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HomeMy WebLinkAbout025-220-077mit #2398-79E,E(uti1.,MH) ELEC. GAS SUPPORT STRUC REQ. 4110 COMPACTION TEST REQ. b Permit#58-7yMHI - Issue i 025-220-077 04-0150 DAVIS, JAMES 550 STIMPSON, OROVILLE Cont: OWNER• UPGRADE ELEC i�: 1.+, ri in PRE-INSPECTION R OWNER: LOCATION: CONTRACTOR: REASON FOR PRE -INSPECTION EPORT DATE: 1 A.P. # �� �• �6 � �� NG: �l DATE TO INSPECTOR: PERMIT HISTOn ( ) NONE (A SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: A9 Electric: Electric Currently ( ) On Condition of Electric Gas: I Currently ( ) On f Condition Sanitation: Mobile home # of Units: Plumbing Working ( ) Yes ( No Obvious Sewage Problems ( ) Yes (_4 �0 ACTION RECOMMENDED: ISSUE ( ) Yes (t4o Hold for permits or verify: Inspector: Date: SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY. it #2398-79P,E(uti1.,MH) ELEC. GAS SUPPORT STRUC Q. COMPACTION TEST REO, Alp ;J- -79 Permit#!5MHI5.5��9 Iss .)x� (?- f /-� .4 4 i,P"l- % ti ► x =" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 (Rev.i2/96) APPLICATION AND PERMIT n ^ ZONING BUILDING P ER M IT "ASSESSORPAROELNUMBEFt Va/)• %_ �`• �(�,{��14 e TI ' 'E SO. FT. OCC. BUILDING VALUATION r•.: _ 1 riNNFRS MAWNG ADD �V\, ��/ 1'� v� �%— '� ►�1J G NONE �NrRgCTORs NAME CONTRACTORS MAAJNG ADDRESS CONSTRUCMON LENDER. Fireplace LENDQRT MAIC ADDS Total Valuation $ ucENSE NO. Firm Fee $ 20.00 ARCI4TECT DA ENGINEER $ Permit Fee ARCM= OR ENmn4Ests MAAMG ADORE= Plan Checking Fee $ suAm r.AonR�s Energy Plan Checking Fee $ $ PERMIT FEE $ SUBDN6TONS NAME PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 LOTHO, Each Trap 7.00 USEOFSTRUCTURE Soler or heat pump water heater 23.00 Water i ing 15.00 SF Du lex ❑ Mobilehome E3 other SPMFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 NAddilion ❑ Remodel ❑ U6Ti6es �steaatiDn OOther ❑ Building sewer 15.00 te S G W@20.00Mobile Homees Work: PERMIT FEE $ ELECTRICAL PERMIT Rang Fee 20.00 Main Service i w on 23.0 Main Service zwA TD icwA 46.00 NEVI CONST. DWULING OCCOP. 50. 3.5� OR ADDIM a ACC. [ADS. • mtn%m� @7.50 NON4=M PERMIT.FEE PAID $ P.0rxU'"' a srNGL.e otmtT aA -@1.- I Ex. Ocou OLFW OR MURES Ex- gAL SO Ex. Oeou . uT> FOOM 6 ° 5.00 SRAR A I�L� $ Temporary Service 23.00 Mobile Home Fecill les 20.00 Mi , n 23.00 SHERIFF $ PERMIT FEE $ t MECHANICAL PERMIT Firing Pee 20.00 $ Heating OTHER O Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Instaaalion Fee $ $ Energy Inspection Fee $ C= coNVr. TIPE TOTAL FEE $ /// MAZ I 0. FM IMP FLOOD COP PARCEL PD � tSSLE AMOUNT RECEIVED $ I This permit is hereby issued under the appacable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DATE RECEIVED By Date ( 025-220-077 04-0150 DAVIS, JAMES 550 STIMPSON, OROVILLE " Cont: OWNER UPGRADE ELEC c, o6 c) Y\ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILIN G IVDSDON� 7 County Center Drive • Oroville, California 95965 • Telephone (530) 54 PERMIT NO. R 12/96) APPLICATION AND PERMIT a �'D n J ZONING BUILDING PERMIT SORPARCl3NUMtiER � %��. - - �� SO. FT. OCC. BUILDING VALUATION ` ' C� OWNER'S MALING AD 1. ONE CONTRACTOR'S NAME 6W CO TORS MQU?Q ADDRESS NSTRU=ON LENDER Fireplace ENS MkWNG ADDRESS Total Valuation $ ARCNHECTORENGINEER LICENSE NO. Firing Fee $ 20.00 Permit Fee $ ARCNRECT OR ENWNEE:S MAILING ADDRESS Plan Checking Fee $ SULDING ADDRESS j� Energy Plan Checking Fee $ U $ PERMIT FEE $ PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 LDT NO. SUBDUISIDN'S NAME Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water i ing 15.00 SF Du lex ❑ Mobilehome ❑ Other sPECFY I Each gas „eater heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 out 15.00 15.00 N Addition ❑ Remodel ❑ UbTi6es Installafion ❑ Other ❑ Building sewer TS—Pi G W @20.00 J i Mobile Home Describe Work 00 PERMIT FEE S PERMIT FEE PAID SRA be SHERIFF OTHER AMOUN4 RECEIVED $ DATE RECEIVED ELECTRICAL PERMIT saw OR LESS Main Service 20" OR LEM Main Service ( -- I - g Fee 20.00 23.0 46.00 Ex. Occup. OVT OR F10MES aid- F .so Ex OCCLJ UTLM ESLD OR 5.00 VTemporaryService- 23.00 Mobile Home FacL'lNes 20.00 PERMIT FEE' t rXD — MECHANICAL PERMIT Frmg Fee 20.00 Heating Cooling U-1 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST' 'fPE TOTAL FEE $ NAZ a FEES IMP FLOOD CDf PARCEL PD H IsavE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ✓Ji�l' J% indicated above for which fees have been paid. By Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �t/\ `t `� ASSESSOR PARCEL NUMBER Proposed Building Use: �QC� Counter Technician: Date: Items required in order to apply or ermit. All boxes MUST be checked OR marked NA in order t a ply. ❑ 1. Site plans, 3 or 4 sets, sig d by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation, Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ❑ 14. Hazardous Material Form. ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 24, Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ '25. Contact Land Development about _ Improvements, _Drainage. ❑ 26. NPDES Form ❑ 27. Encroachment Permit for v y jn the ublic Works Dept. (construction approval prior to occupancy). 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner,Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephon a d hold for pi kup. I have been informed of the above items and requirements for bta' ina budding ermi . Applicant: EXPIRATION OF APPLICATION I y Date: Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant 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. personally plan torovide the major labor an P .1 d materials for construction of the proposed property improvement: YES)d NO ❑ I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work, have contracted with the following person (firm) to provide the proposed construction: T I w rT ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. JI 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: PHOi E: CONTRACTOR'S LICENSE NO. 5. rovide some of the work but I have contracted (hired) the following persons to provide k indicated: ADDRESS PHONE TYPE OF WORK GNED: PROPERTYOWNER:21� DATE: NOTE. This Owner -Builder Verification is required by Section 19531 and 19832 of the California Health and Safety Coda This verifu;ation must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O. .-1 An application for a building permit has been submitted in your name listing yourself as the builder of 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please,complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. IYI I � Mic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE: This Owner-BuilderInformation is required by Section 19830 of the California Health and Safety Code OVER _ 'COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 025-220-077 04-0150 F A.P. No. DAVIS; JAMES- - -- — Owner 550 STIMPSON, OROVILLE Contractor Cont: OWNER UPGRADE ELEC - - --- Permit No. PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite. Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Mechanical Framing .Shower Pan ....................... insulation .............................. Fireplace Footings Fireplace Throat ;DoNoti( Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addy':.;::::::;.::::::.....f: >:: €<: ;:;::<:: eases ..:: Information ...:: 24 Hr Insp...;,.. Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION ANDPERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS !AILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, ` will do the work, and the structure is not intended or offered for sale. ❑ - I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To LIIIA 46.00 NEW CONST. owELLING OCCUP. OR ADDNS. 07.LING Blas. SO 3.5QFT: ►roµREO.SIIDD MULTI.O,gcuTS @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20@''0I eAL @ .so FIXD Ex. Occup. GUTi (RR.ID°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) T 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 workers' compensation laws of California, and agree that if I should become subject to the compensation pro ' io of ection =0 clf the Labor Code, I shall workers' 6 forth i c mply with thos ovi ' / X % Date /�/ © Signa re of Applicant - ❑ n /0 Contractor ❑ Agent A SHA permit is required fo excavat ons over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE1= $ Mobile Home Installation Fee 1 $` Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date pate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 -PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 'e ; r ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LFireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR UE Main Service p.A OR CESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION yI hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the 't, performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO IOOOA 46.00 NEW CONST. DW EwNG OCCUP. OR ADDNS. ( a Acc. stns. SO 3.50FT. T. NOWRE ID. MULTI -OUTLET 97,50 OWER APPARATUS E SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FocruREs BAS @'; 0 Ex. Occup. OFlxuri.s D AAa D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I sould become subject to the workers' compensation provas�ions..of action 3700 of the Labor Code, I shall forthwith comply with those�r visio y -- — I Ll _---- / © X Date Signa ,�pf"e of Applicant - ❑ Owner ,0 Contractor ❑ Agent A OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � `-'�`"-rr",,...--•.n•-' �"''+"�'y.""''s"�-�",.,."„�'—,v..�-z..•^r'•1......-•.. .. -,-,.;,-..—,'._...� �l _. •.-.v .a'�2"3'�,R.� ti'"•`„r""`"`.,`.-,-^ -,•,�.--., :.,... ... - - -� - - COUNTYW BUTTE - DEPARTMENT OF :DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR EN 23.00 LICENSED CONTRACTOR'S DECLARATION 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, ( 9 ) and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Lag for the following reason: IM I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3. *Fr. NEW CONST. MULTI -OUTLET NON RESID. @7.50 OWER APPARATUS 8 SINGLE CUT. OIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. oFUT IXED RES D,G�, 5.00 , Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the r performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions/ 1 / X Iv 111 Signature of Applicant - ❑ Ownei ,❑ Contractor ❑ Agent An.OSHA permit is required for excavations over 60" deep and demolition or construction -of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ D FEES IMP F1000 CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ...�..�+r.--�•-�•�,,..--ti•`s•...,Z,...�•._....-f.+.r.,.. .`- .� .-.r.e•-�•- • n• -•r.,. • � �..-'."`-•.r«•-.,•.•.�.w--..r'..-....-.-�+r.�r--•.,,•.-.r-. .; r-.. , - .,. .. (Rev. 12/96) COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other O Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 E_ PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: A I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION .1,hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A J 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( a ACC. BLDS. SO 3.50FT, NEW CONST. MULTI -OUTLET NON -REBID. BRANCH C RCUFTS @7.50 PowER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00BAL @ .50 Ex. Occup. oFi E' A oER. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / "� r� j { :, i 1;0of X '' .r ) )l Date ` '� zj Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D FEEs IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 PERMIT NO. PERMIT EXPIRES OWNER Conrad Lewis N J CONTR. owner {LOCATION (A.P. 25-22-66 j NIS Stimpson Rd., i mi.E.of Hwy.70,Oroville y { ' 1 5 ' c ' T t Temp. Power Pole Called PG&E Temp. Elec. Serv. ' i1a Called PG&E J'j i emp. Gas Serv. Called PG&E OB ! INALED� i (Date) ,� (Signature) Stucco Mesh FAhish X I Dilts Infrior Lath ntilation Ifior Closer anal MOBILEHOME UTILITIES ------------------ Elec. Service 707, Water Piping _ 3 �'� 9 2g, Sewer MOBILEHOME INSTALLATION - - - - . - - - - - -Support Water Piping Drainage DATE REMARKS OR CORRECTIONS L4,a-,e-u A, H �Y- 2T - 0)( A ntc Gird. Ffiult Prot. Sery e mp. Pole nder round Permanent Inal Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 6 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) J, PLUMBING Se ck FI wall Piping For Par ets t Floor Mai Bldg. Restr m Finish d Floor N3rk(Floor Fo ins Window Stem all Sidin u Slab Roof Sheatlkpg Water Piling Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physicall handica ed Conformance of ex. " y structure V Appliances Gas Piping & Tes Temp. as Slab Final Sanitation Patio FJAEP CE Final Footings Footinq ECTR AL Masonry Walls Throat I Rou h Reinf. Steel Final I Fixtures Bond Beanif fFIRE SPRINKLE& I Motors Stucco Mesh FAhish X I Dilts Infrior Lath ntilation Ifior Closer anal MOBILEHOME UTILITIES ------------------ Elec. Service 707, Water Piping _ 3 �'� 9 2g, Sewer MOBILEHOME INSTALLATION - - - - . - - - - - -Support Water Piping Drainage DATE REMARKS OR CORRECTIONS L4,a-,e-u A, H �Y- 2T - 0)( A ntc Gird. Ffiult Prot. Sery e mp. Pole nder round Permanent Inal Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) 6 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, ,C�h After 5; under permit number ?' ? for the following location: S n: N /S -SZ'I IMfl Owner elA)'I S � + 11 Owner's Address � ���� f V 1'D u I I l p Mobilehome Mfg. 5 P1 It h p Mode �!1 Sor I by Year Insignia No. !D 7. 1 S S C Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 'a c -) By _ �. + C THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED �\ White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 ' CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Ch' pter 5 under .permit number '�C�/� " '-? for the following location: Al< ST# e � -A ��'a Lv. I. AS ►�< rail 0 � J Owner— rlc� V ;4� �— e, Owner's Address' �C Mobilehome Mfg. Mode'SYear Insignia No.`2, ► c, �t�� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of (Public Works .+. Date `� - ` !� By a'� ..t THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED �} White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A.- Is service large enough to provide adtquate amperage -to mobilehome (uiust equal ra'"ting of• mobilehome with a minimum of I '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 G/No_ D. Is continuity test satisfactory as per the following procedure? Yes_ ._•1_._,De-energize electrical wiring system of the mobilehome at the pedes 2. Make sure that the power supply cord or feeder assembly conductors, conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. r 4. Connect one lead of a test instrument,to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 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 the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card -and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ��39 LengthWidth��, /_/� Vehicle Serial No. S 6 -T State Identification No. n 'aol���� Additional Information or Comments: f 3 MOBILEHOME INSTALLATION INSPECTION CHECK MST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes— No 2. Does the mobilehome have required clearances above -ground? (Sec.5085) Yes 4-11"No 3. Are footings and supports properly sized, spaced, and braced as ap ved plans?�j N to possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No_�' 4. Is the mobilehome level? (Sec. 5088) Yes—o- 5. If more ra t•n a single unit, are crossover connections properly installed? (Sec. 5088) Yes - 6. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes o '1� ;/& C. Backflow - If coach is not State ifornia approved, does station have backflow device and pressure -relief valve? Yes N 7. Wastes and Drains / A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesv No B. Does it have minimum 4' per foot slope and is it properly supported? Yes L --/No C. Are any leaks detected in drainage system aft u n g 3 -gallons of water through each fixture including washing machine standpipe?es � D. If coac ' 1�ot State of California approved, does station ha a req red trC)and vent? Yes — -:–( 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobt!lo ome gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure? Yes— N✓ o 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-_naximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 'J COUNTY OF BUTTE - 'DE�PAATMENT OF PUBLIC WORKS 7 County Center Dive - - Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT autnonze representatives of the t,ounty of tsuite to enter upon the above-mentioned property for inspection purposes. X &6 Date Signature of Permiiit.,ee or Agent Receipt No.4.10 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 abov r which fees have been paid. DLREGIOB4O1F PUBL_L4C WORKS yi -Z 1A 1, 7 ate Building permit expires Date f—�o BUILDING �" Owner � dAJklqz) G �CW f S SQ. FT. OCC. BUILDING UATION —7 Mailing Address P'r 2 8QX Z y G / 0AW l J[ � T e i=3751 ContractorEfZ- Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address s 5 T/MGtoAJ ,�D V� M� Plan ng Fee&/or Penalty Permit t Fee -70,' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 � S, ��_�� 21S_ A. P. No. 1 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50. F s VkJ 4a4keM' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking P s I ParcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 wilding sewer 5.00 Bldg. ans Recd Parcel oval Plans Ap val Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ %7� I f'02 &IT7 L PCS, ����-Z ELECTRICAL No.1 @ FEE ' PERMIT FILING FEE $3.00 Main service 601V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. 4'� 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTRES'D, TI -OUTLET NON-RESID BRANCH CIRCUITS/ 12.50ea NEW CONSTR. POWER APPARATUS a NON-RESID, SINGLE OUTLET CIR, EX. OCcuo OUTLETS OR FIXTURES BAL�1 FIXED APPLNS. OR Ex. Occup. �OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 54 1 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 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 $ $ 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 Laod DZU12pment Fee /(/J� f Is TOTAL PERMIT FEE $ j(� autnonze representatives of the t,ounty of tsuite to enter upon the above-mentioned property for inspection purposes. X &6 Date Signature of Permiiit.,ee or Agent Receipt No.4.10 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 abov r which fees have been paid. DLREGIOB4O1F PUBL_L4C WORKS yi -Z 1A 1, 7 ate Building permit expires Date f—�o " BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name.: Cnn'etaoi �� rte. �. �.✓ c'S 2.. Installer's name: — 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number 2 3 -1$ — 2J- P E OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------=------------ q6, Amps 6. What is the mobilehome site service rating? --------------------- Dy Amps 7. What is the mobilehome site circuit breaker rating? ------------- 410 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site'gas pipe size?( ) ---------------------- in. 10. What is the type of gas service? =-=-------------------------- Natural / / LPG 1,K1 11. What -is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft'. on LPG,) 0 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr., ine furnish Setup Model No. Year 064 Width 2 (ft.) Box Length1/,f' (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. iA-. x (ft )(in.) (in.) (i .) Center su port Center upport locatio s* footin sizes (i .) x- (ft.)(in. (in .) (in.) (in.) (ft.)(inj) (in.) (ill.) =X (in.)j(in.) Single Footings (check one) ® 1. Wood either pressure treated or foundation grade. El 2. Other (specify) Supports (check one) ® 1:'Concrete block. 2. Other (specify) Tagalong or Expando,' show support details. 11- xj -- Typical Support in.) (in.) Footing Size (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang 1 V 1 (ft.)(in.) BUM COUNTY gUILDING DEPARTMEN APPROVED *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA �. aumurize representat)ves of the t.ounty or tsutte to enter upon the above-mentioned property for inspection purposes. ve-m X Li iO� Z ,52' 7 Date �/ — �� �� Signature of Permitee or Agent Receipt No. 9 3 5 O -1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF%PUBLIC WORKS BY Date 6'-Z— �7 Building permit expires Date BUILDING Owner cwi5 SQ. FT. OCC. BUILDING VALUA ION Mailing Address P—T- 2 )&pc —7—LIG? n'' Q Telephone No. G -37S 1 Contractor 6(P_),0{?YL Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address N 5--�P�O� �� �f o� I (� Plant ng Fee&/or Penalty Permit Fee Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 . o"L Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & ann' ater piping 1.50 0, cz) Each gas water heater or vent 1.50 w!C.ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 rpo 6c� EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /O,OD Bldg. Planed Parcel rovol � ✓Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ -o"Pu is 33 -- ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.0-6 Main service 600V OR LESS 100 AMP OR LESS 5.00 5.C%0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 OVER Main service 100 AMP OR LESS P 25.00 A O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. C DWEACCLBLDGS.LING CCUP. 7I� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR ( BRANCHMULTI.OCIRCUITS) (BRANCH CIRCUITS 2.50ea ..NONRESI NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L0 Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® 1 am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ 67) $ -La, — 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 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is q aS TOTAL PERMIT E FE $ f aumurize representat)ves of the t.ounty or tsutte to enter upon the above-mentioned property for inspection purposes. ve-m X Li iO� Z ,52' 7 Date �/ — �� �� Signature of Permitee or Agent Receipt No. 9 3 5 O -1 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF%PUBLIC WORKS BY Date 6'-Z— �7 Building permit expires Date This set of plans and specifications MUST t, kept on the job at all times and it is unlawf. HJT I PK f5a^4 PO • make any changes or alterations on same w1fho", wri Ton permission Trom the epar meet 7 Pub loc Works, County of Butte, 40 1 II 'i>�UM Res denr_e 0 TIS WOO. Sotback shall be 5 f:, fromm th l side 'property line and 50 ft. from the 'J centerline of the road, permitting a maxi- I mum of a 2 ft, eave overhang but entirely out of all. easements. FT. MINIMUM Hop,7 MOBILES _L Mobile- Pom e iA permit will be required Sor +ale iadtallation of the mobilehome. NOTE: --An Materials & Workmansh"P Shall Be Accordance with Recognized Good Practices c of a quality prescribed for the Specified use in 1 Uniform Building, Plumbing & Mechanical Codes a the National Electrical _(;odoo Septic system and location - ...�- —to be as .per Butte County Health Dept. Re- quirements. An utility connections Shoff be located within 4 ;a third , outside the rear section of the mobile home on the teff (road) side of the mobile home. 2318-.7 c/' BUTTE COUNTY ,3UILDING DEPARTMEN! APPROVED "A-3" AG.,ICULTURAL.WORKER AFFIDAVIT A�pIi-cant p h h n CY �. S AddrE'ss (Present) _�,/o,2 Telephone W 4 6- Y 7 5 - Name of Owner C o h i --,a d Address 2: Assessor's Parcel No. on which mobile harne is to be -located-. (22 r201- o -off- o 3. When purchased Date/Deed Number 4. .Please read the .following carefully before signing: "A-3" (Agricultural) Regulations, Section 2.1-d allows: .Flowing facilities (including. mobile. homes) to aCCC Fr��ta- only agricultural employees and their families employed by the at her. ar operator of the premises; -and provided further that sub. hou!ssiag facility shall, be considered accessory to the rLiGi.n building arjLdl shell. confoT-Td to the provision pertaining to required yard and open .sp&ae- for . dwallings . " Ordir?an,ce No. 1439 states: "l. a. AGRICULTURAL EMPLOYEE: An ixxd.ividual who verif.ic:sa, by pe- rson.al.. offidavi.t and by affidavit of his errVloye1r, that he is, or will ba, employed at least 32 hours per week for at. least 1.6 weeks per year, or.. that his primary source of annual income is, or is anticipated to be, derived from, any of the following described occupations:' (1) . `Thi preparation, care, and treatment. of fared land-- p j. >p'J W. e r far di tches, including 'leveling for a.gri.cul t' ural p� rpos�ez, plowi_ng-, discing, -and fertilizing the soil.; (2) The sowing and planting of any agricultural or hbrticul,tural. commodity;- (3) ommodi.ty;(3) The:. care of any agricultiLLral or hortictxltura.l cnr=ctdi,t:y. As used in this subdivision, "care:" includes, but is not; limi.tea to, cultivation, irrigation, 4weed control, thi-nnimg, heating, pmiai,ncr, or tieing, fumigating, spraying, and dusting; (4) The harvesting of any agr3culttira.1 or horticultu-ral. eommadi.ty, including but not limited to, picking, cutting, thre's.h:Luy, mawiag:,., knocking off, field chopping, bunching, baling', bal.l,ing, fie -1d packing, and placing in field containers or in the vehicle. in which the commodity will be hauled on the farm or to the pl.ace..of first processing; (5) The assembly and storage of any agricultural or horticul- tural commodity, including but not limited to, load_i.ng-, roadsidi_ng, banking, stacking_, binning, and piling; (6) The raising, feeding and management of livestock, -fur bear- ing animals, fish, frons and other aquatic -animals, and bees, including .but not limited to, heardinc;, housing, hatching, . mi.lki.ng, shearing, handling eggs, and extract-ing honey. (7) The operation, conservation, improvement or maintenance of such farm and its tools and equipment." 5. I, li ��/� do declare, subject to the penalty 40 of perjury, that Z reside at�, (Oe , �Q /�95 96 S, and that the permit applied for under th this application, for housing facilities on property identified in Section 2, does conform to Section 2.1-d as identified in Section. 4 of this application and Agricultural of this application and Agricultural Employee as defined in Ordinance No. 1439. 6.. Permit description and number Date issued_