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HomeMy WebLinkAbout025-030-0724 -� L — - -25=03-1,9- Weatherto %e V,d- , 2 9 Oa a Per it #6176-80 u ii. ELE GAS SUPPORT SftUCTURE REQ. COMPACTION TEST 22-03- 9 Cindy Deacy 2309 Oakwoodfni., Oroville contr: Mobile Home Center,Oro. Permit #326-82MHI(exis.site) Issued zR )/a 18'Z 25-03-19 g-2- 25-03-19 THOMAS W. POOLE 19 Oakwood Lane, Oroville ''e. ermit#; �A/D- tKP,E(utj1, MH) ELEC GAS SUPPORT STRUCTURE REQ COMPACTION TEST REQ 25-03-19 1 5-03-19 Permit#29 9P,E(4til, MH) ELEC. "0 C> ev 0- A Q 7 SUPPORT STRUCTURE REQ.ZK -7 COMPACTION -TEST REQ: _Y- L YW— -03-1'9 Permit#24+0 I- Il �q Issue �,�IJ ssue All -92-3530 E POOLE, Thomas 19 Oakwood Ln, 'Oroville elec`jserv/sf B08-2235 025-030-072 MISCELLANEOUS Elec*tric Panel NEW ELECTRICAL SERVICE .UP GRA 19 OAKWOOD LANE LIVERMORE, MARK I Ln BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: Arww.buttecounty.net\dds PROJECT INFORMATION Site Address: 19 OAKWOOD LANE Owner: permit No: B08-2235 APN: 025-030-072 LIVERMORE, MARK Issued Date: 11/03/2008 By TMP Permit type: MISCELLANEOUS 19 0AKWOOD LN Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/03/2009 Description: NEW ELECTRICAL SERVICE UP C (530) 533-6765 Occupancy: Zoning: Contractor Applicant: Square Footage: LIVERMORE, MARK Building Garage Remdl/Addn 19 OAKWOOD LN OROVILLE, CA 95966 Other Porch/Patio Total (530)533-6765 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B9018 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/03/2008 the applicant to a civil penalty of not more than five hundred dollars ($500); eck one of the following: Contractor's Signature Date&I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE OMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS'COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is or one a hundred dollars ($100) or ess. ❑ IAM EXE P der Section B. 8 P.C. for this reason: ElI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 11/03/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/03/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County; its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property ownsSor am authorized to act on the property owners behalf. WrInc f -I[ L, ;Jie-� wteDv-•e- 11/03/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. _Z735 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is'subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Nam 1" e First Cee( Mailing Address W o city 0r0u. Fax State, Zip Phone f 7 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City �)c Address Zipg r G� // City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City �)c Address Zipg r G� // city Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name AddressJJ O rA te wox L City �)c Stat Zipg r G� // Phone ✓�?� / £ Y 7 Fax E-mail APPLOANT SIGNATURE X /l PROJECT LOCATION AP# �V ��72 Property Address ' c,) o0 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address. DESCRIPTION OR SCOPE OF WORK. Qq -t-e- PA -P— -Fe r 12 31112�! Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. a Sq Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTI LL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLohNJO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. OR NO) I 6*VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY, PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW ELECTRICAL SERVICE UP GRADE Reference Number: B08-2235 Applicant Name: LIVERMORE, MARK Owner's Name: LIVERMORE, AR AP h Signature of Property Owner: Date: :025-030-072 l- 3 -DF Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING May 25, 2005 Subject: Reconstruction of a nonconforming use Site Address: 19 Oakwood Lane, Oroville, CA 95965 APN: 025-030-072 Non -conforming uses in Butte County are governed by Butte County Code Sections 24- . 35 though 24-35.55 inclusive. These sections of the code provide for the replacement of a nonconforming use subject to the requirements contained therein. This applies to all nonconforming uses in Butte County. The applicable sections of the Butte County Code may be found on the Butte County Department of Development Services website at www.buttecounty.net/dds, proceed to the Planning Page and to "Online General Ordinances" link to Chapter 24. If you have any specific questions please feel free to contact my office. Sincerely Yours, Stephen Streeter Planning Manager Thomas Poole April 29, 2003 Page 2 It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. If voluntary compliance with this notice is not accomplished by correction or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1 Remove all inoperable/junk vehicles from the property. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Rick Hamilton Code Enforcement Officer cc: Department of Development Services, Code Enforcement • 3 ' 025-03-0-019 92-3530 E t POOLE, Thomas ( 19 Oakwood Ln, ;Oroville 1 elec sery/sf u C2 q1- ` tM i`• 1 ' ' l OFFICE COPY + Address �1 GAS Dated 3 Meter BY ELECTRIC 'Dater Meter BY 4 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 C! APPLICATION AND PERMIT ! �� ASSESSOR PARCEL NUMBER ZONING d '�3U -C3� if u 1 BUILDING PERMIT OCR TELEPHONE SO. FT. OCC. BUILDING VALUATION _ PDDL 534- S9n OW R'S MAII DDRESS 5_4 4 Pll i/ .^ f^,kr C.PNTRAr P'a NAME TELEPHONE Lli✓IC`/ CONTRACTOR'S MAILING ADDRESS NSTRUCTION LENDER R'S MAILING ADDRESS ECT OR ENGINEER'S MAILING ADDRESS DRhESS l I LOT NO. I SUBDIVISION N PC) v , UNKNOWN USE OF STRUCTURE SF[a Duplexes Mobilehome❑ Other SPECIFY ARCEL MAP TYPE OF WORK--- III New t7 Addition;_ Remodel j_ Utilities Installation Other Describe work: �z Cy2circ P �fluJr� \ Ul? �k CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business r' and Professions Code and my license is in full force and effect. License No. Classification LTJ t-, 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 contact- ors. (Sec. 7044) Q I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. QI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Ceuntyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said:County in consequence of'the granting of this permit. X --Date Signature of Applicant — Owner Contractor Contractor C Agent CJ An OSHA permit is required for excovatlons over 5'0" d71p/ ep/and demolition or construct ion of structures over 3 stories in height. t ;} Receipt No. ,NN1rc-o.r.w.. TCLLOW- 3SE3300. PINK -INSPECTOR. G0L0fNR00-APPLICANr Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S 1 G FW $ S $ $ F i I i ng Fee 5.00 20.00 7.00 7.00 5.00 15.00 @ 15.00 15.00 tb • • Permit Fee $ Contractor j ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS j $,50/ g• JL. Main service 200ATO1000A1 37.50 NEW CONST. DWELLING OCCUP.p1 OR ADONS. ( ACC. SLOGS. 3.6Qsq.ft. NEW CONSTNON.RESID R. BRANCH CIRCTITS 1@ 5.001 ' (POWER APPARATUS e SINGLE OUTLET CIR. ) I Ex. OccUp(ou TLETS OR FIXTURES aA0 766 FIXED APLN5. Ex. Occup. OUTLETS PIRESID )REA.� 1 3.001 1 Temporary service 15.00 1 Mobile Home Facilities 15.00 Misc. Wiring 15.00 P-U.iclyw G UYl -ZQ•dZ) Permit Fee Contractor i MECHANICAL PERMIT FiIingFee 15.00 Heating i Cooling Hood 6.50 Ventilation Pertnit Fee S Contractor Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE i TOTAL FEE $d,•` This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated a ave for which fees have been paid. I OR OF PUBLIC WORKS By 47L1 Date PERMIT EXPIR S Date 0 1C" / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS J 7 County Center Drive - Oroville;=Calitorflia 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER d -630 -Q'l 9' ` ZONING u BUILDING PERMIT o ER J TELEPHONE � s9 2z �q. - SQ. FT. OCC. BUILDING VALUATION OWN R'S MAII 1N ADDRESS o4 r OA �Sg �` NTR Ar„rOp•c tin�.lE TELEPHONE VWrft✓ CONTRACTOR'SMAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15,00 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 $ BUILD17 ADDRESS f>c9 D D h r O U , _ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME P4RC EL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 SF Z Duplex❑ Mobilehome❑ Other Mobile Home I S I G JW 1 615.001 SPECIFY TYPE OF WORK New F-1 Addition F-1 Remodel❑ Utilities Installation ❑ Other ❑ Permit Fee $ Describe work: Tkjaa(.60 Sf'/ZCJ -PAA 3:41 t2P Contractor Lawn- ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.501 1e. Main service 200A TO IOOOAI 37.50 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. tC 11 License No. Classification as the owner, or my employees with wages as their sole compen- NEW CONST.r DWELLING OCCUP.! OR ADDNS, l ACC.. BLDGS. NEW CONSTR. ULTI-OUTLET NO N.RESI. BRANCH CIRC 'ITS POWER APPARATUS e SINGLE OUTLET _R. Ex. OCCU OUTLETS OR FI%TURES p FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 3.6Csq.ft. @ 5.00 20 76d A I 3.00 dation, 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) Temporary service Mobile Home Facilities Misc. Wiring 9 15.00 15.00 15.00 /S O ❑ I am exempt under Sec. , Business and Professions Code PALU110 20,6D for this reason Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIIng Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g Hood Ventilation Permit Fee Contractor 6.50 $ 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( ndemnHy-and-keep harmless the County of Butte against, all IiabilitiPs,CCjudg ents, costs, and ex9�•enses which may in any way accrue against said,Cbunty i consequence o ffe granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE `R TOTAL FEE HAz 0FEES IMP FLOOD COF PARCEL PO HO ISSUE to r _ _ Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" de p and demolition or const t- in height. ion of structures over 3 OS(" Receipt No. OJ ��53 •S� i�o 2Z(a _! r0 D This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated a ve for which fees have been paid. 1 OR/�UBLIC WORKS By I GvV DateZ PERMIT EXPIR S Date 69 "�� WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -IN sPIC TOR. GOL NROD-APPLI CANT I e- UJLU •• ' i .."`.y. r. . .:t. -*. r 7,`".•��7 �� w v`s r..;✓%t R.-�::+5...w -• COUNTY OF BUTTEEPAItTMENT O� PUBLIC W01:- BUILDING DIVISION ,7 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER h on7a S 42kPOO/ e.- A,-R.Nol Proposed Building Use ct,i Building InspectorDate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data a d manufacturer's installation instructions, 2 sef. s_ ./.t ees of $ . .... �� 41"s.. w.. r .. r"- . z�1. / Ir"rrmpact fees as shown on attached schedule. ��ppho,. .. /.41-114Z�... 4'. 12. California Department of Forestry plan approJ'al/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit ........ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... . Pre -Inspection requ� 20. Pre -inspection for required. . to Building Inspector (Date) 1. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ......... .... 23. Owner -Builder Verification (Given to owner , Mail to owner).......... ./o a6725 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expiredp rmits. ................. .. . ....... ..... 32. Plan check list. ........ 33. 34. ` When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ phon mail Counter _ ate Contractor, designer, owner, was advised of above required data by _ phon 6_ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PRE -INSPECTION OWNER: / If DATE D16 % LOCATION: / 9 oak woe 1-h, 6Y'©y i //e--, A.P. # o/ 2 CONTRACTOR: --o ZONING -------------------------------1------------------- PRE -INSPECTION FOR: e Cly' I C-, r3 e r v 6 DATE TO INSPECTOR IDl w / 9- PERMIT HI STORY : NONE N [ AS FOLLOWS: M }Y -T - . Fin 4 TYPE OF OCCUPANCY 15 ` .. FIELD - INFORMATION BUILDING USAGE: TENNANT: E 4 �CUPIED ED ---IFAS ELECTRIC S GAS ITATION FACILITIES FATED -COOLED RSON CONTACTED _ OTHER COMMENTS: � ACTION RECOMMENDED: f ISSUE 0 HOLD FOR I OTHER: BY � 4 / 1 2044A DATE 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) t — 2. I (have/have not) japi.5 cs signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.' I plan to provide portions of'this work, but I have hired the .following person to coordinate, supervise, and provide the major work: Name Address City.. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed Property Owner Social Security Nun Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- m•tted to issue the permit. `�z� off-- 9 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 01 OWNER CORRECTION NOTICE 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 contact this office immediately. ll C®n>"-e'.4 t::,e ed try F f, to VVI mm 1N .4l Qll uN df` ` // RQ,n,.oL-A- 00"01 /P1144 tG.t.✓ FtU1'yl ce- Date /d Inspector REV 11/91 IT V I a — �7 rltN—, -77 215-86(at6ched) rV t • E(MH)1 PERMIT NO. I 2,L57 T PERMIT EXPIRES / / U THOMAS POOLE OWNER owner CONTR. 25-03-19 ASSESSOR PARCEL 19 OAkwood Lane, ORoville LOI CAON o. OFFICE COPY Address ----------------i GAS ' Meter By ELECTRI Date Meter By Date �—'%(� o Temp. Power Pole Called PG&E Temp..Elec. Service Called PG&E Temp. Gas Service = Called PG&E JOB FINALED (Date) Signature = OK 0=Not OK = Not Readyiable MOBILE HOMES r Date MOIRLE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements . So' ',Special MH Support -Sketch . fir; Location -Test -Fall -C/O -Concrete . W ter; Location -Test -Easement Needed (Sketch) / _ I ctricity; Location-Clearances-Grnd Amp-Concr( as; Location -Test -Wrap: / /"L"ft. / /"Nat. or)gd/"L"ft./L I�LPG ,r_ -i ,�-� 7. Utilitv Clearance Card -131 g4 Date ,J Card -131 Date Card -B1 Date j) / and -131 Date Date HOME INSTALLATION (Plans) OK except #'s 1. Zogog Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Lo<flfectricity; MH Test -Crossovers -Breakers -Clearances `• 5. Dr 'n; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Appri Gas and Electricity Tagged Exits; Insp.-Sketch Cert. of Occupancy Card -B1 Card -B1 Date Card -131 Date Card -B1 k Date Date MISCELLANEOUS _ Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _ 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings _ Card -81 Date Card -61 Date _ Card -131 Date Card -B1 Date '• Date POOLS (Plans) OK except #'s 1. Setbacks -Easements _ 2. Soils; Compaction -Structure Stability _ 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed _ 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I Card -131 Date Card -131 Date Card -B1 Date Card -131 Date i 11 t = vrc 0 = Not Not Applicable RESIDENTIAL (Single and Duplex) - = = Not Ready e 9 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. De ., 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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 t 13. Plenums &Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 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 -B1 Date Card -B1 Date Card -B1 Date Card -61 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 Al -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 Liaht-Shower Liaht-Soa Liaht Card -B1 Date Card -B1 Date Card -131 Date Card -B1 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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 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 h Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof 13rac.-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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date y 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. & Appliance; 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..4 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 -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: i I (NOTE: An entry must beinade each time you visit iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. � %0 x Address or location of mobilehome / lc��� �ta-ILLL� Owner's name �114o tai A -S ilnol Owner's address Insignia or hud n Manufacturer's name 14- ig 1E A " � 8L � A ty 46=0f-'�n� Serial number of,Vpl.N. �r �11 Year of manufacture IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE, M081LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t 51381 White - Owner, Yellow - Installer, Pink - D.P:W� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center�Drive, Orovi Ile — Phone:r538-7541 747 Elliott Ro'd, Paradise— Phone: 872-6307. R CORECTION NOTICE _ � s VNETR ��MIT�N i 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 r matter, or need additional explanation, please contact this office immediately. n —LA \ Ak f— r Rl• � � I`LL A�1� —1'I ,l. Inspector. Date� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27.51 r 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION . NOTICE OWNER 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, ^ .� Date Inspector . .. .�-+ -.-.- ..-s. y'^Cf�'�'tac..�+M1.:..T_�yri�.".9A'.y�^.'as�.-+�+._✓iI� ..C�.'r!'Y__ - .�. .r+•-" +f-."YI'; t r.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196.Memorial Way , Chico — Phone: 891-2751 7 Co�rity Center Drive, Oroville — Phone: 538-7541 V \ 74 Elliott Road, Paradise— Phone: 872-6307 03. -- CORRECTION NOTICE Q 96 7 -9!Y 3 OWNER ww PERMIT NO. t A routine inspection indicates that the following violations of County Ordinance -? exist at the above address and should be corrected. Please notify this office t 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- Y COUNTY OF BUTTE - nEPARTMENT OF PUBLIC WORKS — 7 County Center Drive - Orovilfe; C-Qlitarnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMjQ N?/ ASSESSOR PARCEL NUMBER O —O O-- OI ZONING BUILDING PERMIT OWNER TELEPHONE JA3 SQ. FT. OCC. BUILDING VAL TION CF ER'S MAILING ADDRESS e>,5�2_ 41 IL CONTRA FOR'S NAME 14 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 0� � UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 in Permit fee Q o $ �J U 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 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home O.00e d. TYPE OF WORK New❑ Addition❑ Remodel EJ Utilities4!!�\Installation❑ Other❑ Describe work: �. _ 2— Permit Fee $ 4,(Q Cc) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 d, d0 Main service EA. ADD'L 100 AMP 2.50 1!a 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 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 OCc uP.tr OR ADDNS. `ACC. BLDGS. ,/z¢sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC IT S 2.50 ea W PO ER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu o LETS OR FIXTURES p UT 0050t - zAL@ eL030 FIXED ALNS.I, EX. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities Ho 15.00 Misc. g 15.00 Permit Fee $ V 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter pon the above-mentioned property for inspection purposes. 1 also agree to ave, indemnify and keep harmless the County of Butte against11 all liabiliti s en s, ts, and expenses which may in any way accrue against Co my in con nce of the granting of this permit. Signature of Applic nt — Owner`77Z.tractor ❑ 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 $ occ CONST TYPE AL -so -i TOTAL FEE $ 9� HAZ cuA PARK FPJ P P I su This permit is hereby issued under sions of the Butte Co nty.Code and/or work Indic ed bov for which fees D EC OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ✓��/� Dat .� Receipt No. 91r03 0 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT Copy of plans sent ___\ Health Dept., Fire Dept., Other Date 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: l-d� Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder L - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -. BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. / OWNER O A. P. No. Proposed Building Use ��% �� �"��� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 0 ox. rr—( 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid .................... :.................... 11. Park fees paid ..............................:...................... 12. ` 13. School District fees paid ................. Sanitation approval from -h-LI/e Health Department ... 14. City of Chico plumbing permit ....................:......... 15. Plot plan and business license approval from City of - (see City for other requirements) 16. Planning approval for (A) Use: - �(B) Parking: - .- 17. Improvements may be required." 18. Driveway permit (construction approval required prior to occupancy) ... - 19. Pre-Inspe for. - - required . , , , Pre-Inspec. request to p q Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) .::... . 21. Certificate of Workmans Compensation Insurance ..................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. 5. Letter of signature authorization ... ..... /% -GtS5 % iY//' 26. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. `x-8662 Telephones-� and hold for pickup at office. Deliver w/inspector. Other _ C Copy of plans sent ___\ Health Dept., Fire Dept., Other Date 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: l-d� Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan, Approved for: Sewage Disposal _ _ Water Supply.4Letl .t Ho <3�°final for: Final clearance O.R. for: Clearance for bedroo mobile home. Other NOTE *** Sanitaria Water Supply Water Supply ate 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) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Sign Social Security Number Date - 1 — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California, 95965 Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT • mi ASSESSOR PARCEL NUMBER 2 O 3 C3 -- C7 ZONING 1 UL BUILDING PERMIT OWN I RIO le TELEPHONE ,SQA FT. OCC, BUILDING VALU ION OWN 'S MAILING ADDRESS .0s� 8 [CONTRACTCTR'SNA E TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 $ Is.OG Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD ADDRESS Permit fee /J00 - PLUMBING PERMIT Filing Fee 10.00 O r 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❑ Mobilehome4?11- Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00e TYPE OF WORK New ❑ Addition tt11Remodel ❑ Uti lities ❑ Installationk< Other ❑ Describe work: /l T _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 60OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD-[- too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLDGS. , 2/20sgit NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea /POWER APPARATUS d (POWER OUTLET CIR. Ex. po UTLETS OR FIXTURES 200e0e 5AL030 FIXED EX. Occup. OUTLETS 4 R RESID.IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, i demnify and keep harmless the County of Butte against all liabilities, j d me xpenses which may in any way accrue against s y in consequenc the granting of this permit. X Date Signature of Applicant — caner Contractor El Agent 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 $ 0 0 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ D� E HAZ _ cuA PARK SCHL E PAR P HD I E Th's permit is hereby issued under sions of the Butte CountyCode and/or work indicated afor which fees DIRE TO F PU LIC BY 42WHITE-D.P.W.. PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Q' Date 0� 1`0 — % Receipt No. '5030 YELLOW-ASSr3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT y. t -A setback of 5yft. from the property lines -and a setback . of 50ft: from the road centerline shall.be clear of structures or equipment except for a•2 ft. eave.overhang. E - any n Utility connects ns s `'all be within 4" ft. of. the mobi ome, either ` directly behind r ithin the rear half of the roa side -ft) mobilehome This set of plans and kept on the iota at all ti specifications MUST be es and it is unlawful to rna,]-P any changes or alt.-rryf;ons on same without written permission from he Department of PuWk Ww*S, County of Buffo. 1T€:—All Materials & Workmanship . Shall Be ,ta Accordance with Recr, anized Good practices and; of a quality prescrihed for the Specified use in the Uniform , Building, Plumbing & Machanical Codes and Electrics) Code. OOL)<Wocc` G nC'- t • /. t .'•DIY. 3 . _ ) � ..:. •b .- _,_. - ...... BUTTE COUNTY BUILDING Dr-PARTMEN APPROVED BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS" _. 7 County Center Drive, Oroville.,CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2.' Installer's name: , OU) 1A e- V***,- 9. What is the mobilehome site gas pipe,size? -------- y 10. What is the type of gas service? ----------------------------- 3. Is the site currently under permit? Yes -77_7 No the mobilehome? (ft.) 12. What is'the mobilehome gas,.demand?------------------------------ �y (If yes, furnish permit number t n ) OR (This information not required if pipe length less than 6 ft. natural gas.. or less than 50 ft. on,LPG.) Is the site an existing site? Yes / / No / / , !J (If yes, furnish two (2) plot plans.) 4. Will the mobilehonie'be located at least 5 ft. away from septic tank and leach f ielde and clear of all setbacks and easements? Yes / / No _L f ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to -be served by the mobilehome siteservice? --='y----------------------------------------------- 1 r5 © Amps ' Amps l` Yes. 7= No EEC (If ,yes;, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe,size? -------- = / -------------- �l �(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?------------------------------ J (BTU) t n (This information not required if pipe length less than 6 ft. natural gas.. or less than 50 ft. on,LPG.) !J MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. I -G= �10� furnish Setup Model No. N idth (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. Footings (check one) Single I (ft.)(in:) Center locat (ft.)(In.) II (ft.)(in.) (fth(in.) (in.) (/1zes Center rt footing (in. x (in.) (in.) x —.1 (in.) (in.) /IL -x (ft.) (in.) (in. (in.) Y *If center piers are other than drawn above, draw in -locations. spacing, and dimensions. Q Wood either pressure treated or foundation grade. 2. Other: (specify) Supports .(check one) 1: Concrete block. .2. Other. (specify) Tagalong or Expando,' show support details. -}• Typical Support Footing Size j- Max. Pier Spacing -3 '16–I -j Max. Overhang 5 AP # OWNER PERMIT • Nli UTIL. CLEARANCE DATE J D " I Is INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET /, nn Permit No. OWNER ?ZOAiI/5 �4" . Aal-/ A. P..No. �—D J'-/9 Proposed Building Use A?�T Building Inspector Date 49-1:7—V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............................... 11 11. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ............................................ 1 .11.11.1 10. Fees of $ ................... 11. Chico Urban Area fees paid .................................... 12. Park fees paid ..................................... r............ 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoned'!$— U and hold for pickup at d2Q office. Deliver w/inspector. Other Applicant Date 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—mall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Copy—DPW Date Plans approved by 4�S Date Sets of plans on hold in File cabinet AP folder 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) Vk4 5 signed an.applic.ation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate,.supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name• Address . Phone Type of Work Signed: Property Owner _ Social Security Number Date 8 3 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. PERMIT NO. 326-82MHI • PERMIT EXPIRES ,����/�� OWNER Cindy Deacy CONTR. Mobile Home Center, Oro. ASSESSOR PARCEL 25-03=19 LOCATION 2309 Oakwood Lane, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service C led PG&E 1-7 Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signatur J = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS 14 Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O-Concrete , 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures " 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance _ 7. Elea Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (P OK except #'s Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's oning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3)) Gas; M e Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining le tricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI ra n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 9,,-W—ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed j/VPAter and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Ga nd Eler,"ty Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit x' Insp.—Sketch 1 art. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date rd -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Itl S- j mss' . � �sss = OK = Not OK = Not Applicable = Not�Ready RESIDENTIAL (Single and Duplex) Dt.e UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Eleo. 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 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. 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. 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 Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. 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 Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes EJ 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-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI 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 Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Prooer Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Jois--Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 19'" for the following location: Owner t Owner's Addressl� � � S i Mobilehome Mfg. Model Model Year 7 `J Insignia No. 44'95.5"S' Serial No., 5 It is hereby certified for occupancy at the above described location and may be occupied. . - -1 Director of'Public Works Date S ~ 3– '1 2— ByTHIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. - V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, 'California 95965 - Telephone 916/534 41 APPLICATION AND PERMIT ► �, ASSESSOR PARCEL NUMBS / ZONI G N'2 - BUILDING PERMIT 1 OW EN Tv TELE/ SQ. FT. OCC. BUILDING VAL TION . /� OWy�Rj M/A/IL;g RES,S_ / Y CO//"//��UV C//G.M //G�r/� T Evl1LJ �`ar CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN 1� Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINES LICENSE NO. Plan Checking Fee $ 0.00 Penalty $ ARCHITECT OR ENGI E R'S MAILING ADDRESS Permit fee $ BUIL IN AQD SSO O� - 6AN/5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0aV<C Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee]�her SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation R Other ❑ Describe work: T �X�S� �/VG� �lT� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51` OR ADDNS. ACC. BLDGS. 2� sq ft 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 m license is in full force and effect. y 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) 1, as the owner, am exclusively contracting with licensed contract - (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR NON-RESID BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS D) NON RES D. (SINGLE OUTLET CIR. s0 a eft Ex. Occup OUTLETS OR FIXTURES BALei IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. ❑ 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. 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 Iia ' i ies, ' gments costs, and expenses which may in any way accrue agai t id J s nce of the granting of this pe it. �60his X Date Signature of Ap icant — owner ❑�Ontractor ❑ Agent ❑ An OSHA per it is required for excava over 5'0" deep and demolition or construct- ion of struct res over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ JrO. C70 OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND . ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � 1 •� 2_-1 Z ~ �/ Receipt No. ! J 7 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This sef of plans and specifications MUST bE . . kept co the job at a!; times and itt is urflaw. €; ! fc make any changes or alterations on. same with,oui� wri;rten per,-aission from the Department of Tub tic Works, County of Butte; ' i NOTE:—All Materia is & Workmanship Sha�l.� Be th - f .. , Accordance with Recognized Good Practices and q A of a duality prescribed for the Specified use in the Unifo, r,l E'ai;dir,g, Humbing cc Mechanical Codes and the Naiional Electrical Code. . .i A setback of 5•ft. from the nroperty.!ines:and a setback of 50ft. from the road �. r:_ �,�'T L� :.. L centerline shat! be clear of structures or equipr~;ant except t fora 2 ft. eave overhang. i •• I i ! BUTTE COUNTY T BU1LDlNG DEPARTtMEI' ; . k, D � f� Of u/eY 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No / -/� • (If yes,, furnish permit number ) OR Is the site an existing site? Yes -7,:7Q No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No . (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------ Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? -----------=--------------=------------------------ Yes 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 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? --------------------=--------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50,,ft, on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. r(���_ furnish Setup Model No. Year / J Width (f t.) 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. Footings (check one) Single ✓ `• Wood either Aj`� pressure treated or na foundation grade. x (ft.)(in:) (in.) (in.) 2. Other: (specify) :enter support Center support locations* footing sizes Supporta (check one) (in.) MINI 1, Concrete block. F1 -2: Other. (specify) (in.) (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in -lncatinns. snacing. and dimensions. x FA (ft.)(in.) 1.4 , (ft.)(in.) 3 Z —'?2 BUTTE COUNTY BUILDING DEPART,MEN! E -Tagalong or Expando,' show support details. -- Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang APPROVES ��y This set of plans and -specifications MUST bt kept on the job at alIF"flrhes and int is unlawful tri make any ch ngas or alterations on same without wrii-ifon permission from the,:Department of Pub- lic Works, County of Butte. i NOTE—All Materials & Workmanship Shah Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform. Building, Plumbing & Mechanical Codes and the National Sectrical Cade. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. i Utility tonne tions shall be wit in j 4 ft. of the mobilehome, either directly beh ir d or within the rE a half of the ro dside (left) of the mobilehome, L-V7LJOC I . A permit will 6e regajred for tie 1 installation oft a mobilehome. a t 1 Z64i , 0akW00D L&), /P4+ 25-03- 19, 6170-9O BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1 �1 1766 TO WHOM IT MAY CONCERN: Charles Weatherton is putting power on 2309 Oakwood Lane, at the request of Thomas Poole owner. 10 S00I.J AW— • =:o ( " z e., "- � Ruth Baldridge Property Management J a o� o d OEP oll oto s s� V q a PERMIT NO., 6176-80P,E PERMIT EXPIRES OWNER C. L. Weatherton CONTR. owner 5 ASSESSOR PARCEL 25-03-19 r LOCATION 4389 Oakwood Lane, Oroville C J, r r 4 R! R� 3y" L3 t; Temp. Power Pole 5 Called PG&E Temp. Elec. Service a Called PG&E o Temp. Gas Service Called PG&E JOB FINALED (Date) i t Signature 4.0 t J = OK O = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILE OME UTILITIES (Plans) OK except b's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Xe-lqg Requirements—Setbacks—Easements , 1. Zoning Requirements—Setbacks—Easements . Soi ; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ,We,; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rfirs. —Connec.—Shthg.—Rfg.—Bracing lec 'city; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors CV -Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date t Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; M FhTest—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drai ; MH Tet —F x Conn ctor 5. Elec.; Pool Lighting; 15 volts—GFI 6. ; MH Regula — onnector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. e C ed—C/O to Grade—HD Approval fGs 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 d EIectr cit agged 6. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9,; Insp.—Sk tch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i 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 0 t V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL' (Single and Duplex) Date' UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., 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-Blockouts-Wrapped-Slab 53, Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. 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-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 Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu orAI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑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-Cirnces-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. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type AFlue-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) I'Mo County of Butte Wv-ci�- tdI DEPARTMENT OF PUBLIC WORKS941--47S/ VUs ., Chico — a48 4@44, Ext. 919 7 County Center Dr., Oroville — 534-4541 • Skyway and Elliott Rd., Paradise —4955/ CORRECTION NOTICE ....................................................................... :....:.. Building or Property Address 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. .....................................`....... ........ ................................ .............. / 3 .............. {............. .....r..lf:............................................................................... i .............................. .... .y(........................, /. ............................. / ........................................ .. .......M..................................... ................................................................ .......--,4......................................... ............................................. / .........F.. ............................................ Date .........:.:............... Inspector ....... .................. ................................ Do Not Remove This Tog (400-4) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 7Q 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE ,:✓ :,� O l o• ��C'� Ham: BUILDING OR PROPERTY ADDRESS 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, need additional explanation, please contact this office immediately. �s.. 1k. 7(1, 01*D A-1 r Inspector � � -�'-t.�,'�I . Date � 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKSrl)Zj ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 �%� �/ / APPLICATI10N AND PERMIT L5(� ASSESSOR PA CEL N41ER 25- — `'I ZO I WY- B DING PERMIT O NER EA C- ►�&1 TELEPHONE 533-6075 SQ. FT. OCC. BUILDING VALUATION - O.eWWNER'S MAILING A/DDRE/S_S••'/ Q c��7 �j� 1 `O e•V%\ I /) C)�JI� 1 5 1 Cr 5 CONTRACTOR'S NAMEowse_TELEPHONE CONTRACTOR'S MAILING ADDRESS - - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee U, ,$ O.QO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD 16 DDRESS Z � 0AKLJ4904 L fE PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping M-00 LOT NO. 23 SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets /0.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome©�Other SPECIFY Building sewer 101,90 Lawn sprinkler system 5.00 -TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation El Other ❑ Describe work: Permit Fee $ , Ov Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 100 5.00 5,700 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. I 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am'iicensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full foice and effect. y License No. Classification +Temporary 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 CDNSTR -Du LET 2,50 ea NO .R ESID BRA CH CIRCUITS) CONSTR R ESID. ( SINGLE OUTLET CIF3. POWER APPARATUS 6 NEW NONW. 50 0230 Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUTLETS FIXED APP(RESID )REA. 2.00 service 10.00 Mobile Home Facilities 15.00 C>O Misc..Wiring 7.50 Permit Fee $ 32 .50 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 S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue .against said County in consequence of the granting of this permit. X�' Dated (� Signature of Applicant — - . "Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ $Z. Sd occuP. GROYP I TYPE OF CONST. I PARC; PD HD ISS E. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By " l PEEWIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /- Z-� Receipt No. 578 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIf-,'NO.2.E(Mi ) nPERMIT EXPIRES 7! OWNER THOMAS W, POOLE { CONTR. owner ASSESSOR PARCEL 25-03-19 LOCATION_ 19 Oakwood Lane, Oroyille Temp. Power Pole Called PG&E f i Temp. Elec. Called F Temp. Gas S Cal led P JOB FINALE Signatur T I, J = OK f. , 0 Not OK F = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch t Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location-Test-Fall-C-/0='Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location- arances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -T -Wrap:/ /"L" (t./ /"Nat.or "L"ft./ "LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI I Date Date Card -BI Date POOLS (Plans) OK except it's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. 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 -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 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL -(Single and Duplex) Date UNDERFLOOR Plans OK except N'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 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. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes ll No. of Conductors -Stapled 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 E] 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 ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes E] No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 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-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except q'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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Stucs-Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing 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-Sh_thng.-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. Garage Fire Protection Framing (NOTE: An entry must 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: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter,p,peed additionikl explanation, please contact this officeimmediately. Inspector Date t r _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ADERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 7 ,SQA FT. OCC. BUILDING V ATI t, 52t OWNER'S AILING AggRESS Ade CONTR -.NAME TELEPHONE CONT C OR'S MAILING ADDRESS Fireplace CONST ©ION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER VLr— LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - � PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 CLQ (p Water piping 5.00 LOT NO.SUBDI 9211 VISION NAME i PARCEL MAP c2!-- 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 0.00 e , Ty TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities stallation� Other[:] Describe work: Permit Fee $ qoxc 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.8o OR ADDNS. ACC. BLDGS. 21/20sgft 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 m license is in full force and effect. y / License No. Classification Ipf 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.( U TI -OUTLET 2.SOea NON-RESID BRANCH CIRC TS NEW CONSTP- POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex. Occu 20®s0e P�o OR FIXTURES BAL030 FIXED APP LNS, OR FIXED A EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L5` Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT FiIingFee 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 �f 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter up the above-mentioned property for inspection purposes. I also agree to sle f and keep harmless the County of Butte against all liabilitie , ments, cos and expenses which may in any way accrue against sa' ount in consequ a of the granting of this permit. Date y' -moi- �S Signature of Applicant — Owner g Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Lion of structures over ren stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE $ AP OCCu P. GROUP I TYPE OF CONST. / 1rY� PARC 1. PD HD 95U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — �� Receipt No. r— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL .;C&,bI:(FQRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET J. Permit No. Ch1 OWNER A S 4- A. P. No. - C�,�-��'•l7' Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Othe (ExpI An) Building Inspector Date— At ate At time of permit application, I was advised thy. following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED, APPROVED 1. All items have been submitted. . . . . . . . . . . . 2– Plot plans in duplicate./triplicate. . . . . . . . . . . j 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . r I 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . r 9. Letter of signature authorization.. 00. Sanitation approval from 110 . , Nealth Dept. 1 30 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 [:1, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required.B� •dnsspelc. request to ;Dote) �1 Recorded copy of Agricultural Acknowledgment Statemen . Other ,0 P C' s + When you issue the permit, process as follows: Mail to owner. VMail to contractor. Telephone i and hold for pickup at office. Deliver w./inspector. Other Applican,t �-9 Date r Copy of plans sent Health Dept., Fire Dept., Other Date { During the plan checking process, the following data must be submitted prior to permit issuance. i (For required items not checked above ti e f li at', n, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: I Copy—DPW r I To: Building Department ? �` From: environmental Health' Subject: Sanitation Clearance t OwnerLocation,, AP# Plan Approved for: Sewage disposal water supply Hold final for: water.supply Final clearance O.K. for: water supply Clearance for 2-� bedroom mobile home. Other unitarian 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 application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.-- 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social -Security Number Date !� �% 'A — _ n NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS 7 County Center.Drive,,Oroville, CA 95965 PHONE: 916-534-454 Thomas W Poole P.O. Box 524 Palermo, CA 95968 Dear Mr. Poole: With reference to the above subject: DATE December 10, 1985 RE:Permit application #1532-85 for mobil home utilities. 4.P. # 25-03-19 L1 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER :VXXl We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insuranqe or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico XX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise 2/1 L/ (DPW) Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER We cannot issue your mobilehome utility ermit until e receive -from-the Heatlh Dept. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works C.Glander Chief Building Inspector [[[///-yyy-A USE PERMIT BUTTE COUNTY PLANNING -COMMISSION j• 1985 ____ DATE: (Registered Mail Rec.) __ __85-71 -___.---------- PERMIT NO. ---.-.25-03-19-------------------- ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Thomas W. Poole is hereby granted a Use Permit in accordance with application filed: 6/20/B5 to allow a mobile home as a temporary second dwelling -on - property zoned A-2 located on the north side of Oakwood Lane, 200 feet east of Highway. 70 , 3 miles west of Palermo. 1. Failure to comply with the conditions specifi'ed herein as the basis for approval of app l -i cati on and issuance of IPermi t ,, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Enabling Ordinance. ;. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. , .3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit'shall become null and void and reapplication'shall be required to establish the use. 4 ' SPECIAL CONDITIONS: - 1. Occupancy of the mobile home is limited to a close friend or relative by blood or marriage. 2. No rent is to be charged to the occupant of the mobile home. I 3. New mobile home to connect to existing sewage disposal system and domestic water well. r. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24-304 of the Butte County code. 5. The Use'Permit shall expire two years from the date of issuance'of the Use Permit. Upon application, the Planning Commission may grant an extension of the'Use'Permit not exceeding one year. , S j• 1985 ____ DATE: (Registered Mail Rec.) __ __85-71 -___.---------- PERMIT NO. ---.-.25-03-19-------------------- ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Thomas W. Poole is hereby granted a Use Permit in accordance with application filed: 6/20/B5 to allow a mobile home as a temporary second dwelling -on - property zoned A-2 located on the north side of Oakwood Lane, 200 feet east of Highway. 70 , 3 miles west of Palermo. 1. Failure to comply with the conditions specifi'ed herein as the basis for approval of app l -i cati on and issuance of IPermi t ,, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Enabling Ordinance. ;. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. , .3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit'shall become null and void and reapplication'shall be required to establish the use. 4 ' SPECIAL CONDITIONS: - 1. Occupancy of the mobile home is limited to a close friend or relative by blood or marriage. 2. No rent is to be charged to the occupant of the mobile home. I 3. New mobile home to connect to existing sewage disposal system and domestic water well. r. 4. The mobile home is to be a temporary use on the property pursuant to the requirements of Section 24-304 of the Butte County code. 5. The Use'Permit shall expire two years from the date of issuance'of the Use Permit. Upon application, the Planning Commission may grant an extension of the'Use'Permit not exceeding one year. - r. 6. In the event that the applicant who is residing within the mobile home or the conventional residence, for any reason, moves to another location or is deceased, then in that event, the Use Permit granted herein shall automatically expire and the mobile home shall be removed within one hundred twenty (120) days. In the event the mobile home is not removed within one hundred twenty (120) days pursuant to the terms of .'the Use Permit, the County shall remove the mobile home and store it at the owner's expense. 7. Meet the requirements of the Building -Division of the Butte County Department of Public Works. B. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the' foregoing conditions, -that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: _____________-______________________ Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor -does it waive any other requirements. - - - - ���������- - - - - - Chairman of Planning Commission CC: Department of Public Works (2) Health Department, Fire Department ' ' �+ ~- p ` ~- � .� / I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ;ticl ,UzutkGiriclt+LF;rCORs7S FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY.CALIFORMA ' y AT THE REOtl ST Of Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 85-23043 1905 AUG -I PM 3 08 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thi@LEAWOR M.BECKER JG� property may be subject to inconveniences or discomfort arising* fromCLERK-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, 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. tie; All that real property situate in the County of Butte, State of California, described acs follows: Date : GRANT DEED FOR A VALUABLE CONSIUERAf10N, tact -PI of which is htrrby al.Lnuwlalyrd• HENRIVI'I'A to-UPE hereby Gf1Aht TtS) to iII WIS n• RULE. A hll\A�I:R the real protwty in the City of unincor�onted County of butte Slit, of CGhlorma. Vrc:,brJ n Lots 22 and 23, as shown on that certain Nap entitled, ")AK I.I(U,'h SU81'IVIb1UV, bU1'IL CLAINrY, GA LfrttitSIA"; whish Map was recorded in the office of the Recorder of the County of Uu�tte. State of California, December 4, 1940. in book 15 of Mayr,, at pare 1!t, including 0,11 uinera)l rights thereto. F State of ot On this the c --29-4L day of _ r 1: .6 , before SS. me, the u�n�de)rsigned tarry Public, ersorlally appeared y of Count oD L/ Personally known to me. X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose hame(s) sulfscribled to mss. xy the within instrument and acknowledged that �e OFFICIAL SEAL KATHRYN L.RASE executed the same for the purposes therein contained. NOTARY fgi211C — CAIIFOMA IN WITNESS WHEREOF, I hereunto set my hand and official seal. CUTE COMITY MY ccmrnl;:Ian. [rprres Jun 14, M?7 Q to _ Notary Pub ,. Present A.P. No. �1 l� H_ . --:'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 44 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 'RMIT NO��� ASSESSOR PARCEL NUMBER o ZON BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 'S MAI ING AD RESS " CON AC OR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NwvNe 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 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 [I Duplex❑ MobilehomeE?"' Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK r, New ❑ Addition Rreemooel [-IUUttiill.ities ❑ Installation L7'*� Other ❑ Describe work: 1 ��7.5�� _ 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): ❑ 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 CONST. DWELLING OCCUP.e , OR ADONS. ACC. BLDGS. ) �20sgft NEW CONSTR ULTI.OUTLI-T 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu 200e0s Occup(OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS PRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 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 f Consent to Self -Insure. G0 ' 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to s ni y d keep harmless the County of Butte against all liabiliti , iudg ents, cost and expenses which may in any way accrue against 1 ounty conse c of the granting of this permit. Date — Signature of Applicant Owner Contractor ❑ Agent tj 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 $r7q) on OCCUP. CONST.TYPEJ FLODD PARCEL PD No I sue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r Receipt No. `aA—X- 3 WNIT!-D.P.W., YELLOW-ASSE390R, PINK-IN9 ECTOR. COLDeNROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL-•E; CALIFORNIA 95965 - TELEPHONE: 916/534-4541' PERMIT APF' ICAfWNPUTA SHEET OWNER - T" A. P. No.. D Proposed Building Use Permit Fee Based Upon: Complete Contract "Price DPW Valuation Other (Explain) Building Inspector. (' .111 Date _ % At time of permit application, I wavadvised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs... . . . . . . _. 25-03-19 — 5. Plans with Energy Design Compliance Statement. . . Permit #2176-851`J-'.--"- 6. State Energy Forms No. Issued 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. . . . . . . . . . . 10. 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 owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . • 17. Pre -Inspection for RequiredPre-Inspec. request to 4 Building Inspector (Date. ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. —It' elephone �3�-Z�_�' /and hold for pickup at _office. rDeliver w./inspector. Other--- '— 7 AppI iCan""' t -1_ )_%. _: �� � Date ' 3 ) Copy of plans sent Health Dept., Fire Dept., Oth6r----- Date During the plan checking process,—the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle .item.) 1. Index permit for above items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Plans approved bi Other Copy—DPW Date Date Date f'— i