Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
025-310-001
6 Z J. D. Welty �il ) '16q / 1,0) 4, / SW corner of Palermo Rd.& Power House Hill Rd.,Oroville Permit #1761-81B(new pri.det.garage) 025-31, -001 93767P,E WELTY, J. 966 Palermo 0 Oroville contr: Ted Bige w _agjworker mh 'es___ ELEC GAS COMPACTION TEST RE SUPPORT STRUCT REQ J. SD c House s corner e We ne r ty 0 f Pa' Permit tH 11 R - !� r 1 176 1- 8 1 _ '0 Ol J: rmo Or, 7� � 0 3 1 <e 14EL Y ' 966 Pal m Co t r . % n . Ted �j ge I r__m11__utili es .025-31-0_0'01 92-4452 MHI Stan r_m 966 Palermo R . Oroville 4C t;rOrovi contr: MH C ter i ag worker . i - 025-310-001 93-.1952 B WELTY, J. D. 966PALERMO RD., OROVILLE CONTR: LARRY DUNKS (REROOF/SF., 'WELTY 1059-69B .2 --o R s1w corner Palermo & Power House Hill Rds. Oroville a_' dd -patio-cover) Q_b 1. L-21 WELTY,-J.D. -',4795B- I 38291 H.Vent-381/+P 4915E(s)477 k� s/w corner- of- Pilermo Rd.., &.Power House IU dl�e_rmo 5' E. Mary t-Zt;R-.' __ G66e t' 2937 Garden Ranch (new,single family) 0 - a �� �•�,� sY y,�:R� �v y.'T, i.c 4 ^ .`:,;..^ �• —� ,r �„ } ,�".� `. � 1 z.- . T SF4 .. ` w � a„ ,.,,.d. � �, :.Te4 ^, r � � i� _.fid 1 li• ... °i,,) �.r'Mr� y �.J �� X. { 1 ^ � � fit � .w• t � 1 ��� 10161 q i ��� 10161 q v4 llm-`p WIM -!�, :,4 COUNTY OF BUTTE:- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CEIifoLnia 95965 - Telephone: 916.'538-7541 APPLICATICIN AAD PERMIT PERMIT NO. q�-I952 ASSESSOR PARCEL NUMBER 025-310-001 ZONLNG BUILDING PERMIT OWN J. D. Welty TJJY�`C7VY SO. FT. OCC. BUILDING VALUATION 60 ,0 • 00 OWNER'S MAILING ADDRESS 966 Pamo Rd., Oroville 95965 , �er CONTLarryRACTORDtmkt� 'S NAME }l TE� �_1#7+ D CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee s39.00 PLUMBING PERMIT Filing Fee 15.00 966 Palermo Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAFCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ET Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S TGTWT @ 15.00 TYPE OF WORK New ❑ Addition i_j Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: ReroofyiComp♦ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. \ ACC. BLOGS. NEWC CONSTR ULT' -OUTLET NO N.RE ,ID BRANCH CIRC ITS @ 5-00 POWER APPARATUS 6\ SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 IV 764 FIXED APLINS. EX. Occup. OUTLETS PIRESID.IREA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. bVirin 15.00 g Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 ;valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree'to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for irtspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi-hies, jugdgments, costs, and expenses which may in any way accrue aga'n't acid Count n consequence of the granting of this permit. Date 22'ri 3 Signature pp C Contractor ❑ Agent $i nature of Applicant – Owner An OSHA permit is, required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ 39.00 HAz I DFEES I IMP I FLOOD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above #Qr which fees have been paid. / IrROi OF PUBLIC WORKS By �`� Date 4/� 3 PE IT EXPIRES Date G Z ? 4: ' Receipt No. 143408 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUB LI ORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telepho : 16. 38-7541 93_ J 952 APPLICATIOAND PERMIT ASSESSOR PARCEL NUMBER 025-310-001 ZONING 1 BUILDING PERMIT OWNER J. D. Welty TELPHONE 53+-1884 SO. FT. BUILDING VALUATION 17 ((OCC. l: 60 1,020.00 OWNER'S MAILING ADDRESS 966 Palermo Rd., Oroville 95965 CONTRACTOR'S NAME Larry Dunks TELEPHO 532-175 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Js1,020.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 966 Palermo Rd., Oroville Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New a Addition Lj Remodel ❑ Utilities ❑ InstallationC Other ® Describe work: Reroof w/Comp. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM 3.6Qsq.ft. OR ADDNS. 1 ACC. SLOGS. // NEW CONSTR.ULTI-OUTLET @ S.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 7151 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certif at I hav read this application and state that the above information is cor c . I agre to ompiy t II C unty OrdinWa�d Laws relating to buil i cons cti n, and r y u on rethe Countyot ter n abo men d prop tyurposes. also ree to e, indemnify d eep- Butte against all II les, jud ments, costs, and expenses ny way accrue t Id Co nt n consequence of the granti.I X Dat ��LZ'Gf Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ gY PButte occ CONST TYPETOTAL FEE SI 39.00 HA2 DFEES IMP FLOOD CDF _I PARCEL PD HD ISSUEagain This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work ind icate ab� which fees have been paid. E OF PUBLIC WORKS BY ate ��"-�� PE I XPIRES Date Z 3 4 Receipt No. 143408 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SE '�%C�S - BUILDING DIVISION /J 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 - TE EPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER w L� f' �� A. P.)No. 6. G Z5 , ""U i Proposed Building Use Building Inspector Date �- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All ite s have been submitted . ....................................... . 2. Plot ptlans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ................. t .................. . 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. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20: Pre -inspection for required. .. oeula 9 'nspeduoerst (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 _) ............ 4. Recorded copy of Agricultural Acknowledgement Statement . ...............::: Letter of signature authorization . .................................... . . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / , ,�i� Acreage Applica Date -6- 7, 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy O� plans sent Health Dept. Fire Dept. Other Date By Thelowiang at must b b it d prior 1. Inper it f Sabo a ite o2. Aonl) ems reauired. (Circle new item not checked above). 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 i I RESIDENTIAL 052 -- 93-67P,E 025-31-0-001 I WELTY, J.D. f 966 Palermo Rd,Oroville contr: Ted Bigelow ag worker mh utilities OFFICE COPY I Address Ii i GAS ' Meter By ELECTRI Da'.� Meter By c Da Ste— vp /2 d/R T lcaai^c�,QS JOB FINALED ate s Signature 1 r J=OK O = Not OK NNotot Applic Readyable MOBILE HOMES Date M0131L'E HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements oils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 14. ater; Location -Test -Easement Needed (Sketch) 14. Electricity; Location-Clearences-Grnd J /Amp -Concrete 6. Gas; Location -Test -Wrap: / /%"ft. i / /"Nat. or/ /"L"ft./ /"LPG Well Clearance & Disconnect 8. Utility Clearance Date /6 Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1--�f'Zoning-Requirements-Setbacks Easements •,,2'Fo ' gs; Size -Spacing -Marriage Line 'q - Gas ,MH Test-Demand-Valve—Connector lg ricity; MH Test -Crossovers -Breakers -Clearances Drain H Test -Fall -Flex Connector ate; MH Test -Regulator -Connector Wate rad Sewer Connected -C/O to Grade -HD Approval Gas d Electricity Tagged 9 zits; Insp.-Sketch `1 ert. of Occupancy Dat . _ rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plags)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Bo xes- Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK • O = Ndt OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLO&R (Plans) OK except h's Date FRAMING (Continued) � - 1. Zorying-Setbacks-Easements-Flood-Slope 45. dangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors ----------- ---- 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's tE. Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- ------------------------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------------- -------------------- 19. Shower Pan; Test. First Floor -Tub Access - --------- ---------------------------------------- 20. -Test -Tub & --Shower,---Second-Floor-Tub Access -------------- ------------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------------------------------------------------- - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------- ------ --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- -------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------ --- ---------------------------- ---------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------- ----------------------------------------------- 26. Equip Ground made "up w!Mech. Fastners-Bond Gas & Water ------------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------- ------------------------------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or AI - ---------------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral EI -Yes ❑ No ------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------ - 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card -B- 1 Date Card -B- 1 ---------------------- -------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation - ---------------------------------------- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------------- ----------- .-. ...- 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet ----------------------------------------------- --- 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ------------------------------------------ ---------------------------------- Date Card B-1 Date Card B-1 - --------------------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------------- ------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates Sound ---- -- ----------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- -- - - -- - ----- ----------------------------------- ------------ 42. Draft Stop in Walls (rat proof) ------------------------ ----------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------- ------ ----------------------------------------- 44. Headers & Beam -Size & Bearing _51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits - 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------------- ----- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ____________ 57. -Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------- - ----- - Date ----------------------------Date ------------Card B-1__ Date Card B-1 -------------- -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector - ------------ -------- 63. ---------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ----------------- - - --------- - - ---------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---- ------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth - ---------- ----------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. - ... ------------------------------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ --------------------- _ ------ - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer --------------------------------------- 73. A.C. Duct in Garage -Damper .----- ---------------------- 74. - - 74. Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ------------- 75. Plb. Elec. & Mech. Equip. Listed for Location ------------------------ -- ----------) 76. Elec. Receptacles in Garage: (G.F.I. -Romex Protection ------------------------------------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ...... ----------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- -------- - - - 81. Stucco: Brown -Finish - -- -- -- ------------------------- -- -- 82. A.C. Unit_ Disconnect_ Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing - - ------------ -------------- --- --- --- --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -.. - . - -- .. - - - --------------------- ------ 86. Ventilation Throughout House - --- -------------- ------------------------------- 87. _Glass Protection 88. Corrections from Previous Inspections ------ ------------- ------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric - .. -- - . -.. - -------------------- 90. -----------------90. Water & Sewer Connected -C/O to Grade -HD Approval ------ --- - 91. Energy Compliance Certificate -Other Certificates ------...----------------------------------- -- Date Card B-1 Date Card B-1 -------------- ---------------------------------------- Date Card -B- 1 Dale Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9.16) 891-2751 7 County Center Drive, Oroville, CA -(916) 538-7541 747 Elliott Road, Paradise, CSA - (916) 872-6307. ;r CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at : the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Y, s 0 Dat -' Inspector REV 10/92 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538--7,541 k PERMIT NO, R j Kms[ G.►/1 I Address orilocation'of,mobilehome // n Owner's name Owner's address Insignia or hud number Y7 6,372 Manufacturer's name Serial Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTA#4CE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOM'E IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - PEPAR,TMENT OF PUBLIC WORKS 7 Coumy-cenier Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-310-001 ZONING A-5 BUILDING PERMIT OWNER Stan Blann TELEPHONE 533-6370 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 66 Palermo Rd., Oroville 95965 CONTRACTOR'S NAME Mobile Home Center Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1838 Feather River Blvd., Oroville 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 20,00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 35.00 lle PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation;K Other ❑ Describe work: MHI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I de lare under penalty of perjury (check one): am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professi s o e nd my license is in full f rce an effect. License N Classification I, as the owner, Or my employees with wages as their SO compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOGOA, 37.50 NEW CONST. ( DWELLING OCCUP.81 OR ADDNS. ACC. BLOGS. 3.64sq.ft. NEW CONSTR. WUUTI.OUTLI-T NO N.R ESI 0. BRANCH CIRCITS(POWER 5.00 (POWERAPPARATUS 61 OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.0o (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 H- Ventilation Permit Fee -- $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to ent u on the above-mentioned property for inspection purposes. I also agr to save, indemnify a ep h rmless the County of Butte against all liabil' ies, judgments, cost , an ex nses which may in any way accrue against id u�y in conseq ence f t granting of this permit. X - Signature of Applicant — Ow contractor Agent ❑ An OSHA permit is required f XCovations over 0' deep and demolition or construct- ion of structures over 3 storie height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL EE $ 105.00 HAz DFEES IMP F D PnR�L P IssuE permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRPUBLIC By PERMJ PI Date applicable provi- resolutions to do have been paid. WORKS Date -/$= Receipt No. 13039'2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .r\`�• ."^!r-'�.. '.�y' �.ts���%"`'�✓`�.'ce"''"`-"r%``^,Si'r`\.��'.r-!i^..-.* .�r,l'^h=%,�n" kf1 ^"i+::4.:�...i�l�ti3'�-t. "'1....s �.�'"'.� f I'F`..._ q COUNT YO 'BUTTE -DEPARTMENT Of1IVELOPMENT$ER ICES- BUIL G DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,tCALIFORNIA 95965 - TELEPHONE (916)538-7541, . t - OWNER �A^ Proposed Building Use PERMITAPPLICATION DATASHEET 21AIJ �) A. P. No. a5— p Building Inspector `� Date _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 documgntation. .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (requirto plan check).9. Mobilehome data and manufacturer's insta,eliddrior , 2 sets.10. Fees of $ .........11. Impact fees as shown on attachedschedul12. California Department of Forestry plan app . Flood elevation letter (100 year flood) by California Engineer ................. 140T 1 iJ Ft,d�j 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ..................:...................... A IF;Plot plan and business license approv I from City of Biggs/Gridley. ............. . Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for required. . ueff toBuild g Inspector (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. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... i 29. ocumentation of legal access. g ........................................ 3p. ;D cumentation 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 . ............................................... . I IV- 005N.AG W 01ACK EF11946114- (0 9L11 -1 - When ou issue thepermit, process as follows: Mail to owner. Mail to contractor. AV Telephone W03 and hold for pickup at equ d1 office. �� Deliver with inspector. Other // Parcel Creation Acreage Applicant — —�Z Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution e Copy of plans sent Health Dept. Fire Dept. Other D By The following data must be submitted priot permit 1. Index permit for above items No. z8 2. Additional items required: (Circle new item not Decked above). 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 GI B Go�15 Date 1 ' 15 -13 Plans approved by �� RdV �-4 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works y r � .l COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 -WNER 'ROPOSED BUILDING USE A. P. NO. S DATE Cl, REC . 7r DATE_ REC PSchool Distrit Fees (paid at District Office) 2. Sheriff Fees (paid. at Building -Department) Residential X _$ unit amt. Commercial(per sq.f t.) X =$ sq. ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X _$ -0 units amt. Commerical(per sq. ft.) X =$ sq. ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other time of permit application, I was advised -the above fees are required to be paid prio- =o issuance of the permit. s ATPLICANT DATE ozV COUNTY OF BfTTE - D.EPARTMEIVT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californa 95965 -Telephone: 916!538-7541 APPLICATION AND PERMIT N/;.✓ii: �fT.7._ ASSESSOR PARCEL NUMBER 6�5- 31(x. -Oce ZONING -_J u BUILDING PERMIT OWNER , 11 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 41(0�> CONT R CTOR'S AME ob;le �r� e Ce.�F�rL C-1 TELEPHONE 533- y 03 CONTRACTOR'S MAILING ADDR S 838 eff-7y er / El e/e- 'e vo Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee - $ �j�j _pv $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ -QQ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION --J NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex[] MobilehomeN. Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer- 15.00 Mobile.Home I S I GJWJ @ 15.00 TYPE'OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationa, Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Q I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST, / DWELLING OCCUP.&) OR ADDNS. 1 ACC . BLDGS. // 3.64sq.ft. NEW CONSTR ULT I-OUTLEC T NON-RESID,BRANCH CIRITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76d E X. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor [I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 9C> Energy Inspection Fee $ occ CONST TYPE a TOTAL FEE $ % D� HA2 DFEES I IMP I FLo I COF I PARCEL I PO I HO I ISSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY Date PERMIT EXPIRES applicable provi- resolutions to do have been paid. WORKS Date Receipt No. tJo2 WNIT[-D.P.W., YELLOW -A$8 [$$OR, PINK -INSPECTOR. GOLD EN ROD•APPLICANT k tia 42-,) ►y .�,,.,,,,.,�,,,,,,n,�,:,,.w�.�,�—+ovr�-.,'�..<'r„r�,�;,N,�'raar�t�.;rr�w�:a.�,+r.:tx �r ia,.�,�,.;;;�.�.;��:.�:��.�;,��:.F,rt`-►s� '�,�=a� .�^' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM` 09 a- Ci(- . (One Form Per Building) School District a & / Gf Building Department No. A.P. Number N5- 310 - ooi Jurisdiction 0 City County Property Owner CS M � A Property Location/Address %10 ler-A-0 000 ,. Subdivison �_. Residential Development Commercial/Industrial 11 Buildir g Departme'rit'Rel District Identification No. 0 No. of Living HI Units E L�eV p10 V siv6jol New k resentative Lot No. 0 Sq. Footage Itl Addition (Group R) Sq. Footage Addition (Floor Plans reviewed by School District Personnel) r 9,3063D 930633 0 (Including Exterior Roofed Areas) - 101D/9�z- Date ool District certifies that O� 2� 1(2 ,—) (Applicant) .-► LP LG Vol lvp) (Street Address) (Phone Number) r 'eL (City) (State) (Zip Code) . has complied with the requirements of Resolution No. �Q 9n by payment of $ representing tP` `1 square feet. lt:.,(�ao) L /�-� " . CE &ch ozv . Scho District Representative Date Paid by Check Number Remarks: Mid Vo /P q ml 1,e 4 &S(:_ r D u) Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 k 1 '., APPLIGATA AND PERMIT PERMIT NO. • ASSESSOR PARCES..'NUMBERZONING 025-310-001 A-5 BUILDING PERMIT OWNER J. D. Welty TELEPHONE 533-6370 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS alermo Rd. Oroville 95965 'S NA CONTRACTORME Ted TELEPHONE CONTRACTOA4�ILII'IW ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee 'RR.7lVtl $ Perm it Fee --i— ARCHITECT OR ENGINEER ENGINEER LICENSE NO. Plan Checking Fee 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 20.00 '70a, Palermo Rd-. Oroville PLUMBING PERMIT Filing Fee 115.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W,::::] @ 15.001 45.00 TYPE OF WORK New[:] Addition[:] Remodel[:] Utilities Installation❑ Other Describe work: MHi1 (AG WORKER) I T Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOROR LESS 1 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . ) I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- \ sation, will do the work,and the structure is not intended or offered \lL�' for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. � DWELLING OCCUP.gd\ OR ADDNS. ACC. BLDGS. II 3.64sq.ft. NEW CONSTR. ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS h1 SINGLE OUTLET CIR. I Ex. OCCU P OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring -15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jud ents, costs, and expenses which may in any way accrue against ou y i consequence of the granting of this permit. X Fte-1-2-93 Signature of Applicant — Owner ❑ Contractor ❑ Agentr--J An OSHAwork permit is required for excavations over 5'0" deep grid demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 12 .50 11 z DFEES IMP O CDF PARCE Pq Is u This permit is hereby is ed under sions of the Butte County Code and/or indicated above for which fees I ECTO OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date;Z / 0_9 2� �—ca�f Receipt No. 130432 WHITE-D.P.W., YELLOW-ASSt3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER'S NAME: T -D - RECEIVED PERMIT NUMBER: �- `% A. P. #: 62 S- 3/0 > D D / DATE 2 RESIDENTIAL 7 NON RESIDE`JTIAL RECEIVED BY C-�c TIME REQUIRED PRIOR TO PERMIT ISSUANCE — — — Q FROM DATA SHEET J6 REQUESTED BY PLAN CHECKER OTHER /G%A'�-�'f/1 �Q� q/,)z> --------------------------------------- REQUESTED BY CORRECTION NOTICE [ YES [] NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS AS FOLLOWS: — — — — — — — — r -F `Mail to owner "- (Addr--ess) -- -- Mail to contractor Call (Name and Address) and hold for pickup at office. Deliver with nest inspection. REVISED PLAN. CHECY.FEES PAID: $20.00' $40.00 `� Additional Fees Not Required tj�r Y:� +�%....r.�rl y vis' i'' p k i V 1r'r r 1*r �'Y r '+ ti r? .:,`ti .t f' Lfi +� �'" _✓e`�, SN1r+.ty ►+'^. P,. �}"�l+i."1" . �. y. • tr y"i.:rr t� r .. . . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION Ulf -- _. 7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA99-.7 -TELEPHONE (9 16) 538-7541 / PERMITAPPLICATION DATASHEET OWNER f.UL . P_ No. Z.�96- •10 "0©/ Proposed Building Use fJ T LCA S' Building Inspector Date r 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 . ...................... A. 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. ............................. . 2 California Department of Forestry plan approval/fees. ............. .. . OFlood elevation letter (100 year flood) by California Engineer. Agiw ........ Nod I Ft -66 � Sanitation and plot plan approval 4 MU111 Health Department. ..... 3 --- City of Chico plumbing permit . ......................................... Jr Lw 1 Plot plan and business license a proval from City of Biggs/Gridley. Planning approval for (A) Use: (B) (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for required. .. oar°�a�9 redo 21. Contractor's license information. (No., Name Style, Classification). . . . . . . ..... . . (Date) 22. Certificate of Workmans Compensation Insurance. .......... ............... 23. Owner -Builder Verification (Given to owner , Mail to owner'). .......... ±ln 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance._ ......................................... . 29. Documentation of legal access. -:-: ................... :.................. t 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. Wheys you issue the permit, process as follows: Mail to owner. Mail to contractor. !/ Telephone -543-6370 and hold for pickup at D Roij11 - office. % Deliver with inspector. Other Parcel Creation Acreage Applicant Datey '� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). 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 Count b _ Date Plans checked by Date Plans approved by i Date -/o Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department f� FROM: Environmental Health e SUBJECT: Sanitation Clearance E.H. 11%11, (1 ,LY Hot Him AIWdWQd ®s I'ku,e Phm Alu,rheil r soul In II•I)• 0% `6L&Y\-n Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for 0 bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: L-nvironl i ntaI HeaA Specialist 8/92 'Ab . X 9a Date APPROVED Butte County Environmental Health Environmental Health jo cf,3 ,JAN 111993 - t Date Oroville, California 2 Sig Lure y z � 3 6fiir PALERMO 'I�Ab -3 i Environmental Heaitil 6ZJAN � Cn Oroville, California. —3 (0) [MEMEWT .. o ELECT_ " PC L= FRONT VARL kC3 US E. Z: Ire GE a A—r - \likr o WELL ROUSE 52, 31' 13 ART4 r co ELECTRJC POLL GARbEhl - \Al ELL Flj- U001 .1 /1 . JA. UU RCH RR N R .0 AR 4 F" M rn pp f ;r, 'mr" c D. ::r -V 0 3 cD (D :3 �L 870 < c APN 2S-31-81 Z,clmv-t, A - 5 Return to DPW AGRICULTURAL STATE."ANT OF AC.U4OWLEDGZ,'0TT FOR RESIDENTIAL DEVELOPMEINT Section 26-8.1 , of the Butte County ` Code requires this, acknowledgement be recorded /C - prior L prior to issuance oza building pgrmit. 98-0011;3 1 �EM The property described herein is adjacent I Rec Fee I Cash 5.00 to 'land or included within -an area zoned Recorded I 5.00 Z or agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and fertilizers; and from the pursuit 11:28am 11 -Jan -93 I PUBL XX of agricultural operations including, 1 but not limited to cultivation, plowing, sDraving, pruning, and 'harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- _ural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adiacezt DrODerty should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Locpau� ON THL SauTHWcsT IIAVrIHFJM AP M- 310 Luwl 84 ; SLC'TION 11: LoP_M t.0F TALELM6 Pft Amlu C� C1 I , O ROVILLf . IvWNSti1P I� lac : l�hNGr,. 3 C. "Ek mous t; WILL 120, r1LS� LlSdtn OM �EM AS Thr, ERST HALF of THt SOUTH ASi' OBAM 6F -TM- M UTH res T Q C ►10-M OF StCTION 11. Date • PROPS FNIERS: State of On this the day of--JaV1,1,0rt1 1993, SS. undersigned Notary Public, persoruLly appeared County of -) ,, before me, the Personally known tome. 0 Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. 's DOROTHY E COMBS- to be the person(s) whose name(s) /.S NOTARY PUBLIC - CAL!FORNIA '� subscribed to the within instrument and acknowledged that BUTTE COUNTY I; g ifs My comm. expires MAY 25, 1993 j executed the same for the purposes therein contained. IN WITNESS ---i WHEREOF, I hereunto set my hand and official seal. Present A.P. No. _d25 3 �O QO t �� Notary Public COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATIOMAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 025— sib — QO ZONING � BUILDING PERMIT OWNER e,f TELEPHONE .s33_(376 ,SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI LIG ADORE [-ISI I✓l � V /l� CONTRACTOR'S NAME TELEPHONE CONTRACT.? SS M?JAILING AO ESS 2— - 15� Q Fireplace CO STRUCTION LENDER -. UNKNOWN Total Valuation is ' LENDER'S MAILING ADDRESS Filing Fee $e-- Permit FEve------------ -$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20 <p ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - Permit fee $ Z -Q- C17-1 PLUMBING PERMIT FiIingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7,00 Each qas water heater or vent 7.00 USE ,�O,�F STRUCTURE "SF ❑' Duplex'[]MobilehomellKOther- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home KkAR0 @ -15.00 TYPE OF WORK New ❑ Addition LR/emodel Utilities ❑ Installation❑ Other Describe work: ' ` a"i�T lel O �ILZ_ ttt��` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages" as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) E]I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.E\ OR ADDNS. ACC, BLDGS. I 3.6a sq.ft. NEWCONSTR. ULTI.OUT LET _NON •RESID BRANCH CIRC IT$ @ 5.00 POWER APPARATUS a (SINGLE OUTLET CI R. ) Ex. Occup(OUTLETS OR FIXTURES20 @7Ed Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. U i ; I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize represen f Rt of Butte to enter upon the above-mentioned property for ins e� es. l�' Wit' I also agree to save, indemnify and keep harmless the County of Butte a ainst all liabilities, judgments, costs, and expenses which r�n n� v! crue against said County in consequence of the granting of rrrnt. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE] X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Receipt No. L -227-'y WHIT[-O.P.W., YELLOW-ASSE3SO.. PIN. -INSPECTOR, GOLDENROD -APPLICANT I his permit is hereby issued under the applicable provi- sions 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 PERMIT EXPIRES Date v 6 A I FRONT VARL klousE � C 24 Q3ARASE a P NLERNIC) _.14 Ab p 1 <rl 2 L �...3(�' r `Y I �IO.d O umrr ►lehome. Vii; 'sta tion �r�tasRn i o :..LEC7iC1G.�11llCh `0 . WELL HOUSE I 31' pn>porty Ones and o of 50ft. from the rw oWerline shall be C4 eructutea or equipa 14V 0 7 to Iwo - ELE:C M- C POLE G ARDS hl - WELL Environmental Heaiti, JAN 11_i5 3 N Oroville, California . I t ELECT;. D 1 POLE W --- J N 8 RRl�I � CSRU A ca_ �„ �Y�R$ r:1ZFP" Location of structures & '{ q equipment shal{"be as . < & dear of all easements. �ilaor, Qiric � e men icesSYI f vation m - F,� URCNARN � 1..� i 1. A � • -�• r iJ AN 2S -31-8i NOTE:—All Materials & 1Norxmuns-tip •:.- ZoK�.fl >i• 5 Accordance with Recognized Good Practices WO of a,quality prescribed for the Specifidd use in 1he Uniform Building, Plumbing & Mechanical Codes =4 National Electrical Code. BUTTE COUNTY 1 I .Floe VL__ __i _c -i___ __ J - •r• .. . ...w. 'X/ 'X/_ 31 111 flfwtn rlrflAnT►I K/ cA rn icbpt on the job at all times and it is unlawful to make any changes or alterations on same without A P p R O V P D written permission from the Department of PuW Mew Works, Caunly, of Butte. etc Copy i.:;ani" . _� IN.•iiri .,.#.�C. ..� ,tlzo is 1!t �.i t3 ��}i.^:�4'�� :if.i i(ZT ':..�•�:ti:li:� ,:JiilJrJ,6� `Ru y;�_•x) iii; } t• s q� ^•� _ �'�+ � pti� � � �r,;+�:':ita± ,;�cti:;iitr� ft,`{'$iritC i ��".�i .. ,"x.-.� l •>>• ,� �C. iJ i.f �il��ii?.'7ipi:::��.: i!.g l`!17 �. i1 �%�� �(.� �/K-� iF >'i �'•: �•i .,•'li �l • ! F?i}s'ri C.a :i:+' i;cl is .ici '.•i`Sl 1<i5 'iq �/ +�t: _'}•"'J ::{5 ZT lo, e" :'le;.ra g;ii� A7 iSYZ a. `t• r r •? rs s `r.. F • • . ..r�K;� ri ts't�rn�'t..t��3t .���q ((rr:�-i►i' s.�.� 4+y►�.,���q r�.�4fiy;��js •�FT'�.�;.�, ny} E` 7}7v/.✓�,f t+c��ll^d i��� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME-INSTALLATION SHEET 1. Owner's Name: / ��v v -Z,) �/ 2. Installer's Name; 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yea F No (If yea, furnish two plot plans.) 4. Will the mobilehome be located -at least 5*ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- /L o -y Amps '• 6. What is the mobilehome site service rating? ------------- `0 y Amps 7. What is the mobilehome site circuit breaker rating? ----- /0 V Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------- Yes No (If yes, identify the loadand size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- L _ (in.) 10. What is the type of gas -•setvid;0 ------ ^- Natural LPG ' 11. What is the gas pipe length from meter or tank -to the mobilehome?------------------------------- ------------- .2-0 (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.) t, ;j J If other than single wide, Mobilehome Mfr. �` /a�^���"� furnish Setup Model No. CX 3 Year Width C.. (ft.) Box Length L2__- ft.) Tagalong or Expando Size 9/0. x_ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS'(check one) 1. Concrete block. 2..'' Other (specify) Pier Footing Sizes and Locations SINCLE-WIDE MULTI -WIDE •; Main beams — — — — .— — .� Linc 2 — — — — — Main Beam_ � ins 2 Tog or Triple Line ; Line 1 Piers: Line 1 Oocoloes: gist -Min. .......... k Sise-Mia. ................ ..a Spacing -Max. ' ^ " "'- tach Side of Openings From Ends -Max. -•--•-- With Width Over ..... Line 2 Piers: bine 3 Piers: (Under Bearing Wall Only) Size -Min . ............ k Site -Min .------------------ x Spacing -Max. -.......„ Spacing -Mas................ „ .., Trois Ends -Max ........ © ' from Cods -Max. ,• ;� Line 3 Hopi foods: Size -Min. x , "x �', l Location (Prom Front) Line 4 Piers; Line 5 Piers: (Under Bearing Wall sOnly) ............. .k „ Site -Min. ................ Spacing -Max. ------- Spacing -Max. -i-� .•••j...'.•• ' \ I From Ends -max..._...- I f �. 1 From EnJs•Yax............... _ Line 5 Hoot loads: Size -Min ------------- Location (Prom Front) -- bU l —_— ;, 'UILj)MG �EpARTME� APP s;<< A'' .�a. ..'cif ��y�p..4•.;r:;a:%��� .}- _. ' DEC 10 19: 11:31 TO MH CTR -O PAGE.002 coj 9fDROOM MODEL 623-C 14'X.-.,52' 693 SQ.FT A [.,PWfoE. SIMU(-tT . W13au-sin, PLf1C�Nf#JT f � R P��il�i .B LAS£ 6NU GiW 8M'-4 Uc�hWr PER Atnui' c LW4151 SlhtliW PLAc15tiW ff,R PQIa 1) PAWU� I& FA9 E PPfiO Fop., PAODL.h' SRN r ' DEC 10 19: 11:31 TO MH CTR -O PAGE.002 coj 9fDROOM MODEL 623-C 14'X.-.,52' 693 SQ.FT A [.,PWfoE. SIMU(-tT . W13au-sin, PLf1C�Nf#JT f � R P��il�i .B LAS£ 6NU GiW 8M'-4 Uc�hWr PER Atnui' c LW4151 SlhtliW PLAc15tiW ff,R PQIa 1) PAWU� I& FA9 E PPfiO Fop., PAODL.h' SRN AGRTCUL7_M L A- r IDAVIT ' H ` ENPLO=/EtTLOY� E Please read the following carefully before signing: Sect-ion_2T-21..-2 Agriculture Employer/_F�aloyee 1 (Applicable only in zones A=j, •A-^0, A-20, A-40_and_A-'160) -.. _ An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty- two (32) hours mer week for at least sixteen (16) weeks per year, i or' -that his primary source of annual incoae is, or is anticipated to be, derived from, any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including level'_ng for agricultural purposes, : .. plows ng, di scing and fertilizin tha soil; (b) The sowing and planting -of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural.commodity. As used in this subdivision, "care" includes, .but is not limi ted to ,._cultivation, irrigation, weed control, thinning, V heating, pruning, or tieing, fumlgating, _sprayi r_g- and. dus ting; (d) The harvesting of any agri cultu_ral:. or horticultural. commodity. including, but not limited to, picking, cutting, thrashi ng, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- . hicIe in �,riH ch the commodi ty. wzh�--be hauled on •the farm or to :the-. place of first processing; ,:The- assembly -and storage of arsy. agricultural or horticultural_ commodity including. but not limited to, l0ad?ng, T_Oads- ung,' banking, stacking, binni ng and piling; (•f) The raising, feedi ng and management of livestock, fur-beari ng . animals, fish, frogs and other aquatic animals, and bees in- t rg, but nolimited ted to, herding, housing, hatching, milking shearing, handling eggs and extracting honey; (g) The Operation, conservation, improvement Or malnten3nCe Of such farm and its tools and e:uipment. Employer ,�_ ). M Phone c533- (3-ko Employer's Address (Present) Cj�ID f AL►^�o �t1� Name of Owner ` Owner's Addr.es-s -* ciu, hconlo, Owner's Assessor's Parcel No. Building/Environmental Health - Permit Description and Number--`. ZA declare,...snbject to .the ....... , y penalty of:.perjury-,`, that. I am the employer of address (present) �'}�1v 1" f fi2oby,) on .AP,�lv •-oo Pvv� and that I will be.employer under Section 24-21.2 for at least a to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on A -P## a2-5.-310-001-0amu. - Si ed Dated • I • Environmental Health > : - JAN 11 1993 Oroville, Califorms { AGRICULTURAL AFFIDAVIT _...._. _... .- E IPLOYEL ` building/Environmental Health Permit Description and Number -+ Date Issued;P;�/� By' t~ Planning Department :Approval: � p - a Date Zone Dwelling on A_ - . By o.,declar.e, subject to the. :....... penalt7 of perjury, thata am the employee of ;► . �� LI'`� address (present) 966 tii� tYir� 9y� on A_rr 6a5_-3 J -001-600 andthat I will be employed under' Section 24-21.2 for at least a to g) thirty-two (72) hours per week for at least sixteen (16) weeks per year on s oo; 5— 3 10 o of --o a Signed Dated 4 •2.9,5 2 Employee STIA 0 LA -i frl Phone .Employee's Address (Present) �I_nln {N1_tTf`qn Name of Ocrner �� : �� . \id run Owner's Address Owner's Assessor's Parcel No 0 2. F; . I Q) •00 j C) ` building/Environmental Health Permit Description and Number -+ Date Issued;P;�/� By' t~ Planning Department :Approval: � p - a Date Zone Dwelling on A_ - . By o.,declar.e, subject to the. :....... penalt7 of perjury, thata am the employee of ;► . �� LI'`� address (present) 966 tii� tYir� 9y� on A_rr 6a5_-3 J -001-600 andthat I will be employed under' Section 24-21.2 for at least a to g) thirty-two (72) hours per week for at least sixteen (16) weeks per year on s oo; 5— 3 10 o of --o a Signed Dated 4 •2.9,5 2 ALITHORl'i = STAN -ELRNN . TO St(N ILL PUMITS RE�UIR _�N�_N CESS_1 Ry Fol( THE P1. C-Uff)uU - o f SAlt N mLE tlbmY ON CTI PROVER.11 LOCABt- ON THt &-) Tn WM COaZk)g O F t PoUA NlLt— �ILL RNt PR4)!—Mk i bLfamm Rs' NP 02S.310.M1. IJ. _ c. I'd -:i =ri � ,-�.'! S• /. 1: i 1a{l; � �.. I. 4r rl .l ..t.r Ji �; 1 .f � ri ^y i. t - -� .l t f .i i ? 1 f r ! ., 1 i � � .7.71; I' i � � f � �f _� 1 �1 � ie % rp r! SIS'•. !1 .:1 r .f; .( '( 1, • �i t.. ...... ..-�----- - - -- ,�, , y1 i 3 PERMIT NO. 1761-81B PERMIT EXPIRES- XPIRES OWNER OWNER J. D.. Welty CONTR. Owner ASSESSOR PARCEL 25;123-14 LOCATION SW corner of Palermo Rd. & I' i Power House Hill Rd., Oro. n i . G Temp. Power Pole_ Called PG&E _ Temp. Elec. Service r Called PG&E_ Temp. Gas Service _ Called PG&E / J JOB FOLLED (Date) Signature J = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI .Date. 'Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line _ 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -EI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Lt= N ,ter, J = OK 0 = Not OK - = Not Applicable � = Not Ready RESIDENTIAL .(Single and Duplex) Date UNDE LOOK Plans OK exce t#'s Date FRAMLNt3'C6ontinued) Zoning requirements-Setbacks-Easements 48. r pe[ty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth OrExt. Doors-One 3'-Check Garage-3rd story, 2 exits Ftg., Garage; Soils-Steel- / /" Ftg. Depth 5 - eadroom-Rise-Run-Landing-Fire Protection JZ, I 4.k Ftg., Porches & Decks; Soils-Steel- / /" Ftg. Depth We-rlywSo on Roof Overhang-Attic Vents-Rafter Outriggers - ' S. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 g.Alai�iwg-Veneer . Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab IN ip Screed-Fdn. Vents-Underflr. Access _ 7. Piers-Fireplace Ftg.-Steel 5 Glazing Area-Glass Protection-Skylights-Plastic !j 8. D.W.V.: Fall-Fittings-Test-2 way C/O-Sewer Test hear Walls; Nailing-Bolts 9. Gas Pipe; Size-Anchors 10. Water Pipe; Test-Anchors-Regulator-Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material-Support-Ins. 13. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Dat / Card-BI Date Date FINq.L/(PI �� s) OK except p's Card-BI Date Card-BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent-Access-Combustion Air .&r Ext. Steps-Door & Sidelight Protection-Landings 57. 58. Smoke Detector Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors-Nail Protection 16. D.W.V.; Test-Fttngs & Anchors-Nail Protection 17. Shower Pan; Test, First Floor-Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor-Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes-Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances-Hearth Card-BI Date Card-BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance Card-BI Date Card-BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing-Landing-Closer 68. A.C. Duct in Garage-Damper 20. Fixture & Transformer Clearance-Ins. Protection 69. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing-Lights & Switches at Doors 22. Size Boxes & No. of Conductors-Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water 72. Insulation-Foam-Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction-Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes E] No; Walks El Yes E) No; Planters ❑Yes ❑No 28. Service-Riser-Conductors & Ground-Main Disconnect 76. Stucco; Brown-Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size-115V Outlet 30. Clothes Closet Light-Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle-Underground Card B-I Date Card-BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card-BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test-Meters Tagged; Gas-Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected-C/O to Grade-HD Approval -__ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate-Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34, Furnace-Vent; Access-Comb. Air-Return Air Vent-115V outlet 35. Attic Access & Platform if Furnace in Attic - ------ C I ateCard-BI Date Card-BI _Date Card-BI Date Card-BI Card-BI Date Card-BI Date Date Card-BI Date Comments at Final: - Card-BI Date Card-BI Date Date FRA G( ns) OK pt q's 11- !2--fe S' Sills; Proper Material &EW3 - 3I�lalls; Studs-Nailing, Spacing & Bracing-Plates-Sound 38 aring Walls over Girders & Floor Nailing 3 aft Stop in Walls (rat proofi jwf-ire Stops; Furred Ceilings-Stairs-Chases-Tub _4,P'-Header & Beam-Size & Bearing 4V-Hangers-Post Caps-Anchors-Connectors 4t,-Mg. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Ties or Type A Flue-Fireplace Throat _ ess; Size & Romex Protection-Draft Stop-Ins. Baffles _ 4 _ ndows or Exiting Doors-Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS PA L NUM ER v — �- /� ZONIN BUILDING PERMITIlk OWV7ER �-�/ a D. ��/ / TELEPHQNE 533-�7o SO. FT.O�JCC. BUILDING VAL ATIO„„N -57- • O'�V OWNER'S MAILING ADDRESS 1?11 � R7OX 2%0 A 0e4 (11& %4 2- 13 CONTRACTOR'S NAryIE _IV I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ l , Io -7� a Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 36 .b0 ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ , g.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ (p .Op BUILDI G ADDRE s PLUMBING PERMIT Filing Fee 10.00 ®� re �c l ui - C� /7 Each Trap 2.00 Repair drainage or vent piping 5.00 �W, Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE /i SF ❑ Duplex❑ Mobilehome❑ Other PR/' DCT `>//� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation[— Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.01 OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID BRANCH CIRC CONSTR ' .OUTLET 2.50 ea ITS NEW NON.CONSTR ESID, SINGLE OUTLET CIRR POWER APPARATUS .&) . 50 @ 25C Ex. Occup OUTLETS OR FIXTURES BAL@100 FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue County i o e nce of the granting of this permit. X�' Date -- againVHA Signaf Applicant — Owne Contractor ❑ Agent ❑ An 0permit is required for excavations over 5'0” deep and demolition Or construct- structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ / OCCUP. GROUP �� I TYPE OF CONST. `� PARCEL v PO f✓ HD SSUE �/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC By PEBWT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date- S �����y��% Lof ceipt No. 7 7 TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT