .0000 on Lss 23.00 LICENSED CONTRACTOR'S DECLARATIONMain I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 ry P Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Age t An OSHA permit is required for excavations r 0"��P acid d molition or construction of structures over 3 stories in height �`f ! Service sooA TO 1000A J 46.00 NEW CONST, pyrEu,pq O -Up. SO OR ADONS. a / , BU)S. 3.50FT. , NEW CONS MULTI.OUTIET (97,50 NON•RESID. PowER APPARATUS a swGLE ouT. C"L Ex. Occup. OUTLET OR FIXTURES aA� 0 .w TL Ex. Occup. FOCEOA IFIES1 OR ouTLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating CoolingS' (� Hood 6.50 Ventilation PERMIT FEt $ S Mobile Home Installation Fee $ Energy Inspection Fee $ (� OCC "CONST. TYPE TOTAL FEE $ 1 , HAz. o. FEES IMP FLOOD COF PARCEL PO HD ssuE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. fa Receipt No. r.6104, 6DII WHITE-O.D.S.-B.D. ANARY-ASSESSOR K -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF. DEVF,LOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: e;s I&W h • ASSESSOR PARCU?!! : ©Z '�/©Proposed Building Use: n eO 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 By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 03. ----- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ t- . Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------- 8. -----------------='------------------------------------- 8. Hazardous Material Form------------------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 0. Fees of $ y ------------------------------------------------------------------------------------- ;i - ,::..11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- '}�1;;��4 ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ,.':�� ❑ 13. Flood elevation certificate. -------------------j ------------------------------------------------------------------- 1/14. Sanitation and plot plan approval V1 ( Health Department. ------------------------------------------- Ell, 5. ------------------------------------------ ❑15. City of Chico plumbing permit. 917. 6. Plot plan and business license approval from the City of Biggs. ----------------------- Planning approval for (A) Use: (B) Parking: t/ W11El-- 8. Contact Land Development about Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑ 1. Contractor's license information. (Number, Name Style, Classification). 01yorkers' Compensation carrier and policy number. ----------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑ 24. Letter of signature authorization. ------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. - E326. Letter of intent on building use. ---------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ ❑ 3 0. Other: (Date) 1-1 When you issue the't, pro y s as follows C3❑ Mail to owner, ail to tractor. r. Telephone v -J g � / and hold for pickup at UM V; office. ❑ deliver with inspector. Applicant: `" �- Date: r - ` Copy of Haz-Mat form sent ❑ Health Department, ii Fire Department, ❑ Air Pallution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES ' DUE OWNER . 1�JG �� {^L� t cS►I N'� C! �'1 A.P. # PROPOSED BUILDING USE �Q Ac- t Ud 110 DATE !2 Z2 /M� RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ --Additional Fees Due ........-... $ -- Additional Fees Due ............. $ -- Revised Plan Checking Fee .. $ 1 -r . ✓2. SCHOOL DISTRICT FEES Yl i T (paid at District Office) t/3. SHERIFF FEES (paid at Building Division) Residential ........ x $360..00 = $ Units / Commercial (sq. ft.). )10 z $0.03 = $ �G© Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . X'_ _ $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE r-7,9 Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You,have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) ,DING DIVISION TONE (916) 538-7541 SCHEDULE OF RECEIPT`OF FEES OWNER Cd�I k'& t J N"? 0 4 A.P: PROPOSED BUILDING USE ho i!C. e f 0Ci t''O DATE .�� �f RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $J J V/0'2. SCHOOL DISTRICT FEES (paid at District Office) L/3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid a[' Building Division) Residential (per unit) . x = $ ' #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) y� 7. SRA FIRE INSPECTIONtAND PLAN CHECK $89.00 (paid at Building Divigion) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER - . • t. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT (�`'� JL,(-i��' - DATE / �(f Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy -Applicant 3rd Copy - Owner (Rev. 2/97) (. -Y=,-;-�- OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signapu+a. Please complete and return this information at your earliest opportunity to avoid unnecessary do*' in processing and issuing your building permit. No building permit willbe issued until d& verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement • YES NO 0 2• I HAVE 0 HAVE NOT 0 signed an application for a building permit for the proposed wio have contracted with the following person (firm) to provide the proposed constrt�ct si v r `. ADDRESS: CITY: AN:. PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions ,of this work, but I have hired the following person to co oidimte, : supervise, and provide the major work: NAME: y ADDRESS: CM: f PHONE: \ CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to the work indicated: :. pr4de NAME ADDRESS PHONE TYPE OF WORK SIGNED: , PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ —'� — DATE:.' --NOTE: This Owner -Builder Verification is required by Section 19931—W79U2 oJ7kd California Health and Safety Code. This verification must be completed otrd returned to our office before we are permitted to issue the permit. W., _ OWNER BUILDER INFORMATION -1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. -you should be aware that as "owner -builder" you are the responsible parry ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing &ir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you planto subcontract, you should be aware of the following information for your benefit and protection: _ ti ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including mate&h and other costs) is $300 or more for the entire project, and such persons are not licensed as conasetiors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and your are subject to several obligations including state and federal income tax withholding, federal socialsecurity taxes., workers compensation insurance, disability insurance costs, and unemployment compensation contributions;_ ; ♦ There may be financial risks for you if you do not c ep Y y y airy out these obligations, and these risks are especially senQus with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations urydepFedeml Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Paymen! and the Division of Industrial Accidents. .l If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform"their work personally or through their own employees, without a licensed contractor or subcontractor, only under Hilted conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. t rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER July 21, 1998 Dale Leishman 2176 W. Biggs Gridley Road Gridley, CA. 95948. Assessor Parcel Number: 022-210-067 Building Permit Number: 98-1512 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. This building requires a complete Code Analysis. This must be done by your engineer, Frank L. Tyukos. Plan review cannot be continued without this analysis. 2. The entire building must be made accessible to the disabled. 3. The number of restroom facilities will be determined by the occupant load and U.P.C. Appendix C. 4. Provide verification that building permits were obtained for all buildings located_ on this parcel. 5. The Permit Application Data Sheet items are required in addition to the above mentioned. If you wish to discuss any of the above items, I can be reached at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, , Glenn Gibbons Plans Examiner 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovilld, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � /SZ2 ASSESSOR PARCEL NUMBER 022-21-0-067 ZONING BUILDING PERMIT OWNER TELEPHONE SQ, Fr, OCC. BUILDING VALUATION 1120 . OWNERS MAILING ADDRESS OWNER CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NOW Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER FRANK Ty1JK0S LICENSE NO. 32434 —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINv,T7US W. BIGGS GRIDLEY RD, GRIDLEY L1/l7 Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE DANCE STUDIO SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation i►►yy��ura c carrier�I d poli number are: Carrier (n�j � /L J3 (� 0-0 Q/ Policy Number ,� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply lith those provisions. X Date ? A -9 9 SibeaturJ of Applican Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'U' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A46.00 NEW CONST. DWELLING OCUP. 3 SaSO. CCU AAOCo� � ORcorer. ( n& NON•RESID. @7.50 POW 8 PSINGLER AOUTLETPARATCIR. 00 EX. Occup. OUTLET OR FDMRES SAL O ' 0 FIXI Ex. Occup. DOT�rs R� D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee I $ Energy Inspection Fee I $ Occ CONST. TYPE TOTAL FEE $ HAz. o FEES IMP I FLOOD CDF PARCEL PO HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 244448 404.6OPC/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V- . . . * I _ .. ... . . -._7T .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calif. -Jia 95965 - Telephone: 916/538-7541 APPLICATION ND449RMIT 1 — Ir. VNER'S MAILING ADDRESS RA/CTO Rif R AME T BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION Vfl - 1.l/i is CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ©-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C//ode and my license is in full force and effect. License No. -Y DII Classification _ r ? ❑ 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 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. 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 liabilitiesjudgments, costs, W xpenses which may in any way accrue against s County in con�sequenhe granting of this permit. X �1! Date 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. Receipt No. /! V n WHITE-D.P.W., YELLOW-ASeEe OR, PINK -INSPECTOR, GOLDENROD -APPLICANT $ 10.00 $ s S $ 6� Sc Filing Fee 10.00 2.00 20.00 5.00 5.00 5.00 5.00 0.00 ea S Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Fireplace CONSTRUCTION LENDER / Main service EA. ADD'L 100 AMP 2.50 UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS 2.50 ea POWER APPARATUS6 SINGLE OUTLET CIR. 3.00 Filing Fee Permit Fee ARCHITECT OR ENGINEER 2.00 Temporary service LICENSE NO. Plan Checking Fee Energy Plan. Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS 15.00 TOTAL PERMIT FEE s (- i!l 5 Penalty BUILDING ADDRESS / // Permit fee PLUMBING PERMIT J Each Trap Solar or heat pump water heater LOT NO. SUBDIVISION NAME P,gR1`CEL MAP Water piping Each qas water heater or vent USE OF STRUCTURE SFEADuplex[]Mobilehome❑ Other // �� SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile HOME S G W TYPE OF WORK New ❑ Addition ❑gemodel ©: Utilities [] Describe work: rCn�I kJ Installation❑ Other [l�C i �F Permit Fee CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ©-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C//ode and my license is in full force and effect. License No. -Y DII Classification _ r ? ❑ 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 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. 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 liabilitiesjudgments, costs, W xpenses which may in any way accrue against s County in con�sequenhe granting of this permit. X �1! Date 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. Receipt No. /! V n WHITE-D.P.W., YELLOW-ASeEe OR, PINK -INSPECTOR, GOLDENROD -APPLICANT $ 10.00 $ s S $ 6� Sc Filing Fee 10.00 2.00 20.00 5.00 5.00 5.00 5.00 0.00 ea S Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 S 00 AMP OR—LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.11 OR ADDNS. ACC. SLOGS. , h¢sgft NEWCONSTR M U TI.OUTLET NON . RES ID BRANCH CIRC ITS 2.50 ea POWER APPARATUS6 SINGLE OUTLET CIR. 3.00 Ex. OCcup(C•UTLETS OR FIXTURES 2At eL0LO 3 30 Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspe-,tion Fee $ TOTAL PERMIT FEE s (- i!l 5 OCCUP.1 CONST.TYPEI ISCHOOLIFLOODIPARCELIPD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS �^ 8 e —: PERMIT EXPIRES Date .�— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville;California 95965 - Telephone: 916/538-7541 APPAft I'; AND PERMIT PERMIT NO. AS S OR P� R EL NSdM R - ZONI G� BUILDING PERMIT OWN TELEPHONE SO. FT. OCC. BUILDING VALUATION OW ER' MAIL ADD S It00. o 0 J E r 1 'y CON R 11CT0R'S NAME �rV TSL ON CQ�lRACTOR'S ILI NG AD S - OO�r// jQ r Fireplace CONSTR CTION LEN ER f UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ .50 ARCHITECT OR ENGINEER LICENSE N0. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS�j ` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 VV 7 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME EL MAP Water piping 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other !1N SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00 ea. TYPE OF WORK New❑ Addition❑ (-VemodelFA Utilities I stallation❑ Other Describe work: e 1" o 6J 1 I e7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100 AMP OR0V OR LESS10.00 CONTRACTORS LICENSE LAW I declare un er penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession ode and my license is in full force and effect. ? License No. Classification � Jam_ ❑ ' 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI` , OR ADDNS. ACC. BLOGS. / �20sgft NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS IN SINGLE OUTLET CIR. ) z0ee0s Ex. OCCUp(OUTLETS OR FIXTURES eAL030 FIXEEx. OCCup. OUTLETS P(RESID )NS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 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 Iiabilitie judgments, costs, and expenses which may in any way accrueJ against s County in con nc the granting of this permit. %� Date �"J3� Signatureof pp Iii— Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -/I ion of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ D 6-0 OCCUP. CON ST.TTPC SCHOOL FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in ' at above for which F PU LI 12tAmReceipt P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da e No.rQ6 01K WNITE-D.P.W.. YELLOW-ASSE OR. PINK -INSPECTOR, GOLDENROD -APPLICANT ..i PERMIT NO 964-76P,,E s PERMIT EXPIRES OWNER Paul DeMeyer CONTR. owner LOCATION (A.P. 22-21-14 ) E/S West Biggs Gridley Rd., app. 1k mi. S. of Farris Rd., Gridley Temp. Power Pole Called PG&E N Temp. Elec. Serv. Called PG&E Temp. Ga Serv. Ca'ed-�E 1 JOB FINALED� (Date) Z� (Signature) 9. Electrical A: Is service Large enough to provide adequate 'ampe.rage- to mobilehome, (must equal ratir_g of mobilehome with a minimum of 100 amp) acrd other facilities on lot, i.e., water pumps, garage,.cabana,.etc.? Yes No B. -Is there proper clearances around panels? Yesx No C.. Is power supply cord or feeder assembly properly fused? Yes J( No D. Is continuity test satisfactory as per the following procedure?? YesNo 1. De -energize electrical wiring system of the mobilehome at the pecYe�tal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line),. including fixtures and. appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 1G., Is job card signed by Health Department for avatar and sanitation? 11.. If everything okay, sign off card and tag services. MOBILEHO'ME DATA Manufacturer and/or Namestyle Length 6&1 Width Vehicle Serial No. 73 State Identification No.��3%�L% Additional Information or Comments: t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedwwi h required separation from lot lines pnd buildings and generally conform to plot plan? Yesz No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesx— No 3. Are footings and supports properly sized, spaced, and braced as�pgr approved plans? (Note possible variation at spring shackles..) (Sec. 5082 & 5083) Yes_71K No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit., are crossover connections properly installed? (Sec. 5088) Yes No 6. Mater A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? YesV No C. Bac kf - '-E'o`rriia approved, does station have backflow device and -pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DT9V and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it. properly supported? Yesl No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. Pf--c�of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents 'A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobi ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10. min. without drop. 4. Connect gas meter to mobilehome urith connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YesX_ No Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Slab Patio Footings sonry Walls Reinf. Steel I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i P z 'BUILDING INSPECTION RECORD f BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor ' Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Z Roofing Sewer Fdn. Vents A Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas S— Final Sanitation FIRErLACEJ Final Footing - I ELECTRICAL I bond Beam FIRE SPRINKLERSJ SPRINKLERSMotors Framing Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heating Service -9m Brown Cooling - Temp. POle Finish Ducts Underground Interior Lath Ventilation Permanent ,I Door Closer Final Final DATE REMARKS OR CORRECTIONS i 1��-��. f�D. pyo - . • , . 15' (NOTE: An entry must be made on this form each time you visit the job site.) r'�'�4.. ;'""`*,-J'iiia?c^.'w:�Yw�-'�-^-�;rr•`„r-n.; y-,.;"r':k-�..r.��..f x`"s._...u��t+�� .SY-t.� n. - 2 �,..-# COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY. This mobilehome has been installed iri accordance with the reqquirements of the California Adg�inistrative Code, Title 25,-,haJ?ter 5�de it number: %`�7rY--7_�0 for the fo owing location: Owner �l'd u.� IY—e- Owner's Address 3 oZ Mobilehome Mfg. Model Year ��7G Insignia No. 73 L/ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. / Director of Public Works Date By--vc,/�J� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED n I. --IV O COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive % Orovdkle• California 95965 Telephone: 534-4541 , / (( APPLICATION AND PERMIT above-mentioned property for inspection purposes. X A,a e GQi =_Z ��1e_ Date Signature of Permiteeee or AgentReceipt No. 145 ,3f%o 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-, Dated% Es permit expires Date __ST s:/iJ BUILDING Owner AUL, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace P �A L-UZ Th w i o Contractor Cu 9 u4 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty nPLTelephone (w Permit Fee Building AddressPLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Q . t/ OF Each Trap 1.50 x(21n .f� i�U� Repair drainage or vent piping 1.50 K) Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z(�- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F N(,2r.'-' San� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Plans Parkin Declaration Parcel Map 60' R/W ro Impents Lawn sprinkler system 2.00 Bldg. Plans Recdt"I Parcel Aprovol Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i°o°o AMPv OR ORSLESS 5.00 •r - c?(, _ Main service EA, ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home JZ Others ❑ Main service OVER 800V 100 AMP OR LESS 25.00 Main service EA, ADD'L 100 AMP 1.00 NEW CONST. DWELLING O & OR ADDNS. ( CCUP. ACC. BLDGS. ) 22sgft NEW CONSTSL MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)-2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of -FIXED �1i� �t0 /IQ car G Ex. Occup(DUTLETs OR FIXTURES) h� BAL@1 Og A LNS O Ex. Occup. (OUTLETS(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.,273-3Misc. %�Classification � - �� Wiring 6.253 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 2have placed on file with the County.of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood I L 2.00 Permit $ $ 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 11Fee •('i I� ��, TOTAL PERMIT FEE $ C3 �ry above-mentioned property for inspection purposes. X A,a e GQi =_Z ��1e_ Date Signature of Permiteeee or AgentReceipt No. 145 ,3f%o 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-, Dated% Es permit expires Date __ST s:/iJ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's .name : ;�a L f_ ,/l7 F y E '2. Installer's name: 3. Is the site currently under permit? Yes No —1 (If yes, furnish permit number ) OR Is the site an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- s 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 i siteservice? --------------------------------------------------- Yes / / No / L (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 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) s MOBILEHOME SUPPORT DATA Mobilehome Mfr.. (jftG,}?Ci Setup Model No. Year J %%d Width '1 S/' (ft.) Length .. /gyp' (ft.) - Expando Size ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ..(if. not .on file with the County of Butte) . • r ` . � Single . —� be Foot ins-- (check. one) i ... � / 1. Wood:either pressure treated or Center Center Support fdn:`grade.:: Support Footing Sizes Locations (in.)/�.2.:Concrete pad. 3. -;Other, specify in. in. i.n. Supports (check one /G{—r. Concrete block �----� Concrete piers 3. Steel piers Other, specify I +Q . .................... : Typical Support Footing Size in. in.) (in.)(in.) t. In. Spacing ft. i.n. (in.) (in.) Overhang in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 'BUTTE COUNTY suit INGS ®EPARWHO APPROVED COUNTY OF BUTTE ; —z. 0EPAF3TMENT OF PUBLIC WORKS 7 County Center Drive '�71 'OroviIle, California 95965 Telephone: 5314-4541 / APPLICATION AND PERMIT Date Signature of Permitee or Agen Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have EDate, . DIRECTORLIC WORKS By Date�- 11_%L ilding permit expire3— l -i IF BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 72- a Telephone No. b Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 e� Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 0i ®D Each gas water heater or vent 1.50 /, A. P. No.pL — — AZoni-ng & Pla 'ng Gas piping system 1 - 5 outlets (Jf Q CY Each additional outlet .30 F 4EYR 50 Fire Dept. Fire Zone Use ermit Building sewer -4:89- D, 0.0 EQA Parkin Declaration -Plansland Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ — $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. FEE @ PERMIT FILING FEE J$3.00 i Q8 Main service 600V OR 100 AMP ORLESS5.00 bQ� Main service EA. ADD -L 100 AMP 2.50 (� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service �VER 600V 0 AMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OcCUP.& OR ADDNS. ACC. BLOGS. ) 22Sgft NEW CONSTR. MOLT -OUTLET NON.RESID. (BRANCH CIRCUITS)) 2.5 ea, NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of,the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@ BAL@1 FIXED APPLNS. Ex. Occup. (OUTLETS ((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 $ '( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon theThis ahnve-mantinnerl nrnnorty fnr ine nntinn n TOTAL PERMIT FEE permit is hereby P y issued under the applicable provisions of Date Signature of Permitee or Agen Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have EDate, . DIRECTORLIC WORKS By Date�- 11_%L ilding permit expire3— l -i Workmanship Shall Be in NOTE:—All Materials & Practices and E Accordance with Reca . zed Goes Specified use in the A rescribed for the Sp of a quality p h. & Machanical Codes and Plum-. +nq w Uniform Building, ;, o the National .Electrical Code. J S , o •y s .N. this set of plans a -' s kept on the job at all times and it is unlawful t6 0 v nna�co any chances .or alterations on same withbui ` artment of Poblic t a permisson from the Dep Pe wrt tsn /� 0 S 'Works, County of Butte. a e a �P t--` �A hoc -,o 'e'er a eP�cSyS c Go N S `90�e v ao i Q The . Setback shall'be 5f from the si, ' property line and 5C t. rom the c n erlinc of the road, p r ,i ing a mai um of a 2 ft, Cave o er • All t ity connections sh-all bF locat d ithin 4 ft. outsid the re•- third s ctior" of the mobile ho. - on t P ft (road) side of tl e mo' horn J7 z Y BUTTE COUN Y. BUILDING DEPARTME Y