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HomeMy WebLinkAbout028-062-030I �� 28-062-30 a�ti Sl & Hazel Brown E/S Brown Blvd ,aPp.300'S.of Middle Honcut, yi;o��n,cut Permit #5457-80P,E�uti1. ,10) � ELEC. 00 A GAS J/&- - SUPPORT STRUCTLIE Rt COPACTION TEST REQ' //,Q,/� . A A t 28-062-30 Per .11t 15458-80MHI p _issued+ 28-062-30 Pe��Ir'9*--84Zj(rear steps/MH) .�i aa� 28-062-30 19 Browns Blvd, Honcut (C �j1 Permit#4097-87E(replace ele ser fixe damaged trailer) jDELANE 28-062-30 HANIE.IVERSON 19 Browns Blvd; t �r� o2c5 Permit#1745-88P(gas lin • (e- 7`� 2-307//q ff Contr: Jim Fi -dam Permit# 88MHI(exis ing site) Iss PERMIT NO. 171-81B PERMIT EXPIRES�� OWNER Sam & HazeljBrown CONTR. owner. ASSESSOR PARCEL 28-062-30 LOCATION E/S Brown B1vd.,app.300'S.ot Middle Honcut Rd., Honcut t' Temp. Power Pole r 1 { Called PG&E ` Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E t JOB FINALED (Date) 4 Signature J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's . Date DECKS, COVERS, CARPORTS, ETC. IP (,) OK except k's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _*_r,5otQgs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete cks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) wn., eams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grrd.—/ / Amp—Concrete AI,,m j&n - rniiimne—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft,/ /"Nat. or/ /"L"ft./ /"LPG 6. Doors 7. Utility Clearance Card -BI Date Card -BI Date getd-BI 0 Dat r rd -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 p'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 Connected7C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date i 1'��t T = OK's t 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 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 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance-Material=Support-Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI 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-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails - --- 63. Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 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-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size . / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral EYes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 11 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -61 Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except #'s Proper Material & Anchors _ 37. 38. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header &Beam -Size & Bearing_ _ Hangers -_Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) b COUNTY OF BUTTE - D&PARTMENT OF PUBLIC WORKS PERMIT . O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO ING r-0 Ga -3 _Z ' BUILDING PEIAA OWNE ♦TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAILINGADDRESS CO TRACTOR' NAME T L PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER V " UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10,a0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 0 �� t Penalty ' $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS i 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 OFSTRUCTURE SF ❑ Duplex❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 �� TYPE OF WORK New ❑ Addition E3 Remodel ❑ U• lities ❑ Installation ❑ Other Describe work: R Q-2 r S 'T, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP,y\ OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON-RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS &I NON-RESID, (SINGLE OUTLET CIR, 50@250 OR FIXTURES BALM Ex. Occup ouXED APPLISIS Ex. OCCU / IXED TS (RES. OR p•\OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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. IHood dI 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 shal I be deemed revoked. Heating Cooling 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-mentloned 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 consequence of the granting of this permit. X (�2�y �,,[ z� Date �. ! J 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 $ OCCUP.GROUP _ TYP or CONST. �.A.1 PARCEL PD HD 590E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE qwEXPIRES Date the applicable to i - resolutions to do fees have been paid. WORKS ate '- ?,-u Receipt No. !Y WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r NOTE:—All Materials & Workmanship Shall Be in' r cord . nee with Recoqnized Good Practices and { a quality prescribed for the Specified use in the tici;tarm Building, Plumbing & Machanical Codes and the Natrona A setback nes and a setback Property I of 50ftine hall be clear of he road centerl except structures or equipment for a 2 ft, save overhang - This set of plans and specifications MUST be kep+ on the iob at all times and it is unlawfu to In 01.'P r,.ny changes or alterations on some w10 out written permission from the Department of Pu 6lic Works, County of Butte. /'7/- Y / BUTTE COQ BUILDING DE? rmEW ED 6' TYP. „�— l %a” Ti G PLYWOOD CC EXT Z4'11z&' DF42 Z-2 11 L," DECKING (ALT) GIFi)ER:, P/s" T�6 PLYWOOD CC E)(T � / GrUARPRAIL "MAX. PR`ECAS► PIER (0„ 119 43" MAX, -4 la" I6-- FRMN G. CLIP 2'x 12" STAIR STRINGER. 48'o.c,. MAX. -TDP VIEW A - - T SHOLU�I FOR CLARITY: 3/gI FI) IT 2"x4" MOBILE HDME R DELL— M O cE Q • ` 1 CLIP (EA. c 00 - ,VX 4 0 4"X4" POST #2 f?F.00 E,ULTS �iE-F, DECKIiJ!� G� Z4'11z&' DF42 Z-2 11 L," DECKING (ALT) GIFi)ER:, P/s" T�6 PLYWOOD CC E)(T � / GrUARPRAIL "MAX. PR`ECAS► PIER (0„ 119 43" MAX, -4 la" I6-- FRMN G. CLIP 2'x 12" STAIR STRINGER. 48'o.c,. MAX. -TDP VIEW A - - T SHOLU�I FOR CLARITY: 3/gI FI) IT 2"x4" MOBILE HDME R DELL— M O cE Q • ` 1 CLIP (EA. c 00 - ,VX 4 0 4"X4" POST #2 f?F.00 E,ULTS LTTE �.. .:._; ;... DECKIiJ!� G� /`� � • • • • ice. -air 9PARTMEM • E D 4"x 4" OST P R O V ,gyp-,-UATE GI�C,UNr? - Pt ►RACIiJG• COUNTY OF BUTTE -� DEPARTMENT OF PUBLIC WORKS J u; 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 — — J COUNTY. OF BUTTE -DEPARTMENT OF PUBLIC _WORKS PERMIT No., 7 County Center Drive - Oroville, California 95965 Telephone: 916/538 7541. APPLICATION AND PERMIT ASSESSOR,? ARCE NUMB r%�5 "�.:- ZONIN BUILDING PERMIT TOWNER 1 t• :�/ •, l✓OIo ✓% ��? 54) TELuE ON/E� % -� %� S0. FT. OCC. BUILDING VALUATION OWNER('/'SS�MAILING'ADDRESS /' j�•/J�r /� I, /%• C / /-J, it/� S l l�f� 1 (_ �J q CONTRACTOR'S -NAME "•' TELEPHONE CONTRACT'OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER "(,//)N F UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR E'NGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS t'' 1� •'/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 rQ� _ 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 ' x Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ RemodeliD Utilities ❑/ Installation❑ Other i Describe work: F /U . P VV (F C f f'` t [ - �� ►^ V I^F Vit^ Jf.! yt?r!Q't"' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �� ✓� � wf ✓"� d a r�,l�r ', F r 600V OR LESS Main service 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 ,�, `A. 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)l ❑ 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.m� '/zQsgft OR ADDNS. ACG. BLOGS. NEW CONSTSL MULTI -OUTLET 2,50 ea NON-RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES DAL@20@30 eALa 30 - FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yiring 15.00 1 , QV F ni0 Permit Fee $ 4 /26 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. IVentilation Notice to Applicant: If after making this statement,- should you become subject to the W: C. provisions of the Labor Code,iyou must'forthwith comply with such provisions oP•tttis permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Permit Fee , $ Contractor: t, - I certify that I have read; this application and state that the above information is correct. I agree to comply to all County ,Ord 1nances and State Laws relating to building construct ion,'and-ereby authorize representatives of the Countyot Butte to enter upon the above -m atoned 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 consequence-of,the�ranting of this permit. X Date � Signature of Applicant \ Owner,❑ Contractor ❑ Agent`LfJ A'n 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 $ Energy Inspection Fee TOTAL PERMITTEE $ D , .SCHOOL OCCUP. _ CONST.TYPE / FLOOD PARCEL PD NO ISSUE 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 -paid. � DfREEC/T�OiR OF -PUBLIC WORKS q q GVr;�/� �J✓.� � 7r) Byto PERMIT EXPIRESr6ate �/Receipt No: o 1i J WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 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. ti \ ,n , 8 A & n . _ l Inspector Date _P7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND PERMIT PERMIT NO. ASSESS�R,,!?7� MBJ (Cf'� (/// wJ �•J( ZONIN BUILDING PERMIT ,^ OWNER qit) T�L o�n SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN DDRESS ro JdZ 11,� 114 - CONT -TOR AME TELEPHONE CONTRACT R'S MAILING ADDRESS Fireplace CONSTR uc7 ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITEC OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS_jr 19 Permit fee ! PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 j^©fr 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[]Mobilehomer Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK Utilities Installation❑ Other New❑ Addition ❑ modeFace- Describe work: le C_ r,1, �V1 V ` C— `f/`� vf2� (� El l I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r % ✓, ✓,�. C, Main service 10OV 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 P Y P er I Y ( : ) ❑ 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-M'sc. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai , OR AODNS. ACC. BLOGS. /20sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NO N.RESID BRANCH RA C CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .200030 FIXED APPLNS, OR EX. Occup. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �Yiri 9 15.00 © r Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 expenses which may in any way accrue again said County in consequence of the granting of this per it. i5 `%M 3C� Signature of Applicant — Owner ❑ Contractor ❑ AgenlIn An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.qBy Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o Occup. CONST.TYP[ ISCHOOLIFU0001P.11CIMI PD f_Wrf7F= This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ,MCT O PERMIT EXPIRES rte the applicable provi- resolutions to do fees have been paid. LIC ORKS +Dat@ 4_3 Receipt No. WHIT[-D.P.W., Y[LLOW-A3eL7e011, PINK-INeP[CTOR. GOLD [N ROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION 'Attention Property Owner: 0 Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the, proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed 'construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, su vi e, and provide the major work: Name ���•' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name . Address Phone Type of Work Signed: t Property Owner Social S7-2 Number Date Ci D NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CFs•��;f�y"y#1`` r'-.rN�-L" ... ... ,.. „-.-r -r �r-� r +1F'i�'►''`iillRt..�if1i9' 'TYi" 'P'►:r} ' 'j"�i�i`L'tk-",+'i�' ` i. :'' : �i.. '"r�-4—, Y*r " 4 -..`*,t, — COUNTY OF BUTTE- EPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. �y OWNER �a. ni ttC— SOW A. P.N D 'O& ' Proposed Building Use C r t C. Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED Y 1. All items have been submitted. . . — 2. Plot plans in duplicate/triplicate, signed .by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. Statement of Intent fQ�r N52 eated and AC Buildings. 8. Fees of $ 2 % �/ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.—_..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. • Pre-Inspec. request to 17. Pre; F Inspection for i ✓� _._ G_W qW_. __._ Required. Building Inspector —(Dole) 18. Recorded copy of Agricultural AcknowlYdgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of _ 21. — — 22.When you issue the permit, process as follows: Mail to owner; ti?ail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: __—_— Contractor, designer, owner, was advised of above required data by_phone---inail_counter by- date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date PERMIT NO. E PERMIT EXPIRES 1113V / %f1i OWNER Samuel & Hazel Brown i CONTR. Owner ASSESSOR PARCEL 28-062-30 it LOCATION E/S Brown Blvd., app.300'S.of {� Middle Honcut Rd., Honcut ?a( Temp. Power Pole 1 Called PG&E f Temp lea Service ov, a V Called PG&E %i r Temp. GasyServi ce Calld"d PG&E { i' f JOB FINALED (Date) ` Signature I F J = OK 0 = Not OK = Not Applicable MOBILEHOMES. = Not Ready MISCELLANEOUS Date M BILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1 . Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Cgnneclors S,,war; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Loc n—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures .6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL E INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s Zonin Requirements—Setbacks—Easements ootings; Size—Spacing—Marriage Line 1. Setbacks—Easements 2. Soils; Compaction—Structure Stability Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ate,; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 9j9__w rSewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exit �sp.—Sketch P-qO- ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- to _' d Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date I = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready , Date UNDERFLOOR Plans OK except N'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 stoty, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., 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-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. ,58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation-Foam-Looked am -Looked in Attic [_1 Yes Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip, 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. _40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) 9. Electrical A. Is service large enough to provide adequate amperage -to mobileaome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water­pttv!P5, garage, cabana, etc.? YesId"o_ B. Is there proper clearances around panels? Yes,6,-N6 C. Is power supply cord or feeder assembly properly fused? Yeses= satisfactory per t_ No D. Is continuity test sat y as P he following procedure? Yes, 1. De -energize electrical wiring system,of the mobilehome at the pedestal. U 2. Make sure that the 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 lead of a test instrument to the mobilehome grounding conductor and 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, water 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 completion of the electrical tests, the lot or site service equipment may be approved for energizing, 10. Is job card signed by Health Department for�jwater and sanitation? 11. If everything okay, sign off card and tag services, MOBILEHOME DATA Manufacturer and/or Namestyle Length Width `� Vehicle Serial No.6C� State Identification No. Additional Information or Comments: ` <. f o tat CLIR_4.� v: MOBILEHOME INSTALLATIONINSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes_ or 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes / No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes=No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A'. Is flexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeso�e _ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No 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? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes k. C. Are any leaks detected in drainage system after running 3- llons 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 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 inlet without reductions other than the mobilehome connector, Yes ✓No e B. Tes NOK+as per, following procedure? Yes--io 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. �+, Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ COUNTY OF"BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander,Avenue,�Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 • Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE -w.. B ILDING 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. 1{///�► / Inspector Ol;l Date COUNTY OF BUTTE 1 DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF: - 534-4541 CERTIFICATE .OV000UPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Ch pter 5, under permit number -i_' '�-B"C.� for the following location: j— A �, , .ep -,*m La1A Owner S4Aflj�s-1 Owner's Address —aL., r) � Mobilehome Mfg. D Model aYear !� Insignia No. __5 iT A �a/`-- /; � .� r^-- Serial No. It is hereby certified for occupancy at the above described location and may be occupied. p� Director of Public Works Date 'J _ 4h_,1_1a)�=��i� , THIS CERTIFICATE IS VOID WHEN MOBILEHOME S RELOCATED —jaw- owner, Tel lOW- Installer, Pink -D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ,. APPLICATION AND, PERMIT �r�RM1T N0. /) I A SS R PAE MBE .16,� ZO IN BUILVING MIT fJ ow R fie rQAQ 14 TELEPHONE 3 -:S SO. FT. OCC. BUILDING VALUATION OW ER'S M IN DDR^/S 'a - 1b 4i� V R CO R CT R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTIONL DER UNKNOWN Fireplace Total Valuation $ LE ER•S AILING ESS Permit Fee $ ARCHITECT R ENGIN ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR SS PLUMBING PERMIT Filing Fee 3.00 A CtJ Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [:1 Duplex[] Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ AdditionQ,--�Iemodel _ tilitiie/�_❑ stallation Other ❑ Describe work: i7� 7� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service j00 AMP OROOV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST ( ACCLBLDGS.CCUP,&\ - / 20 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 Business and Professions Code and my license is in full force and effect. License No. Classification M ), 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 CONS NON-RESID R BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS a 1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 50@25¢ BAL@10T FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 said County in consequence of the granting of this permit. X d� %�. J�.B�Ch'�/ ��� � Date Signature o Applicant — Owner L9rnContractor ❑ 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 $ 0 Do Land Development Fee $ TOTAL PERMIT FEE occuP. GROUP I TYPE OF CONST. PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By s PE T EXPIRES Date the applicable resolutions to do to do fees have been paid. WORKS Date `) Receipt No. C(r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .MOBIVEHOME'SUPPORT DATA If other than single wide, A/4 Mobilehome Mfr. rJV furnish Setup Model No. Year Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. .(SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured' after 06tober-7, 197.3; -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. Footings (check one) Single 1. Wood eitherLP :. pressure treated or foundation grade. (ft )(in:) x (in.) (in.) 2. Other (specify) 0 , Center su port location * Center support footing sizes Supports (check one) ' (in:) LLJ 1: Concrete block.' U x 2: Other (specify) (ft.)(in..) Cin.) (i •) *----Tagalong or Expando,' show support details. (ft.)(in.) in.) (in.) 1•x,30" -- Typical Support (in.) (in.) Footing Size Y, (ft.)(•n.) -(in.) ( n.) �" -- Max. Pier Spacing Max. Overhang ft.)j (in.) (in:) (in.)" ` _ (ft•)(in.) 6UILDI , DF?W\ ENt :,�PPROV� *If center piers are other than drawn above, 5r4vM onand do .EDid3a __.draw. in locatigns,. spacing, and dimensions. _ ._ --- ..- -- ----- -mina-4o-AIMoa-=- -- t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,•CA. _ •_ PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Instal:ler's name: _( A3AM Uej L. APA t r yu 3. Is the site currently under permit? Yet No ( If yes, furnish permit numberOR 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 ) 5. What is the mobilehome electrical rating? ----------------------- �IZC) I�•�f) �- Amps 6. 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 be served by the mobilehome site service? --=- =----------- 30 __VD ���--------------- Yes ,�[ No �� °7 $D WA r 15 (If yes, identify the load and size: - a (Load) (Amps) 3� 9.' What is the mobilehome site gas pipe size? -------------- ------- `- (in.) 10. What is the type of gas service? ------------- -- ----- ---- Natural /% LPG �w 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ID": (BTU) (This information not required if pipe length less than 6 £t. on natural gas . or less than 50 ft. on LPG.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NOAV 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 •�"�� - APPLICATION AND PERMIT A55 S R PRE . I; I BER ZO IN //dd\\ BUILDING PERAV I OWN TELEPHONE ^S � SO. FT. OCC. BUILDING ALUATION NER'S MAILING ADIORESS ^ o r CONTRACTOR'S NAME YJ V TEL PHONE CONTRACTOR'S MAILING ADDRESS C�STRUCTION L R _`7III UNKNOWN Fireplace Total Valuation $ LEN R'S MAILING AD SS Permit Fee $ ARC IT CT OR ENGINEER- LICENSE NO. Plan Checking Fee $ , Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINADDRESS S PLUMBING PERMIT Filing Fee 000 � \ Al 1 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ otherE: Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee *0 Main service 100 AMP OR11V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 XD NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 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 Professions Code and my license is in full force and effect. License No. Classification PI, 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. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTFL ( POWER APPARATUS $1 NON-RESID, SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURES BAL@10s BAL@1 (FIXED A FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,ice DO Misc. Wiring 6.25 Permit Fee 1 $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ,of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 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, said County in consequence of the granting of this permit. 2�� ori X �Date l�� dv_ v Signature JApplicant — Owner Contractor G 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 $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCE PD �,D_ ✓ SSu� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PEPAIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date //"-Z7-�o P // �✓ �U Receipt No. _�-1 � / �- �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 30 h COUNTY OF BUTTE — DEPARTMENT` -OF PUBLIC WORKS — BUILDING DIVISION 70County Center Drive — 0roville, California 95965 — Telephone: 534-4541 OWNER�RCL�� Proposed Building Use Permit fee based upon: PERMIT APPLICATION DATA SHEET 0 plete Contract Price r Permit No. A.P. No. `2 R!— D DPW Valuation (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans approved by Copy/DPW Othe� fex. I i Building Inspector TT 42Date ' (0 —��� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. A. O��0. Letter of signature authori� tion............................................................. . . ................ �"� Sanitation approval from Health Dept.... 11. Planning ap r vol for ............. 12. t'fica W en's Compensation Insurance ........................ —AZI-13. nformation (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)............................................................................................... 15. Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows:_ Mail to owner Mail to contractor. , Telephone and hold for pick-up at office. Deliver w/inspection. Other r Applicant>.�;; ,i1 ,��' < -4yr� Date //0�C Copy of plans sent Health Dept., Fire Dept., Other Date?., During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans approved by Copy/DPW f ♦.,, for. To Z)ui3.di,,g Uelw+rt men t; From: r r:virarimatital. Htallh Subj6rta $an:itetiorp Clearance Plans -rapprovcad s'ors Sowage Disposal !told final f'or a Final. Clearuncea O.K. fol,; Clearance for '� t;edroam mo!Ale home. 'Caner tloarance for addition of a NOTE --All Materials & Workmanship ShaIF le" in This set of plans and specifications MIST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful to of a quality `prescribed for the Specified use in the ' 'moan any chanqes or cAPrr4ions on scre without Uniform Building, Plumbing & Machanical Codes and written permission from the Department of Public the National Electrical Code. t Works, County of Butte. y"4 i .n /Z2 -cid a 7 o { � i ' installat Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. quired for the mobilehome. A setback offt. from the property lines and a setback of 50ft. from tie road centerline shal be clear of structures ore juipment except for a 2 ft. eavq overhang. LY '• V 0 O 546 46 D BUTTE COUNTY BUILDING DEPARTMENT APPROVED I i • 1 -PERMIT NO. 1745-88P(I%) PERMIT EXPIRES 6/6/89 OWNER DELANE & STEPHANIE IVERSON CONTR. owner ASSESSOR'PARCEL28-062-30 LOCATION 19 Browns Blvd, Oroville OFFICE COPY Address i GAS Meter By Date t EHEC + Temp. Pow+ Meter 1 Called PG&E_ .Temp. Elec. Service Called PG&E _ I Temp. Gas Service Called PG&E _ JOB FINALED (Dat( Signature 1 f. f OFFICE COPY Address i GAS Meter By Date t EHEC + Temp. Pow+ Meter 1 Called PG&E_ .Temp. Elec. Service Called PG&E _ I Temp. Gas Service Called PG&E _ JOB FINALED (Dat( Signature 1 = OK 0 = Not OK ' = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MO , L-E HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s (�- ! oni 'Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements . S94/Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel er; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. ricity; Location-Clearances-Grnd.-/ / Amp-Concrete (has; ocation- strated/ /"L"ft. / /""�"ft./ 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 Date - and-61 Date 10. Roof; Shthg-Roofing Card-81 Date/_--/ Card-B1 Date 11. Ext.; Steps-Doors-Landings Date O EHOME INSTALLATION (Plans) OK except #'s Zong Requirements-Setbacks-Easements Card-B1 Date Card-B1 Date 0o 'ngs; Size-Spacing-Marriage Line Card-B1 Date Card-Bi Date MH Test-Demand-Valve-Connector tricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s Z,Vb,MH Test-Fall-Flex Connector .1. Setbacks-Easements bv"Wer; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability r and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining nd Electricity Tagged its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Ground ing; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card-131 Date and-61 Date Card-B Date Card-B1 Date -- 9. Health Department Approval 7 T� 9 10. Plumb.; Cir. Test-Water Supply Test Card-B1 Date Card-B1 Date Card-131 Date Card-131 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Liqht-Spa Liqht Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-71541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ERMI 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 i1.9 &7'G''y �/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle —. Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE J7 )WNER 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 Inspector_ L \V�i Date �) / OF 0 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r;',' e._.... 7EPARTMEN•T OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO.1p� Address or location of mobilehome Owner's name Owner's address Insignia or hud number / - . Manufacturer's name Serial number of V.I.N. l Year of manufacture w (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. r/ / C .'Al A/ ASSESg� PA C L UMBER .D�-��p — 20N1 G BUILDING PERMIT O WNED l�.n L' n,� J TELEPHONE S0. FT. OCC. BUILDING VALUATION {,tel`, O WNEFj�S MAILING ADDR ESS- 9'e� CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v Pit f Permit $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ," I. 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 USEOFSUCTURE SF DuplexMobilehome Other [I❑ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Iv Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 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- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTOR ADDNS. ACC. BLDGS. . DWELLING OCCUP.Ei ,�20sgft NEW CONSTR.TI-OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS)— POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA SO Ex. OCCup. OUTLETS P(RESID )FIXED APLINISREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation pertnit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 ai ounty iri conseque a of the granting of this permi . X Date Irr 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TTPE sCHooL PLOOD PARCEL P11 I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic d above for which fees have been paid. R F PU ORKS / B Dat (/C P T XPIRES Date �'- Receipt No. 3� WHITE-O.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) signed an application for a building permit for the proposed wo k'. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social S�cy�ixy N�nber Date ( / / �� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. AP 2 06,2 —3e,-) OWNER �/ G PERMIT'l `% — 0 M „ UT IL . CLEARANCE DATE La 7—�J INSPECTOR ELECTRIC GAS Support Compactior. Struc. Test -Reg. Service Size Other Load Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ;,County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MIT ASSESSOR PA CE,L^^yyNUMBER V ZONI�37)t `� v BUILDING PERMIT O ER I � TELEPHONE �a3i SQ. FT. OCC, BUILDING VAteATION OW E� MAI ING ADDRES�o ^ t VDMA Gam. i1/Gj�y,U� ' .� a �� CONTRACTOR' AM (l/�Ir s ELEPHONE CONTRACTOR'S A4Iy,G ,p,DDRESS / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ --� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSICI �J Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 J 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 1 5.00 Mobile Home I S I G I 1L— ome TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: a f t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR SLESS 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_forpe and effect. "License No. �/!/S0� Classification X'_ / El 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 OR ADDNS. ACC. BLDGS. OCCUP.51 , �20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC S 2,50 ea POWER APPARATUS 6\\ (SINGLE OUTLET CIR. 1 Ex. Occup(OUTLETS OR FIXTURES\\ 200 SA 0630 FIXED APPS EX. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): he 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 g 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, cos s, and expenses which may in any way accrue again sa' County in copse ence of the granting of this permit. X ❑ —Date 3- 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE 0Ccu P. CONST.TYP! SCHOOL ,r FLOG A C PD ND SSV This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 7 -Ir Receipt No. O A 9 WHIT[-D.P.W.. YELLOW-A38ES30R, PINK -INSPECTOR, GOLDENROD -APPLICANT 5 f-t..,y`I4-t�':^x.:`LSM-.d,Y.'rid`.J�/;E.fyt:;r,',(�.,`�s.1`if.r'Gtr4N'�}:►%�'4:K.�-it,�.:.r?ti+.y�`:."i��!t'., ,i.�..ii.,-`��.'•.±.►�-i•..�w',w�w.z..`�".�.'v���i.-:.rs!s.�.a+. "+r"r'�'�'�`'t�r-.�`-r ..,. V COUNTY -OF BUTTE - DEPARTMENT OFP.UBLA-IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 1 -0"` Permit No. OWNER C�YIe- -L Ue�s�nv,;,. A. P. No. Proposed Building Use IYtI� Z Building Inspector _ 1 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED Contractor, designer, owner, was advised of above required data by phon _snail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by— Date Sets of plans on hold in File cabinet AP folder Copy—DPW 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. , 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School�District "Fees Paid" Stamp on Floor Plan. t, u 7 -Statement of Intq t for Non -Heated and AC Buildings. �8. Fees of $ y . . , , , , 9. Letter of signature authori tion. . . . . . . . Sanitation approval from Vri_ Health Dept. 4. Planning approval for (A) Use: (B) Parking: �� 2. Certificate of Workmen's Compensation Insurance.)•t-: nee: , ` 3. Contractor's License Information (no., name style, classif,) �( 14,E Owner -Builder Verification (Given to owner0, Mail to owner ❑.) ' may be required. . . . .... . .. .. — 1��_)�mprovements �• � Mobilehome Installation Data. • , • . . . , • 1Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. Wheny'ou issue thepermit, process as follows: Mail to owner, Mail to contractor. Telephone ;and hold for pickup at office, Deliver w/inspector. Other r; �i9 j� ? Applicant 4&M f [late Copy of plans sent Health Dept., Fire Dept., Other Date The,following data must be submitted prior tormit 'ssuance: (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 phon _snail_counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by— Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance N Owner. Location AP# 0. Plan Approved for: Sewage Disposal ,A� Water Supply r Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom �obile home. Other NOTE *** Sanitarian Date NOTE—All Materials & Workmanship Shall Be in This set of plans and specifications MUST be Accordance with Recognized Good Practices and kept on the job at all times and it is unlawful to of a quality prescr;hed for the Specified ,use in this ' moi^ any changes or Morn+ions on same without Uniform Suildlmg, Plumbing & Machanical Codes and written permission from the Department of Public the Nafional Electrical Code. Works, County of Butte. Utility connections shall be within 4 ft. of the mobilehome, either n directly behind or within the rear ,�.. half cfe of the mobilehome. 3 0 (1/ N"'\ , f'ti pe; r installat Wifbb, required for the ),*'_he mobilehome. A setback of 5 ft. from the property lines and a setback of 50ft. from t lie road centerline shat I be clear of structures or a uipment except for a 2 ft. eav overhang. O O ► I' COUNM BUTTE NTY �jf(,��FIG, DEPARIM BUILD G DE RTMENT APPR�,�V��� PPRO D "1 BUTTE COUNTY DEPARTMENT OF'PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 1. Owner's Name: C 2. Installer's Name: MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes r No 0 (If yes, furnish permit number ) OR Is the site an existing site? - Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septi 'tank and leach fields and clear of all setbacks and easements? Yes No El (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. 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 be served by the -------------------------------- mobilehome site service? Yes c� �. No (If yes, identify the load and size: 2 , (Load) �YJ (Amps) o LThat is the mnhilFhome site gas DiDe size? -------------- _317 (in.) 10. What is the type of gas service? ------------------- Natural 11. What is,the gas pipe length from meter or tank to the FM7 LP G i 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:) 4 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.,_e/�/� /arced furnish Setup Model No. Year Width— /,;?- (ft.) Box Length 4G (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FO()TINGS (check one)Eq(Z Wood -pressure treated or foundation grade. ❑ 2. SUPPORTS (check one) 1. Concrete block.n 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE ,Line 1 Main Beams Line 2 2 Lin Line Lille T__ _ _ _ _ — — _ _ + 2 ----- Line -- — ------ Main Beams Line 1 Piers: Size -Min. ---- - - - - - - - - a ' Spacing -Max. --------- Line 2 Piers: Size -Min. ------------ Spacing -Max. --------- From Ends -Max .------- Q" Line 7 W�oi loads: Size -Min .------------ Uw ation (From Front) �...�-Llne Tag or Triple Line 4 Line 1 Line 1 Openinge: Other (specify) Size -Min. ------------------� "x Each Side of Openings With Width Over --------- y Line 7 Piers: (Under Bearing Wall Only) Size -Min .------------------ x 'Spacing -Max---------------- From Ends -Max .------------- 1111 x Ll- "x "x "x "x "x "x :d, Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only) Sizr-Min.------------ k Size -Min .------------------x Spa, 1.,X -Max.--------- �_ ., Spacing -Max.--------------- '- " From Ends -Max.------- From Ends -Max --------------- �'- 11 '0111 Line 5. FWof Wads: J` '0 A � Size-Mil-,--•---------- IocaLion (From Front) f= A -1 I • . W VT f= A ,leturn to DPW 1 � � Y I 88-019994 1 1 Recorded I Official Records I County of Butte Candace J. Grubbs Recorder 10:06am 21 -Jun -88 AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Rec Fee 5.00 Check 5.00 w RB 1 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residentg of this .)roperty may be subject to inconveniences or discomfort arising from ':he use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited ;:o cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise; and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County bf Butte, State of California, described as follows: A portion of the,West half of Lot 120 as shown,on that: certain map entitled, 'Official Map of Honcut, Butte County, Californi,.i11, which man was -:filed in .the office of the Recorder.of the County of Butte State of California, on March 13, 1999, in Book 7 of maps, at page 85 and being more barticularly described as follows: From the center line of Middl6 Honcut Road South alonp, the center line of Browns Avenue 114 feet to a point of beginning; thence, at a right angle East 122 feet from center of Browns Avenue, along a line parallel with Middle Honcut Road; thence, -south, at a right angel, 160 feet along a line parallel 1;*1th the center line of Browns Avenue; thence, at a right angle, West 122 feet along a line parallel with Middle Honcut Road to a point in the center of Browns Avenue; thence, at a right angle, North 160 feet along the center line of Browns Avenue,_to the p6int of beginning. Date: p� Ow, 1K PROPERTY OWNERS: State of On this the day of iurj e 19 before SS. me, the undersigned Notary Public, personally appeared :aunty of ), OFFICIAL SEALPersonally known to nle. Proved to me on the basis BETTY JEAN MIRANDA 2W7. Eq NOTARY PUBLIC• CALIFORNIA of satisfactory evidence. M mUTTECouNT to be the person(s) whose name(s) subscribed to My Comm. E.pires Nov 1 1, 1989 the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF,'I hereunto set my hand and official seal. Notary Public .Present A.P..No.. f