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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