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025-130-018
AP 25-13-18 WARREN MOFFITT1 'N � THELDOR, Farms 113 e/s Larkin Rd., 4 i. N. of Steadman Rd., Gridley 5 3 Permit# 2124- 5 , E (lut il., MH) f ELEC. L� da, ' -Larkin-R6ad mi 1/4 south of AlmondAve ' GAS W,v e. Biggs �. SUPP RT STRUCTURE REQ . &p COMPACTION TEST REQ. Wo 25-13-18 Permit #1629-76MH7"/� ?- 76 Issued 25-13-18 contr: Rusty Allen, Biggs 1 Permit #709-79B,P,E,M(addition & remodel/SF) 025-130-018 94-0276B,P,E,M s MOFFIT, WARREN & DOROTHY CONT: BOB FICHTER�- 2532 LARKIN RD. , ,EAST BIGGS ENLARGE BATHROOM/SF �.".. Ci 700 poemomrso>ar- �� POR Y�70w � 50 corm 3�KkJ A a CN�±}}j RESIDENTIAL, 025-130-018 9�4-0276B,P,E,M MOFFIT,-WAR16 & DOROTHY CONT: BOB FICHTER 2532 LARKIN RD., EAST BIGGS ENLARGE BATHROOM/SF 1,10B.FINALED (Date) Signature V=OK O = Not OK , ' = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES. (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Teat-Fall-C/0 Concrete 4. Water; Location-Teat-Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Teat-Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas;..MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7.• Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy w MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre.-Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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 S. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed, 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boa rds-Ina. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK 0 = Not OK = Not Applicable = Not Readv Date/Initialsi UNDERFLOOR (Plans) OK except #'s RESIDENTIAL (Single & Duplex) 2. Ftg., Mein; Soils-Elec. Grnd.-/ I Depth Ftg., Garage; Soils-Steel-Elec. rnd. / /" Ftg. Depth . 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftp. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped' 8. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Materlal-Support-Ina. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17..We ipe; Test & Anchor -Nall Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19. S o er Pan; Test, First Floor -Tub Access sf Tub & Shower, Second Floor -Tub Access 21.'Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 4. Size Boxes & No. of Conductors -Stapled L--15_Romj&1nstalled Close to Edge of Studs & C.J. '__�EOip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials ME ANICAL Permit OK except #'s 4. A.C. Ducts Insulation & Support tl 3531ent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Flatform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39_Sils, Proper Material & Anchors k---'-40. 's Studs -Nailing, Spacing & Bracing -Plates -Sound Bearg Walls over Girders & Floor Nailing railk Stop in Wells (rat proof) 43 ire S ps; Furred Ceilings -Stairs -Chases -Tub adere & Beam -Size & Bearing Date/Initials FRAMING (Continued) el2gaggers-Post Caps -Anchors -Connectors 48 g. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Ring. .2, 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance c Access; size & Romex Protection -Draft Stop -Ins. Baffles 49.9. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions .x-36- t3eMe Fire Protection Framing 51 PLine Firewall & Openings e Doors -One 3' -Check Garage -3rd Story2 Exits 3. Stairs; Width -Headroom -Rise -Run -Landing Fire Protection 54.g1ymmd on Roof Overhang -Attic Vents -Rafter Outriggers ailing Veneer ea 557MTu co Mesh -Drip Screed -Fd. Vents-Underflr. Access sung Area -Glass Protection -Skylights -Plastic ear Wells; Nailing -Bolts - nsu laUen=Walls-Ceilings �Bg- ltration-W Is- down Or ' Date/Initials FINAL )Plans) OK except #'a '!~Ext. Steps, -Door & Sidelight Protection -Landings moke Detector 8 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage;,Above Floor -Ducts -Mach. Protection BAdreom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel; Breaker Sizes & Labels --67."Stairs & Rails _611rFireplace or Stove; Clearances -Hearth Outlets at Wood Panel; Int. & Ext. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance -Fisc. Outlets & Receptacles at Kit. Counter _/72 Ga ge_Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75.-P+t7.-,-Efec. & Mach. Equip. Listed for Location 76. Eg-Receptacles in Garage; (G.F.I.)-Romex Protection Insulati -Foam-Looked in Attic ❑ Yes ,78:` ward Rails & Deck Construction -Post Caps 79. Fdn. V & Crawl Hole Door -Drainage & Wood -Earth l ( earance Looked under Floor ❑ Yes 60. F?jjqw1rr instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; _---Planters ❑ Yes ❑ No 81. co; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbina Roof; Plbg.-Appliance-Fireplace: Clearance to a%Water Well; Disconnect, Electrical, Plumbing erlor Elec. Trim; G.F.I. Receptacle -Underground 8 ntilation Throughout House from Previous as Test -Meters Tagged; Gas -Electric 90. ewer Connected -C/O to Grade -HD Approval energy Compliance Certificate -Other Certificates Comments at Final: , /1 /i COU TY OF BUTTE - DEPARTMENT OF 6EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 —PERMIT No. APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 25-130-018 ZONING A40 BUILDING PERMIT OWNER WARREN & DOROTHY MOFFIT TELEPHONE SQ. FT. OCC. BUILDING VALUA ON 194 6,696 00 OWNER'S MAILING ADDRESS 2532 LARKIN ' RD BIGGS CONTRACTOR'S NAME BOB FICHTER TELEPHONE 846-6611 CONTRACTOR'S MAILING ADDRESS 590 HAZEL CT GRIDLEY Fireplace CONSTRUCTION LENDER \ \ UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 8.59 Energy Plan Checking Fee $ 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2532 LARKIN D PERMIT FEE $ EAST BIGGS PLUMBING PERMIT Filing Fee 20.00 Each Trap 31 7.o0 21.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome C) Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 5.00 Mobile Home S G W @20'00 TYPE OF WORK New O Addition C)(Remodel ElUtilities ❑ Installation ❑ Other CIContractor Describework:. ENLARGE BATHROOM PERMIT FEE $ 71.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( III OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONS. OR ADDNS? ( DWELLING a, ACC. 8LDSUP ) 3.50 F°. 4.35 NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and m license is in full force and eff t. License No. �'7 D!Z "7 Classification ❑ I, as the owner; or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATRATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I dgclare under penalty of perjury (check one): Y TJF is permit is for $100.00 (valuation) or less. LN have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling MOVF i c; nn Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction,, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Ju tS, COSLs, and ex S which yin any way accrue against said County 'R co quence o th� g of this X Date .�C — gnature of Applicant - O net Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46 00 occ CONST. TYPE TOTAL F $ 367.85 HA2. D. FEES IMP Flo C PAflCEL �— HD I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indAcaledove for hich fees have been paid. By Date PERMIT EXPIRES ON _ �-9"•r/ lDa rel Receipt No. 155Rq� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _..� f .f-., J" a1-,. • �-r-c •_ .r `SS=-���„i�1. T .0 �.�'"'izr"4. <- :1 �'C;'�'. �V.�"J",`.�iVj,f `r s _ _ ::�R COUNTY OF BUTTE - BUILDING DIVISION.., .` DEPARTMENT OF DEVELORMENT-`SERVICES 1469 Humboldt Road, Chico' CA - (916) 891-2751 7 County"Center Drive, Oroville; CA (916) 538-7541 747 Elliott Road, Paradise, CA- (916) 872-6307 A CORRECTION_ NOTICE - OWNER 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. F:d COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT hl&" A routine in pection indicates that the following violations of Butte County Ordinances exist at the a/conaa�Foffice drid should be corrected. Please notify this office when correction of work is cod.have any questions pertaining to this matter, or need additional explanation, plea immediately. i Date— 5 _ Inspector REV 10/92 insulatio:n :Certificate36 . y Description of Installation , ROOF Material 'ihickncss (inches) : CEILING Batt orBLznkctType. FIBERGLASS Brand Name CERTAINTEED Thickness (inches) l 2 'Thermal Resistance (R -Value) LooseHlType INSULSAFE III Brand Name CERTAINTEED Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) So f�U E12 sr��t✓6, v �� F EXTERIOR WALL Material F TBERCT.AS. ,: Brand Name CERTATNT.EF.N Thickness (inches) 2 'Thermal Resistance (R -Value) J2 RAISED FLOOR Material FIBERGLASS Brand Name CERTAINTEED Thickness (inches) q Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material FIBERGLASS Brand Name .CERTAINTEED Thickness (inches) Thermal Resistance (R -Value) Deolaration I hereby certify that the above insulation was installed in the building at the'above location in conformance with the current Building Energy Efficiency Standards for new rrsidendal buildings contained inTitle 24 of the. California Administrative Code. Genera! Contiactor (Builder] . Si�riaiuie'�ndTitle SHASTA INSULATION:,. ,eKudCq r(. iioolauallcr) - StpiuureandTitk Licerue'Numtxr Date 272941 liceitse'Number 3-1/6-5'�/ Due )t ` t COU,' TYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 APPLICATION DATA SHEET Proposed Building Use 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). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ Impact fees as shown on attached scheduleG 12. California Department of Forestry plan approval/fees.... ............. . Flood elevation letter (100 year flo .q) by California Engineer. ..... . Sanitation and plot plan approval C,� , Health Department . ............ Z 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). ...... ' 20. Pre -inspection for required. ..tos�i'd 9 �sp� (Date) IllContractor's license information. (No., Name Style, Classification) . .............. 22 Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ 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/expired permits . ....................................... 32. Plan check list . ................................................... . 33. 34. When you issue the permit, process as follows: M ' to r. 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 topermit is uance: (Circle new item notc e k�Ijavey 1. Index permit for above items No. 6�M ' :b•• 2. Additional items required: XTA0440 TO rlf& Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Datta Contractor, designer, owner, was advised of above required data by_phone _mail ounter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder A.,wrEs 3 `/ Copy - Department of Public Works S/57 r Building Dupartnlent FROM: � Envir®nmcnlrtl IgctAltll SUBJECT: Sanitation Clearance Owner ,�- S" 3 �- � e -r k - Location 15,11, ASIS SINLI' Phil Him Alludmed Moor Phin Aluithwl svill In 11,IL ---i 2S -I3 -JP AP# Plan Approved for: Scwa�,c Disposal \Fater Supply: r Public. Private Well Clearance for bedroom mobile home. Othcr ��`� 1. Hold final for: Final clearance O.K. for: NOTE �o I Environmental Health Specialist 8/92 Date ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET •PACKAGE COMPLIANCE t Owner 0� Climate Zone Permit #474-Z-76 'Floor Area /z The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* N ��. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: a above building, -design meetz the requirements of Title 24. P r and o of '-h" California Code of Regulations. Component <=100 sqft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.- R-13 , R-13 R-13 R-19, 21 Floor Ins. R-13 1 R-19 R-19 R-19 Slab Edge NR L� NR� R-7 HR, R-7 NR, R-7 Ins. Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16$1+n 16% + 16% Removed Removed Shading NR L 66 .66 .66 Coeff(S&N) Shading . NR ..40, .66 :40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 .Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/• Allowed w/ of Wtr Htrs Icalculationi calculation calculation calculation * One entry/column = req both zones, 2nd entry = req zone 16. 1. ��. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 40 LUMENS/WATT DESIGN COMPLIANCE STATEMENT: a above building, -design meetz the requirements of Title 24. P r and o of '-h" California Code of Regulations. �`„ ....... .Nvr.r--;rra.eR'Rfr. �w -"'1;r•,vewR•s9.p—'iP-cr�v�r� Fs .1 . ! .. .' , r £ T; — e s"� IV WI 'IF '. tr BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One. Form Per Building) School District LSD Building Department No. A.P. Numberop'n'.0'.- - (� Jurisdiction 0 City County Property Owner W A i2 -W F &�f P:Q lL- U %71 `/ %j dEoF- / Property Location/Address Subdivison Lot No. i /, .:Residential Development 0 0 � Sq. Footage � '"T No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Departmen th epresentative f Date t (Floor Plans reviewed by School District Personnel) I M District Identification No.. /f epi School District certifies thatp�j(1 (Applicant) r �J � � n � � h // ..,, 161.. � _i � CL/ ,• � / i / Address) (CRY) (State) has complied with the requirements -of Resolution No. representing square feet. District Representative (Phone Number) (Zip Code) by payment of $ Dafe Paid by Check Number Remarks: ,�PS� '� �•. SOD Bank Number Paid by Cash *-- -. _ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) +" {PERMIT NO. 709-79B,P,E5M PERMIT EXPIRES Warren Moffitt OWNER CONTR. Rusty Allen, Biggs. LOCATION (A.P. 25-13-18 E/S Larkin Rd., mi.N.of 3eadman Rd., Gridley «r s , I' f t' r } JTemp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp..Gas Serv. Called PG&E tit JOB / FINALED 16 (Date) (Signa u e r 4 . y .. .� � � a T ,.. y .. .� � � .. � _...._ ._. r __ '. _ ,., . _ ..�. ,, �. �_ t r t i r � � e • ., ' . . � � _j COUNTY OF BUTTE —.DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING'(Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor- Main Bldg. Restroom Finish-------- __ 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing WaterPipingCNJP Piers Roofing NA Sewer Garage Fdn. Vents — Fixtures Footings --,Garage Vents y Water Htr. Stemwall Insulation Heaters Slab Prov. for ph sically Appliances handicapped Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final -- Sanitation Patio FIREPLACE Final Footings Foo ELECTRICAL Masonry Walls Throat Rough 75 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors FramingTest -- Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts — q Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service V Elec. Pedestal Water Piping Sewer Gas Piping MQBI_LEUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0 l (NOTE: An entry must be made on this form each time you visit the job site.) \ COUNTY OF BUTTE DEPR;RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tetephone: 534-4541 A APPLICATION AND PERMIT Single Family 1� Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of(.�-•` C�J�-•-r_ License No. /47-34-3 Classification - _ BUILDING S0. FT. OCC. I BUILDING VALUAJION Fireplace Total Valuation o Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or ventlpiping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service '1100V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER eooV 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50ea @ FEE $3.00 Mailing Address 1.50 1.50 /15_0 1.50 Telephone No. Contractor 5.00 Mai l i ng Address 0 Misc. Wiring 6.25 T le hone N/�o. Building Address ; y f' y A. P.+No. n�g Planning S on Fire Dept. Fire Zone Use Permit EQA Parking Plans arcel Declaration Parcel Map 9V R/W Improve nts Bldg. PI s Recd Parcel A rov Plans pprovol NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Single Family 1� Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of(.�-•` C�J�-•-r_ License No. /47-34-3 Classification - _ BUILDING S0. FT. OCC. I BUILDING VALUAJION Fireplace Total Valuation o Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or ventlpiping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service '1100V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER eooV 100 AMP OR LESS Main service EA. ADD•L 100 AMP — 5$ /'L 1 @ FEE $3.00 '3. W 5.00 2.50 25.00 1.00 NEW CONSTR. MULII.V LI I"I NON.RESID. BRANCH CIRCUITS 2.50ea @ FEE $3.00 1.50 ,�� 1.50 1.50 /15_0 1.50 1.50 .30 5.00 2.00 — 5$ /'L 1 @ FEE $3.00 '3. W 5.00 2.50 25.00 1.00 NEW CONSTR. MULII.V LI I"I NON.RESID. BRANCH CIRCUITS 2.50ea NEWCONSTR. (POWER APARATUS e NON .RESID. SINGLE OUTLET CIR. Ex. OCCUII(OUTLETS OR FIXTIIRES 50@ FRO - a FIXED ALNS. Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 0 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating j _mow_.... c�.c Code which requires every employer to be insured against liability fog"Workmen's Compensation. 4 ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. Datet5-S-ZI22 Signature of Permitee or Agent Receipt No. If 2<rO White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cool $3.00 Ventilation Hood J 1 2.00 Permit Fee $j $ "� Land Development Fee $ TOTAL PERMIT FEE $ W 1/0, This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fees have been paid. ECT OF P IC WORKS Date � J 7 Building permit expires Datea—���— ��w:J.��^:fis7�'r'"r`4PP' �i:.,+a ..-xr. ,Y p..,.g ,:` i.�n �t�".• 'ti vf,,�,5.... ;,;.b�, i."'G:;�wir''q}��,t•nw.;•� ^i w;�.4aSr�ati+. °kd•"�±C �J�9+'�5..,�ir�`i .'k-w"y, 1.�+"�'� to , 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 reqquirements of the C lifornia Administrative Code, Title 25, Chapter 5, unde ,permit number %��� %h for the follow in8g location:�,�, Ownerl��%%! Owner's Address Mobilehome Mfg. ModelYear/`%l Insignia No. 6937 v Serial No..4-36' 0-%r-- It is hereby certified for occupancy at the above described location and may be occupied. �/% Direct�o% of Public Works yc- Date r/"/ ���� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED x Y' -A Util. PERMIT NO. ?12 -r -7 5P9 E P E �1 M # MH UTIL. PERMIT NO. '� ; I PERMIT EXPIRES �J —�7� / jOWNER Warren Moffitt iCONTR. LOCATION (A.P. x 25-13-18 r e/s Larkin Rd., 4 mi, N. of Steadman Rd., Grddley Temp. Power Pole Called PG&E Temp. Elec. Serv. �7097 f Called PG&E Temp. Gas Serv. Called PG&E JOB J FINALED f (Dat (Signature) } Temp. Power Pole Called PG&E Temp. Elec. Serv. �7097 f Called PG&E Temp. Gas Serv. Called PG&E JOB J FINALED f (Dat (Signature) ` Temp. Power Pole Called PG&E Temp. Elec. Serv. �7097 f Called PG&E Temp. Gas Serv. Called PG&E JOB J FINALED f (Dat (Signature) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer t COUNTY OF BUTTE — DEPARTMENT OF' PUBLIC WORKS BUILDING INSPECTION �EbR' D' BUILDING I BUILDING (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure' Footin Throat Final Test Final Heatin Coolin Ducts Venti1. Final FIREPLACE MECHANICAL DATE / REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Pipin Sewer .r� Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final 9i Fixtures Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final ECTRICAL 9. Electrical A. Is service large enough to provide adequate amperage to. mobilehome (must equal rating of mobilehome with a minimum of•'100 amp) and other facilities on lot, i.e,, water pumps, garage, cabana, etc:? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes)—(No� D. Is continuity test satisfactory as per the following procedure?. YesV No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of.a test.instrument to the mobilehome grounding conductor and apply, the other lead to each ro.obilehome supply conductor, including neutral. S. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water.line); including fixtures and appliances,.shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory -completion of theelectrical tests, the lot or site service"equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card"and tag services. MOBILEHOME DATA / Manufacturer and/or Namestyle Length" Width l� Vehicle Serial No. State Identification No.3�i�-�� Additional.Informati.on or Comments: 'MOBILEHOME MSTAZLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plpt plan?' Yes No - 2. Does the mobilehome have required clearances above ground? (Sec 5085) Yes No 3. Are footings and supports'properly sized, spaced, and braced as er approved plans? (Note possible variation 'at spring shackles.) (Sec. 5082 & 5083) Yes No ,. 4. Is the mobilehome level?.-,(§ec. 500 88) Yes No ' 5. W�7t�archan-a-mangle �•.� �� ���e e•eover _connections properly installed? (Sec. 5088) Yes No J • " �' 6. Water A. Is f exible connector-of'adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_4 No , B. Test - Does water piping withstand working pressure or. 50 lbs. air test? Yes N8—, C. Backflow - coach is not State of California approved, does station have.backflow device -� and pressure -relief valve? Yes' No 7. Wastes and Drains A.' Is connection made with Schedule 40 DWV and.have flex connectors at each end? Yes No B.. Does it have minimum k"•per foot slope and is it properly supported? Yest ' No C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe? Yes No' > •. - D. If rs.na_ch is no.t•St&te-o.-f-California approved,. does station have required trap and vent? Yes No •• 8. Gas Piping and Gas Vents A., Connector. Is mobilehome connected to the gas -supply. with an approved 3/4" minimum ' mobilehome conne�tor not more than 6 ft.'long? eNote: All piping is to be at least as large as the mobiYehome gas line inlet without reductions other: than the mobilehome connector: Yes�o B. Test OK as per-followink procedure? Yes 1. Open all. appliance c nnector valves. 2, Shut off appliance burne and pilot alves. 3. Air test with 'manometer to 0"- " water column, or test with slope gauge (minimum 6oz.-maximum•8 oz.) calibrate in tenth pound increments. Test for 10 min. without drop. `{ 4. Connect gas meter to mo 'Ilehome 'th connector, turn on gas, test connections with soapy water. > C. Are all appliance vents properly install ? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S /a— 76 7 County Center Drive — Oroville, California 95965 • , Telephone: 534-4541 APPLICATION ANQPERMIT authorize representatives of the County of Butte to enter upon the abovementioned pro erty for inspection purposes. �`I A Dated �i ,Signature of Per itee Agent No. P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF lel BLIC WORKS By ate �3i T 7— 7 wilding permit expires Date .................. ........................... BUILDING Owner Lmle-C-111 114r1l-111I 7_1 SQ. FT. OCC. BUILDING VALUATION Mailing Address d ' G'�S Telephone No. —rS60 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Te lephone No. Permit Fee $ $ Building AddressC PLUMBING No.1 @ FEE PERMIT FILING FEE $•£.O6' p //�� y Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping v Each gas water heater or vent 1.50 aa�1 A. P. N c7� " %�-- Zoni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa ' n Fire Dept. Fire Zone Use Permit Building sewer pQ EQA Parking 7 Plans ' Parcel M p 60' R/W Improvem nts Lawn sprinkler system 2.00 Plans Rec'd Parcel Approval Plans Approval Permit Fee $ �g pp $ P•3 10[ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .3.00 Main service incl. 1 meter 3,00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U atlo Receps., switches & fix outlets b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump p D Mobil Home Facili ies Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ©� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 4_$. permit is issued I shall not employ any person in any manner so,as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abovementioned pro erty for inspection purposes. �`I A Dated �i ,Signature of Per itee Agent No. P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF lel BLIC WORKS By ate �3i T 7— 7 wilding permit expires Date .................. ........................... 1 MAY 1.4 19 j 7i819"01"ii? PR9 1T 121�n 1,�i516 ' S t * - 1 l' f lthe Setback shall be S ft. trorl� �9fly$;4? 5-e y< the side property line and 50 ft. from el0,0r;4 eel the centerline of the road; Pi&mltting tRaxisn.um of a 2 ft, eave overhang. Po e - Q e— rhit set of plans aid WeoAws MUST faa Rept on the job at all times and it is uAl'a%4 ii to make any changes or alterations on same withers written permisson from the Department of Public Works, County of Butte. A permit will 6e required for Me a7100110fion of the mobilehome. /s, , 141k e -- 14t IV -- t4t4/ A4, Sep#ics � i and4eea+j64.0f E�crtlFeto be as elf Cou�ty> Hent th Dept. pp qu i ren ts. All utility connections shalt be located within 4 ft. outside the rear third section of the mobile home on the left (road) side,of the mobile home. � 1 i - YV - ti �o - YV - BUTTE COUNTY DEPARTMENT OF ,PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE • 534-4541 MOBILEHOME INSTALLATION SHEET Owners name : f Installer's name—/, Is the site currently under permit? Yes / / No (If yes, furnish permit number o�� „� ��'� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4'. Will the mobilehome be located at least 5 Wit. 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? --------------------- a �� Amps 7. -What is the mobilehome site circuit breaker. rating? ______�_•_____ � Amps 8. Is there any other electric load to be served by the mobilehome siteservice?------------------------------------------------------ Yes (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ______________________ 10. What is the type of gas service? ------------------------------ 11. -----------_________________ 11. What is the gas pipe length from. meter or, tan's to the mohileh me? 12 :What is the mobilehome gas demand? ----- ------------------------ No / 9 _(Amps) mal / / LPG (This information not �requirer: if pipe length less than 6 ft: on natural gas, or less than 50 ft. on 'LPG.) (ft.) (BTU) %a- ft. in.) x� - -- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pMax: Pier. . Spacing i.n. Max . �" ,,Overhang MOBILEHOME SUPPQRT DATA Mobilehome Mfr. Setup Model No, Year Width cP (ft.) Length.. M.) -Expando Size ft.x ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer' installation manual and structural setup sheets :(if. not .on file with the County of Butte). Footings- (check.one; i A. Wood:either .' pressure treated or Cente Center Supp rt fdn.-`grade. : Suppo Footing Si es Locti s (in.) /.2. Concrete pad: � . , Other, .,specify inkin.(in.) Supports (check one; " 4 Y7 Concrete block 2..Concrete piers 77 3. Steel piers .. . ... .. .......... /.4. Other, specify I _ �► _ _ _ � — ... ...... ... ...... Typical Support .x i� PMW.In. Fcotng Size ) n. .. . ft. in.) x� - -- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. pMax: Pier. . Spacing i.n. Max . �" ,,Overhang i DECLARATION REC;�iZPIiiG L07'S OiZ P11P.CL7 S I terrify that as owner of the -_property acquired by deed in Volume l s�'�� , :'age Official Records of Butte county, (ISP. I am requesting permission to build or install S an additional living unit on thisy rop rt I will riot. divide the afore -1 p a �. mentioiied property for sale, lease, rent, or financing unless all ..—applicable land -division -laws:-arid.-•map.-requ)-re,-nents--are_cornplied-with. I am conversant.with tha.present zoning regulations affectig nthe y s o 0 4 , aforementioned -property, and declare that I shall not violate same. I represent that the proposed use.of the additional living unit is and -that, further I -shall -not --change -this proposed use of the- additi on.ah. living unit unless and until.I receive written approval therefor from the County of Butte. I fully understand that pursuant 'to Chapter 20 of the Butte County . Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell,. lease, or finance the area on or adjacent to said improveme-nt without fully complyiriQ with the applicabJ_e .laws and .•-• ,.,r;• .. ordiiiances, that I shall be -guilty of a misdemeanor and them -`ore, subject' - to the aforesaid penalties and imprisonment pursuant to law, Further, '• -this statement -shall -be--properly .-acknowledged and recorded at -the request. . af--the__County---of•- i.• Vv rnDS- ,mor - ; . • :: _ - .: - :: . � .. � -:..- q :` �� esu � `^;� ��- , 3 fin/ - fess • ' : �[altntettiuitiattiteo¢ittitenegat�tf[trit��aetsotitit� ���.��� •{�.L�� n .. ••.�- .` BARBARA M: GRI�JI(�A - : . � �l1r�Tl'' REC�7f;[1 e::! s = . s NOTARY PUBLJC - CALIfOR;vIA, r FEE • 7;� v PRC<CIPAC. 01 VICL { 1 ElUf; -E COUNTY.' r.. Date My Commission Expires September 9, 1977 . �ttlHttautowattttaat4itta��me�¢entae9stutuanaai� r. � H � � d A p �. � — y _. w � � .. m STAT? Or CALIFOPUNIA COLPNT Y OF Butte ) ss On this 29th d,.3y of April 197 5 before r: -ie, _ Barbara M. Grimm _ , .a. No La 11-y _1 lu lc 1n an zor she Co�.ty or SLa-te of California, residing therein, duly co,-nmissioned–ar>Hsworn, personally appeared Warren Moffitt kno—%,rl to Tile to be r—Ee person Wh O ,c: st- scri to the n�rl in instxu,�ent and ac'.:no��a_leci�;en to zr.e that.' cxccuted the same. have here!Lnto seL my hand .andate',. rc_Lr �Cd 1.1} - Of `i�i71 `cal in the County or Butte the -ua; and year in this '• c -_rt{ ricnta first zibove .-tr_itten. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ~� 7 County Center Drive - Oroville, California 95965 / ^ " Telephone: 5p4-4541 C/,(J" oC/ APPLICATION ANQ,PERMIT Irl authorze represeniauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. :0_ X Date G Signature of Permitee qf4f..t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC,TOR OF PUBLIC WORKS Building permit expires Date BUILD Owner m o F r 1, -T SQ. FT. OCC. BUILDING VALUATION Mailing Address, J BO .59 r 66 s �9 1, Telephone No. 8 6 8'-5601 Fireplace Contractor Total Valuation Mailing Address W IJ Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address F�S L �► v K 1 u j��l, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .4-A4 , G r71y 6F ,-.®d AiAx, JFJ. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sasn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 �Pla�ns- Bldg. IaP ns Rec'd Parcel Ap oval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ 'UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �N ALL hT o )J re, -7,5' er.a rT qMain service 00v OR LESS 1 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 4] Others ❑ Main serviceOVER 0 AMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADONS. ( A/CCLBLDG LING OCCUP. &) 2¢Sq ft NONNEW-RESID CONSTR. l BRANCH CIRCUITS) MULTI-OUTLET'2.50ea ' NEW CONST.R. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Occup.( Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ SAL @1 FIXED APPLN5. OR Ex. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a'certificate of Workmen's Compensation Insurance. WI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 1 FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee , $ $ I certify that I have read this application and state. that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby /A/y%7CLAT�o�i p�j TOTAL PERMIT FEE $ authorze represeniauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. :0_ X Date G Signature of Permitee qf4f..t Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC,TOR OF PUBLIC WORKS Building permit expires Date