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025-020-050
V "I FAILURE TO OBTAIN FINAL FOR COV DECK AND AWNING 11/17/83 ......... C. •A. Leaso mn/ W/S Hwy 70, app.700'S.of Palermo Rd., Oroville Permit #433-79P,E(util.,MH) ELEC. f2 GAS -3 SUPPORT STRUCTURE REQ. Ajo COMPACTION TEST HQ. Wo 40. contr: Earle Towne_, Paradise Permit #153 'A.--79MHI Issued- 7 1' 7 t7 �171 Permit #6777-79 MH) B new covered docks/ WILLIA NGLIN #19 Gold R`�u 6t, Oroville Af Permit#2559-85P E -u -til MH) ELEC 7�,vs e0o, GAS I -P& SUPPORT STR REQ COMPACTION -TEST .REn /-- MARYANN >,Perm85MHT 1'2559- 85 4 Permit #2967-85B (cov deck & �,Iwo3 41 N ------------ E CN MIN Monty W. Poor, Etal 19 Gold Run Court Oroville, CA 95965 RE: Building Code Violation 19 Gold Run Court, Oroville Dear Mr. Poor: 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 February 1, 1994 A.P. #025-02-0-047 This is a courtesy notice to notify you that there is a code violation existing on your property, created by a previous owner. The violations are as follows: Failure to obtain approval of previous corrections and failure to obtain final inspection for construction of a covered deck and awning for mobilehome. Permits and inspections are required to correct the above noted violation(s). Even though you did not create this violation(s), you as the current owner of record are required to resolve any violations) or correct any hazards. Please contact this office to discuss the appropriate correction of this code violation. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Buttte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford of this office at the address or telephone number listed above. MCV:dms cc: Assessor Yours very truly, Mic ael C. Vieira, C.B.O. Manager, Building Inspection j. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Nr. -y. -7 County Center Drive - Oroville, Cali.f.orn'ia 95965 - Telephone 916/534-454 l APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONI _ — G BUILDING PERMIT OWN TEL PHONE SO. FT. OCC. BUILDING VALUATION OWN 'S AI IN ADDRESS _J �f- 4V a CONT AC R S NAME TELEPHONE CONTR TOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDE'SMAILING ADDRESS Permit Fee $ 1157 n ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ar Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomery Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WORK Newx Addition❑ RemodelUtilitie ❑ Installation❑ Other❑ Describe work: X v 1 <4- 640 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 J Main service EA. ADO'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 OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgit NEW CONSTR ULTI-OUTLET 2.50 ea NO BRANCH CIRC ITS POWER APPARATUS a SINGLE OUTLET CIR. ) 20 ® 50C Ex. Occup OUTLETS OR FIXTURES e'ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. No Ice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Penult 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-ment. ned property for inspection purposes. I als agree to save, indemnify a keep harmless the County of Butte against all I bI it, es, judgments, costs and expenses which may in any way accrue agai said County in consequ r of he ranting of this permit. X ► J�� L-- Date — 5 Sinature of Ap icant — wner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired 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 $ g'S OcCUP. CONST.TYPEJ I!VIPARCELI PD No 157 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY l PERN9 EXPIRES Date the applicable provi- resolutions to do 'fees have been paid. WORKS Date L'' v Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT .OF�ptUBLIC WORKS - BUILDINGiDfVISION r` ✓✓✓ 7 COUNTY CENTER DRIVE - OROVILLE, C!A,LIFORNIA 95965 - TELEPHONE: 916, /534-4541 PERMIT APPLICATION DATA SHEET 11L Permit No. L / OWNER ��laV l/Rh✓! ��i�l, l� a f A. P. No. C)J'-w-,I Proposed Building Use w y I 0 f Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Expla' ) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . Plot plans i uplicate/ iplicate. . . . . . . . . . Complete plans in uplicate/ ri.plicate. os SPA ' o.rn 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 $ . . . . . . . . 1911Letter of signature authoriza : on. . . . . . . . 0. 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 owner❑, Mail to ownerF]) 15. Improvements may be required. , . . . . . . . . . .- 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other a When you issue the permit, Droceas follows: Mail owner. Mail to contractor: _ Telephone 53LP106 Y and hold for pickup;at office. Deliver w/insPt-ctor. Other j rI Applicant j V tVi✓l�L�+t+`Fate �� r�7 �L,,,_� f /1 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the followingdata 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 caner as advised of above required data by elep ne Mail Other Plans checked by Date Plans approved by Date Other: Copy—DPW To: Building Department.' ` From: Environmental Health Sub'ect: Sanitation Clearance -Q jig r p 'M weeroca ion6c Td &,4 �( Plan Approved for: Sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other. C� DTOTF . Sanitarian Date COUNTY OF BUTTE - Department of Public`Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) , 2. I (have/have not)} signed an appl' ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name AIA Address City Phone Contractors License No. t 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supe v se, 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 Sign 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. 1 ,m PERMIT NO. 25&9----E(NH) PERMIT EXPIRES OWNER WILLIAM•ANGLIN CONTR.. K unknown 4 ASSESSOR PARCEL -25-02-36 LOCATION #19 Gold Run Ct, Oroville f y �s a f `OFFICE COPY GAS. t•Metei Bj:� 4•t• {~°`Da tt ELECTRIC �� �- ' ♦* ` 1" }' � 4 � 1i �•V" Meter By-'Daf�O_l+Qj I< t a Temp. Power Pole Called F 6 ' Temp. Elec. Service Called PG' E + Temp. Gas Service i • Called PC- JOB C JOB FINALEI I Signature t /C It 1' V = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS .f -'- .., Date MOB HOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's . Zo ing.Requirements-Se acks-Easements 1. Zoning Requirements -Setbacks -.Easements . S ' s; Special MH port -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 r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing EI tricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures G ; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ PG 6. Carports; Windows -Doors Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI 562Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBI HOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except Vs A/—Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements i2. ..00tings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability r MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining I tricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5 r 'ri; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6' !ter; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 ater 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 Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card B -I Date % 9 Card -BI Date Card B- Dat ,-Card-BI Date Card -BI Date Card -BI Date 01 J = OK 0 = Not ©K ► ' = Not Applicable * Not Ready, RESIDENTIAL ISingle and Duplex) Date UNDERFLOOR Plans OK exce tq'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. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 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 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q'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. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI ;Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Receptacles Spacing -Lights &Switches at Doors 22. Size Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑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 All 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 Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive E] Yes E) No; Walks ❑ Yes El No; Planters El YesEl 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 -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. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI ;Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI iDate Card -BI Date 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 in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. 44. 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:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECT E 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. 0 Inspector. � �/ A)J Date b 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 N C' 6 OWNER u 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. �r rv�Nu Inspector— IN a Datew _ _ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541. /t PERMIT N0. Address or location of mobi lehome Owner's name /' a`c t I •':1 V% V\ \ tnn , 1 \A Owner's address ti I "Insignia or hud number 11S -%l4 ?'Manufacturer's name c�_Y��_-+�,-.cam Serial number of-V,.I.N.. I t1 Year of manufacture 19711 (Official Approving_Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBR EHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B • White - Owner, Yellow - Installer, Pink - D.P:W. _ Y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California:95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. t% ASSESSOR PARCEL NUMBER Is ZONING BUILDING PERMIT OWNER JrN 111, TELEP o E SQ. FT. OCC. BUILDING VALUATION OWNER'S MATMNGMMrst ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER LINKNO / 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 $ haC:BUILDI�DDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ DupDuplex[]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 Ea"1Remodq.l❑ Utilities Inst Ilation Other ❑ Describe work: �1/—F� �_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 IIRMain Main service 600V OR LESS S 100 AMP OR LES 10.00 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. icense No. Classification Ias 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 OR ADDNST ( DWEACCLLIN GOCCUP.&) `/zQsgft NEW CONSTR ULT' -OUTLET 2,50 ea NON -RES'. BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. i0®aoe Ex. Occup OUTLETS OR FIXTURES SAL030 11 Ex. Occup. OUTLETS PRESID )FIXED APLNS. REAJ 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 gree to save, inAand keep harmless the County of Butte against all li Ilities, judgmenand expenses which may in any way accrue again said County in ce of the granting of this permit.9,/..RS XDate v Sig ature of Ap I Dant — Contractor ❑ Agent F-1 An OSHA permit is required foi ex va ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ��fQ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCU P. CON ST.TY P! IFLOODIPARCrLi PD MD 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9 OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ���%� /�' Receipt No. WMITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cblifornia-95965 - Telephone 916/534-4541 APPLICATIONIAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB` Fpl� zON G BUILDING PERMI OWNER TELEPHONE SO. FT. OCC. BUILDING V LUATION OWNER4MAILING ADORE CONTRACT R'S NAME ,1 C` TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO N _ Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIpIG ADDRESS JY1y. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 86,33 Water piping 5.00 Each qas water heater or vent 5.00 USEOFSRUCTURE El Duplex❑ Mob ilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00 ea TYPE OF WORK - New F-1Addition❑ Remodel El Utilities 9�� Installation❑ Other ❑ Describe work: _ Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Alm Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyOR of per 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) am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.eI , ACDNS. ACC. BLOGS. ) 2/20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS). 2.50 ea POWER APPARATUS & SINGLE OUTLET CIR. ) Ex. Occu AL@ p OUTLETS OR FIXTURES ezL03030 Ex. Occup. OUTLETS PFIXED ARLNS. R (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �S Misc. Wiring 15.00 Permit Fee $ J 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application *and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid C my in n equence f the granting of this per it. GThis X Date 0 _ car Controctor ❑ Agent Signature of Applint - Ow An OSHA permit is required for a cavations over 5'0" deep and demo (tion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! I I FrI PA;CEJ PDX LI3Su permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC BY r ` - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to J Receipt No.142 � WMITE-D.P.W.. YELLOW-ASSE390R, PINI( -INSPECTOR, GOLDENROD -APPLICANT i AP OWNER PERMIT 4k MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS, Support Struc. Compaction Test Re . service ; ii��ze Other Load .-Type Pipe Size Length YES NO YES NO. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: MALA,\JtJ f M lN 2. Installer's name: NlE 3. Is the site currently under permit? YOi No _l (If yes, furnish permit number 2ssi -s ) OR } Is the site. an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away, from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) S. What is the mobilehome electrical rating? -------=--------------- Amps 6. What is the mobilehome site service rating? --------------------- �y 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 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------=-------------- , �-,�„__(•) 10. What is the type of gas service? ------------------ Natural LPG �C 11. What is the gas pipe length from meter or tank to the mobilehome? �, 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) •�cr{ f—.� :.� �,�• is ��-- MOBILEHOME SUPPORT DATA N i L If other than Mobilehome Mfr. _`JCC*� furnish Setup single wide, `Model No. Year 7 - )Width (ft.) Box Length(ft.) Tagalong or Expando Size ft. x 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. S ingle n:) (in.) (in. Center supp rt Center s port locations footing izes (in. 1 71 I (f t.)(in.) (in. E= (ft.)(in.) (in.) (in.) Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other. (specify) Supvorts.(check one) Y: Concrete block. .2: Other.. (specify) tagalong or Expando,' show support details. 11.2—x jGj Typical Support (in.) (in.) Footing Size x (ft.)(in. (in. (in.) Max. Pier Spacing l (ft. I (in.) (in.) (in *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. ZI( -- Max. Overhang (ft.)(in..) 7 BUTTE COUNTY .BUILDING DEPA RTMEN APPROVED �.�Y Return' /to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Sr, iz? 17; RECORUS FOR RESIDENTIAL DEVELOPMENT OF 5UT'tE COUNTY, CALIFORNIA AT THE REQUEST OF Section 26-8.1 of the.,Butte County Code requires ethis acknowledgement pl-rn� be recorded prior to issuance of a building permit. 85-28334 1985 SEP I W AN II: 46 The property described herein is adjacent to land or included EAfdOR M. 6ECItER e --*within an area zoned for agricultural purposes, and residents of thigiI property may be subject to inconveniences or discomfort arising from- ERK-RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation plowing, spraying, Pruning, and harvesting which occasionally generate dust ,P smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: EQACCFL d! AS s+lowr� Cr, 7+IAT CEP -TAW MAP FILED Irl7HE CFF ICE OF '( NJ_ I4( -)EP C- 1}I� CG�%NTy GAF �UTTEr �jTFITE OF CAL tF r_t,iiA C,J C`CioBc-I? I,J MAP �:ovK 6(c AT- FACE 33. j T4dEI� V11T0 f1 r400 Iv,E EA5¢l�ErJT fb2 IN%G12E55 Anl7 fC,t:'�SS LS (, AND PC)(?- l luE> LIG U ►1�IT`( pv�Po5E5 c�v�K TNS �cKTH 3o FEST Ur F�A(zcC 2 f1rvU 3, As '50D* rel ON SAID 2 NSP. T1lelL' WITH A FOP t?-DADI U-TILITIC-Sr AND PA IFIL 6 A."J i�L�O TOC -TNF{Ot2L5A0V44 N ?F(AT Cts iA1� pP2c� i MAP13� IrJ A �o �Tl onl of 7T t . WL -ST NAL F of �ELTIo tJ I I ! Townf SN r F= IY� ISo�TI4, 1�FllJC6 3 �A5t, M.p. P.��1- r FILED JA Ifk OFF r« OT- ?IIE j2ECC,l-(�!c �L)L?oq.( �r aL)TTE 5'1ATE of CA L I FoRrJIA Iv r1 :TULy 10, Ie77 ( 117-A !PA Rc0 fc 71 c F FApct-c /\AAFs, A vE sP) . Date: - PROP RTY OWNERS: State of ra_ ) SS County of Butte ) OFFICIAL SEAL ANGELA D. HENDERSHOT µy.. No-VARY OUBLIC • CALIFORNIA iw PRINCIPAL CN OU TvFFtCE ► ,trt. • BUTTE )vee MV COMM�SS�N CxPIR[: SEPT. 7, On this the 1 gf-h day of geptP,,,1,Ar 19 85_, before me, the undersigned Notary Public, personally appeared ****WJ11iam M L/ Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) is subscribed to the within instrument and acknowledged that ha executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. oC- 0"�' -0 J_ ''K 17t 1995 T,b W 0 M If MAS Cnt� CE PN A5 bwr�E�-) OF OF- LAID CA. P. x-25 -OZ -36,) L-ocRT(--D AT l44(-- CDP-1nCP- bf7 N►G�WAI %o ArJ� GOLD Pure COU2T, To I,WSTAUL A Mani-�-4DME C-)wN�CD By Nei. oNTc) TSAT -SA,D PA P -C(- L. CF- L AN D � >✓oQ T Pu OF -EST,1 P L IS N t trLl�1M ��tG LIQ P 6777-79B PE91MIT NO. PERMIT EXPIRES OWNER C. A. Leason owner CONTR. LOCATION (A.P.25-23-54 W/S Hwy 70, 700'S.of Palermo Rd., Oroville i } P Temp. Power/Pole Called /P•G& E Temp. El/c. Serv. Cal �d PG&E Tem .Gas Serv. Called PG&E O B 2- FINALED [G (Date) (Signal/) c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidinq To out Slab Roof Sheathing Water Piping, Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Carport p Footings Prov. for phslcally handica ed Conformance of ex. strucUre. Appliances Gas PI in &Test Temp. Gas Slab na Sanitation ,Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat - Rough Reinf. Steel Finns MI..N.— rsona tseam FI E SPRINKLERS Motors Framinq Test Water Htr. Stucco FinalSub 'MECHANICAL anels Mesh Grd. Fault Prot. Scratch'Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALL,TION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CsORrRE�C�TIONS -2- 6A-0, -r szL�9T4e- (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 ///��� Telephone: 534-4541 25' �" / � APPLICATION AND PERMIT ' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. // / X Date $ignatur f Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ FT. OCC. BUILDING VALUATION SZCo Mailing Address 7- ptL ZZj �j O 02<>VlC-.11.1115 Telephone No. 3 45-C1.3 Contractor W/J Mailing Address Fireplace Total Valuation 5 Co Telephone No. Permit Fee C. Building Address (, / 006 O -• " S Plan Checking Fee&/or Penalty Permit Fee - cQ_ PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 %eO , Repair drainage or vent piping 1.50 A A. P. No. a`j rZ'�--`j Zonin"g & Planning Water piping 1.50 Each gas water heater or vent 1.50 F�e/s Wad [S on FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Pa cel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ t__ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 1000V OR 0 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.CCUP. 5') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID. BRANCH CI LET + NON-RESID. BRANCH CIRCUITSI 2.50ea NEW CONSTR. POWER APPARATUS 11 NON-RESID. SINGLE OUTLET CIR. Ex. QCCUO(OUTLETS OR FIXTt1RES B �@j FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 91 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ F_EE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this V�hkpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. // / X Date $ignatur f Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ,,PERMIT NO. 473-79P,E �l537-15 PERMIT EXPIRES 471y iv wq OWNER C.. A. Leason CONTR. owner 25-23-54 LOCATION (A.P. ) W/S Hwy 70, app.700'S.of Palermo Rd., Oro. ,4 rl, !y yy L' 3 P, �l Tempi Power Pole Called PG&E Temp. Elec. Serv. Called PG&E �9 Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD BUILDING A BUILDING (Cont'd) PLUMBING toacx z FI wall Spli Piping F ms Parivets Nst Floor in Bldg. Restililipm Finish 2 d Floor ootin s Window 3r loor St wall —[Siding To out Sla Roof Sheahing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport V Footings A Prov. for physica% handicapilied Conformance of ex. structure Appliances Gas Piping & Tes Temp. as Slab Final Sanitation X, Patio JIREhACE Final Footings Footing ELIECTRVAL Masonry Wall Throat N Rou h Relnf. StAl Final Fixtures Bond B9Lm FIRE SPRINKLE Motors Framinq Test Water Htr. Stucco Final Sub anel Mesif MECHANICAL Grd. F It Prot. Sc tch HeatAg Servi Ekkwn Co Ing T p. Pole finish D cts nder round I erior Lath entilation Permanent oor Closer Final Anal MOBILEHOME UTILITIES ------------------ Elec. Service –. -1 Elec. Pedestal 3� 79 Water Piping _ Sewer Gas Piping — MOBILEHOMEINSTALLATION-Ad-----------Support Eiec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 9(!)QJ� A.A, c' (r19 AD ^�^ / / `'SLS Sl a �-- (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE' = DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone. 534-4541 APPLICATION AND PERMIT AKS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. w Date Signature of Permitee or—X-gent ^g Receipt No. J�b ! oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 79 By ate yes- Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address n Z JTelephone No. 5` a r:° Contractor /) wy1 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Va - --_, Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �"� ��� 7r Zoning & P Ing g 1.50 I'7i�� Each gas water heater or vent 1.50 1764 el_Sa ion Fire Dept. FireZone Us ermit Gas piping system 1 - 5 outlets 1.50 �,�0 EOA Parking Parcel Plans Declaration Parcel Ma 60' R/W Improve ents Each additional outlet 30 Building sewer 5.00 10.0 Bldg. s Rec'd Parc Plans ApproVal Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES Lo OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,(�a B00V OR LESS Main service 100 AMP OR LESS 5•00 ♦0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 V Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. (DWELLING OCCUP. Y) 2�sgft OR ADONS. 1 A.C. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRES", MULTI.OUTLET NON-REBID l BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON -R I- SID. SINGLE OUTLET CI 1. Ex. Occuo(OUTLETS OR FIXTIIPES 6 Lam; FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1AJ_e� d 100 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ r MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. _A VlI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. w Date Signature of Permitee or—X-gent ^g Receipt No. J�b ! oe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 79 By ate yes- Building permit expires Date MOBILEHOME SUPPORT DATA If other than single wide, Mobilehomo Mfr. -7t9 furnish Setup Model -No. Year, Width (ft.) Box Length (ft.)' Tagalong or Expando Size ft: x ft. (SHOW SUPPORT DETAILS BELOW_) On all mobilehomes manufactured aAer October 7,-1973i 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. CF.#oF91? L 1A.)9, WA LL -5 IFAC14 F—WL) pf (check one) CF A) r 09 44' r -A-) 0 0 IF 115A Clel CF Sgl ng 1. Wood either pressure treated or A foundation*grade. (ft.)(in.)(in. � Cin. 2. Other (specify) Center support Center support Supports (check one) locat-ons* footing sizes -(in.) 1. concrete block. 2. Other (specify) (in.) (in.) <--Tagalong.or Expando, show.support details. (ft. (in.) (in.) in. Typical Support (in.) (in.) Footing Size X.36 (ft. (in.) (in:) (in.) .1 - - �h (ft. (in.) in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 1J Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) BUILDING DF1_PARTM6N APPROVED ,�! } BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- e 8. Is there any other electric load to be served by the mobilehome ./Q1 Amps ZO V Amps /Oo Amps site service? --------------------------------------------------- Yes No (If yes, identify the load and size: bu EL L- (Load) 2-6 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) 10. What is the type of gas service? ------------------------------Natural / / LPG //V/ 11. What is the gas pipe length from meter or tank to the mobilehome? f 6 O (ft.) 12. What is the mobilehome gas demand? ------------------------------ 7-r Dt?Z) (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) MOBILEHOME INSTALLATION SHEET 1. Owner's name: C,41?2oL L 2. Installer's name: EA 1Z 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number u ) OR d 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 -F-7 No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- e 8. Is there any other electric load to be served by the mobilehome ./Q1 Amps ZO V Amps /Oo Amps site service? --------------------------------------------------- Yes No (If yes, identify the load and size: bu EL L- (Load) 2-6 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3 (in.) 10. What is the type of gas service? ------------------------------Natural / / LPG //V/ 11. What is the gas pipe length from meter or tank to the mobilehome? f 6 O (ft.) 12. What is the mobilehome gas demand? ------------------------------ 7-r Dt?Z) (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) FJ) - COUNTY OF BUTTE -- DLPARTMENT OF PUBLIC WOR 7 County Center Drive - Oroville, California 95965 TelcpHone: 534 -4541j -- APPLICATION AND PERMIT ! `J authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �lc/Pi& Jowe Date Signature of Permitee or Agent teO Receipt No. �� 6W White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f hich fees ve been paid. EC OF P ELIC WORKS BY Datl Building permit expires Date" �b'-' BUILDING . Owner 20 L L EA 5o W S0. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Contractor FABLE T_i9u;NE_ Mailing AddressJ103_, _ CI12CC£ L•�+� �D�S� Fireplace Total Valuation 7 I� n�fYo 7 Permit Fee Building Address Gr/ ,9 Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ©1,10 Repair drainage or vent piping 1.50 �_r� cam;• A. P. No. Lv ��� 5 ming & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sa Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla ec'd Parcel 40 rroval PI Im fZp�prav01 Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5•�� Single Family Duplex ❑ Mobil Home 42 -'Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OOR ADDNST ( ACCLBLDGS,CCUP. Y\ 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl e o Q // NEW CONSTR.S,D, -OUTLET NON.RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR(POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@25 APPLNS, OR OUTLETS (REST D,) EA 2.00 Ex. Occup (OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Z��?� S License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. @ MECHANICAL No. FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ i certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee Afr $ le OG TOTAL PERMIT FEE $ 5e)and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �lc/Pi& Jowe Date Signature of Permitee or Agent teO Receipt No. �� 6W White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f hich fees ve been paid. EC OF P ELIC WORKS BY Datl Building permit expires Date" �b'-' COUNTY OF BUTTE DEPAi(TMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE j OROVILLE, CALIF. - 534-4541 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 lC- for the following location: (oJJ:S , i f -j i -n Owne Owner's Address V n ,v .0 � - I f fs Mobilehome Mfg. OL�. ,. ck3 Model -V-1 Years Insignia No: V Serial No. 629', f 1/- 1`1 11 t1 , It is hereby certified for occupancy at the above .described location -and may be•occupied: Director of Public Woks Date J— _ By:. rs THIS CERTIFICATE _IS VOID WHEN MOBILEHOME IS RELOCATED White- Owher, Yellow- Installer, Pink - D.P.W. y MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi required separation -from lot lines and buildings.and generally conform to plot plan? YesyNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_L/._Xo 3. Are footings and supports properly sized, 'spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes. No 4. Is the mobilehome level? (Sec. 5088) YeSV No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes Nc 6. Water A. Is fleible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes ��// No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test?' Yes�o C. Backflow - If�co� not State of California approved, does station have backflow device and pressure- if* alve? Yes_ No 7. .Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? es No B. Does it have minimum '" per foot slope and is it properly supported? Yes No AC. Are any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe?..Yes No D. If coach{ate of California approved; does station have required trap and vent? Yes No I( 1 8. Gas- Piping and Gas Vents A. Connector - Is mobi ehome connected to the gas supply with an approved 3/4" minimum mobilehome connect not more than 6 ft. long? Note: All piping is to be at least as large as the mobi home gas line inlet without reductions other than the mobilehome connector: Yes No following procedure? Yes V No B. Test OK as per f g p _ 1. Open all appliance connector valves.. 2. Shut off appliance burner and pilot valves. 3. Air test meter to 10"-14" water column, or test with slope gauge (minimum 6oz:-maximum 8 oz.) librated in tenth pound increments. Test for 10 min. without 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly, installed? Yes_ No 9. Electrical All _ A. Ys service large enough to provide,adequate amperage-to'mobil'ehome (must equal rating of mobilehome with a minimum of 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo B. Is thereP roper clearances around panels? Yes ✓ No C. Is power supply cord or feeder assembly properly fused? Yes /No D. Is continuity test satisfactory as per the following procedure? YesV No 1. De-energize electrical wiring system of the mobilehome at the pedestal.- 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position.e 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6dJ Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water.and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length 4) Width Vehicle Serial No. 088 ?O/%D HO CA !r/ U X State Identification No. CSL 117' g573 Additional Information or Comments: PERMIT NO 2967-85B PERMIT EXPIRES OWNER MARYAN SMITH CONTR.. OWNER ASSESSOR PARCEL 25 -02 -ad LOCATION 19 Gold Run Ct. Oroville J Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature = OK = Not OK r vnY� = Not Applicable MOBILEHOMES v` MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'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/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; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 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 #'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 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 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 6. Water; MH -Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater S. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -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-1 Date Card -BI Date- Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date of OK = Not Applicable RESIDENTIAL (Single and �E = Not Ready Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. 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. 12. Electric; Underground 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 Card -BI Date Date Card -BI Date Date Card -BI 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 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. 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. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 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 H'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. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic C] Yes 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 El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑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 Opn s. 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 -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -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 Comments at Final: Date FRAMING(Plans) OK except p's 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. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. 3arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER / � 2u� PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cogtai this office immediately. ti Date // 1 / / Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER UI ZONING BUILDING PERMIT OWNER .1/* , 1/ , y7 Y1 lY! , a l ) TELEPHONE SO. FT. OCC. BUILDING VALUATION r ti OWNER'S MAILING ADDRESS ,/ r CONT RACTOR5 NAME - - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5(` s r ARCHITECT OR ENGINEER J t' Lt LICENSE NO. Plan Checking Fee $ c 7 (` Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $'� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[.-1 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 Q Addition ❑ Remodel ❑,� Uti lities ❑ Installation ❑ Other ❑ Describe work: Y n t7 r �� �� �— _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v 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): El am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.etl A ) �z2sgft NEW ADDS. AC ULT( OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR, Ex. Occup(OUT LETS OR FIXTURES eAL030@00 Ex. Occup. OUED R TLETS ((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. ❑ 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 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 liabilities, judgments, costs;and expenses which may in any way accrue against said County in consequence of the ,granting of this permit. i 16 t f , t 'fit( .�. _ � ��, �_ X L ( ! I L r Date ��s Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP, CONST.TYPEJ IV'OD PARCEL PD ND 139all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC c• / By y`r PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r �� ov900 Receipt No. - 1 r WHITE-D.P.W.. YELLOW-ASB[9SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT