Loading...
HomeMy WebLinkAbout026-111-004FRED PARMENTIER D D - 04 2323 026-111-004 •PARMENTIER, FRED 1951'N VILLA, PALERMO I AL t Cont: OWNER'�, RE-ROOF722'SQ -„s' 0 1 • _ y7 cF, A . 1 — , 1 . n 1 � I / 1 i r-. N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION All: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042323 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/09/2004 APN: 026-111-004-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1951 NORTH VILLA AVE PAL Date: Contractor: Map Index: Description: RE -ROOF (22 SQ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PARMENTIER, FRED permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1951 N VILLA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: J R BEADLES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 5321 MINERS RANCH ROAD provided that such improvements are not intended or offered for OROVILLE CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 589-2067 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 oft a Business and Professions Code Date zi_f�XFOwner:-- License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: jE. 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (lTL ^C1� _6 Z Date: �� (J Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pen,:it is hereby issu d under the applicable provisions of the Butte County Cody ?ned I hereby affirm that there is a construction lending agency for the Resolutions t i icated above for which fees have been paid. (�' performance of the work for which this permit is issued (Sec 3097 Civ.) By:_Date: 9 - I • 6 Name: 7 " Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte C ty to enter upon the above mentioned property for inspection purpose ..—ss /� Print Name: SignatureAk 0-9 Date: 8d Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042323 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/09/2004 APN: 026-111-004-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1951 NORTH VILLA AVE PAL Date: Contractor: Map Index: 22 SQ Description: RE -ROOF p . ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: PARMENTIER, permit to construct, alter, improve, demolish, or repair any structure, prior FRED to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1951 N VILLA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA 95968 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: J R BEADLES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 5321 MINERS RANCH ROAD provided that such improvements are not intended or offered for OROVILLE CA 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 589-2067 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 11 am Exempt under Article 3 of thg Business and Professions Code �pt� Date.�'� Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �C(---6 Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrVo I hereby affirm that there is a construction lending agency for the Resolutions 1 i icated a ove for which fees have been paid. (� performance of the work for which this permit is issued (Sec 3097 Civ.) l� .. X . Name: By Date: V PERMIT EXPIRES ON: - Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte C ty to enter upon the above property for inspection purposes. �mentioned Print Name: `\ L�`��' v �1 SignatureE,,, Date: I6 Owner ❑ Contractor ❑ Agent for Owner ❑.Agent for Contractor F0 0 0 BUTTE COUNTY ° DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION ° AND SUBMITTAL REQUIREMENTS ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 ° OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name C AA Ml irst Name Address 0, 5( N Q t `AA I_kp-t-to City P Stat Zips 5-i bg Phone53 2 ^ o ; �Ed Fax E-mail APPLICANT NAME CONTRACTOR Name City o Address Zips City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City o Address Zips City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address S-32( City o State Zips Phone D Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 615- ( fJ- v( UA Flood Zone Cross Street Lr Ar -C m /--,J SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP o,+1323 BIN # LOCATION AP# oy� . 1 1 1 • Property Address 615- ( fJ- v( UA City Cross Street Lr Ar -C m /--,J WORKER'S COMPENSATION Policy Number LP Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: R R Ro-d F z 2 s 'qr,,'�A AES Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the pemvt and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: , 137 SO Bldg SRA Receipt#: 4-/2-01g Sheriff Date: Other Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit .INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPERI OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPERl ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C.(if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-1541. OVER FOR BUILDING PERMIT APPLICATION :AFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16..04 r 71;14 tLAI q6t � 9w fell:, I " W11,14. Ll O.B.-1 OV WR-BU11 ,DER VERIFICATION Attention Property Owner: An "owner-buildee' building permit has been applied for in your name and bearing your side. Please complete and retina this information at your earliest opportunity to avoid unnecessary delay in processing aiad issuing your building permit. No building permit will be issued until this verification is received. CDI personally plan to provide the "major labor and materials for construction of the proposed P P ,�;) property improvement : YES ® NO ❑ I HAVE 21 HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO. . I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major worla NAMIZ: - ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. the work indicated: NAAM • ADDRESS PHONE TYPE OF WORK SIGNED: DATE: �y NOTA:. This Owner -Builder Yerfta`ion is regrdred by Sec€ on 19831 and 19832 of the CaWornia Health and Safety Code. This Pe Vxation must be completed and returned to our office before we are permiaed to issue the permit OWNER BUILDER INFORMATION Dear Property Owner, �pAn aPplicaliDn fDr a building pemnh has been submitted in your name listing yourself as the builder of property rovements For your protection, you should be aware that as "owner -builder" YOU are the responsible party ofrecord ou such a P� Permits are not nequned to 6e signed by property owners unless theyare own worm If your work is being performed by someone other than curse Pe�d�Y perfomziag their liability if that person applies for the Y you Pm Yourself from possible proper is his or her�name. Contractors are repaired by law to be licensed and bonded by the State of Caiifarnia and to have a business license from the city or county, They am also reed by law to put their license n mhber on all peimhits for which they apply. If you plan to do your own work; with the exception of various be aware of the :blbwh trades that yon PLM to sQbcomtract; you should g information for your benefit and protection; a Ifyou employ or otherwise engage any Persons other frau your immediate {may, and the work Cmz bxft materials and other costs) is $300 or more for the entire project; and such pm, are not licensed as conttactars or saber then you away be an employer. ♦ If you are' an employer, you must register wish. the State and Federal Go subject to several obligations vemmeais as as employer and you are MbjDaWDEkerS o s ligations inchidmg state and federal ,income tax withholdmg, feral social samnty taxes. compensation ter• disabiiify inst=ance costs, and Memployrhent rompensatioa.ce ons. + There may be financial risks iiar yon ifyou do not cagy out these obligations, with respect to wodmes ens ins, and these risks are especially serious comp =tion iasciramce. ♦ Far more specific ink about yamobhgations tinderFederal Law ifyou wish, the U.S. Small Business • contrarx She Internal Revenue Service (and, State Law, coact the D )• For more specific motion about your obligationhi s der epartmeat of Benefit payments and the Division of Industrial Accidents. If the stm=re is intended for sale, property owners who are not licensed contractors are allowed to perfD m their work conditions. personally or through S= own employ, kart a licensed contractor or subfactor, only =der limited quent practice of rmlicensed Permit, freearomeously impbbg that The pr Pons to be is to SOCUre an =owner builder" building permits are not Iec�ed UD be signed bey ovMers eriy Ova= is � °fig his or her own labor and material personally. Buil moa about d � obtained �' are Pig S� own woi� persomaIIy commamiiy or at 1020 N Stree4 S Y yrs Stam License Board inyour Please � � , CA. 958.14. =Owner BUM= Ver cation" on the reverse side of this fawn so Shat we can confirm that you are aware of ti>ese matte=s. The building permit will not be issued mattl the vmification is returned, VOTE YAS Owner -S -rftf0m atwn is required by Secava I g830 of the Cif ornfa Hea18t m:dSandy Code nxrmrn T �H Util PERMIT NO.. 14 5-r? 5P, E P E M MH UTIL. PERMIT NO. -76 PERMIT EXPIRES OWNER Fred Parmentier CONTR. LOCATION (A.P. 26-111-4. 195; N. Villa Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec.'Serv. 4 3r Called PG&E g' Temp. Gas Serv. Called PG&E j 0 B FINALED (Date (Signa ,e) (7 Of J l COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor p. Stemwall Siding To out Slab Roof Sheathing Water Piping —7 Piers Roofing Sewer 61- — —� Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances C rport Conformance of ex. & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Foctin s 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 Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent. Door Closer Final Final DATE REMARKS OR CORRECTIONS -7s / 7, 75' �� 6 /z i✓ >'t�G�j �� L'!v/ �. rte s / o T�� 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water.pumps, garage, cabana, etc.? Yes No B. Is therero er clearances around P P panels? Ye94— No ,¢ C. Is power supply cord or feeder assembly properly fused? Yes No D. 'Is continuity test satisfactory as per the following procedure? Yes No .1. De -energize electrical wiring system of the mobilehome at the pedestal. . Make sure that the power supply cord or feeder assembly -conductors, including neutral conductor, have been disconnected. 1/3. -Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and Y_1__ apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, �ater line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the .: mobilehome: Upon satisfactory c:•ompletion of the electrical tests, the lot or site . ,; s service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA . �% Manufacturer and/or NamestyleD f/J c c1/"C.%1 Length Width Vehicle Serial No. 1'7 R & q State Identification No.� - Additional Information or Comments: '�' r O MOBILEHOME INSTALLATION INSPECTION.CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes *--"No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes4-___No 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 &•5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes d No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeses No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeses No C. Backflow - If coach is not State of 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 it have minimum 4" per foot slope and is it properly supported? YesX. No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe!. Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No %t ,A , 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 mobilehome gas line 11iliat without reductions other than the mobilehome connector. YesX_ No B. Test OK as per following procedure? Yes4 No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. �1 3.Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 64 6oz.-maximum 8 oz.) calibrated in terkth 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?. YesX— No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK i IJ SJ --72T t ' 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BY Receipt No. /P 7-2 & (,-� Date ! / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Applicantwilding permit expires Date...............��~... 7.b BUILDING - Owner 1,=-,Aj'I %_ SQ. FT. OCC. BUILDING VALUATION Mailing Address o /�''�'E,,GV SSS Telephone No. 533—c3`17 Fireplace Contractor Z_/L Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address 19,5! Il I k k A 'AI/F PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ,QQ e� ,,, 4 I— EZK; 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50od Each gas water heater or vent 1.50 A. P. No. ^�! on Gas piping system 1 - 5 outlets 1.50 o gO Each additional outlet .30 F Sa • nFire Dept. Fire Zone Use Permit Building sewer 5.00 6: EQA I Parking nerl el Map 60' R/W Improvements Lawn sprinkler system 2.00 g Plansec'd Parcel"1Cpproval Aroval PI pp Permit Fee $ to 161L NEW, ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 oQZ) Main service incl. 1 meter 3, 0 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook _top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal01 n Receps., switches & fix outlets :1u 2b 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.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 37.0 Temp. Power Pole 5.00 License No.Misc. Classification wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee s 17,voI sQQ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �• /5 -7 S ' of Permitee or Agent TOTAL PERMIT FEE !n1 $ o� 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 aid. DIRECTqR 0 UBLIC WORKS `/Signature ` ^ BY Receipt No. /P 7-2 & (,-� Date ! / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Applicantwilding permit expires Date...............��~... 7.b � - .►►x. ..t, .* �� y1 • *`F+y,y ->-r+Y wY-rY..4'�^gy '!'�,""rw !•�.•, .. •� ,^yam'""w.�"' 'a ..hep#1_csystem and location -of build- -i�g d -rain stub -out to be as per Butte County Health Dept. Re- I quirements. 1 f Ali utilit X CoiinQctiq,ra$ Shall be i located withih' ft. optoid,,e the:r-ea-r third section 6f^lhe;#xvbile home /gyp on the leffA-e& § d>- oof the mobile home, 00, a 'Pvwi / r O JVX 70' _rhe . Setback s�all be 5 ft. from NI u the side property line and 50 ft. from the centerline of the road, permitting ! a maximum of a 2 ft. eave overhang •7{ * f.J a. a ` ; ••.::.. >rhiis set of plans-ee�s «� wa48 �: r � kept on the. obFet�` ? ;uA�l all i� .,- make an t 3,, mesand if *ts nla, r -A. -BUT TE COUNTY y than es dr -Alt rlti to �,. eratio E b %;riitten 9�Sr nsKon�sar�ts..w out , Works -C rm�sso ,� m fihe, DeJSar nent Putyl�r '" y am t! ��� 4BUILDING DEPARTMENT Jib • `^' r..r OUrlty Of Bftt�ss �yy t37�% y a'�� ` C Z 1% ♦• y d �; wF S u q�, t. - :t ➢' s Cr+. }�h '�'Fs „ t�'' P*P R-30 VE © • %PIZ �r .y Y r :.,'^ >` y.R.: -� } �..r, I r-�u. r`:M" ice" j •s` - x « -. 4 n r,�a 5•r �1�� •� �. .,x. F ^mss.`:. � .. .-� .. y�• r ;�c ..r+�. ], l...w r`h-. "/.��.rw.'�RiM..•��"•�n�.l� _ t •r + �T�a�� '�.rs�?s,;.__ +,a.._+.._.. s`+.+. •;..... ...� ......,. `�' i X ffswv COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wk, 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 3 9-r7' representati vas vi Me UUMILY ui twne to enter upon the above-mentioned property for inspection purposes. ,><—X� sO� —AxdZ—ZDate / 75 Signature/of Permitee or Agent Receipt No. /�S6alr White-D.P.W. — YeIlow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF 131IBLIC WORKS BY � Date ilding permit expires Date ..................y....Y.. .7.� BUILDING Owner Y 6: _,0 SO. FT. OCC. BUILDING VALUATION Mailing Address Q Telephone No. Fireplace Contractor A/ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address yr Oe U PLUMBING No. @ FEE PERMIT FILING FEE $2.00 .c. .G /lf(� 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. /// O Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sart� I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 ansd Parcel AkDroval Plan pproval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER® ELECTRICAL ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _0 �E,e/,Y/ Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 5d Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0 25 10 Receps., switches & fix outlets 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. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability, for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood I J 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 S7 LL /OBJ d. Z TOTAL PERMIT FEE $ 30, 1 40( representati vas vi Me UUMILY ui twne to enter upon the above-mentioned property for inspection purposes. ,><—X� sO� —AxdZ—ZDate / 75 Signature/of Permitee or Agent Receipt No. /�S6alr White-D.P.W. — YeIlow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF 131IBLIC WORKS BY � Date ilding permit expires Date ..................y....Y.. .7.� COUNTY OF BUTTE - Department of Public Works .7 County Center Drive, Ordville, California PHONE: 534-4541 . MOBILEHOME INSTALLATION INFORMATION Lot Facilities .1. Plot plan dimensioned, location of mobile and utility connections? Yes U- No 2. Electrical. service equipment ampac.ity1 P v Circuit breaker ampacity e n Permanent Wiring Connection _,4'0 Ampacity 61a Receptacle �- o Ampacity 67'c3' 3_ Gas: Natural ✓ LPG Gas riser size J" 4. Drain inlet size 3 5. (dater riser. size -3/q 6..Are utility connections located outside the rear 1/3 of the mobilehome within 4 feet of the left wall? Yes i/ No If not,. shod dimensions. above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public /. utility easements?. Yesy No Do you propose to do other work on the property other than the mobilehome installation w _ich will require a permitY Yes No If so, specify Mobilehome Data. 1. Length 7U Width Manufacturer + Vehicle Serial N YS / 7 F-1 Insignia Control No. /'7 Fipp ql 17 2. Feeder assembly ampacity Conduit size Power supply cord .(amps) S`o, 3:. Gas inlet: size. j"/i Mobilehome connector size[/" Capacity —�--� �- 4. Drain connector: describe on reverse side 5. Water connector:: describe on'reverse side 6. Designed loads: Roof live load Z o Lysf. Wind load iS psf. . (only for robilehomes manufactured after. October 7, 1973) 7. Manu fac urer's installation instructions?Yes No 8. Will the mobile home be insta11ec1 on a separate support structure? Yes No *For plans and specifications of support system, see other side. y LOAD BEARING SUPPORTS . ADDITIONAL C%,D! ,,'TS ~ Drain Connector, Describe Water. Connector; Describe LOO BEARING SUPPORT AND V OOTING INFOPdIATION Pier Spacing Used 6 Maximum Pier Load Gua iy.4k Maximum Column Load (multi -units only) Soil Bearing Capacity. Footing Dinaension Used x 12 y go TYPE OF PIER USED Steel Concrete Concrete Blocky Other TYPE OF FOOTING r1ATiitIAL USED Pressure Treated Wood _L Concrete �— / Redwood (Grade) Other Approved Type L- 4FF1 a A) BUTTE COUNTY BUILDING DEPARTMENT APPROVED