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Home My WebLink About024-010-007ol ,,..... _ G�,� OFFICE COPY Address GAS Meter By D te, ELECTRIC Mete i By Da e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 9'5965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-010-007 ZONING AS BUILDING . PERMIT OWNER JACK AMS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 280 -EAST GRIDLEY ROAD GRIDLEY 95948 ' CONTRACTOR'S NAME NORM VALLEY ELECTRIC TELEPHONE - CONTRACTOR'S MAILING ADDRESS ' PO BOX 911.GID 8 Freplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 280 EAST GRIDLEY RD, GRIDLEY PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF tDuplex ❑ Mobilehome ❑ Other .: SY'i SPECIFY Gas piping system 1, - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation ❑ Other ❑ Describe Work: CHANGE TO 200 AMP SERVICE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 11111 LESS23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 ^�'-•-•_-� - NEW CONST. DWELLING OCCUP.So. OR ADDNS. ( 8 ACC. BLDS. ) 3.5C FT* NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ofa licensed under provisions of Chapter 9, Division 3 of the Business and t /� / Professions Code and my license is in full force and eff c%) — iV M License No.�j'7q Classification la v 4 O I, as the ov'7'ner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I a'm exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) a SINGLE OUTLET cIR. Ex. Occup. ( OUTLET OR FIXTURES ) RAL @ 1.50 Ex. Occup. FIXED APPLNS. OR OUTLETS IRESIDEA. p' ( .1 ) 5•00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 2300 223.010❑ . WORKER'S COMPENSATION INSURANCE 1 dggClare under penalty of perjury (check one): Q�hi permit is for $100.00 (valuation) or less. 0�1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities,/judgments, costs, and a penses which may in any way accrue against said County i�fi coinsseequeWce of the r _ting of this permit. Date �-"r� r 3 Sig�1:1Owner ©'°^Contractor ❑Agent ature of Applicant - An. OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories iri'height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPETOTAL FEE $ 66.OC HAZ• D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Count Code and/or Resolutions to do work Y indicated above for which fees have been paid. �h% DIRECTOR OF PUBLIC WORKS BYJ�4' Gr+'sk//li...?�> s Date ---� ' PERMIT EXPIRES ON ,f 7 �7 /Date/ Receipt No. 154036 WHITE-D.D.S.-B.D. CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,.DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californi�95965 -Telephone (916) 538-754 L' , � I APPLICATION ANEPPERMIT �� ASSESSOR PARCEL NUMBER - 024-010-007 ZONING A5 BUILDING PERMIT OWNER JACK AMOS TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS EASTT RIDLEY A IDLEY 48 CONTRACTOR'S NORTH VALLEY ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS BOX 911, GRIDLEY CA 95948 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 280 EAST GRIDLEY RD, GRIDLEY PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF 30 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I w ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities W Installation ❑ Other O Describework: CHANGE TO 200 AMP SERVICE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS I 200A OR LESS 23.00 2 3.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. I O 3.50 SFT,. CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code a license is in full force Ed eff ct n ` License No. Classification -- ^ ` ❑ I, as the o ner, 6r m e ployees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I &SINGLE OUTLET CIR. @ 100 Ex. Occup. ( OUTLET OR FIXTURES ) B20L. . Ex. Occu FIXED APPWS. OR p' (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE setiSfor $100.00 (valuation) or less. 4T�havprm' der penalty of perjury (check one): placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.000 Heating Cooling Hood JE E650 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upona above mentioned property for inspection purposes. 1 also agr, a to save, indemnif and eep harmless the County of Butte against all liabilities lu gments, osts, a e nses which may in any way accrue against said County ' onsequ ce of th ng of this permit. / (� Date f �� / ° 3 Ig re of Applicant - ❑ Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 66.0 HAZ. 1 O. FEES I IMP I FLOOD I CDF PARCEL PO HO I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS —� By PERMIT EXPIRES ON /Date/ provisions to do work paid. Date ! 2.1, + , g� Receipt No. 154036 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a PERMIT NO. 3071-8.5B PERMIT EXPIRES • ti— OWNER JERRY SHEL ON' CONTR.. owner ASSESSOR PARCEL 24-01-07 LOCATION 280 E. Gridley Rd, Gridley Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service ,i. Cal led PG&E JOB FINALED (Date) Signature OK Not OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool L.ghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date = OK = 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. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 -BI Date Date Card -BI Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 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. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes ED No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date _. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfng_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) ASSESSOR PARCEL NUMBE n 9 COUNTY OF BUTTE - DEPARTME4NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �Q APPLICATION AND PERMIT ZONIN�. BUILDING PERMIT TELEPHONE SO. FT. I OCC. BUILDING VALUATION . I I_ .. 1 I I I_ o BUILDING ADDRESS //mm""// GSL LOT NO. I SUBDIVISION NAME SF ❑ USE OF STRUCTURE Duplex ❑ Mobi lehome L Other TYPE OF WORK New � Addition ❑ RemodIPS❑ Uti li s ❑ Describe work: HONE UNKNOWN PARZCEL MAP SPECIFY Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W Installatipn❑ Other ❑ I Permit Fee CONTRACTORS LICENSE LAW i 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) 1 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. nj I shall not employ any person in any manner so as to become subject 1' 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co eque c of the granting of this permit XDate S' �1. App .cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excava/ /�,tions ove� b1 Opt, ckdemolition or construct- ion of structures over 3 stories in height. Receipt No. QU WNITC-D.P.W.. TELLOW-ASSESSOR, PINK-INSPE R, GOLDENROD -APPLICANT 10.00 10.00 Contractor OWNE ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS N Main service EA. ADD'L 100 AMP OWNER'S MAIL G AD E /20sq ft t� 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. CONT A TOR'S NAME 200501 DAL@30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.1 11 U CONTR CTOR'S MAILING Mobile Home Facilities 15.00 Misc. Wiring CONST UCTION LENDER Permit Fee LENDER'S MAILING ADDR n 9 COUNTY OF BUTTE - DEPARTME4NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �Q APPLICATION AND PERMIT ZONIN�. BUILDING PERMIT TELEPHONE SO. FT. I OCC. BUILDING VALUATION . I I_ .. 1 I I I_ o BUILDING ADDRESS //mm""// GSL LOT NO. I SUBDIVISION NAME SF ❑ USE OF STRUCTURE Duplex ❑ Mobi lehome L Other TYPE OF WORK New � Addition ❑ RemodIPS❑ Uti li s ❑ Describe work: HONE UNKNOWN PARZCEL MAP SPECIFY Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W Installatipn❑ Other ❑ I Permit Fee CONTRACTORS LICENSE LAW i 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) 1 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. nj I shall not employ any person in any manner so as to become subject 1' 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co eque c of the granting of this permit XDate S' �1. App .cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excava/ /�,tions ove� b1 Opt, ckdemolition or construct- ion of structures over 3 stories in height. Receipt No. QU WNITC-D.P.W.. TELLOW-ASSESSOR, PINK-INSPE R, GOLDENROD -APPLICANT 10.00 10.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. /20sq ft NEW CONSTR ETI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex, Occu p OUTLETS OR FIXTURES 200501 DAL@30 FIXED APPLNS. Ex. Occup. OUTLETS (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 Ventilation Permit Fee i Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE �� OCCUP.1 CONST.TTPC FLOOD P RC L I PD I ND Li 5SuV 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. DIRECT R OF PUBLIC WORKS By Date /m PE T EXPIRES Date t•..r :f1ia ' 'fY• �,t .{.;; '. nf�: ; p. +. r �� 70, ?r ��•k +.;;,i 4 ri , COUNTY OF BUTTE - DEPARTMENM \F COUNTY - BUILDINGD'IVILN 7 COUNTY CENTER DRIVE - OROVIL�LE, CALIFORNIA 95965 - TELEPHONE: 916%534-4541 PERMIT"APPLICATION DATA SHEET 7�_b Permit No. OWNER � V Ie Oki a A. P. No. 24 r 0 1 Proposed Building Use 5 Permit Fee Based Upon: Complete Contract Price '\ DPW Valuation 0th r �Iain) _ Building Inspector Date %0 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. ., . .�. . Plot plans in dupl!P Cate. .2(. !P plans in u lica ri.pli�'�e 9� cGr 4. Complete engineered plans and•calcs. . Ctcv rte. . ; 5. Plans with Energy Design Compliance Statement. . . .. . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 1.1 Statement of Intent for Non -Heated and AC Buildings. _—,Fees of $ S 91 T . . . . . . .. Letter of signature authorizatio I . . . . . . . Sanitation approval from i U I - Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. M 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) r 15. Improvements may be required. . . . . . . . . . <. . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -inspection for Required- Building request to (pote�1 p q Building Inspector 8. Recorded /dopy of Agricul ral Acknowledg ent Stateme . , J Other P r m f .S O +�' 7 vt 4o vi ki �1 .? l W D When you issue the permit, process as follows: _ Telephone and hold for pi Other A— Mail to ownery Mail to contractor.' f kup at _ office. Deliver w/inspector Applicant / Date 0V Q_-5 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of 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 By Plans checked by 91Date Plans approved by Date Other: Copy—DPW Date Other To: Building Department From:: 7�nvironmental Health Subject- Sanitation Clearance Q0 IV24,4 %rner L cation AP Flan !Approved for- Sewage disposal )kl— water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other 7anitarian Date FJ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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) 2. I (have/ham) for the proposed work. signed an application for a building permit 3. I have contracted with the following person construction: Name Address (firm) to provide the proposed Phone Contractors License No. City 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: Property Owner Social• Secur;'W Numb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r. 3071"85 t e PERMIT NO. 2237-86B PERMIT EXPIRES U / OWNER JERRY SHELTON CONTR. owner ASSESSOR.PARCEL, .24-01-07 LOCATION 280 E. Gridley Rd, Gridley t ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E • f Temp. Gas Service Called PG&E JOB FINALED (Date) g Signatur ___._ dOK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2, Footings; Size—Depth—Spacing-Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete ' 5. •Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s .1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability J , 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; 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 J 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg, Boxes—Enc losures— Pane Iboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable * _ Not Ready RESIDENTIAL°(Single and Duplex) Date UNDERFLOOR (Plans) OK except H's Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks: Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers_ -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _ 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 a Date Card -BI Date Date PLUMBING (Permit) OK except N's Card -BI Card -BI Date Card B -I Card B -I Date Card -BI Caid-131 Date 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date _ _ Card -BI Date Date Card -81 Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes No 28. 28. Service -Riser Conductors & Ground -Main Disconnect _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Date Card -BI Date _ Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade _ _ 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills: Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop to Walls (rat proof) 40. Fine Stops: Furred Ceilings -Stairs -Chases -Tub_ 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfng. 44. F ireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. a. -les 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 11 (NOTE Anentrymust be made each time youvisit jobsite) Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_ 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. do. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas T est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com tents at Final: �COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 32 7 County Center Drive - Oroville, Cali-6nAA65.. Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO.PAF� CEL f,{U�BER O ((��jjf� C//� ZONING BUILDING PERMIT OWNERL I- T�.EE/PHO-�j� �0 (�+TE SO. FT. OCC. BUILDING VALUATION OWN E 'S AILING RES CONTRACTOR'S NAME ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee _ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r] ARCHITECg OR ENGINEER LICENSE NO. Plan Checking Fee $ 7. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ o ' PLUMBING PERMIT Filing Fee 10.00 lJ G Each Trap 2.00 I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FARCE AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 DR LESS 1OROR 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 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 NNEADDNST DWEACCLLIN GOCC UP"') l/20sgft NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e\ (SINGLE OUTLET CIR. zo®soe Ex. Occup(OUTLETS OR FIXTURES eALO 30 FIXED APLNS. 11 Ex. Occup. OUTLETS P(RESID )REA.) 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. ❑ 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. Q1 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 subjectPermit 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 Hood 3.00 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of App icant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permi 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.T7 FLOOD PARCEL I PD ND Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF BLIC By �� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.So= WNIT!-D.P.W., YELLOW-A881;9SOR, PINR-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN.T,OF ,jyB�IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53411541 PERMIT APPLICATION DATA SHEET Permit No. / OWNER "� A. P. No.,2q - Z2Z— /(/ Proposed Building Use Permit Fere Based Upon: Complete Contract Price DPW Valuation r 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 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 $ . . . . . . . . Z99. Letter of signature authorization. . . . . . . �• 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. Owner -Builder Verification (Given to owner0, Mail to owner'[]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . 17. Pre -inspection for Required- BuildingPre-InspIn request to (pore) p q Building Inspector 18. Record q�j LLo�ur Acknowledgment State ent . wor�", her RM f'�k� onstruction approval required prior to occupancy o t, puss` ! s: Mai I to owner. ato c a" {' �� Telephone and hold for pickup at office. DeliveCtor. Other ApplicantDate Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designe6wner)'�as advised of above required data by Tel phone Mail Other By _ Date Plans Plans Other Copy—DPW To: Building From: `nviromont'] llo11,-h Subject: Sanitation CrI C) U,,kmer Y F -)r Plan Approved Hold final. for: OA-,er 1 f. -T. -Uppj�. Final clearance 0.;,,. 1"or: water sur)l-.)ly Clearance for L.�ed,.1-Oom r.,obiie hovii,--.. Oth::r ,/U r r, D, i t _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) x=1.6 =— 2. I (have/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: Property Ownery� d Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Jerry Shelton 280 E. Gridley'Rd. Gridley, CA 95948 With reference to the above subject: " Attached is: OTHER RE: Building Permit Application A.P. # 24-01-07 Application for permit Mobilehome Utilities Installation Sheet Building Plans _ Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced 1XV We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. XX Complete plans in duplicate ;rxj==s xXxpt xpr==X (see below) Plot plans in. Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise OTHER (3; (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. ma material. (2) Shea material. lv) rounuazion ueLalyso lIl w.iuui anu Lclan is V& %vj aivva N.&"A40 Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works j F. Glander Chief Building Inspector 0 �9 bbl Lai � I� 1 Utility connections. shall be within p` perm, w;o{tithe installation mobilahome• " 4 ft. of the mobilehome, either ; r►irectly behind or within the reavr. I -- A setback of 5 ft. from the t'--� roadside (left) Y • structures or equipment exce for a 2 ft. eave overhang. . 1 010�� BU T'T F- COUNTY This, set of plans and specifications MUST kept on the job at all times and it is unlawful c 3UILDING MPARTMEN7 make any changes or alterations on same witho t written permisson from 'the Department of Publ e AP P R O V P.D Works, County of Butte. c5c3c) S9 wf+, - p` perm, w;o{tithe installation mobilahome• " -- A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of • structures or equipment exce for a 2 ft. eave overhang. . 1 010�� BU T'T F- COUNTY This, set of plans and specifications MUST kept on the job at all times and it is unlawful c 3UILDING MPARTMEN7 make any changes or alterations on same witho t written permisson from 'the Department of Publ e AP P R O V P.D Works, County of Butte. c5c3c) S9 wf+, 14 E)Ntallfl�� _I I I r . I T-NfIO�► -g.Loo I- ��1 _FF - I I-�- I_ I _l__i _l_I ! I FF[ -f--! I--�-� ( � -I--�. '_i,-!__-�_ I_�'_� _�►-. lel `j. I 1------�---�__�__,_ . TI it r' 4 i I � ---oter ' ► __ _ -I- I I I 1 1- �'_ Ul - - - --- - -- �_ -� - _.-ELLU _ 1.1, t 1. .._. 1 U-0 TS r MI V1. In/\n nn rVT' GUARDRAIL 4„x V Oc _ Ir_i T � CLIP— � — MOBILE HOME OR DEU.1 MTL. FRMIl `-- CLIP (EA. SIDE 4°X (o” 4"x 4" PO ST 2"x I'Zo . '#2DF. DECKItJG GIRDER 4"X4" POST ADEQUATE' DIAGONAL F3RACI NG. 1411x14"MIN. FOO7-IN6 2' x 12" STAIR STRINJGER. 48'0.x. MAX. -TDP VIEW H AUDQAIL NOT SHOWN FDR C-ARIT\. r 3/S I BOLT co i 2'x4" ?RFSSURE TRFATICI OR �RFDWOOD r'LATr T�t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 cp C: in lit. Z Z co i 2'x4" ?RFSSURE TRFATICI OR �RFDWOOD r'LATr T�t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 MAN, RADF DAN 1� MIA ENO .00E\ % MLPYfP-FEYQE caWF.t fRGPILe/o.. 10 NOCE a CQeENy'N6NT60G 91"051 .TSD u,PoOD6INFT.15:INEERENA/YvFLBL& J LVITN-ANY:L"Fn EKN NONLE WAS A3M A i BRUCE D. CHALLMAN CIVIL ENGINEER 14-85 14-8 7�]1 NANONIM AVl. PALEEBALE CA. 97590 (8071 t55-7103 61— FTL0JFCTIQN (*fig5 VLC f6fR6T0. IN 4 vNle{t LOCdf10N, 1 s79-losoo 3 MAN, RADF DAN 1� MIA ENO .00E\ % MLPYfP-FEYQE caWF.t fRGPILe/o.. 10 NOCE a CQeENy'N6NT60G 91"051 .TSD u,PoOD6INFT.15:INEERENA/YvFLBL& J LVITN-ANY:L"Fn EKN NONLE WAS A3M A i BRUCE D. CHALLMAN CIVIL ENGINEER 14-85 14-8 7�]1 NANONIM AVl. PALEEBALE CA. 97590 (8071 t55-7103 61— FTL0JFCTIQN (*fig5 VLC f6fR6T0. 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ADIE: MN-��WW.My4AAT NOf E o - B' - P" b' -C/ D'- O•_&=PdWf:IDUDi-0iiWAD(Q1 E0UAL)AUO(INNIDIGIVE FNN6R µD FINKN COAT. Nene^( -- - - BF U•LD 6 PRCUWION 6Y6605100 10' - Dp' -d 10' - d B5' - d �� ZI KAKCD ROOF DGTAII_h n 1WIN•(CN-.CAP-EXT() rIITTER/iMMCORN6n AB 12'- o" ad-°° 9'-oL 421 :1P.. .a�WAAUTANNmNfecrWINT"or66L�9N eaFAGIDNSOM/'�OOMFO--6MbN11YELILAC-MDI•pat-IBIPAIYTtL!a4PQOVW 9UAL) MI-I11AN CAP ( HIP OAFTFF) a�rri>=�� E M /AObILEHOIAE A\VNIN6 " °EL TB BRUCE O. CHALLMAN CIVIL ENGINEER OAMOMM Avl. ►ALIIDALE CA. 93]50 (we) ata -7103 d% O r- - BRUCE D. CHALLNAN C-1]957 RDOF LIVE LOAD IVIKIN G ERS, INC. 5421 EAST CHEYENNE AVENUE LAS VEGAS, NV 89115 02 844-0301 -7 . 19 -tomo 2 ate" PA iD-198 �A.. D.GD ATTACHED11-1-537]31 10 R 19. P. u._Ttl_c,. K PERMIT NO. ¢ PERMIT EXPIRES OWNER JERRY SHELTON CONTR.. owner, I ASSESSOR PARCEL •24-01-07 LOCATION 280 E. Gridley. Rd, lot 13, Gridley OFFICE COPY Address. GAS ` Meter By ELECTRIC :::Date141�_ Meter By Date Temp. Power role Called PG&E _ Temp. Elec. Service Called P( w. Temp. Gas Sei k. ` Cal led PG r JOB FINALE( Signature MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N)0. -72 Address Address or location-of�mobilehome_ Owner's name ► P Y -U Owner's address Insignia or hud number— Manufacturer's umber Manufacturer's name H // A � Serial number of(V:I•.N. � 1 (0 (U 'I R Year of manufacture (Off ici-alp p roving Installation) ` (Date) IF _T':E MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION `• ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. w. 5136 White -Owner, Yellow - Installer, Pink - D.P.W. r � 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 �� -� a77a-�� OWNER PERMIT NO. 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. GtQnrf,, X I Inspector Date -2 �•�.__ A. . 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 CORRACTION NOTICE 1-1 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. Inspector Date_ - - - �-� 1 01� OK- = Ndf'OK ' = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas &Water Insulation -Foam -Looked in Attic ❑Yes/Mech. 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. 74. 75. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive C1 Yes E] No; Walks El Yes ❑ No; Planters ❑Yes ❑No 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or A[ -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card 8-I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation &Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86. Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin - Roof Brac.-Truss-Shthnq.-Rfn_q_._ Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) i OK 0 = Not OK — = Not Applicable MOBILEHOMES ` MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's Zoning-Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 2! o' pecial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracim. �5.-Electricity; Location—Clearances—Grnd.E ICZ)/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 1111 7. Elec. Card -BI Date Card -BI Date Card -BI D to Card -BI Date Date MOB HOME INSTALLATION (Plans) OK except q's Or Z ning Requirements—Setb cks—E ments otings; Size—Spa ar ge ine . Gas; MH Test—Dem Va —Con or 4. Electricity; MH Test—Crossovers—Breakers—Clearances ain; MH Test—Fall—Flex Connector er; MH Test—Regulator—Connector Water and Sewer Connected—C/O to Grade—HD Approval 8. as and Electricity Tagged 9. Exits; Insp.—Sketch _ 10. Cert. of OCCUDancv Card B -I Date _,A C rd -BI Date Card B -I C'.' Date /!f V c Card -BI Date t Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lini 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card -BI Date Card -BI Date . _ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC .WORKS 7 County Center Drive - Oroville, California 95965 -,Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS SS R PARCEL N MBER 1�'_ 0 — ZONIN BUILDING PERMIT CZ OwNTELE >r r f HONE — S0. FT. OCC. BUILDING VALU TION OWN 'S MA GRESS re CON ACTOR'S NAME 4 TELEPHONE CON RA TOR'S MAILING ADDRESS Fireplace CONS UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ . ARCHI TI CT OR ENGINEER LICENSE NO. Plan Checking Fee $ �0 Energy Plan Checking Fee $ ARCHITE7CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee $ 00 PLUMBING PERMIT Filing Fee 10.00 4 C Each Trap 2.00 n Solar or heat.pu.mp water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAIP Water piping 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF ❑ Duplex[:]MobilehomelXl Other T9 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G A y 10.00 ea C90.00 TYPE OF WORK New❑ Addition Fie odel❑ Utilities Installation❑ Other ❑ Describe work: _ Permit Fee $ I -to. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 Business and Professions Code and my license is in full force and effect. LicenseLicense No. Classification i, as the owner, Of my employees with wages as their sole comp.en- 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 SOCCUP.N) Yz2sgft OR ADDN. ACC. SLOGS. / NEW CONSTF MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS tr` (SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 1.20050t ewL030 FIXED APPLES, OR EX. Occup. OUTLETS (RESID.) EA.� 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �1 X Date _c R 0—�J Signature of Appli ant — 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 $ rs OC CUP. CONST.TYP! , I I FLOOD ARCEL Pa No ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PE T EXPIRES Date�??� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. b/0 WHITE-D.P.W., YELLOW-AS8E930R, PINK -INSPECTOR, GOLDENROD -APPLICANT k. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, f;alifornia 95965 Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Q/� O DO'� ZONI BUILDING PERMIT OWNERTELEPHONE -j_leY /7`d N e, te SQ. FT. OCC. BUILDING VALU TION O ER'S AIL NG ADDRESS f `/; J /•GGA C( TR_C R:S `E�� ` r/jl' TELEPHONE" CONTRACTOR'SMAILING ADDRESS 96 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee _$ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO., Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS •0IL7`, Penalty $ BUILDING ADDRESS - / .Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 1 2.00 Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeig Other SPECIFY Gas piping. system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installllation J Other ❑ Describe work: SZr �� ly _ G�4f/. oco Permit Fee $ Contractor ELECTRICAL'PERMIT Filing Fee 10.00 I IS T Main service 00v OR LESS 1 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTO S 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. 41176 03 Classification C �7 Fl 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 CONST. / DWELLING OCCUP.pi) , OR ADDNS. l ACC. BLDGS. /20sq ft NEW CONSTR ULT'.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS h SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES 2ALO3 t ewL030 Ex. Occup. OUTLETS (RESID )FIXED APPLNS. REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ Contractor -WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): - - I ❑ The permit is for $100.00 (valuation) or less. pV I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I-liave�read'thistapplication and state that the above information is correct. I agree to comply to, all County Ordinances and State Laws relating to buildingrCGnstr�Ictjon1lM&'hbfeby authorize representatives of the Countyot Butte to enter:Lpon?tHe%'bove"-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud Tents, costs, and expenses which may in any way accrue against s 'd Cou in con ce of the granting of this permit. X ci �r Date Signature of Applicant — 0 In-:, E] Contracto' Agent An OSHA permit is required for excavations over 5 u Ideep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ J71fU0) occUP, CONST.TYPEJ I LOOD I PARCEL PD ND I r ssue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE LTOR OF ELIC +> BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER A S#4—g LT&V PERMIT # MH UTTL.CLEARA CE DATE r INSPECTOR ELECTRICGAS Support Struc. Compaction Test Req.. Service Uze Other Load ..Type Pipe Size Length YES NO YES NO p®oA o 4 %#- Now MdT r t! � > MOBILEHOME SUPPORT DATA / If t. -I e-r°'than single wide, Mobilehome Mfr. furnish Setup Model No. S 612�_ p Year O S Width_at.) Box Length ('ft.) Tagalong or Eicpando Size f ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October'7, 1973; furnish manufacturer's installation manual and structural setup sheets ,(if not on file with the County of Butte). All center supports measured from front of mobilehome•unless otherwise specified. Footings (check one) Single 1 Wood either pressure treated or (''.'��'j foundation grade. U ).qx 30 (ft.)(in:) (in.) (in.) 2. Other: (specify) Center,support Center support locations* footing sizes Supporta (check one) (in.) �1: Concrete block. E] .2: Other. (specify) (ft.)(in.) (in.) (in.) - *--tagalong or Expando,' ! show support details. (in.) (in.) / Zx -- Typical Support (in. (in.) Footing Size (in.) c� )j�G7 -- Max. Pier Spacing (ft.)l (in.) (in.) (in.), *If center piers are other than drawn above, 4raw in -locations, spacing,. and dimensions. Max. Overhang (ft.)(in.) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville. CA.' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 4-- L a lu 1. Owner's name:. j# 2. Installer's name: 3. Is the site currently under permit? Yes No ( If yes, furnish permit number 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? ----------------- G00 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 siteservice? -------------------------------------------- ------- Yes / No (I£ .yes, identify the load and size: (Load) `� (Amps) 9. What is the mobilehome site gas pipe size? ----------------- ------ �T Ste • T 10. What is the type of gas service? --------------- 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 if pipe length less than 6 ft. on natural gas.. or less than 50 ft. on LPG.). BUTTE e&6NTY BUILDING DRARTI EN l V PP® -3 -3 BUTTE COU TY BUILDING DEP MEIN APPPO ED Utility connections_shall be within 4 ft. of the mobilehome, either p directly behind or within the rear p t'-,,! roadside (left) I gT3 0 39 wfiu AWe} q pernl,t wil the mobilehome• *I installation A setback of 5 ft. from the . f property lines and a setback of 50ft. from the road centerline shall be clear of �g structures or equipment exce for a 2 ft. ea-ve overhang. �.� 6� This W of plans and specifications MUST kept on the job at all times it and is unlawful make any changes or alterations on same with written permisson from 'the Department of Puk Works, County of Butte. gT3 0 39 wfiu rl/ COUNTY OF BUTTE - . DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL 136I'LWNG EXEMPTION PERMIT PERMIT NO. 6 D")Q Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 1124_ Q 1 0_ 00-7 ZONING 'N 5 OWNER JAC>< )IMOS PHONE NO. 64-& - 28 Z7 OWNER'SADDRESS 28G ��Sr �� fib, / GQr�L�y 459 LOCATION OF BUILDING 280 CAsi- o2ot C,&&ty USE OF BUILDING FAtZm t70utprn&� SD eA661A6 U ` I- SIZE OF STRUCTURE 6?0 x 160 = 6000 SQ. FT. TYPE OF CONSTRUCTION: / WOOD FRAME STEEL y CONCRETE OTHER (Specify) TYPE OF SIDING rkmma'o k. At Unq • ROOF COVERING amrmevo nom FLOOR TYPE coiuC sc�i3 ESTIMATED COST OF CONSTRUCTION $ 50, 615 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: f,- i FRONT��C' `�_ SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. /? 1-3 Date 7— c:;,-, < Permit Fee - $25.00 Receipt No. �0 4Lfs Signature of Owner The above describyd ►G Building is exec pt from a buildi? g permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant FLOOD PARCE P.D. I ROOF G I ISSUE 1 Director of Public Works By Date 3 Y. f COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS - BUILDING DIVISION a. 7 COUNTY CENTER DRIVE - OR, ,LLE, CALIFORAJt� 95965 -TELEPHONE: 916/538-7541 ` PERMIT APPLICATfON'UATA SHEET - -� ftt s - Permit No. gi CA, ,_ 11 11 A. P. No. -" O1 —Q 4:. a Y� vYl Building Inspector Date At time of ermit 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, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11.,Chico Urban Area fees paid .................... .................. 12.'Park fees paid .................................................... 13. School District fees paid .............. 14.. Sanitation approval from Health Department 15.;,City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17., Planning approval for (A) Use: (B) Parking: ...... 18. , Improvements may be required. Contact Land Development Section DPW 19.! Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment, Statement ......... 25. Letter of signature authorization ............... ................... 26. 27. When ou issue the permit, process as follows: _ 4 MaiI to owner. Telephone and hold for pickup at office. Other Applicant Mail to contractor. _Deliver w./inspector. Date / �- r / J Copy of Haz-Mat form sent Health Dept. Fire Dept. --/--Air Pollution Date Copy of plans sent ____Health Dept. Fire ept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW