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HomeMy WebLinkAbout025-340-0340 + 4'1 A.P. RICHARD L. SWAN e/s Power House Hill Rd. appy x. 2 mi. No. of Palermo Rd , ' L �. Permit 1360-72B,P,E,M 7S (new si�?�;l,e family) J Permit#2639-85E (�repr� meter sock on i main ser/SF) r �* 97-'106-A-.; c RICHARD '& `BEVERLY''' {d APS 0 5565 Power SWAN House RICHARD L. SWAN (pole bldg Hill Rd, Oroville e/s Power House Rd, app. i mi. N. _ g for tractor exempt) of Palerm6 Rd, Orovi].le — Permit## 3393-74B '(lst & 2nd RENEWAL of 360-72) Per 4,14845-76P,E(ut� ,MH) ELEC it GAS 1 SUPP RT TRUCT rro COMPACTION TEST RE25contr: Curly s TrailRICHARD SWANNPermit A5103-7E�'E/S Power House Hill Rd., app 2 miPalermo Rd., PalermoIssued- - r% Permit #3835-77P,I, titi. ,mH) • �.� ELEC 8 S GAS ` 3 i 2 [permit #566-78B (reroo )0 4,'"1 IXIAAIV, 25-24—IQ Permit#3755-81P(solar water htr) �pUPP RT S RUCTURE My. OOMPACTIN TET REQ. Contr: Wilson Fri Ser /O/l� •.A { V ermit.#5308-77MHI Issued Id 1 . r >F is Lo x GILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMI NO. r� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a lace used by the public. ASSES-SOR PAR�E��O� !� ZONING o� OWNER/? L % 4 (� PHONE NO. r _LetV' J& v8 V OWNE��DDR e /q 1 �33�0� �� Inl v ( LOCATION OF BUILDM �/ e V 'Ile_ USE OF BUILQt�1G / /`� ` r SIZE OF STRUCTURE ' Z a) X _1362— SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME x STEEL CONCRETE OTHER (Specify) _ A', 5 TYPE OF SIDING ROOF COVERING FLOOR TYM ESTIMALTED COST OF CONSTRUCTION X' AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT �� SIDES 2�� - r REAR 2 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requi ement in effect at that time and before occupancy. . x Date — -- Signature of OwnerCL Permit Fee - 60.00 . The above described AG -Building is exempt from a building permit. Receipt No. t� 5 FLOOD PARC D P../ ROOF G ISSUE y5t l 1/ J Manager. . Division By White — DPW, Yellow `Assessor, Pink — B. I., Goldenrod — Applicant Date / 1 712% -, !1-e .�Wr � �Zlpw�;,--Rcr.-h,4�--1�4", ;A. COUNTYOF BUTTE - DEPARTMEWTOFIDEVELOPM ENT SERVICES -BUILDING DIVIS10,11 I �- I - V 7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95965- TELEPHONE (916)538-7541 $ PERMIT APPLICATION DATA SHEET OWNER 5 LA..) 0 Proposed Building Use /51-q 6t,;1dj-Qr X -Pop* A. P. No. a 5 ; 2 Y - /f 69 a Inspector _ A& _Date Y -19-F,7 At time of rmit 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. I .......................... 3. Complete plans, 3/4 sets, signed by preparer of pl�ns . ...................... 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 . ........... 19. Driveway permit (construction approval required prior to occupancy) ............. I,ln,,l request 20. Pre -inspection for required. to Building lonspector Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workman.s 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 . ......................................... 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: f- Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applican\O�J���� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. Fire Dept. - Other Date By The following data must be submitted priorto pe.rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 . 1. 1 Plans checked by Date .,Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under ,permit number ��� �%%for the following location Owner Owner's Address Mobilehome Mfg.Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director.;of Public Works Date i By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ;1 PERMIT ILO. .3835-77P,E „ moi•- ` PERMIT EXPIRES OWNER Richard Swan CONTR. owner LOCATION (A.P. 25-24-57 � E/S Power House Hill Rd., i mi.N.of Palermo Rd., Palermo I Temp. Power Pole Called PG&E oe Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB fy� �c�y •. FINALED Ll � (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . BUILDING BUILDING (Cont'd) PLUMBING OeqUaCK Pqrewall So Pipin Fo s P ets 1sX Floor Ma Bldg. -ResNroom Finish 2nd loor F tins Windkvs 3rd Nor Ste all Sldin To out Slab N Roof Sh thing Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Ventk Insulation Water Htr. Heaters Slab Carport Footings Prov. for physl Ily handica ed Conformance of a structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIR LACE Final Footin s Footina OLECTRI&L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKARS Motors Framing Test Water Htr Mesh MECHANICAL ScratA HeatIng Broj& Co Ing F ish D cts In rior Lath entilation door Closer inal MOBILEHOME TILITIES----------_-------- Elec_ Service �✓�7c�'� G Water Piping ' Sewer 7 B E ME INSTA LATI N - - - - - - - - - Water Piping Support Drainage I DATE REMARKS OR CORRECTIONS. V4 mp. Pole oder round Permanent. Final Elec. Pedestal Gas Piping < Elec. Continuity Gas Piping / (NOTE: An entry must be made on this form each time you visit the job site.) I r' 9. Electrical A Is service large enoiiglk to provide adequate amperage to.mobilcliome (must equal rating of mobilehome critlt a ::iln.' X11, 00 amp) and other faciliti_as on lot, i.e., water pumps, Ezra„e, cabana, cfc.? YepNo_ B. Is ther,7 proper clearances around panels? YesNo C. Is power supply cord or feeder assembly properly fused? Ye SX No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring? system of the mobilehome at the p estal. 2. Make sure that the power supply cord Ior feeder assembly conductors, including neutral conductor, have been disconnected. 3. switch all breakers and switches in the mobilehome to the "on” position. 4. Connect one load of a test- instrument to the mobilehome grounding conductor and apply 'ii OttAeL a.e au %O each TIIVUL.LCLIUIILt Silppty cOf" ct0'i , ilii iiUtitg neuira�. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, later line), inr_litding fixtures and appliances, shall*be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te-t shall then be made between i.he.grounding electrode and the chassis of the riobilehome. Upon satisfactory completion of the d.ectrical tests, the lot or site service equipment may be approved for energizing. .v Is job card si-nea by Health Departmeat for water and sanitation? 2.:.. If everything cl<ay, sign off. card and ta, services. iOBILe:MME DATA 11,7,3Manufacturer and/or Namestylee Length ` Width 2,31 — Vehicle Serial No. St -.ate Identification No. Ode,Ltional Infor-nation or Corflinents: ?i0}3I!,i?Ii0�lE INS`I'ALLA'1'ION INSPECTION CHECK LIST 1. Is the. mobilehome located wit --h required separation from lot lines and buildings and generally conform to plot plan? Y(!s No 2, Does the m:)bil.ehome have required clearances above ground? (Sec.5085) Yes No 3. Are foot:in,s and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo_ 4. Is the mobilehome level.? (Sec. 5088) YesX No X 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes4No 5. Water. A. Is f e, i.ble 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? YeXNo_ C. - elie ate o California approved, does station have backflow device and .pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes4 No B. Does i.t have minimum ," 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 D. Ifapp es station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved. 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobigl.ehome gas line inlet without reductions other than the mobilehome connector. Yes t No B. Test OK as per following procedure? YesNo ' 1. Open all appliance connector valves. -Ix 2. Shut off appliance burner and pilot valves: 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated -in tenth pound increments. Test for 10 min, without drop. 4. Cor_nect:•gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No J , . V, ,.. -1 '� COUNTY OF ETUTTE+ — DEPARTMENT OF PUBLIC WORKS T F ; 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Cou ty of Butte to enter upon the above-mentioned property for inspe I n purposes. X Date 217�) Signature of Permitee or t Receipt No. &_,7Z? 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 O Pt BLIC WORKS By Date 10 ding permit expires Date fli— 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ele hone No. — 6 Fireplace Contractor �y1 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 FEE PERMIT FILING FEE 3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 a Zoning Verificati 11 91111 Each gas water heater or vent 1.50 A. P. No. �_Z Z Gas piping system 1 - 5 out 50 O D Each additional outlet .30 e W S t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 6, EQA Parking Plans Parcel Declaration Parcel M R/W Im rov ;wen P Lawn sprinkler system 2.00 g. Plans Rec'd ( 000o7 or Parcel Approva Plon Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE .00 lif 0 1 0 600V OOR R OR LESS ^ O O Main service 0. LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 ER 600V Main service 10 0 AMR OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 C NEW OR ADONS. ( ACCLBLDGS,DWELING _AzCCUP. &\ 20sq ft / NEW CONSTR MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) ( NON RES,D, (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 FIXTURES) BAL@104 FIXED APLNS. OR Ex. Occup.(POUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 5.00 pd License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ —a-, MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for.Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ OC authorize representatives of the Cou ty of Butte to enter upon the above-mentioned property for inspe I n purposes. X Date 217�) Signature of Permitee or t Receipt No. &_,7Z? 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 O Pt BLIC WORKS By Date 10 ding permit expires Date fli— 7 k ,�. �, .. ' .yam __•� . �r.-'} � / I IN PW COUNTY OF BUTTE4 — DEPARTMENT OF PUBLIC WORKS y _ 7 County Center Drive — Oroville, California 95965 �. Telephone: 534-4541 APPLICATION AND PERMIT BUILDING OwnerSQ. O FT. OCC. BUILDING VALUATION Mailing Address �%�¢x OZ aTelephone No. Fireplace Contractor �,r� a- • 4 Total Valuation Mailing Address cf Permit Fee PI an Checking Fee &/or Penalty Telephone s3 y(� Permit Fee Building Addr s PLUMBING No.1 @ FEE' PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a,Z5-- —Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Int rovements I P Lawn sprinkler system 2.00 Bldg. Plar{ ec'd Por6e1'Approval ons Approval Permit Fee $ NEW ❑ ADDITION ❑ UTIL TIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACCLBLDGLING OCCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea 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 O -n,- ^ t /� •�� Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.!) Classification e% Cl 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. iave 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 F e $ $ 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 Gut, Iul 14u ICjJICJ'IItG"vCJ ul uIC i,uunry ul Mune tU enter upon me above-mentioned property for inspection purposes. X , _ 'Gel. .. pate / C) i_ 7 Signature of Permtee or Ag / Agent �j Receipt No. / X749/_4 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 OJePlUBLIC WORKS By! �Date Bu ding permit expires Date �•"..ice_ .BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION. SHEET s 1. Owner's name: 2. 'Installer's name: 4 A Z 3. Is the site currently under permit? Yes / -k-t­ No (If yes, furnish permit number _ 3 Al OR Is the site an existing site? Yes / / No Y (If yes, furnish two (2) plot plans.) 4. Will the mob`lehome 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? ----------------------- '_5_C> Amps la s'- 6. What is the mobilehome site service rating?---'--�-- w_ .. Amps 7. What is the mobilehome site circuit breaker rating? ------------- ts'� Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than ,50 ft,. on LPG.) site service? --------------------------------------------------- Yes / / No (If yes, identify .the load..and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ..� (in,) 10. What is the type of gas service? ----------------------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehhom? sem— (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.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. ��. " ° `• Setup Model No. ' "� 'Year .:r/'�.,► Width (ft.) Length: 670 (.ft.) .-Ekpando .Size + ft.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 .file. with ;the CQunty of Butte) . , . - -- Sin le �-�9�/�1'�'� � .r�,,.:' Footings- (check one) -1. Wood. either pressure treated or Center Center Support i fdn. grade. Support Footing Sizes Locations (in.) f-' x� in. kn- _. XZTE-) (in.)(in.) u *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 2 -Concrete pad. r / /-3. Other,: specify Supports (check one). ,� • �. 1.. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify lAx3) Typical Support Footing Size (in—) in. a— _V-* f . Max. Pier ' (ft -Min.) Spacing Max. - G Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED F_ (in.)(in.) 41f (in.) (in.) ' I u *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 2 -Concrete pad. r / /-3. Other,: specify Supports (check one). ,� • �. 1.. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify lAx3) Typical Support Footing Size (in—) in. a— _V-* f . Max. Pier ' (ft -Min.) Spacing Max. - G Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED lll:.�,1,111(llllVii. 1C,�112?tilt h 1,U t:9 U;' - P0 :' I ccrt;fy ttla : as o,.rncr of Lhe property acguLred' by deed in Vo, , , e�o2� 9 page 571 , O;ficialZecords of Butte County) (AP. �.. I am re uesting per►nission to build or in�;taZ Q ^a*z{ addltlonal ll�iillo unit on thispp�'',operty• I wLI-1 not divide the afore t -V ' � lease rent or financing unless • all !_ L �n:.oned property for sale, , b --a� l cable. -land-division-lags-arid--nap--reg4ir>?nents are -complied. -with am conversant "with the present zoning regulations ar-1. .;,a& the h afO_ gentio ad property, and declare that I shall not violate sa►tme. Z • relpre 5 en t�' that the proposed use of the additional living unit is ---a jd'•that further' I -shall -not -change.-this -proposed- use -of -the- additiv.�al li-Ving•uni.t unless and 'u_ntil '3 receive wri texa.' approval th2reso� froom' t1i' Caurity, , of Butte. _ { fully understand that pursuant :to Chapter 20. of the Butte. County Code and §x.1535 et mass of the Busir!ess and Professions Code that if I, in the 'fut ure., sell, lease, 'or finance the area on or adjacent to said. improvz--nen�t without fully complying -with-the applicable laws•:a'nd' ordinances • that - I shall be *•guilty o- a misdemeanor and therefore; subj to .the a=9resaid penalties and'inprisonnent .pursuant to law. Further, 4his statement- shall -be--properly:--acc-lo�;ledged d �ecozd�d at. tae reque; -=-�f-=�.►-�e- Court flf --Bc;t�. e. •� _ :. • 0_Fr_iCE;tl 4r•".GR r.S er - JUL e6 12 42 PH 1917 _ --��d COUNTY 'EE 3161:0. - Bate L, SEAL =-- - - E LUDWIG IC - CALIFORNIA Si���_. Oz r�'�LTFO�%i 4;;L - 0 COUNTYC�t t1 i1.. ires SEP 26, 1980On tris day of 197before r,.e,Iro Pubf1c. in and A.0i. -he CZi . ' O, Scats .O- C"Iif0Znia residin. - therein.7 ct;-L.f co:t..ir: SSLo.ne:: and flrn, pe,:son'-11 .y cappe*a1;'eC� 11 `! :noun co ..ne to be tr_e •pLr9oz su g -c -d r -o the instrumant._ and me t: oZ rie'1 c cc�s`ed tate same. .�..�y �r � �� j'j t l it :iS ?�E1•.,::L7 ' L' lia'. e `her�1:':.0 �r^t- -my ila-lCTi an -1 a.Z :),;Lx -2 my - - vC ` tr:l e7! i�e7� n, the Couniy 0 ;' -CLIP clil.� �.2" 2. _L' `:lies - Cr e- •ie .re' irS% ai)O',l- 1; Z ittni?, CJ 1 :'O <:TZf i 1C _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California .Administrative Code, Title 25, -Chapter 5 under permit number A"_,/4'__T— 74 for the following location:S it—n.e_' . N Owner Owner's Address O .2 7 ? 7 Mobilehome Mfg. Model Year/27' a, Insignia No. ' 1_2 67�%-4_ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. 1 Director df Public Works �L Date �� % / ByJ�%2�/� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATEU&f' PERMIT NO. 4845-76P•,E. PERMIT EXPIRES OWNER Richard L. Swan CONTR. owner LOCATION (A.P. 25-24-57 � E/S Power House Hill Rd.i2 mi.N.of Palermo Rd., Palermo J . s Temp. Powe Pole Called G&E 4z) oe Temp. EI c. Serv. q % Call d.PG&E Temp. as Serv. lZ. IIed PIS&f F NALED l 7 (Date . llweee� (Signature) Slab Final Sanitation -,--4�le Patio FIREPLACE Final f Footings Footing ELECTRICAL Masonry Walls 'Throat COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD* Reinf. Steel Final BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof'Sheathing Water Pipingy Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas 2 Slab Final Sanitation -,--4�le Patio FIREPLACE Final f Footings Footing ELECTRICAL Masonry Walls 'Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels ' Mesh MECHANICAL Grd. Fault Pr t. Scratch Heating �'`� Service ?% Brown Cooling Temp. Pole Finish Ducts """ Underground Interior Lath Ventilation Permanen Door Closer Final Final 5111711? DATE REMARKS OR CORRECTIONS 7Z, s.'. (NOTE: An entry must be'made on t6s form each time you visit the job site.) 'M0BTI,_EHL0M.11,' LISTALLATION INSPECTION CHECK LIST 1. Is the. mobilehomt located w* i required, separation from lot lines and buildings and general].\ Conform to plot plan? Yc:� No 2. Does the mobilehome have requir<_d clearances above ground? (Sec.5085) Yes No 3. Are foot:i.n�;s and supports properly sized, spaced, and braced as per approved plans? (Note possible varication at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) ye SX— No 5. If motet -ha a sinule a ections properly installed? (Sec. 5088) Yes No 5. Water A. Is f xi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566). Yes 7A No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Bac'K- poach _is not State of Califor ja approved, does station have backflow device and pressure -relief valve? Yes No, 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yesj%/ No .B. Does it have minimum z," per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including crashing machine standpipe? Yes_ N04 - D. If s no ed, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than.6 ft. long? Note: All piping is. to be at least as large as the mo`i, ehome gas line inlet without reductions other than the mobilehome connector. Yes' No B. Test OK as per following procedure? YesNo_ 1. Open all appliance connector valves. . 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum' 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector,.turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes,//N_No 9. Electrical A. Is sei-vice Large enorrgl. to provide adequate amperage to mobilehome. (must equal rating of mob i.lelion, e with a ---t um of 100 amp) and other faciliti.is on lot, i.e., water pumps, gaga -e, cabana, ctc., Yes X No 1� Is thee,-. proper clearancesaroundpanels? YesXNo C. Is power supply cord or feeder assembly properly fused? YesJ� No_ D. Is continuity test satisfactory as per the following procedure.? Yes Y No 1. De -energize electrical wiring system of the mobilehome at the pe (rtal. 2. Make sure that tide power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect ,one le.. -id of a test instrument to the mobilehome grounding conductor and a , , , hYiy tl'te Otu.e a.%au %� Carl T0VL) LCllVlllt3 3lili �-L CUtiuLiCtU'i, 111Cliiulllg lie�lLrd1. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of file above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to,.:;t shall then be made between the ,grounding electrode and the chassis of the mobilehome. UDOI1 satisfactory completion of the electrical tests, the lot -or site service equipment may be approved for energizing. Is job card si-ned by Health Department for water and sanitation? 11.. If everything okay, sign off card and ta, services. MOBILLilUML•',_DATA manufacturer and/or Namest:yle ��i-yy%��•,, �' � Length ✓- _ Width17 2— Vehicle Serial No. /9.nZ State Identification 'Ivo. �� 4.detlitional Informat:ion or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS _. S ! 7 County Center Drive — Orovi Ile, California 95965 Telephonet 534-4541 V�6 76 APPLICATION AND PERMIT 4 CLU Ulun Le reprubuntduves of the t,ounry or outte to enter upon the abovelentioned property for)inspection purposes. Date k- ; E ;?b- �Mture of PeeAnitee or Agent No. ZI.Sz '.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 PUBLIC WORKS By Date - 7 i(ding permit expires Date —77 BUILDING Owner z / 6WAIEPI SQ. FT. OCC. BUILDING VALUATION ea Mailing Address_777� w- t../�o E Telephone o. Fireplace Contractor Loxi� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ++ Building Address s' w ovS' �� 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 By n/1 /L71► 2 F_/Ll d d _ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Q g®ning Veriffcafion Only Each gas water heater or vent 1.50 A. P. No.—'� Z° " Gas piping system 1 - 5 outlets �, 49 Each additional outlet .30 Fees W. C.!riiTafio ept. Fire Zone Use Permit Building sewer 6.69LQ ob EQA Parking Parc arcel Ma Plans ec n P 60' R/W Improvements P Lawn sprinkler system 2.00 °' Bldg. Plans Recd Parcel Approval 4° Pla pproval Permit Fee $ (� $ 33 ob NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.-D Main service 100 AMP ORV OR LESS5.00 ap Main service EA. ADD'L too AMP 2.50 Main service R 600V 1100EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS. P. &) 20sgft NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOER APPARATUS & R. RESID. (WSINGLE OUTLET CIR. NON. 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) gAt��ta Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , 00 License No. Classification Misc. Wiring 6.25 INI 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 141 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 $ e CLU Ulun Le reprubuntduves of the t,ounry or outte to enter upon the abovelentioned property for)inspection purposes. Date k- ; E ;?b- �Mture of PeeAnitee or Agent No. ZI.Sz '.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 PUBLIC WORKS By Date - 7 i(ding permit expires Date —77 i° COUNTY OF BUTTE — 'iDEPA,RTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 f Tel ephorne: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signotu`reeof Permitee or Agent Receipt No. Ste_ 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 p 'd. DIRECTOR OF UBLIC WORKS Lit By Date ``it s �� uilding permit expires Date 7 BUILDING Owner _ c, tkj A SQ. FT. OCC. BUILDING VALUATION Mailing Address Q2vvtI to Telephone No. Fireplace f Contractor C u it, L A 04 �Qw Total Valuation Mailing Address / — j Permit Fee Plan Checking Fee&/or Penalty �Witt 'Q. T I.ephone N?64.. Permit Fee $ //�� Building Address p (,� dSc wl f PLUM-BING No. @ FEE PERMIT FILING FEE $3.00 ect / !I✓LT� di / /�� Each Trap 1.50 ` ,eA4e) Rd 00Q. Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^' �- —s 7 Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 � Fees W.C. S1aA4aU4n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plons Rec'd Parcel A oval Plans royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER N ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 !r / ` 'd1�6 Main service i°o°oAMP I ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONS.OR ADDNST (DACCLBL GS.CCUP. &) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (PO NON -RESWER APPARATUS & ID. 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 St y Of: r Ex. Occup(OUTLETS OR FIXTURES)50 @25� BAL@909— EX. OCCUP• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License N /a ` &/ 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signotu`reeof Permitee or Agent Receipt No. Ste_ 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 p 'd. DIRECTOR OF UBLIC WORKS Lit By Date ``it s �� uilding permit expires Date 7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME-INSTALLATION SHEET 1.. Owner's name: AP/ C Hf} -/?-,D S�u,}N — '!�Dyy 1'I 0 /?R, I C 2. Installer's name: Ca/nri_y.S 7-PA-1LFf� 441/1/6- 3. Is the site currently under permit? Yes / Gf-- No (If yes, furnish permit number y,p 41 S - %lo - RE > OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 'Sa 5.• What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ------------------- 7. What is the mobilehome site circuit breaker rating? ------------- SO Amps P 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /. / No (If yes, identify the load and size: (Load) (Amps). 9. What is the.mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of -gas service? ------------------=---------- Natural / / LPG 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� ftr.' on LPG.) r�y �. MOBILEHOME SUPPORT DATA 4 Mobilehome Mfr. �/J/9"/%/A'�/� �i M1 Setup Model No. S-6-7,11 Year i Width �Zr (ft.) Length 1 (ft.) Expando Size t.x t. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). - Sin le - Footings (check. one) Tr 1. Wood either i pressure treated or iter enter Support fdn. grade. sport noting Sizes :ations (in.) 2. Concrete pad. x / / 3. Other,: specify in:) Cin . AN -... r �{ kin. ) (in ) Fft.;in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Supports (check one) / 1. Concrete block 2. Concrete piers 3. Steel piers 4. 0ther,.specify Typical Support 9�-�iLn. Footing Size i fn. , /,�)-xa� rS_ Max. �i /.1138) � I Rom. _ BUTTE COUNTY BUILDING DEPARTMENT APPROVED L I # Shall Be in NOT 'Alt M,�t%lferiws & 6rkman�ship and Rpc gni d Good Practices Aecordancie .-W."If R. fa the Specified use in the. qualitv.,, I�r , escr� , inq & M chanicall C 4'. a odes and uniform Building,; Plum +h �Aafiondll -El i�qa e - r PAeCC&- AJO v2 It 7- 1 nis.'zeT of plans '4499=-W MUST Jb?_ :cept, on. the joie 13t all fi) i6s nd it is unlawful io 'r make ake any changes "or- alt -rat ns on same without Written p f rom e epartinent of Public ermkson, Warks. oButte U110p 14 f 66, ft. from The ..Setback line the side prdpqrfy li * n ,,ff.. 40rn erf�itting the centerline of the �tj; d Air�um 4. dy6overhana. m a, 'S (100) Vs r 7we-, a.wv r 2, y, _41 for . -e� U A'perrny instaKti90rof the mo �i le MO.;', �4 :ti N o ye or a t:p IOU 111 rrL h bbi,7!'t h A F y Cz Septic S A f4 K BOMV,':C U"t. xq —to t r A COW A ? 4A4 PPyROVED yl AA%, T, Permit#2639-85E Richard Swan 5581 Power Hse Hill Rd COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, faliforn$a 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. ASSESSOR PARCEL. NUMBER. _'Lt - _P/ - ZONING BUILDING PERMIT OWNERTI kI. 1 1 lel ��; ,z,��- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ) 1 / Al CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing g Fee $ 10•00 A LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER J, /. I'"' LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS lei, AT I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home STEJ 10.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities Installationq Other ❑ Describe work: ^�. t)lr+ e- t' dlf, Ir' v "C /'�F f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NO 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- T' 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 OCCUP.ed , New DD.S. A ) /2Qsgft ULTBI OUTLET N..ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu Zoe 11oe p OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Je l 7, 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 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expensggss which may in any way accrue against.said County in consequence of the Snting of this permit. X /--' • `���f / ����Date �/ i( r _ ' 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPEJ FL000 PARCEL I PD ND ssuE This 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 aid. p f DIRECTOA'OF PUBLIC'WORKS .1) V BK �. , r � u:i1,, ,� Date PERMIT EXPIRES Date �-r /3 Receipt No. L_LN �( J ' WHITE-O.F.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APrLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CaliforA 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 17 ASSES OR PA E,L'NUM�`R [%%�� ZONING BUILDING PERMIT OWN a TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN DRESS ss 0 SL CONTE TOR'S NAME TEL PHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS_ 45— SP Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ emod I ❑ Uti lit' s Instal tion Other ❑ Describe work: 4P 10 QCT & �V, _ 0!2 h �Ci ✓ fl f`p C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 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 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 OCCUP.y , A I /20sgft New CDONS. ULTBI.OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t eAL090 FIXED APPLNS. OR Ex. DCCUp. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. 10 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 Filing Fee 10.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, andexpens which may in any way accrue agains d Coun in con quen of the nting of this permi c X Signatur of Applicant — O.Y., ❑ Tactor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IREVTOF ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OcCUP. CONST,TYPEJ I JFLOOOJPARCELJ PD ND IseOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PU B- 42 AV PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. 11WORKS ate Receipt No. WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 97 SSR m COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C'blifornia 95965 - Telephone 916/534-4541 APPLICATION AND�PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation $ CONSTRUCTION LENDER UNKNOWN Filing Fee @@ .p 10.00 LENDER'S MAILING ADDRESS/ Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 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 SF [:1Duplex❑ Mob ilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 1". TYPE OF WORK New ❑ Addition ❑' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: " Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5•00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,N) OR ADDNS. ACC. BLDGS. / 20 sq 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 m license is in full force and effect. y 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 CONSTR. I.Ou LET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTFL POWER APPARATUS 6� NON -R ESID. SINGLE OUTLET CIR. 50 @ 250 . Occup OU Ex OR FIXTURES BAL@1 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 Filing Fee 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. ❑ 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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. 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[ against said County in consequence of the granting of this permit. 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. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. -I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, CaliforW.a 95965 - Telephone 916/53 541 f- APPLICATION ANDPERMIT I ASS SOR aARC EL N _BER —57 ZONING ZONING BUILDING PERMIT OW gR 14)gpr /M'7A/I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING RE55��-7 / 1 /"l✓ V /WlJ � 01V / FT CONTRACTOR'S NAME 0 A)/V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 44 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS E S PouJEe -PV06E NI�-L eD. APP_ 2 /U/, PLUMBING PERMIT Filing Fee 10.00 / OF nn O � /�/ /"/7' Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [E Duplex ❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 S p— fGO TYPE OF WORK New ❑ Addition ESi Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 5 f1-���il� ` 0 10/71— Permit Fee $ p Contractor ELECTRICAL PERMIT Fi'lirig Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.51 OR ADDN.S. % ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and m license is in full force and effect. y 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 CONSTR. I.Ou LET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. @ 25t OUTLETS Ex. OCCUR(OUTLETS OR FIXTURES BAL@1 FlAhU P(RESID )LNS BEAT 2.00 Ex. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 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. 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 agai said Co ty in c nsequ ce of the granting of this permit. X Date /D ro� Sign tore of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for exc ,.,tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ zo .0f7 occuP. GROUP I TYPE OF CONST. PARCEL PD I HD SSUE This permit is hereby issued under the applicable provi- sions the Butte County Code and/or resolutions to do work i icated above for which fees have been paid. el EC`TOR OF PUBLIC WORKS By� Date A9_? -_91 `z PERMIT EXPIRES Date /Dr — 9, Receipt No. f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT t ° PERMIT NUMBER _ g 1360-72B,P,E,M r: t: P J f E PERMIT EXPIRES f-1-73 } OWNER Richard L. Swan CONTR: owner LOCATION (A.P. 25-24-57 ) e/s Power House Hill Rd. approx..' mi. Ho. of Palermo Rd., Oroville _ .r Il ,. Y Zoning COUNTY 0\F BUTTE Department' of. -,Public Works BUILDING INSPECTION-. RECORD Setback &44-j/a---�' — Z Forms ..y—' Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & es - —�`==_�� Found_. Vents From in_ f 'J^� .. Plmg. Topout Rough, Elec., Wtr. Htr. Fum ce Kitchen Ven L - Firewall _, Garage Vents Sanitation & Water ELECTRIC -GAS BUILDING Temporary— 7 Temp ary Cert. of Oc Final �� � �Y .Final Final DATE REMARKS•'OR CORRECTIONS Y. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Tef ephone: 534-4541 APPLICATION AND PERMIT Contractor Mailing Address Bu i Idi PAk Address A. P. No. IZX 10— C —11-P / I Zoning & Planning F W. C. Sert9tatTvn I FireDept. I FireZone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P g. Plans Rec'd' I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 - %� Single Vamily Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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 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. 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 representativesthe County of Butte to enter upon the above-mentioned property r inspection purposes. x Date Sign ture diPe2Q., tee or Agent �/7 Receipt No. `� �U / - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 39� _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirino Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee @ FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE 211111111 TOTAL PERMIT FEE 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 7 UBLIC WORKS yi D-7 By Date ilding permit expires Date ................... �� �� .. COUNTY OF BUTTE — DL&PARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT ISignature of Permit a or Agent I t �, 7 z' 9 / q� ` By Date Receipt No. (� Building Permit Expires Date ?'-17 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING Owner SO. FT. OCC. BUILDING VALUATION �- Mailing Address Fireplace o 7 000 Contractor Total Valuation Mailing Address Permit Fee PlanChecking Fee&/or Penalty Permit Fee $ / , ®p $ Building Address �y.t%I� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 , S' Repair drainage or vent piping 1.50 Water piping / 1.50 /, 5 Each gas water heater or vent / 1.50 / s A. P. No. J % Zoning Gas piping system -1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 Plans !/ Fees 1___'W. C. RAV I Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee V3 049 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, 00 Main service incl. 1 meter S-00 Additional Tjojaeach 1.00 Sub -pane (} or les (more thaJ12)- 3 oo USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Rang , dryer or water heater1.00 Oven, Cook -top or space heate1.00 D O Light fixtures Rece s., switches & fix outlet �0�, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. Furn. M Evap.cooler ,gar. disp. orD.W. 1.o0 Q.00 Air conditioner or heat pump Water pump 8 Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee Q $J 0—U 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 . 670 Heating Cooling Ventilation 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 authorize representatives of the County of Butte to enter upon the above entioned property for in a tion purposes. (t"X Date 7 2,DIRECTOR sjPermit ppnn ion In9frumenrati nt`Y g am $0.07/$1000 Evaluation $ �. TOTAL PERMIT FEE $M1, 3 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. OF PUBLIC WORKS ISignature of Permit a or Agent I t �, 7 z' 9 / q� ` By Date Receipt No. (� Building Permit Expires Date ?'-17 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant I 2348 West 235th Place Torrance, California 90501 June 17, 1972 Clay Castleberry, Director_ Department of Public Works 7 Country Center Drive Oroville; California 95965 Dear Sir: Enclosed are two sets of house plans;, plot plan and plumbing details. I have also included a�,check for $25.00 for fees. Please notify me of any additional fee requirements., I have made two.basic changes9to the -.plans -(increased the living room size and the floor will be a raised concrete slab --except over the furnace room). These changes hav been. made to each set of plans. I will be the owner -builder of the house. RLS : b j s Enclosures a 7 Sincerely, ichard L. Swan DECLARATION. REGARDING LOTS OR PARCELS. I certify that.asI'wner of the property acquired by deed in Volume Page �Official Records of Butte County, (AP#_ -L" -'r'.1. I -am requestingpermissionto build.or install an additional living unit on.this. �- property. I will not divide the 'aforementioned property for -sale, .lease., rent, or financing unless all applicable land division laws and mar) requirements are com- plied with. I am conversant with the present zoning.regulations affecting the aforementioned property, and declare that I shall not violate same. I r'epresent.that the he proposed use of the additional living unit is 4 and that further I -shall not change this proposed use of.the additional living.unit' unless and until I receive written approval therefor from the County of Butte. I fully understand.that pursuant to Chapter 20 of the Butte County Code and §1153S et seq of the Business and Professions Code that if I,.- in the future, sel.l,. lease or finance the area on or adjacent to said improviement-without fully comply.ing.with.- the applicable laws and ordinances, that I shall be guilty of A.misdemeanor and therefore, subject to the aforesaid penaltiesandimvrisonment."pursuant-.to.. law. Further, this..statement sball'be.properly.acknowledge.d.and.reco*rded at th..e request. of the County of Butte. OFF!%, chi IF .30 0,30 FEE JL783 Oi4ner ?'77: Address ilj­.? ZZZ., Date - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - --- - - STATE OF CA�l FORMA ss COUNTY OF On this 1197 before mew day of , _.�. I J, ' 3 a Notary Public in and for thd County of -2 State of. -California Tesjding there commis - p sioned and sworn, personally appeared known to Me to be the person- whose --namesubscribed to the within instrument and Al— acknowledged to me that heexecuted the same. IN 'WITNESS 'VY"r1E.RE0F1 flave hereunto set my hand and affixed my official seal in the County of the day and year in this certificate. first above %,rritten. -t.-:C!A[ -At ission Expir - - — — — — -- c- 26, 1976 S96-1275 r T . �yY f � y ro. :?E'RMIT N0. 5266=78B� PERMIT EXPIRES S)i6�/7a r ;OWNER RICHARD T. SWAN L ` ONTR. owner r- ')"-I_OCATION (A.P. 25-24-57 ES Power House Rd, app z ml. � Tern Road, Oroville cep r ' V 4 low. ' r.0 3 7 Fi a� 1 " Temp. Power Pole Called PG&E Temp. Elea Serv. Called. PG&E Temp. Gas Serv. Called PG&E I JOB FINALED (Date) (Signature) Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------.Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE n REMARKS OR CORRECTIONS T (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI OWRECORD BUILDING BUILDING (Cont'd) ' PLUMBING Setback Firewall Sol[ Piping Forms Parapets 1st Floor - Main Bldg. Restroom Finish 2nd Floor Footings Windows .3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr.. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Pip ng & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Foo . ting ELECTRICAL Masonry Walls Throat Rough 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 Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------.Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE n REMARKS OR CORRECTIONS T (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 5:94-4541 APPLICATION AND PERMIT authorize representatives of th County of Butte to enter upon the above -me 'oned pr erty for i section purposes. X Da - f,,� ignature of P m r Agent Receipt No._4 7 — � Z-- Nhite-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But ounty Code and/or resolutions to do work in.dicated 4abov or hich fees have been paid. D rF. CT PUB C WORKS y Date A If Building permit expires Date BUILDING Owner ZldkA11 SO. FT. OCC. I BUILDING VALUATION Mailing Address7'_.2- p3o=e No. 3 d Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee O v Building Address S' G.� �� Plan Checking Fee&/or Pen It O Permit Fee y. Qu oC 7 ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. A ,S —D. 4 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 B Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ _ — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others -11"Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBL GS.CCUP. S) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXT11RES) BAL@10C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 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 Calto become subject to the Workmen's Compensation Laws of alifo ia. 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE$ 2 authorize representatives of th County of Butte to enter upon the above -me 'oned pr erty for i section purposes. X Da - f,,� ignature of P m r Agent Receipt No._4 7 — � Z-- Nhite-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the But ounty Code and/or resolutions to do work in.dicated 4abov or hich fees have been paid. D rF. CT PUB C WORKS y Date A If Building permit expires Date Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS Address: \K X- 01 Tenant: Building Location: Type of Inspection requested: 7-7 1. Housing 2. Financing 4. Other (specify) Present use of build 0 A. P. #P_ c� S,5--4 Z/ -,S-7 e of Inspect Inspec = 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3: Gas heating vents: 4. Comments: R (continued on back) E. Other 1. Maintenance and repair:- 2. epair: 2. Fire hazards: 3-.t Safety hazards: 4.",Weather protection: '�5. Underfloor and attic ventilation: 6. 'Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: , 6. Improvements:' ; 7. Zoning: 8. Comments: Field Problems or Violations 1. Probive c mp em or violatio (glete description) a — ileo-- , a5j 2. What action taken (give,complete description): Q j 3. What action recommended: 7% A. Information only - file. B. Hold for te.l (10) days, then write letter, C. Write letter. 77 D, Other: