HomeMy WebLinkAbout025-290-0130.5=-14f3-6
win C. Woods
S Vance Ave., 800' E. f Lar d.,
Bigg
Permit
0
001-76P,E
E L
LECC
.
GAS
SUP?MrrSTRUC Q L4YL/ a
�COMPACTION TEST A)WI
Permit #1009A"f6P,E a 1.
ELEC.
GAS
SUPP T STRUCTU
C ACTION TEST REQ.
Ii r
Edwin C. Woods
SIS Vance Ave., 800"E.of Larkin
Rd.'-
East gs Area
Permit 105-5�4-76F,E(util. 0)
ELEC.
GAS
SUPPORT STRUCTURE REQ. --,'---
COMPACTION TEST REQ..
Permit 446 -76MH
CONTR: Earle e,Paradise
7Z
4 0-7�M
�r �e 0_ e
ISSUED,," 7/�
25
Edwin Wood
Ij S IS Rd7i 8.
_,Vance Ave.,800'E.of Larkin -,M-
Biggs Area
cobtir.: Northstate Aluminum, Chico—
PerfP'3'.C'#6221- 76B (new awning & deck/NCH)
025-29-0-013 96-2844 E
SCIHMITCT, France
810.:!Nance--Avenue-,-Biggs
�---(heZ elec sey)SF Whet Cheer
'51
G
025-29-0-013 96-2844 E
SCHMITCT, France
810 Vance Avenue, Biggs:
(new elec ser)SF Whet Cheer
t ,
f.
t� -
M
l 1
OFFICE COPy, `
Address g�(� G2yGe J
GAS
Meter By Date
ELECTRIC
�r Meter By_ �/�� Date % 6
I•
t `L6'Y
j
t
.
t �
e
�
025-29-0-013 96-2844 E
SCHMITCT, France
810 Vance Avenue, Biggs:
(new elec ser)SF Whet Cheer
t ,
f.
t� -
M
l 1
OFFICE COPy, `
Address g�(� G2yGe J
GAS
Meter By Date
ELECTRIC
�r Meter By_ �/�� Date % 6
I•
t `L6'Y
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville California 95965 - Telephone (916) 538-75414° PE Mrr NO.
APPLICATION AND PERMIT' ` Ply
ASSESSOR PARCEL NUMBER 025-290-013
ZONING A 40
� BUILDINGPERMIT
OWNER FRANCE S(UMITCP
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 810 VANCE BIWS
CONTRACTOR'S NAME
*GMAT CHEER
TELEPHONE
34453
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS $10 vAt
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
BIGG1S
Each Trap
7.00
LOT NO.SUBDNISION'S
NAME
PAR L MAP
1
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SERVICE
—
Mobile Home I S I G W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMITFilin Fee 20:00
Main Service ( zoon OR LEss )
23.00 23*00
Main Service ( 200A TO 1000A )
46.00
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 G.�.. — 1• U Lic. No. (�. � �%.S /
OWNER -BUILDER DECLARATION `
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
(a SINGLE APPARATUS
UTLEf CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
SAL 50
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) FA )
5.00 `
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPEMON23.00
PERMITFEE $
.00
Contractor
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`
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
ContractorRr
;Pblicy'Number
:(The above sections need not be completed if the permit is for work of a valuation
s of one hundred dollars,($1OO) 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 pr vision of section 3700 of the Labor Code, I shall
forthwith comply with those ro is 2n s.
d/� �} ,
X V _ Date c5r ` 7 b_
Signature of Applicant - ❑ O er "91__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 Is
_
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 66.00 .;
HAZ
I D. FEES
I IMP
FLOOD
I CDF
• PARCEL
1 P6'71
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for wch fees have been paid.
;f
Byor1�
PERMITEXPIRESON� -/
(Date)
ReceiptNo. 209628
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
rl ~ �COUNTY'OF BUTTE
-a -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
5c-, Miac.f
OWNER PERMIT NO.
1
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 ycV have any questions pertaining to this matter, or need additional explanation,
please contact this,offi immediately.
,
vt w
' ) r o , , I Ie— 'D <<_ta -br c_l:- 4, ,
V_ 5 Sub d -vz_ O r
6) aefif h Du
D v i J •e woe k i,_
A -Q
�2 U
Date I' L – 5 � Inspector 914 S e
REV 10/92
.:ter.
- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541��^�PMIT/N,O�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 025-290-013
A 40 ZONING
BUILDING PERMIT
OWNER FRANCE SCHMITCT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 810 VANCE BIGGS
CONTRACTOR'S NAME WHAT CHEER
TE EPHONE4453
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
- Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 810 VANCE AVE
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
BIGGS
Each Trap
7.00
LOTNO.
SUBDNISION'SNAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SERVICE
Mobile Home S I G W 1
920.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service ( COON OR LESS 1
200A OR LESS /
23.00 23-00
Main Service ( 200A TO 1000A )
46.00
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 — G ® Lic. No. [�y5>,5-1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
NEW CONST. DWELLING OCCUR
OR NS. ( &ACC. )
SO.
3.5¢ FT.
NEW CONS.
MULTI-OUUTLETLE T
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 SINNER APPARATUS )
SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL 50
FIXED APPWS. OR
Ex. Occup. (OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE INSPECTION
23.00
PERMITFEE $
66.00
Contractor
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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
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.)
15 l 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' compensationvisionf section 3700 of the Labor Code, I shall
forthwith comply withVRLO20
ns.
X Date �'��
Signature of Applicant - ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructio
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 6
HA2.
I D. FEES
I IMP I FLOOD
I CDF PARCEL I PO HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
paid.
indicated above f=te
BY o�
PERMITEXPIRESON ��% �% ✓
i (Date)
Receipt No. 209628
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
J �
_ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER O `3
ZONING �/�
BUILDING PERMIT
OWNER /-T
T°EP"ONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING AD SS 0 , / �C _ C
(� lV/ (D (�,J
CONTRACTOR'S NAME
(
1A I
NE
3
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS U AN G
o Co
PERMITFEE
$
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑, Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
�
Describe Work: / /� V 5' Ey 1 C�
Mobile Home IS I GI W1
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service EOOV OR LESS
( zooA oR LESS )
23.00 3 —
Main Service ( 200A TO ,000A )
46.00
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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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
NEW CONST. DWELLING OCCUP.
OR AD DNS. ( a ACC. BUDS. )
so.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( a POWER APPARATUS )
SINGLE OUTLET CIR.
E(. Occup. ( OUTLET OR FIXTURES )
20 O 1.00
SAL Q .SO
FIXED
E(. Occup. ( OUTLETS (R (RESID) ERA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$ r -
Contractor
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
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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.
X Date
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.
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
p CJ
TOTAL FEE $
HAZ.
I D. FEES
I IMP I FLOOD
COF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
I
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.c2ycPERMITEXPIRESON
WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT
N}4�.��fi+rr�xW"�F �ixsc�a�iS�+�' ' +.r�D=+Sid+�i'f3�fr'�'�t�,r.�iF�:u�ytj��.`r�'"F,�b{�r�:��a��,u�pS•wM�+�vwv'e.r.�Faxv:=`Kr�.'.ai�i`sK
r
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER F) oe- 4N G, �; - 5_- /-t a1 (r C
Proposed Building Use
P. No.
Building Inspector Date t o,2 �� 7t!o
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. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . .................. ............ .
12. California Department of Forestry plan approval/fees. ........................ .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage.
9.":Driveway permit (constru (on approval required prior to occupancy). . .
LF;r�4;
0. Pre -inspection for �-�9 required. .. l'spi n9 aspect (Date)
-21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. LetteCof 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 theermit, p ss as follows: Mail to owner. Mail to
�- - Telephone 'M - `r 4%nd hold for pickup at offic
Other
Parcel Creation
Acreage Appli_cafft
Deliver with inspector
1�.3� -76
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D to
Copy of plans sent Health Dept. Fire Dept. Other Dat By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional,items required:
i
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
util. MH -23'5-4-'7 6P,E
__PERMIT 130.
PERMIT EXPIRES
OWNER Edwin C. Woods
CONTR. owner
LOCATION (A.P. 25-042-44
S/9 Vance Ave._,_800"—E-. of_Lar-F--iin Rdz,, East Bigg:
1
1
t
x
t
3
I
1 I I 1 f { 1 i
Temp. Po er Pole
/T�emplec.
PG&E �-
Serv. 1,1"7—
PG&E
s Serv.
PG&E
(Date)
(Signature)
:r a
re
1
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_ x No -'•i
B. Is there proper clearancesaroundpanels., YesX No
C. Is power supply cord or feeder assembly "properly fused? YesNo
D. Is continuity test satisfactory as per tlie.following procedure. YesNo
sY
1. De -energize electrical wiringstemrof the mobilehome at the peflestal.
2. Make sure that the power supply cord'or feeder assembly conductors, including neutral
conductor, have been disconnected.".11
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 m.obilehume supply conductor, including neutral.
S. All non-current., carrying metal parts -of the mobilehome (aluminum siding, gas line,
water line),. including fixtures and kappliances, 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
conducl.tors. 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 fo'r energizing.
10. Is job card signed by Health 'Department for water and sanitation?
_ v
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA:
Manufacturer and/or Namestyle/�y�/- " ��J/�%� �% 71
Length Width sir
Vehicle Serial No. _'� z`��%% �4►
State Identification No..
Additional, Information or Comments: �
f
� % 1 Xeo7�1.2-22, �i
k
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1: Is the mobilehome located w;Wi required 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) YesAI No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles,) (Sec. 5082 & 5083) Yes4
No
4. Is the mobilehome level? (Sec. 5088) Yes No+
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) ,
Yes v No .
6. Water
A. Is flexible 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(. No
C. Ba flow - of California approved, does station have backflow device
and pressure -relief valve? Yes No
1. 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? Yes No
C. Are any leaks detected in drainage system after runnin 3 -gallons of water through each
fixture including washing machine standpipe? Yes No Aj
D. If a 7eo= iornia approve e.s--station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector mobilehome connected to the gas su y with an approved 3/4" minimum
mobilehome on ctor not more than 6 ft, longi Note: All piping is to be at least as
large as the mobs ehome gas line inlet with t reductions other than the mobilehome
connector. Yes o
B. Test OK as per followi
1. Open all appliance
2.. Shut off appliance bu
procedure? y -As No
nnector va es.
pilot valves.
3. Air test with manometer Z 1
-14" water column, or test vith slope gauge (minimum
6oz.-maximum 8 oz.) cal' rate in tenth pound increments. Test for 10 min. without
drop. .
4. Connect.gas meter
soapy water.
mobilehome wit\ connector, turn on gas, test connections with
C. Are all appliance v/nts properly installed? \.Yes No-
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
UILDING BUILDING (Cont'd)
PLUMBING
SetbacklEV
Firewall
Soil PI in
' Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water PI In `
Piers
Roofing
Sewer y /
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Prov. for physically
handicappe
Conformance of ex.
structure
Appliances
Gas Piping & TestFootings
Teme. Gas
Slab
Final
anitati n
Patio
FIREPLACE
Fina
Footin s
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permane t
Door Closer
Final
FinalIZ-/-7/IV-..;I—
— ,
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
V1.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
.-,,..,,.,,,..,,..,,, ,,,, , n -.1-Y U1 oUuc tO Outtll UIJUII the
above-mentioned property for'-'nspection purposes.
X � Date'
nature of P rrmititee or Agent
Recei " t No. � r���
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 Dates�LGL� 6
ermit expires Date �'�
BUILDIN}
Owner E„
SO. FT. OCC. BUILDING VALUATION
Mailing Address �� C C1 O-,,�
c �
Tele fo _e I10�!
'j
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
S p r _0-4-1-
PERMIT FILING FEE J$3.00 CDC
Each Trap 1.50
D ,
a
Repair drainage or vent piping 1.50
11
rra7_.Each
Water piping t_�
gas water heater or vent 1.50
� f
A. P. No. .25- ^ O / .� W2 a
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
S o
Fire Dept.
Fire Zone Use Permit
Building sewer &-@e
EOA
Parking
Plans
Parcel
Declaration
parcel Ma p
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg.Ia1S ns Rec'd
Parcel Approval
Plan Approval
Permit Fee $ b0
$ a f
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00 3.00
Main service eoov OR LESS 5.00100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50 2.
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLBL GS LING CCUP. &) 22Sq ft
/
NEW CONSTR MLTI.OUTLET
ANCH CIRCUITS) 2.50ea
NON-RESID. (BRANCH
NEW CONSTR (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:
uZe LL P&& Mdrrir PJ. vv
'
Ex. Occup(OUTLETS OR FIXTURES)tLZ9¢
BAL�1
FIXED APLNS
Ex. Occup. (OUTLETS P(RESID )REA) 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 $
3-c
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
Elhave 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 $3.00Heating
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
:authorize ro rc ccnfofi- ..i f�... n,........ -1 r....... ._ __.__ ___ _ ..
authorize
TOTAL PERMIT FEE
$ 9 S�
.-,,..,,.,,,..,,..,,, ,,,, , n -.1-Y U1 oUuc tO Outtll UIJUII the
above-mentioned property for'-'nspection purposes.
X � Date'
nature of P rrmititee or Agent
Recei " t No. � r���
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 Dates�LGL� 6
ermit expires Date �'�
_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drivb —' Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
+uuwi'cc repicacniauvca UI me UourAy UI buiie io enter upon the
above-mentioned property for inspection purposes.
XDate `✓-
Signature o e/rmitee or Agent
c
Receipt No. % `1�6a�
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=
�Iding permit expires Date �"' _77—
BUILDING
acs
Owner ji, f /U (f, U.) 0Q
��
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor ���;� L9 4V N E
Total Valuation
Mailing Address jr
.S'�37 � /%�,(� %.aj
Permit Fee
Plan Checking Fee&/or Penalty
Te� hong o.
(�
Permit Fee
Building Address O /
✓
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
n= �4eICIJAJ
Each Trap 1.50
Repair drainage or vent piping 1.50
a
i fj fja4ze 9/1
Water piping 1.50
Each gas water heater or vent 1.50
Z s— : ? i /��
AQP. No. '7
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees I
W.C. I
° ien
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parkn s
PlaBldg.
Declare ion
Parcel M p
60' R/W
Improv nts
Lawn sprinkler system 2.00
Plans Rec'd
ParcelApproval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Z
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
A)
(� A) n..
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home [g Others ❑
ER 600V
Main service 10 0 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONS.WELING
OR ADDNST ( DACCLBLDGSO.CCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
POWER APPARATUS &
NEW CONSTR./NG
NON-RESID. \SILE 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 pp � -
1, d tl ��1�L�t.t,Q
Ex. Occup(OUTLETS OR FIXTURES)@@a2
BALC?•1
EX. QCCUp. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Z�S %4SMisc.
Classification C_ G /It
Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
❑ 1 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.1 @ I FEEPERMIT
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
dK)
TOTAL PERMIT FEE
$ Q `�
+uuwi'cc repicacniauvca UI me UourAy UI buiie io enter upon the
above-mentioned property for inspection purposes.
XDate `✓-
Signature o e/rmitee or Agent
c
Receipt No. % `1�6a�
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=
�Iding permit expires Date �"' _77—
« n '
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name: tv //i0 Cc
2.
Installer's name: E g 2 Zr.: a) N
3.
Is the site currently under permit? Yes 7127
No
(If yes, furnish permit number
)
OR
Is the site an existing site? Yes / /
N01�7%
,.
(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
Y
)
5.
What is the mobilehome electrical rating? ------------------------
/5-0
Amps
•6.
What is the mobilehome site service rating? ------------------
Amps
7.
What is the mobilehome site c rcui6treaker rating? -------------
i S
Amps
8. Is there any other electric load to be served by the mobilehome
site service? -------=------------------------------------=------ Yes TV/ No./ /
(If yes, identify the load and size: / 5 (Load) / �� (Amps)
9. What is the mobilehome site gas'pipe size? ---------------------- R _ (in.) ,
10. What is the type of gas service? ----------------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ------------------------------ .(BTU)'
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on.,LPG,)
s .
MOBILEHOMF SUPPORT DATA
Mobilehome Mfr. q7- VA L Lt Y Setup Model No. Year 7S�
Width Z (ft.) Length (ft.) Expando Size tt.x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not.on .fil"e with the County of Butte).
-
S ing le . = t� Footings--(check.-one)
:73- 1. Wood. either
pressure treated or
Center Center Support fdn. grade.
Support Footing Sizes
Locations (in.) 2. Concrete pad.
A ei
3. Other,: specify
in.)in.jr
—- — - — — — y Supports (check one)
// I. Concrete block
f�F- 02!(x 3 d % / 2. Concrete piers
tT in
J15.)
3. Steel piers
7-1 4. Other, specify
Typical Support
L/ ?-X 30IFooting Size
( in. 2Q x 3u in. in. )
(in.)(in.)
- - — — - --
d
-12r ED.. 2� 30
t. in.) .in. n.) .
t
_J/
3 6 ( iv-)
n
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Max. Pier
ft. in.) P g
Max.
- Overhang
BUTTE . COUNTY
BUILDING DEPARTMENT
APPROVE[
emud* q joutte
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Ralph Wood
ADDRESS: Rt. 3, Box 3605
CITY & STATE: Gridley, CA. 95948 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
Applicant decided not to install mobilehome facilities.
(permit applications 0I76P,E an-IrMUZ-/ , - Receipt #14.5011 -
owner:. Edwin C. Woods - AP 25-042-44)
-fttatn
Permit 1001-76 - Plumbing permit fee ----- $23.00
fttlmg fee -------
Amount of refund --------------- $20.00
Electrical permit fee --- $26.50
RetaiLl filing ft=t= 3.00
Amount of refund --------------- $23.50
Permit 1002-76 - Plumbing permit fee ----- $23.00
—.Retain
filingfee 3.00
;. Amount of -refund, --------------- $20.00
Electrical permit fee --- $U.50
Amount of refund --------------- $23.50
TOTAL REFUND DUE --------------- $87.00
$87
00
I--
TOTAL
$87,00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this / day of %% .... 19%'t?et Oroville.:...... Calif. � �"""-""...
`. .
Sig ature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge,'the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation O or Specific Board Approval Q (Checkone) for the some.
Dated this 13th ... day of April 19 76 at Orovllle. Calif
.......................... ................. .....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code........ Code ................................................PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW THIS LINE - A.UDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD.
SUB.
OBJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB..
SUB -DIST.
I I
-
r•
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive — Uroville, California 95965 _
Telephone: 534-4541 76
APPLICATION AND PERMIT
above-mentioned property f r insption purposes.v �,.,�, u�v • c
ec
X - ' DatJA .)r
ignature of Permitee or Agent
Rec ipt No. �� s 0//
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
Building permit expires Date
Date
BUILDING
Owner �'�
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address i � �
Qom.I
Telephone No.
V a
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
�ZJO� wee_
Each Trap 1.50
Repair drainage or vent piping 1.50
-
Water piping =--me /0 •0 0
Each gas water heater or vent 1.50
A. P. No. .2,j — 0 4
1 AZA g & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F&41
Sanitation
FireDept.
FireZone
Use Pen -nit
Building sewer =w d, pp
EpQA
PPlans Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
LB dg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee $ 23• p0
$
NEWADDITION
❑ ❑ UTILITIES- OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE 3.00 3,00
V OR L
Main service 80000 AMP ORSLESS L 5.00 ,pa
Main service EA. ADD'L 100 AMP 2.50 —p
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP OR LESS 25.00
Main service/ EA. ADD'L 100 AMP 1.00
-
NEW CONST.DWELING
OR ADDNS. ( ACC`BLDGS.CCUP. &) 20sgft
NEW CONSTR ( MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CON5TR /POWER APPARATUS &)
NON-RESID, %SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3,• of the
State of California Business & Professions Code under the name
style of:
e_ Pa p b4�bior / P , 00
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
04
Ex. Occup.(OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 f �d
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. ,
9 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
TOTAL PERMIT FEE
$ 9 D
above-mentioned property f r insption purposes.v �,.,�, u�v • c
ec
X - ' DatJA .)r
ignature of Permitee or Agent
Rec ipt No. �� s 0//
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
Building permit expires Date
Date
FILE MEMO'
OWNER C.
AP NO. ads 0 Ll
At time of permit application, the applicant was advised the following data or information
must be submitted prior to permit processing and/or issuance:
1.
2.
3.
4.
5..
6.
8.
9.
10.
11.
12.
13.
14.
15.
�.
16.
17.
18
All items have been submitted.
Plot plans in duplicate/triplicate.
Complete plans in duplicate/triplicate.
Complete engineered plans and calcs.
Fees of $
Letter of signature authorization.
Sanitation approval.
Planning approval
Workmen's Compensation'Insurance Certificate.
Contractors license information.
Parcel declaration.
Access declaration.
Aunt Minnie information.
Deed of access.
Deed of parcel creation. '
Parcel map..
Pre -inspection request for
Other
By C sl)C Date
Bldg. Inspector
aa�aaaaamaa�aaamamaamomaamaaamamomaaaaaaaaaaammaasaaaaaaamaaaaaaaaaaaaaaamaaaaaamaamaaaaa�����aai
When permit is issued, process as follows:
1.
2.
33.
�G
5.
Mail to owner.
Mail to contractor.
Deliver with inspection. �Atpy
Telephone ��%� �O /
Other
uluod
and hold for pickup. -
During plan checking process, the following data or information must be submitted prior to
permit issuance:
1. Index permit for items numbered Jh IL % -above.
2. Applicant advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for
5. Other 1 a
NOT verified. (Index)
A--- 6. Planshecke and/or approved by Date
a.7..�=oaeac-==p-====c=oe=aeoaaaancaaaaenaaaaaaaaaaaaoaaaaamaaaaaaaaamaaamavoamaaaeaaasaaasao�a�
Additional Processing or Notes: 14 oa_e� I
$ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
L Y
7 County Center Drive — Oroville, California 95965 /00C;21 _7(aTelephone: 534-4541
APPLICATION AND PERMIT )
_.._..__ ...r,........,-., ...v a„a. vvu ,ay vl uu av cllacl UPV11 Litt:
above-mentioned property for inspection purposes.
X Dat J
"No./VJ--C,//
miitee or Agent
Re
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner zd_
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
•
Telephone No.
0200
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
•
Telephone No.
Permit Fee
Building AddressPLUMBING
CS-u1Z� �QO� F/o►�
No.
@
FEE
PERMIT FILING FEE $3.00
00
s pp
Each Trap 1.50
Repair drainage or vent piping
1.50
err¢—
Water piping l'>'iD
j0.00
Each gas water heater or vent 1.50
A. P. No. aS- O4(2-- Z/
oning Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
Vlie.-
Sanitatio
Fire Dept. Fire Zone
Use Permit
Building sewer 5sm
0.0
EQA
ParkinPlans Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
81dy. Plans Recd
Parcel Approval
Plans Approval
Permit :�ee
$
a3 a�
$ op
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3.00
Main service 600V OR 100 AMP ORLESS5.00'
, p
Main service EA. ADD•L 100 AMP
L
2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service �VER 600V
00 AMP OR LESS 25.00
Main service// EA. ADD'L 100 AMP 1.00
•
OR ADDNSNEW T % ACCDWELBLDGOCCUP. &)
20Syft
NEW CONSTR• MULTI.OUTLET
NON•RESID, BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESI D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAWO_
I am licensed under the provisions of Chapter 9, Div. 3, of the
State -of California Business & Professions Code under the name
style of:
a PitM P J4 di—O V /�
r
Ex. Occup(OUTLETS OR FIXTURES)`L
BACm 1
Ex. Occup.FIXED APPLNS,.OR
(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
/S , D
License No. Classification
Misc..Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
aGSQ
26 S
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 $
$
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
$ q 5d
_.._..__ ...r,........,-., ...v a„a. vvu ,ay vl uu av cllacl UPV11 Litt:
above-mentioned property for inspection purposes.
X Dat J
"No./VJ--C,//
miitee or Agent
Re
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
Building permit expires Date
FILE MEMO _ .-• -- - -- -
OWNER � -� Gt/ AP NO. s_ 2 -
At time of permit application, the applicant was advised the following data of information
must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate.
3. Complete plans -in duplicate/triplicate.
4. Complete engineered plans and calcs.
5. Fees of $
GCS � 6. Letter of signature authorization.
Sanitation approval.
8. Planning approval
9.' Workmen's Compensation Insurance Certificate.
10. Contractors license information.
--;--T�'"
4L P' -' declaration.
12. Access declaration.
13. Aunt Minnie information.
14. Deed of access.
15. Deed of parcel creation.
�-7 16. Parcel map.
17. Pre -inspection request for
18'. Other
By Date 3- 7 (�
Bldg. Inspector
When permit is issued, process as follows:
1.
2.
3.
4.
5.
Mail to owner.
Mail to contractor.
Deliver with inspection. cep LPh
Telephone
Other.
11
aoo d
and hold for pickup.
waaoaaaaaaaooaaaaaaacaaaaaaaaaaaeaaaaaaaaocoaaaoeaa=aaconoaeoaoaaoeaooaoaaaaaaaaaaaoaanaaaaa�aaa
During plan checking process, the following data or information must be submitted prior to -
permit issuance:
X 1. Index permit for items numbered above.
2. Applicant advised by telephone we nn e7d
3. Send letter to applicant. We need
4. Pre -inspection for NOT verified. (Index)
5. Other
r/ 6. Plans checke and/or approved by Date
Additional Processing or Notes:�-�-
3-- /1 -7� I
foe N C
l y13 -r" 4✓ ..
S, isl'!5
IAC per lit will a require �Mor IW
nsteallation df the mobilehome.
Sc-mic- 'TANK
irk
•The�� ." � •�
I*. Setback shall 66 5 ff. from
.the side property line and 50 ff. from
tl•e centerline
of, oermitting
a rrtnximum of 6 ?. ff, ens o .h
'a iSeE,1'iG 74-Nk
NATE:=-All MafdNIS :& Workmanship Shall Be, in p�;c system.and Iota oh
Accordance with cogri ed Good Practices and Zi. -.,i t be as
of a quality oreFcrt _ .8 fo the •Specified use in the �0 3 �• utte County Health Dept. per
Uniform 13131,11nq, Plla, ki` q &. Machanical Codes and'57
the' National,' Electric I Co '�
" ' r
,4
14° '_
l.�
ilttf of nt MUST , '
ept on, e'job at all tunes end it .is unlawful t ea "I ufi ti y �-connecfio s shall b<
male any chang or aiter�tions on same withoui3r`-«i located withir, 4 ft. o�Jt ide the real
wrritwri. p misso •, from the Department of .Pijhl�•=°; :�l� third section of the obile hams
Works, 'C unto f Big fe, i on the left -(road) side the mobile
• - . home.
,BUTTE COUN ,
BUILDING DEPAR MENT
`�
i9s� D
DECLARATION REGARDING LOTS OR PARCELS
I certify that as owner of the property acquired by deed in Volume 25 ,
Page �, Official Records of Butte County, (AP#K-1?�-44 ),
I am requesting permission to build or install an additional living unit on this
property. I will not divide the
financing unless -all applicable
plied with.
I am conversant with the present
ioned property for sale., lease, rent, or
division laws and map requirements are com-
property, and declare that I shall not
use of the additional living unit is
and that further I shall not change this
egulations affecting the aforementioned
olate same. 'I represent that the proposed
unless and until I receive written approval
use,of the additional living unit
thel:efor
the County of Butte.
,fi r
ni
OFFICIAL SEAL
EUGENE A. DELIGHT
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
My comm, expires FEB 6, 1979
�P
S96-1275
nil
I fully understand that pursuant to Chapter
20 of the ButteCounty Code and §11535
et seq of the Business and Professions
Code that if I, in tlie;;future., sell, lease
or finance the area on or.adjacent to
said improvement without'1fully complying 'with
the applicable laws and ordinances, that
I shall be guilty of a,.'misdemeanor''and
therefore, subject to the aforesaidpenal
ties and imprisonment °_rsuant to law.
4 ,ti
Further, this statement shall be properly
acknowledged and recorde&- at the request
11
of the County of Butte.
1901CGj,/'PAOCvN1E�t
Owner k
Edwin C
,.
by
,Wood4_
18413 8eaond Ave. boyd(e Rot &DAihig
Address
KLi.Ii iU£B
:Di3}5f
FJ
3-4-76 ,
EEE
Date
24MO
- - - - - - - - - - - - - - - - - - -
'OF
- - - - - - - - - - - - - - - - - - -� -
STATE CALIFORNIA ss
���`I•
COUNTY OF Butte )
- -- --On _this 4th' day of March ,
197 6, before me, Eugene A Deli.ghk
- _ - --- --- -- _ ,
a Notary Public in and -for the County-"
Butte State of
California, residing therein, dufy 6m&is-
sioned and sworn, personally appeared
Edwin C.Woods I �, known,
to me to be the person whose name
subscribed to the within instrument"land
acknowledged to me that he executed the same. �,i
IN WITNESS WHEREOF I have hereunto set
my hand and affixed my official seal in the
County of the
day and year in this certificate first above
wri ttPn -
ni
OFFICIAL SEAL
EUGENE A. DELIGHT
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
My comm, expires FEB 6, 1979
�P
S96-1275
nil
r �
r � .. � . �
..
March 9, 1976
County of Butte,
Dept. of Publis Works.
This is an authorization for Ralph Wood
to sign building permits pertaining to
permits for two Mobile H'omes�to be placed
on our property on Vance Ave. A P 25-042-44,
Vol. 259 Book 4.
I
P.O. Box. 1174
Boyes Hot Springs
Calif. 95416
o r
mob.• �
I?�RMIT NO.
6�-76B
PERMIT EXPIRES
OWNER Edwin Wood
CONTR. Northstate Aluminum, Chico
LOCATION (A.P. 25-042-44
S/S Vance Ave.,800'E.of Larkin Rd., E.Biggs Arez
Temp. Power Pole
dr
Called PG$, -E
Temp. Elec.. Serv.
Cal le -d PG&E
Temp. Gas Serv.
/OB
,alled PG&E
FINALED
(Date)fl
G
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC,,WORKS
BUILDING INSPECTION RESORD
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
� PLUMBIN
Setback
Firewall
Soil Pipi
Forms
Parapets
1st Flo r
Main Bldg.
Restroom Finish
2nd Flo
Footings
o2
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathingdp-aWater
Pi in
Piers
�/
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for physically
hand ica e
Conformance of
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final -2- a_ $ /
Sanitation
Patio
FIREPL CE
Final
Footings
Footing
ELF T ICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FINE SPRI KLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M C ANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling A
Temp. Pole
Finish
Ducts
Underground
Interior Lath
z
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DB'PART'ENT OF PUBLIC WORKS
7 County Center DrivEL, — Uroville, California 95965
Telephone: 5,3;-4541
APPLICATION AND PERMIT
1cN1c0c11l01IVeS UI LIC i.uunty UI Buue to enter upon the
above-mentio roperty for inspection purposes.
��7/a
Dat'
Si re of Permitee or Agent
Receip o.-z��62- C
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 0 UBLIC WORKS
By Date &—/7-74
'Iding permit expires Date 11-17-,77
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
e
it
Telephone No.
Fireplace
Contractor 4
Total Valuation
n
Mailing Address /
Permit Fee
Plan Checking Fee&/or Penalty
Telep one No.
Permit Fee
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
_Repair
/�
drainage or vent piping
Water piping 1.50
Each gas water heater ent 1.50
A. P. No. -p 7 . -
Zoning a Planning
Gas piping syste - 5 outlets
1.50
Each additio outlet .30
F
S1t n
I Fire Dept. FireZone
Use Permit
Buildin ewer 5,00
EQA
Parking Parcel
Plans Declaratio
Parcel Ma P
60' R/W
Im rovements
P
Law sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Pla pp vol
Permit Fee
$
$
NEW ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
PERMIT FILING FEE 00
,r 4
Main service i°o0V OR o AMP LESS s 5.00
z
Main service EA. A L loo AMP
2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service ° o AMP OR LESS 25.00
Main ser a EA. ADD'L loo AMP 1.00
NEW NST. DWELLING OCCUP. &
O DONS. ( ACC. BLDGS. )
20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CON5TR. 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
Ex. Occup(OUTLETS OR FIXTUR @25a
BAL@1
FIXED APP
Ex. Occup. ( OUT ETS i L D) EA) 2.00
Temporary servic 10.00
Mobile Ho acilities 15.00
i�
License No. v Classification
Mis ing 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be. insured against liability
for rkmen'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 em
P to an employ y 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
Ve ation
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
.k
TOTAL PERMIT FEE
$
1cN1c0c11l01IVeS UI LIC i.uunty UI Buue to enter upon the
above-mentio roperty for inspection purposes.
��7/a
Dat'
Si re of Permitee or Agent
Receip o.-z��62- C
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 0 UBLIC WORKS
By Date &—/7-74
'Iding permit expires Date 11-17-,77
viv
NON
e9L61
S), , dom oilona -jO *Id34
Bans 30 x1t4no0