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HomeMy WebLinkAbout027-100-024__ - —,•--R- •- 27-10-24 _ WILLIAM,HUEY_ Reservior-Rd, 500'S She -Yo Lane, Oovi e [[Pr e7+-83P,FS(util,�III) ELEC _5--3/43 '4 SpA 4 GAS 53/-B3 SUPPORT STRUCTURE�RECOMPACTION TEST R�sl� 83 27-10-24 Contr: S if Mobilehome Ser.. Permi '1%88-:83MI ,I Is, _ ed /r / 27-10-24 Permitm l56-84B,P,E,M(New single famil ) 27-10-24 Contr Carver & alberg y PermitY,W- ..3. 84B,E,(r.emodel/SF) _,, , • , s • ., -i w StWAA) N1�^Y -� a - , t PERMIT N0. " 1456-84B,P,E,M PERMIT EXPIRES ��T OWNER WILLIAM & JERALYNN HUEY o`{ CONTR. owner ' ASSESSOR PARCEL 27-10-24 ` LOCATION 7538 Reservoir Rd,. Oroville wAddress.. r '1t ' '�• fl.-.y,b, GAS ,ti k r Meter B %Date �* w - ,,EUECTRIC�'�f►+.r � ,� �.� r' %% % f• Meter B,)j Date • � , L is , _ / t,• r Temp. Power Pole ff' . r •x 1� Called PG&E Temp. Elec. Service ��� �s •r.. Called PG&E , Temp. Gas Service .` Called PG&E JOB FINALED (Date) xnSignature f y a • - , t PERMIT N0. " 1456-84B,P,E,M PERMIT EXPIRES ��T OWNER WILLIAM & JERALYNN HUEY o`{ CONTR. owner ' ASSESSOR PARCEL 27-10-24 ` LOCATION 7538 Reservoir Rd,. Oroville wAddress.. r '1t ' '�• fl.-.y,b, GAS ,ti k r Meter B %Date �* w - ,,EUECTRIC�'�f►+.r � ,� �.� r' %% % f• Meter B,)j Date • � , L is , _ / t,• r Temp. Power Pole ff' . r •x 1� Called PG&E Temp. Elec. Service ��� �s •r.. Called PG&E , Temp. Gas Service .` Called PG&E JOB FINALED (Date) xnSignature f V = OK, 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2., Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Footings; Size -Depth -Spacing -Connectors ' • 3. Sewer; Location -Test -Fall -C/0 -Concrete T .... 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. " Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability, 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts=GFI ` 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w45' -Circulating Equipment -Heater . 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. ' Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B-1 Card B-1 Date Card -BI Date Date Card -BI Date t Card -BI Card -BI Date Card -BI Date ' Date Card -BI Date t A • .F T .... �1•x N. li( V = OK ` 0 = Not OK — =.Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued onin requirements—Setbacks— asements 46- Property Line Firewall & Openings Main; So Is—Steel— — / /" Ftg. Depth . Ext. Doors—One 3'—Check Garage -3rd story, 2 exits Garage; Soils—Steel— /" Ftg. Depth 50. Stairs; Width—Headroom—Rise—Run—Landing—Fire Protection Ftg., Porches & Decks; Soils—Steel— / /" Ftg. Depth 5A,.'—Plywood on Roof Overhang—Attic Vents—Rafter Outriggers emwalls, Main; Steel—Blockouts—Wrapped—Slab 52. Siding—Nailing—Veneer e I s, Garage; Steel—Blockouts—Wrapped—Slab 53.,KStucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access 7pFP1S fireplace Ftg.—Steel 5A -Glazing Area—Glass Protection—Skylights—Plastic D. .V.: all—Fittings—Test-2 way C/O Sewer55. Shear Walls; Nailing—Bolts Gas ipe; Size—Anchors 10. ter P' e; Test—Anchors—Regulator—Service Test 11. EI tric; Underground lenu & Ducts; Clearance—Material—Support—Ins. ers—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card BIDate Card -BI Date Date FI AL (Plans) OK except q's C d -B rITA Date and -BI /' Date.;�r 7 Date PLUMBING (Permit) K except q's Ext. Steps—Door & Sidelight Protection—Landings moke Detector r Ht.; Access—Combustion Air 58fFurnace; Vents—Clearance—Comb. Air—Connector- In Garage; Above Floor—Ducts—Mach. Protection 1 ter Pipe; Test & Anchors—Nail Protection D.W.V.; Fttngs & Anchors—Nail Protection edroom Exiting . Shower Pan; Test, First Floor—Tub Access . G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor—Tub Access q1,—"Elec. Trim & Subpanel; Breaker Sizes—Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails fireplace or Stove; Clearances -Hearth 44--Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Dat Card -BI Date Kit. Fixt. & Appliance; Grnd.—Air Gap—Cooking CI arance ar I Date 11 Card -BI Date 66. El c. Outlets & Receptacles at Kit. Counter 40 ki Date ELE RICAL Per OK except p's -6,7.1 Garage Fire Door; Swing—Landing—Closer A.C. Duct in Garage—Damper Fixture ,Transformer Clearance—Ins. Protection Wtr. Htr.; Vents—Clearance—Comb. Air—Connect P.R.V jA Garage; Above Floor—Mech. Protection Pa-.'Elec. Receptacles Spacing—Lights & Switches at Doors 27 --Size Boxes & No. of Conductors—Stapled 2 omex Installed Close to Edge of Studs & C.J. Plb., e -n &Mech. Equip. Listed for Locations lec. Receptacles in Garage; (G.F.I.)—Romex Protec. Ftp. F,quip. Ground made up w/Mech. Fasteners—Bond Gas & Water 2• Insulation—Foam—Looked in Attic AYes It Guard Rails & Deck Construction—Post Capsi 2 Appliance Circuits in 4itchen & Conductor Size h!• Fdn. Vents & Crawl Hole Door—Drainage & Wood -Earth Clearance Looked under Floor 04'f—es 26. Subfeed Wire Size/ a. Cu or A.C. Wire Size / ' / ga. Cu 27. Range Circ. / / glar Cu or AI—Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive TYes ❑ o; Walk* El Yes ❑ No; Planters`❑Yes ❑No 28. Service—Riser Conductors & Ground—Main Disconnect X. tucco; Brown—Finish a9. -Equip. Clearances; Panels—Motors—Mech. Equip. A.C. Uni isconnet— Irnces—Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light—Shower Light 7 ents Above Roof; Plbg.—Appliance—Firepl.—Clearance to Opngs. 70e"ftter Well; Disconnect, Electrical, Plumbing --Date/ 8G. Exterior Elec. Trim; G.F.I. Receptacle—Underground Card B -I 4v, W and -BI Date entilation throughout House Card B -I Date Card BI Date Glass Protection Date MEC ANICAL (Permit) OK except p's 83. Corrections from Previous Inspections 84. Gas Test—Meters Tagged; Gas—Electric yzi A. ucts; Insulation & Support ter & Sewer Connected—C/0 to Grade—HD Approval ent Fa xha ove Insulation , nergy Compliance Certificate—Other Certificates Condensate Drain & Overflow; Size & Grade 34. Furnace—Vent; Access -Comb. Air—Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Dat � W Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date omments at Final: Date FRA NG Pl*rs OK except p's ills; Proper Material & Anchors Walls; Studs—Nailing, Spacing & Bracing—Plates—Sound aring Walls over Girders & Floor Nailing i . 4f aft Stop in Walls (rat proof) Fire Stops; Furred Ceilings—Stairs—Chases—Tub 441- Header & Beam—Size & Bearing 4 Hangers—Post Caps—Anchors—Connectors Cing. Joist—Rftr. Ties—Purlin—Roof Brac.—Sh_thnp_.—Rfn_g_.__ fireplace Ties or Type A Flue—Fireplace Throat Attic Access; Size & Romex Protection—Draft Stop—Ins. Baffles 4 rm.Windows or Exiting Doors—Sill Hgl. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) p� LOCATION Permit No, ENERGY C ERT'IF ICATION DESC%RIPTI01✓ O]? INSULATION ROOF Material Thickness(inches)__ EXTERIOR WALL Material Fiberglass Thickness (incheis)__���� CEILING Batt or Blanket type Fibei:'glass Thickness(inches) In-- I/ Loose Fill Type_ Fiberglass Minimum Thicknesl(Inches) Area .covered (f t . I 'L(Xjit, 'Ei.LVATED ----�_ Material Fiberalass T.hickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material _ Thickness(inches) A. P. No. Brand Name Thermal Resistance (R,Value) Brand Name Certainteed Thermal Resistance(R Value) a _ Brand Name Certainteed Thermal Resistance(R Value) Brand Name Certainteed Number of Bags_ Wt. per Thermal Resistance(R Value) Brand Name Certainteed TherThal Resistance(R Value)-` 77• ---- Brand Name Thermal Resistance(R Value)_�� Brand Name Thermal Resistance(R Value) I hereby certify that'tire above insula;_ion was installed in the above building in conformance with tie State of California Energy Requirements. Hawkins Insulation Co., Inc. 378407 FIRM -NAME/OWN-ER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTAL AIJON APPLICATOR DATE 1i hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State -'of California Energy Requirements. All equipment, device!; and materials .cj.'. e of the quality prescribed or are specifically approved by the State of California. a, P.V`o FIRM NAl (PleFtse prim STATE CONTRACTOR'S LICENSE NO. 5 �JTURE GE � ��- NER _ DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL A11D A COPY SHALL BE, POSTED WITHIN THE BUILDING . January 1984 COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date •�G �- �� �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -OWNER / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I , 1-77 k � r �� r �,,o�l� /S �'� ,u''^,6(�'► �%i%,.."`-e/L .aril S `F��� l Inspector- e + .Date S! t { COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a4l-0�1�1 — '2i'�i/fA, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE f A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter"or need additional explanation, please contact this office Immediately. ell Izl 4171 - Al �i Inspector � .� '-:� ���-- Date 3&d,78IO it � ,, . . COUNTY OF BUTTE . DEPARTMENT OF PUBLIC WORKS PERMIT NO. _ 7 County Center Drive - Oroville; Califorgia 95965 - Telephone 916/534-4541 APPLICATION ANP PERMIT ASSESSOR PA FE �N S1t�BER� L /C`/, ZONING BUILDING PERMIT OWNTE, LUl�i�I ;11, c��e�4LY�VR/ IAV 'EPHONE 5� 2-03 SO. FT. OCC, BUILDING VA ATI z 70• �5�38 I L, ADDRESS O/rL cf�P��/ILL� d4 , 9S 965 CONTRACTOR'S NAME �^ H TELEPHONE 3 N O co V CON CTOR'S,^�AIL��Iyy���Ap DRE55 '/ / �� r�te-- � �{t��GVODD DO 0 igaIL 6 Fireplace /} Oo0-cno /0 C 17 RU�PON LE E � UNKNOWN Total Valuation $ .W' Filing Fee $ 10.00 LENDER•�j M,,AILING RESS l� t16 Permit Fee $ 2 —0 ARCHITECT OR ENGINEER LICENSE NO. Plan Fee - $ 7S ����Checking `�cy-_. Pp $ ARCHITECT ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ . ?i BUIL p NG ADDRESS / / /�-�SEeVDI � I�i�.� s- O F v�'fiE PLUMBING PERMIT Filin Fee 10.00 9 / ik E J(� [•� Each Trap 2.00 S; f/O Solar Water Heater 20.00 , / C76-3 S/ �-E4N1a©aVlUt—` Water piping 5.00 J57&O LOT � SUBDIVISION NAME. PARCEL MAP Each qas water heater or ventL.PCI 5.00 ~`" Gas piping system 1 - 5 outlets 5.00 61" --/ USE OF STRUCTURE SF [E Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 -00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ ,p{� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 OR LE 100 AMP ORSLESS 10.00 r" ��@LS Main service EA. ADD'L too AMP 2-.50 2:50 2, OR ADDNS. ACCLBL G5. J 21/20sQft 'rj , 90 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULT..OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &' NON.R ESID, SINGLE OUTLET CIR, Ex. Occu / 20®s0C P\o OR FIXTURES 6AL®3o FIXED APPLNS. OR FIXED A Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 79,3,0 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 Filing Fee 10.00 Heating 6,oN -,4 ViUlo Cooling ,3,5 Qou Hood 3.00 3rp-� 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 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, and expenses which may in any way accrue against said County in consequ nce of the granting of this permit. c X a Date -� i+'�y Sign re of Ap licant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ C >!=" y AJSP. 70. TOTAL PERMIT FEE $ 57-5j occu P. GRouP _� TY E of ONST. T—V F PARC PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which Of CTOR OF UBLIC .. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS OILL Date •� Receipt No. 1&51-b;—By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE P DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,ri`alifarnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN R i i ,n' ! Olv TELEPHONE SO. FT. OCC. BUILDING VALUATI N OWNER'S MAILING DRES lei r 5jk CO - ACTOR'S NAM eg TELEPHONE NE ACTOR'S MAILING ADDRESS Q 1.- Fireplace CONSTRUCTI N L E /� `-� `"- UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ^ im ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,.flZ. Penalty ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee Q $ BUILDINGDD ESS ty t COW ` ��San PLUMBING PERMIT Fi ling Fee 10.00 • Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ ed —10-00 ORK TYput", New❑ Addition RemodellitiesInstallation❑ Other 1 y De cribe work: — H -a CJ � �r F � � C j f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 100V OR LESS Main Service 600 AMP OR LESS 10.00 �� r+ Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OR ACDNS. ACC. BLDG. 21�ZQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9Div. 3 of the Business , and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CON STR POWER APPARATUS & NON.RESI D. SINGLE OUTLET CIR. 20®got Ex. OCCup(OUTTS OR FIXTURES eAL@ao FIXED EDAPP LNS, OR EX. OCCUp. OUTLETS (RESIDJ EA.) 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. 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. 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 Aaid County in conequ nce of the granting of this perm't. X `o.C1J Signature of Applicant — Owner iltontractor F1Agent❑ 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 $ OCCUP. GROUP I TYPE OF CONST. ]PARCEL PO HD ISSUE This permit _is hereby issued under sions of the Butte County Code and/or work indicated above for which T R OF PUBLIC By - PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS / �,�- Receipt NO. -� �Cji % �� Receipt WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER W I W W A. G RAL A7-5 Zoning requirements (sideyards and parking). Valuation. "t --Signature by R.C.E. or Architect (if required). B.' PLOT PLAN Complete parcel size and dimensions. Setback$, sideyards, easements, etc. Other buildings or structures. d-r—Grading, fills, drainage. RESIDENTIAL PLAN CHECKING GUIDE ('S F,,' DUPLEX,. & MISC. ONLY) 1I_ Bldg. Permit A.P. # C. FLO R PLAN Complete to scale plan with dimensions. Required windows for fight and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). 'Human impact glass (Sec. 5406). i=/ Required room sizes, ceiling heights (Sec. 1407). X.��Light F.C.I.'s in baths and exterior outlets (Sec. 210-8). fixtures, switches, receptacles; and exterior receptacles for maintenance of echanical equipment. 19! Locations of water heater, heating & cooling equipment, other electrical or gas equipment,,and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). h2! Fireplace location. 1�. Smoke detectors (Sec. -1413). D. SZRb<CTURAL DETAILS Foundation plan complete enough to construct building. G� G Floor construction details complete enough to construct building. oaKevations and wall construction details complete enough to construct bu'lding. Roof construction details complete enough to construct building.- &L j,4 44 ~ eplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. -®ze+rway details (Sec. 3305). 3-. frail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). �n�rior plaster - weep screeds (Sec. 4706 & 4708). tE� Proper roof pitch for roof -covering (Chapter 32). ---R fter ties or bearing ridge beam. rX&5S F S 8. Garage door or porch header sizes. 91.**" Adequate bracing. .-I&-.-Living area over garage -,complete 1 -hour separation required including supporting walls and posts, etc. ,--1JTwo (2) exits on three-story dwellings (Sec. 3302). r PERMIT NO. _ 1077-83P2E (MH) PERMIT EXPIRES OWNER WILLIAM HUEY CONTR. owner ASSESSOR PARCEL 27-10-24 LOCATION W/S Reservior Rd, 500'S of She -Yo Lane, Oroville r r u i P Temp. Power Pole ' Called PG&E Temp. lecd'�� g p• v - s V -3 Calle ,P G& E TempLGSs S"vi ce Cal led PG&E JOB FINALE[ Signature J = OK O = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS ` v Date MOBILEHOME UTILITIE OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. on Requirements—Setbacks—Ea ements ,Special MH Support—Ske 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors 13!11ewer; Location—Test /O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location•—fg)r-Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ electricity; Location— learances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Ga ocatio rap:/ /"L"ft./ /"Nat. or/AQ"L"ft./3 "LPG 6. Carports; Windows—Doors Pettility Clearance 7. Elec. C I At Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOB16F.NeME INSTALLATION (Place 0l< except N's Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except it's 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability `9 F, MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 41*' -Elect icily; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances-GF1 cin; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater d Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater aid Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit t s; Insp.—Sketch i Cert. of Occupancy t 9. Health Department Approval -x 10. Plumb; Cir. Test—Water Supply Test d B -I rV4 Date — 4s Card -BI Date _ �'� l Card -BI Date Card -BI Date Card B -I Date Card -BI Date 11 Card -BI Date Card -BI Date = OK = Not OK = Not.krpplicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -- 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts _ 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducis; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI' Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection -- 21. Receptacles Spacing -Lights &Switches at Doors _ 22. Size Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Pretec. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic E] Yes -_ 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74, Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _- 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ _ 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light _ 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House ---- ------ Card B -I -----Date _ _ Card -BI Date - Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31_ A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ - 32. _ _33. Vent_ Fan_ Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --- Date Card -BI iDate Date Card -BI Date Card -BI Date Card -BI Date, Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. _Sills; Proper Material & Anchors - _ 37. _3_8. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_____ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub -- 41._ 42. 43. 44. 45. 46. Header _&_Beam -Size & Bearing Hange S:7 Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties- Purlln-Roof Brac.-Truss-Shlhnp.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protect ion-DraIf Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _--_ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE r OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number T 3 for the following location: Owner Owner's Address Mobilehome Mfg. 7-�....Y z�F Model 5.7— Year Insignia No. 3 LQ sr - A— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. _ Director,-6f-Public Works Date 604—XO3 By LEHOME IS RELOCATED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 i 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r (7' BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. k/ -- or I Inspector Date /i —A �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 4-1 10 -7 -7- BUILDING OR PROPERTY ADDRESS A rouine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is complejed. If you have any question pertaining to this matter, or need additional��e/X�18p�9tion, please contact this officg immediately. c - Ins IMI i Date 2 7•- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caliidrnia'95965 - Telephone 916/534-4541 xmr APPLICATION AND PERMIT ASSESSOR P CEL NUMBER ZON NG BUILDING PERMIT Ly OWN RV � TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CON�C ORi4NAME^ C `J TELEPH©,EQ 3 CONTRACTOR'S MAILINGA R SS Fireplace CONSTRUCTION LENDEFr UNKNOWN (/ Total Valuation Is Filing Fee $ 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 AKESS QS o/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mob Iehome Q"Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ AdditionaRemodel ❑ Utilities ❑ Installation R- Other ❑ Describe work: �' '�1]%3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2/20sgft 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 Profes ions Code my license is in full orce/-' nd effect. License No. D O 14 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 NON.RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS &') NON•RESID. SINGLE OUTLET CIR. 20®sot Ex. Occup(o Ts OR FIXTURES BAL®30 FIXED PR EX. Occup. OUTLETS (RESID )EA.) 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. ZI 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Butt to enter upon the above-mentioned property for inspection purposes. I al o agree to save, i emnify and keep harmless the County of Butte against all 'abilities, judgme s, cos , and expenses which may in any way accrue agai t said County i con ence of the granting of this ermit. x F -7; j_�� Date Signature of Applicant - Owner ❑ Contractom Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories inn height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 --- OC CUP. GROUP TYPE of CONST. PARCrLJ PD 776 59U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F U BY r PER EXP�IRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Dateover r ,I Receipt No. CJO 7 d % WHITE-D.P.W.. YELLOW-ASSeSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY . DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541 ` MOBILEHOME INSTALLATION SHEET J 1. Owner's name: IL2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number7-� ) 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 MZ No (If no, clarify ) 5. .What is the mobilehome electrical rating? ----------------------- Amps 6 1. . What is the mobilehome site service rating? ------------ Amps 7.. What is the mobilehome site circuit breaker rating? ---------- Amps 8. Is there any other electric loAd� to b e�served by the mobilehome siteservice? -------------------------------------------=------- Yes No / / (If yes, identify the load and size: (Load) 20 (Amps) 9. What is the mobilehome site'gas pipe size? ---- ----- - ------------ 10. What -is the type of gas service?- ------------------------------ Natural /% LPG/ 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) -- m- MOB ILEHOME SUPPORT DATA lIf other than single wide, ' Mob ilehome Mffurnish Setup Model No. Year Wfdth `�(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW 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). All center supports measured from front of mobilehome unless otherwise specified. II (ft.)(in;) Center support locations* (ft.)(in.) I I (ft.)(in.) L_ I (ft.)(in.) 1. (ft.) (in.) . (in.) (in.) Center support footing sizes (in.) X (in.) (in.) (in.) (in.) L X —1 (in.) (in.) (in.Min.) k Single A *If center piers are other than drawn above, .draw in. -locations, spacing,. and dimensions. 1\ \ r Footings (check one) 1'. Wood either pressure treated or foundation grade. 0th :: (sp fy) t� e one) 1: Concrete block. ❑ .2i Other. ( specify) ragalong or Expando,' show support details. 12�a�213�� V_ x2. -- Typical Support (in.) (In—.) Footing Size -- Max. Pier Spacing (ft.)(in.) ��M""aaax. Overhang (ft.)(in.) ��DV��V� • BUTTE COUNTY BUILDING DEPARTMENT APPROVP-D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, CA�liforni� 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. >• ASSESSO$ P��� NUM (9 — _ Z0N IN -� BUILDING PERMIT = 0W v PHONE SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S NE - 1 TELEPHONE . CONTRACTOR'S MAILING ADDR S Fireplace CONSTRUCTION L NDJR UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 0 0C $ ARCHITECT OR ENGI EER LICENSE No. Plan Checking Fee $ VU Penalty $ - ARCHITECT OR EN I EER'S MAILING ADDRESS Permit fee $ BulyDySADD PLUMBING PERMIT Filing Fee 10.00 n� S# /O Each Trap 2.00 Solar. Water Heater 20.00 �.1 "Zoo Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP g _ Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ®her SPECIFY - Building sewer 5.00 Mobile Home 10.00 a 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR 00 AMP ORSLESS 10.00 10.OO Main service EA. ADD'L 100 AMP 2.50 -.v NEW CONST.(DWELLING OCCUP OR ADDNS. .& ACC. BLOGS. 2/20sgft 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 Code and my license is in full force and effect. License No. Classification 19 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 NE w CONSTR ( ULT' -OUTLET IRC ITS 2.50 ea - NON-RESID `BRANCH CIRC, NEW CONSTPOWER APPARATUS &) NON- RRESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA �gQ o Professions FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .00 Misc. Wiring 15.00 Permit Fee $ �5U 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. 1 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. 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 aid County in cups uence'of the granting of this permit. ,/_ Signature of Applicant — Ow r ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations -over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP-1TYPE OF CONST.PARCEL r PD HD ss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9qF PUBLIC By PE04 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dates Receipt No. Z J �4� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _, y v ._ Y ._ �__ _. R � .� .s � �� — -- -- ------------Yr—�---�-- ------ . __ _---_ _ ----- -- ---- _-- — —� — --- --- } ,_., �. .., � .;, _.F_ _._.=— k —---___�---_. ----- ---- —-----.._._. __�--- .__—_--_----- — s__-------- — � _ _. .. —_- _, Y.... .._�_ �_o�--�— -___. — ---_ — — ' _ ----- --- --�--- ��v_ �e__ .�_�—___ a A Return to DPW AGRICULTURAL STATEMENT OF . A.CKNOWLEDGEMENT s3®12659 FOR RESIDENTIAL DEVELOPMENT CIFF01AL RE- 06t O= ., Section 26-8:1 of the Butte County Code requires this acknowledgement I�ruTTE rou,a-r•� - _ G 31t S7E - Lei' be recorded prior to issuance of a building permit. �' `e perty described herein is adjacent to land or included V�"P� ��.9 Th within an area zoned for agricultural purposes, and residents of ELE'A OR g.BEU% ' i this property may be subject to inconveniences or discomfort arising CLERK=RECORW from the use of agricultural chemicals, including, but not limited to herbicides, EEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established. agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: <:E�; _L7 E )q �t-�l Date: PROPERTY OWNERS: f, State of GAS//=02/✓iA ) On this the I/L. day of /'rF-e / "/19 , SS. before me, the undersigned Notary Public, personally County of ca u 7-1C- ) appeared W�IJ�c�r[Ju J e� A- 0"1 �ee1/Ie OFFFICIICI Weeee0e0910Ceieeeeeee888GeeeePeeeeeee6iEAel� AL SEAL o known to me to be the persons) whose name(s) Q/A—/ i 'SANDRA'LEE SEAMAN a subscribed to the within instrument and acknowledged NOTARY PUBLIC •CALIFORNIA m that executed the ' same for the purposes COUNTY OF BUTTE My Commission Expires December 9, 1983 m therein a tained . �ieeeoeeaeadaeueaeooeee9s;ecceeoceeeeeeeoeececmeseeaccecco�l IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. NO. �7- d U0 CA CS y'Tl CA .5cc 6pl . Order No. 13734 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Parcel 2, as shown on Parcel Map of a portion of Lot 20 of Subdivision Unit No. 4 of the PALERMO CIT[WS TRACT, which snap was filed in the office of the Recor- der of the County of Butte, State of California, January 16, 1981 in Book 81 of Parcel Maps, at page 46. TOGETHER WITH an easement to obtain water, over Parcel t, as. shown on said Parcel Map. P ti END OF DOCUMENT