HomeMy WebLinkAbout025-020-03325-02-33
LARRY MUSICK
SIS Gold Run Ct„ app1000' o Hw 70,
alermo
Permit #947-83P'Eyl��• •,�
(util, MH) C
ELECTRIC `� 9 �� 2� Z6 r
GAS_4-9-85 /44-o' a/1Av 1,P4
COMPACTION TEST REQ ./M
SUPPORT STRUCTURE REQ
25-02-33
Contr: Mobile Home CenterInc
Permit��1267-84MHL F�.1.
Issued_ c5 ^�'\��
25-02-33 �,,n D
PEARL BESHEARS �- 4 d
F85
OND & Oroville 1013/80
old Run Ct, ara e)
it41275-88B,E(new g g
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25-02-33
LARRY MUSICK
SIS Gold Run Ct„ app1000' o Hw 70,
alermo
Permit #947-83P'Eyl��• •,�
(util, MH) C
ELECTRIC `� 9 �� 2� Z6 r
GAS_4-9-85 /44-o' a/1Av 1,P4
COMPACTION TEST REQ ./M
SUPPORT STRUCTURE REQ
25-02-33
Contr: Mobile Home CenterInc
Permit��1267-84MHL F�.1.
Issued_ c5 ^�'\��
25-02-33 �,,n D
PEARL BESHEARS �- 4 d
F85
OND & Oroville 1013/80
old Run Ct, ara e)
it41275-88B,E(new g g
PSIS-o�3 �
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PERMIT NO. _ 947-83P2E
PERMIT EXPIRES��
OWNER LARRY NNSICK
CONTR. Owner.
-f ASSESSOR PARCEL '"25-02-33
LOCATION SIS Gold Run Ct, app 1000' W of
Hwy 70; Palermo
'l
5
14
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OFFICE COPY
• r
F ( -
Address
° ftl
GAS Date�—
Meter y
E
I� r
Temp. Power Pole
Called PG&E
I
. J
! Temp. Elec. Service
Called PG&E _
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date).
s
Signature je�e;�
J=OK '
O = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBI HOME UTILITIES ( s") OK except q's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
1.' Zoning Requirements—Setbacks—Easements
o' ; Special MH Support—Sketch
e eF; Location—Test—Fall-C/O—Concrete
2. Footings; Size—Depth—Spacing—Connectors
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
AC±at2rLocation—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
Electricity; Loc ton—Cle noes—Grnd.—/raZDQ Amp—CdXrete
_
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
BPGas; Location—Test—Wrap:/ /"L"it./ /"Nat.o VV ft./4 / LPG
6. Carports; Windows—Doors —
"tility Clearance r
7. Elec.
CBI
ale Card -BI Date
Card -BI
Date Card -BI Date
C*d-BI
4,fng Date —16 Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—MarriSge Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
-4, Elec.; Receptacles and Lighting; Distances—GF1
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/O 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 Lghtg.
Boxes—Enc losures—PaneIboards— 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 -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
w �
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL: (Sinile 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.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Fig., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
_
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -Bl.
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
_
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
Date
FINAL (Plans) OK except k'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
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
'--17.
1.8.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
_ -19.
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except N's
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.
Slee. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
_
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
-- -
T
-
24.
25.
Equip. Ground made up w/Mech. Fasteners -bond Gas &Water
2 Appliance Circuits in Kitchen &Conductor Size
72.
Insulation -Foam -Looked in Attic [-] Yes
73.
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
-
-
26.
27.
28.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ;Yes ❑No
rvi
Sece-Riser Conductors &Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes ❑No
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. &'Cond. Size -115V Outlet
- 29. Equip. Clearances; Panels-Motors-Mech. Equip.
--
30,
Clothes Closet Light -Shower Light -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-------------------------
Card B -I
Card B -I
------
_ -- Date _ Card -BI Date
---__- -_
Date Card -BI Date
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
83.
Ventilation throughout House
Glass Protection _
Corrections from Previous Inspections
Date
MECHANICAL (Perrnit) OK except N's
84.
85.
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
- -
_
31.
32.
33.
A.C. Ducts; Insulation &Support _
Vent Fan: Exhaust above Insulation
Condensate Drain _& Overilow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
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
Card -BI
-- -------
- -
- -. _ _ _---- --- _--------------_-__--
Date - - _ Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__ _
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
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
`C
ll1A/AIC O
RECTION NOTICE
9� 7 z3
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, p ase/contact this office immediately.
7
CLrt
Inspector_' `�_.�%--� Date
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Claliforniar95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS PI�C•E LONUMBER -3 � ZONI i�
(p/�) vy� `�
BUILDING PERMIT
OWNER TE HONE
k .T t- k 4 Q CF -3 I
SQ. FT. OCC. BUILDING VAI I ION
OWNER'S MAILING AJDDRESS
szp
-�
CONTRACTOR'S NAM TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ h6�0"r
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A) unin co
LICENSE NO.
Plan Checking Fee
$ 1,4co
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
•
Permit fee
$
BUILDING A D ESS
PLUMBING PERMIT
FilingFee 10.00
'S^
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT O.
SUBDIVISION NAMEPARCEL
�-
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF$TRUCTURE
SF ❑ Duplex ❑ Mobi lehome u�/ Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00 e 8
TYPE OF WORK
New❑ Add ition❑ Remodel❑ ,—, Utilities Installation❑ Other❑
Describe work:
Permit Fee
$ 40
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 OCCUP.&
OR ADDNS. ACC. BLDGS.
2t/20sgft
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
NEW CONSTR ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW NON -CONSTR. POWER APPARATUS &) RESID. (SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES SA 030
FIXED APPLNS, OR
Ex. OCCUp. OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ S
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
\ of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked,
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives°of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d County in consequence oft granting of this permit.
�_ ��e-
Date
Signature of Ap I cant — Owner _ Contractor ❑ Agent ❑
An OSHA perm) is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories i ei ht.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I ,AJPARCEL
D HD
ssury
�/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�U
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J
AP # ® Q,— 3 3
OWNER
PERMIT
MH UT IL . CLEA DAT E�
INSPECTOR
ELECTRIC
GAS.
Support Compaction
Struc. ITest_Req.
Service
Size
Other.
Load
Type
Pipe
Size
Length
YES N01 YES NO
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL AEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
OFFICIAL RECORDS,
;307E COUNTY•• Cc LIF
;:.ECORDS REOL'^.STE,.D fat
APR 8 1125 AM 1983
ELEANOR °''
CLERK - RECORDER
The property described herein is adjacent to land or included FEE
within an area zoned for agricultural purposes, and residents of �33aYY69'7
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established. agricul-
tural.zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property
described as follows:
Parcel 1, as shown on that certain Map filed in the office of the Re-
corder of the County of Butte, State of California on October 7, 1981
in Map Book 86 at paqe 33.
situate in the County of Butte, State of California,
RESERVING THEREFROM AND TOGETHER WITH a non-exclusive easement for in-
gress and egress and for public utility purposes over the North 30 feet
of said Parcel Map.
ALSO TOGETHER WITH a right of way road, utilities and Pacific Gas and
Electric Company over the Southerly 30 feet of Parcel 1, as shown on
that certain Parcel Map being a portion of the West half of Section 11,
Township 18 North, Range 3 East, M. D. B. do M., filed in the office of
the Recorder, County of Butte, State of California, on July 10, 1979
in Book 71 of Parcel Maps, at page 58.
Ptn. of AP'NO. /025-23-0-069-0
Date: _&L )
PROPE TY OWNERS:
r
i
r-
�+QD�irt
State of (n1& fnid. ) On this the � day of AnT"i , 19 0,3 ,
1 SS. before Me, the undersigned Notary Public, personally
County of &Jh_ ) appeared I
CC1J�e� v� mys�'c.0
known to me to be the person(s) whose name(s) Oro_o�ancs
MARY E. FREE subscribed to the within instrument and acknowledged
@My
NOTARY PUBLIC — CALIFORNIA , that ��executed the same for the purposes
Butte County therein c ntained.
Commission Expires Dec. 3, 1983 IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
tary Public
Present A.P. N0. p� 01
/J/
L
Larry guq ick.
Permit #1267-84
ly7lr
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR P...RCEL NUMBER
ZONING
BUILDING PERMIT
OWNER�
_ / /"
�NG
TELEPHONE
SQ- FT. OCC. BUILDING VALUATION
OWNER'S S
CONTRACTCR'S NAME �i
TELEPHONE
CONTRAC CR'S MAILING ADDRESS `
/ %Fireplace
•UNKNOWN
CO NSTR UCTION LENDER
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A73D ESS
/� �n f rs • • 1 / ,'i
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation Q Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i$o AMP ORV OR LE LESS10.00
L - -
Main service EA. ADD -L. too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
27/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p er J y (check one):
Q 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.
//A
Li^ense No. ��� �'Q •^ � Classification e* .'I -Ex.
❑ 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
foi sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.R ESID BRANCH CIRCUITS)
&'
NEW CONSTR. POWER NON•RESID. %SINGLE OUTLET APPARATUS.&')
Ex. Occu zoesoa
P�o OR FIXTURES eAL@3OQ
FIXED AXPP LNSOR
OCCUp- OUTLETS (RESI.DJ EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ TI -e permit is for $100.00 (valuation) or less.
I •iave 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 :)r this permit shal I be deemed revoked.
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 Countyof
Butte to en-er 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.
/ j �r
%� - Date !� ��
Signature of Applicant — Owner ❑ Contractor al' 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
'r
PARCEL
PD
HD
ISSUE
�f
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR.OF PUBLIC
BY �� -- `Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
.' • r `
11 f
N06 '}
Receipt N
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 89i-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
T 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.
Inspector--�K��Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541 I
CERTIFICATE OF OCCUPANCY'.
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number four the following location:
Owner
Owner's Address
Mobilehome Mfg.,,'.Model Year
Insignia No. 100)kI,4nt. Serial No.
It is hereby certified for occupancy at the -above, described location and
may be occupied.` /
Director of PPublliic Woiks
Date <1 :L �' 4- By`�i .��t' ''�,--a.....� ..:•
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED '
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
�+�
—d
/r1
ASSESSOR PARCEL NUMBER '•�n,;7y;,.
ZON G[ IN
,
BUILDING PERMIT
OWNER/ - t 6
/V
TELEPH NE
SO. FT. OCC, BUILDING VALUATIO
OWNER'S MAILIPqG ADDRESS
CONTRAC IOR'S ME
C
TELEPHONE
C7-7
CONTRACTOR'S MAILING AD RESS )
� It/t� �/• ,eD
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15-00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$_21—.0-0
BU SING ADD sS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE0 STRUCTURE
SF ❑ Duplex ❑ Mobi lehome Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G W
4:rE0:0e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installationa/ Other ❑
Describe work: 1k %—�
(?)�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR
100 OR oR LEAMP10.00
71fJ
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC, BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
,y�
I}FAt'I I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full ffforce and effect.
Q � O/
License No.C��n,L9�� Classification �6'j
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS &')
NON-RESID. SINGLE OUTLET CIR.
zoesoe
Ts OR FIXTURES BAL®30
Ex. OCCUP.
FIXED APPLES. OR
FIXED
EX. OCCUp. OUTLETS (RESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
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, i emnify and keep harmless the County of Butte against
all liabilities, judgment costs, and expenses which may in any way accrue
agai d unt in onsequence of the granting of this permit.
�_ �D� p�
Date 4
Signature of Appl cant — 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 $4:5,60
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
TYPE DF CONST.
PARCEL
PD
ND
ss E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
I— I—
Receipt No. `
`v 2
WNITE-D.P.W., 7ELLDW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
If other than single wide, /
Mobilehome Mfr. ��mgy .�P,O/�D furnish Setup Model No. b Ye$r ��
Widt(ft.) Box Length•(ft.) Tagalong or Expando Size— ft. x —4;L— 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
A A
pressure treated or
.._
o
foundation grade.
(ft.)(in:)
(in.) (in.)
El 2. Other: ( specify)
Center support
locations*
Center support
footing sizes
'.
Supports (check one)
(in.)
1: Concrete block.
®
1px,30
E].-2. Other. (specify)
(ft.)(in.)
(in.) (in.)
*----Tagalong or Expando,'
Z7�
show support details.
(ft.)(in.)
(in.) (in.)
-- Typical Support
(in.) (in.)
Footing Size
(ft.)(in.)
(in.) (in.)
Max. Pier Spacing
T
Max. Overhang
(ft.)I(in.)
(in.) (in.)
(ft.)(in.)
/G O O
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED /Z
If center piers are
other than drawn above,
-4 raw in locations,
spacing,. and dimensions.
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,-CA. 1
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. owner's name:
2. Installer's name:
3. Is the site currently under permit? Yet //r-/ No
(If yes, furnish permit number �% _ g ) OR _
Is the site an existing site? Yes / / No / 1�
(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 /Y/ No
( If no, clarify )
( )
S. ,What is the mobilehome electrical rating? ----------------------- /DD Amps
6. What is the mobilehome site service rating? --------------------- Amps
7.. What is the mobilehome site circuit breaker rating? ------------- /00 Amps
8. Is there any other electric load'6 be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(I£ yes, identify the load and size: (Load) old (Amps)
9. What is the mobilehome site gas pipe size? ----------- J � (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? (ft.)
12. What is the mobilehome gas demand? ---------
-------------------
Det, (BTU) .
� t
(This information not required if pipe lenghan 6 ft. on natural gas.
or less than 50 ft. on LPG.)
• r"o ,/rer F%
1 This set of plans and specifications MUST be
NOTE:—AlI Materials & Workmanship Shall Be in �q/ kept on the job at oil times and it is unlawful t^
Atcordance with Reco sized Good P tyC��s �� ='Hake any changes r alterations on same with-
�S p r% --r -..1 6 gC• ♦ Out
writtnA ^ e epartment of
n1for� —l&! 1 Pl�urr, ing & Mechanical es. Pyly5;
PERMIT NO. 1275-HHB,E
' a
PERMIT EXPIRES
OWNER RAYMOND & PEARL BESHEARS
CONTR. Owner
ASSESSOR PARCEL 25-02-33
LOCATION 85Gold Run Ct, Oroville
Called PG&E_
Temp. E
✓ Call
Temp.
Call
JOB FII
..<:;a. Sigi
= OK
O= Not-OK
' = Not Readyable MOBILE HOMES
MISCELLANEOUS -
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC ;COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easements
kt-12opivfg Requirements-Setbacks-Easements
2. Soils; Special MH Support-Sketch
-3
ootings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O-Concrete
_3-Desks;-Gi-r4efis 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
6. Gas; Location-Test-Wrap: / P11t.
/ /"Nat. or/ PV ft./ /"LPG
5,Al-uT2--Cofvmns-Connections-Splice-Decal-Enclosures
6 rpor-ts-W'rn ows-Doors
7. Utility Clearance
. Elec.
. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9!Sidin ; Nai(iag-Vea@"tusse-Mesta--
Card-B1
Date Card-81 Date
1`101-woof; Shthg-Roofing
Card-61
Date Card-B1 Date
%A?-T-1-Ext.;
Steps-Doors-Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
Card-B1
Date C •d-81 Dates-,,IV
2. Footings; Size-Spacing-Marriage Line
Card-131
Date , and-B1 Date OC-
3. Gas; MH Test-Demand-Valve-Connector
Date
DOLS (Plans) OK except #'s
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
1. Setbacks-Easements
6. Water; MH Test-Regulator-Connector
2. Soils; Compaction-Structure Stability
7. Water and Sewer Connected-C/O to Grade-HD Approval
3. Pool Structure; Steel-Connections-Thickness-
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed
7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater
8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg.
Boxes- Enclosures-Panel boards- Ins. to Main in Conduit
Card-B1 Date Card-81 Date
Card-131
Date Card-B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
Card-81
Date Card-81 Date
Card-61
Date Card-131 Date
=OK
0 = NotOK
RESIDENTIAL,(Single and Duplex)
- =Not Applicable
Not Rudy '
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation '
Card -81 Date Card -61 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -81 Date Card -B1 Date
Card -131 Date Card -81 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Liqht-Shower Liqht-Spa Liqht
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Date - FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40., Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -131 Date
Card -131 Date Card -61 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at -Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appli46ce; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -81 Date
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
MIT 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.
r
�a -o
Inspector Date
—�
COUNTY OF BUTTE
* DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center. Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
ER
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.
Inspector Date 4 O
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
„CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
.„atter, or need additional explanation, please contact this office immediately.
Date �? - I —P P
PJ
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviile, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER,MIT
ASSESS O PARCEL NUMBER ..
ZONING -s
BUILDING PERMIT
OWNER
�F e
TEL P NE
533-4731
SO. FT. OCC. BUILDING VALUATI N
OW ER'S MAILING ADDRESS
tlo`o/ R .a 11 wr 00 - PP
CONTRA C TOR'5 NAME
4x41,qA1:q1 Be -6 h -Al- s
TELEPHONE
533- 4731
CONTRA TOR'S MAILING ADDRESS
G k, c
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
Penalty
$
BUILDING ADO ESS
Permit }e@
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N
SUBDIVISION NAME PARCEL MAP
XA
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE Q
SF [:1 Duplex[] Mobilehome❑ Other
Fv
Gas piping system 1 05 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00 ea
TYPE OF WORK
NewWA Addition 11Remode UtIIit•es Installation❑ Other ❑
Describe work: �� J
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00:
Main service 100 AMS
P ORLESS
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
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 OC C. SLOGS. OR ADDNS. AC
19
Yx¢sgft
NEW CONSTR. MU1 T'-DUTLL—r2,50
NON-RESID .BRA C CIRC S
ea
POWER APPARATUS e�
SINGLE OUTLET CIR.
Ex. Occup(zo®aoe OUTLETS OR FIXTURES
200030
FIXED APPLES. OR
EX. Occup. OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
Fili Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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. ,40
X " A— Date —Z� - Aja
o
Signaere of Applicant — Owne& Contractor p Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.T
JSCHOOLJFLO!D
a
PD ND ISSUE
This p rmit is hereby issued under
sions of the Butte County Code end/or
work indicated above for which
E O PUBLIC
By
PERM(T EX 'RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. .
WHIT!-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
t.. ..-.:rr:i�. Y �...,;Tl-..-..+r- 3�,-^ti.� _ �. .�.�:':iJ'�.''n ,> . .'."�� . er•. v;:4^ _ �_ r.:.,� -ti:tiS�J;',-�.w ;.�v.
COUNTY OF BUTTE - DEPARTMENT -;.OF PUBLIC WORKS - BUILDING DIVfI1 SIO N
7 COUNTY CENTER DRIVE - OROVIL LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET --
,� Permit No.
Proposed Building Use
Building Inspector 6e'ov Date ^.-i AjbU
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor 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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . , , , . ,
U. Letter of signature authoriz ron. r Jj
0. Sanitation approval from ro v jl !� 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 owner❑, Mail to owner ❑ )
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Dote)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---tnail_counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—cou ter by date
Plans checked by Date Plans approved by % Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner. Location J AP#
Plan Approved for: Sewage E
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile home.
NOTE ***
SanitarianP7
poral _�_ 'Water Supply
Water Supply
Water Supply
Otherdr
Z�
Date
k
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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)
2. I (have/have not) U -e- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construc ion:
Name .v
Address G / ¢-- City 0l tVi//o cA!%
Phone X33 / 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 Se / t --
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:
Pro perty.0wner
Social Security N er
Date L 2g
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.
ri i§gel Ia t all times 't mes andat'ons MUST is unlawful f9
0@0 6n #lid -n a
Mijk@ any e4 aviryes or alterations on -some without
vrrlt}®n 1—
N-rilssion from the Department oM�1
Works, Co nty, of lautte, ITJ
dTV'Nfi.hoe of
GO
a xti, 33
30,
NOTF. --All Materials & Workmanship Shall Be In
A,ccca:°das:ce wi;ln Recognized GcaGc1 Practices an
of a quaBly prescri'. eJ tot- the Specified use in the
uniform Building, Mechanical Codes iu d—
*A �Wional Electrical Codei
e6
,3
A oetbac ; of 5 ft. from the
PMPOrty lines and a setbac
Af SOFt. from the road
e Worline shall be clear of
ONIOUres or equipment ex
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