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028-063-017
AP - CURRENT, Calvin _ 19-68Bif 612-66B BILL -CURRENT ; ,..; 81-69B*. .711-b6P 400' w/sLofI--Ahart 0 90- E Lr s of�'School'St -17 " -0 off'w/s Ahart Rd. a 1000^ no. o chool St., Permit# 4396 74P t' ) - PP• Hondut 28-063-21 a (neW single family) ( ) 9-2(!My?) Permit #61'7T 75P,E(util.°) ELECT` S% •CT e /� 1 _ r GAS 28-06 17 SUPPOR STRUCTURE REQ. I� Perm 2fglL4-91E COMPACTION TEST' REQ. (/!m. (elec sery sf) .. , 28-063-17'- 028-06-3-017 92-0225 ONTR:Orovijle Trailer Sales, Oro, MEDINA, FRANK ��// p ) ermit #6238-75MHI 6i7i-�s CONTR: OWNER �- y / 7/ ssue.d % - % �J z_ - 10080 AHART R OROVILLE + R- .28-0 3=17• ELEC SERV/M ?ermi 4k2399=.76B(reinstall arming/MH).._; 028-063-017 PERMIT#94-2812 7r HAYS, TOMMY & HELENA 2 10086 AHART RD., OROVILLE kU • ���r,/V(� d�iipp 27k 28„063-17 Perms 397 6P,E(util MH) ' CONT: SKYCREST ENTERPRISES • MHI EXIST SITE Complete�uti1;,-4396� 11 I util.,PH PERMIT NO. 6171-75P,E i P E M MH UTIL. PERMIT NO. l� PERMIT EXPIRES OWNER Bill Current CONTR. Owner It }LOCATION (A.P. 28-063-1.7 ) J. WIS Ahart Rd., z mi. N. of Lower Honcut Rd., oroville .r . I i } t Temp. Power Pole Called PG&E ( Temp. Elec. Serv. � 4L 7 Called PG&E �� Temp. Gas Serv. 44 1 �t Called PG&E 4 i � l FOI ALED 1 Date (Signature) i J 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rati6g-`t mobilehome with a minimum of "1O:amp) and other-facilitie-s on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. • Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes_e---nTo 1. De -energize electrical wiring system of the mobilehome at the pedestal. 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 nl.obilehome supply conductor, including neutral. S. 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 an'd the grounding conductor. a 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 water and sanitation? 11. If everything okay, sign off cird and tag services. MOBTLEHOME DATA V Manufacturer and/or Namest le 6VL 4A Lergth��.! Width 6 Vehicle Serial No. �� 7 State Identification No. Additional.Informati.on or Comments:' MOBILEHOg INSTALLATION INSPECTION CHECK LIST -'i. is the mobilehome located wit equired separation from lot lines and buildings and generally c6nform'to.plot plan? Yes' No ' 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 1 1? (Sec. 5088) YesyNo 5. If more than a <in�glneuit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex i _ connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes "_ o C. Backflow - If coach is not State aliforn' 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 B. Does it have minimum k" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 2:Ar ions of water through each fixture including washing machine standpipe? Yes No t D. If coach .is not State of �ifia approved, does station have required trap and vent? Yeses - o 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4". minimum mobilehome connector nomore than 6 ft. long? Note: All piping is to be at least as large as the moble me"gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes" No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No Setback/ Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio, Footings Masonry Wall: Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE 4 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water,Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rou h 7 S Final Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final /,2 7 REMARKS OR CORRECTIONS Y w • ' i • .. ,w:,-, • r� t w •j. • i s ��' P. �._ • ..• ` J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS y 7 County Center Drive — �Orovillw California 95965 ��� Teleph6ne: 534.4541 / APPLICATION AND PERMIT . .� •.,r.-�......i..w..rw i u1c V..., y V� vull0 lV Clllcl upull tiltl above-mentioned property for inspection purposes. � 1 d�l�H�V G � X Date z 3 S Signature of Permitee or Agent Receipt No. "'Z ry White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By a ,, Date IZ —%CZ --Z1 Ilding permit expires Date /Z —!b T 7� BUILDING Owner /�� �/jr�.£� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. D. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address Gf� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 3 0'0 ,!�-� Each Trap 1.50 v Repair drainage or vent piping 1.50 Water piping 1.50 /0,0-0 Each gas water heater or vent 1.50 A. P. No. — �%63 — D/ / �Zon nrng Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. S on Fire Dept. Fire Zone Use Permit Building sewer 5.00 /J9 &"t EQA Parking Plans la t' Parcel Ma 60' R/W Im rovem nts P Lawn sprinkler system 2.00 BI a s ec'd Parcelroval P Plans A praval Permit Fee $ $ (� NEW ❑ ADDITION ❑ UTILITIES 0;70THER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3�ll7% Main service600v OR LESS 5.00 (>7j • 100 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CON S T. OR ADDNS. ( ACCLBLDGLING OCCUP, &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Occu • Ex. Occup(OUTLETS OR FIXTURES)50 @25R BAL@/ FIXED APPLNS. OR Ex. Occup. (O(RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ fl WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Uyycertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT'FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ . .� •.,r.-�......i..w..rw i u1c V..., y V� vull0 lV Clllcl upull tiltl above-mentioned property for inspection purposes. � 1 d�l�H�V G � X Date z 3 S Signature of Permitee or Agent Receipt No. "'Z ry White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By a ,, Date IZ —%CZ --Z1 Ilding permit expires Date /Z —!b T 7� Vis set ,of plans and specifications MUST Im V" kept on the- job at rN times and it is unlawful to IN ; rrQ!-e any changes c,* on swne without '` 1 written permission frim the nonartment of Public Works, County of Butte. „y . w ROTE:—All Materials & Workmanship Shall Be IM with RecognizFrl Good Practices and n "C!1:'"!ity nrescrihed for the Specified use in the ''-"^t►,+ [3uilding, Plumbing & Machanical Codes and the National Electrical Code. 9 All utility. ,connectfons s1►4 96. loccted w7rl3in 4 ft, cutsi�le the near . cf tl:e maai1e home cr 'N:le lefr (road) side of the mobite �o hcrze. 8� Septic system and location attqft i 'aQF to hp ns per Butte County Health Lept. Re- quirements. m x obae The ONT. Setback shall be 5 ft. frorn the side property line and 5o ft, 'From the centerline of the road a maximum of a2 ft. eave perm hcy9, BUTTE COUNTY BUILDING DEPARTMENT APPROVED. I Certify that as owner o{ the property ncquired by dcecl in page `.2, Off; cial Recorcls of Butte County, (AP. - ��-� (. -�- ), ? art reque`st:ing permission to build or instar an nC?dtt1Ci'I l living unit on'this prop?rt�'• I 3i�.11 not divide the 3fox.e • "r1je-n-tioiied property for sale, lea.se, rent, or financing unless all _•—aO:0__:'aSI�Y - .end-dl�'.LS!O.n-_ciiis-aliEl�=F9 - equal ie.,-aent`i-Cr? CCiti�lled-�i ith� ICii�. Convetsa:!t with trl2 preseP_', 'zoning reg,ulat-lOris affect:ing the aforema Itioned property, .and declare that 1, shall not violate same. I - re -D esent that t�,e proposed use of the additional living unit is - j/16/3 a 41 F arG-,^hyt' f- r_ Cher I -shall. -:o -t :lla_nge -this pxoposnd Lse -off -the ad3it;onal l ivy_' -o uni.L unless and urr -i 1 '-` receLve 3r'itte.'l approval .t�Zarti,L-`ram - . tI County of But t2. I f ully understand that .pursuant to Chapter 20 of. the.Eutte- Co.0-nty Code and §11535 et seq of the, Piusineas and-Pro'essions Code that if I, in the future, 'sell, 'lease, or finance the -area on. or adiacei-Zt t0 said ,ovement -without fully' complying with 'the applicable laws bnd- ' .. ordil- ances, that 1 shall be gu�`lty of a miscle,:Iesnor and therefore,. sllbj e< to.. he aforesaid penalties .and _imprisonment parsuant to law. Further; • ='-this state,•aelnt• shall -be--properly andrecord=d at -the request ---�f-tale_County-rJf•-•13Ll�t�e ,.:. - - 71, L5 1610 Owner . . OFFICIF.L RECORDS • PL)TI - CO,1N Y - CALIF • _ - - ' SEC 9 I lv PI11975 - CuU lTY PELGG1 ii E R i5 J - ... 1 ?C L - Cl - /9 7S FEE I'at OFFICIAL SEAL STAT;, ,Oi C ,LiFox _i �> o JACK E. S - - - - _ ---- - NOTARY PUKIC TELLE C0M:, OF BUTTE ) c �:_ .CALIFORNIA BUTTE COUNTY ��� _ "1 « .._ =--•-; MY'COMMISStON EXFIR[S NOV. 29, 1977 On this 9th dcly o; Deeember_� JACK E. STELLE _� a i+oary 1'1:�� t.^_ x1: 7n'': -Zor Li;n coun ~- - Butte _- S;Eat e Of California, resieting t"Eiere:lil� duly coir nissionec•. and -:orn, 'personal.ly appeared BILL CURRENT _ o7:m to ne to bC:, son_ ;;;lo ;` I'lZ! e 1S -u.-Oscrioccl to Chi- wi i-tIin :n � rLil�Llt aii-d ackno:�il ecI-, 'C_ CO ni - L_-Ia: ~ • !ie executed t.1 sane_ 11 1r% S . In" _,,E0 Z have Sc- fill 11,1C:J a11C! aiA- - in di -a c-ount:y Oi Butte tha-6, _.-d 10c1r _l11 . COUNTY OF BUTTE — DE-F'AR-T-MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 / `���r- 75 ' y Tel ephone: 534-4541 (� OS APPLICATION AND PERMIT auu wiicc IcNlc V11—Uyca UI IIID VUUllty UI OULLO tU UlitC1 UljUfl tilt:above-mentioned propert o inspection purposes. 6x -- Dat,,/ Signature of ermitee or Agent Receipt No.;�' a ✓� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF P BLIC WORKS BY 9;;�Date_ 17 --It- 71 iding permit expires Date 17.11'76 r, BUILD041317 Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ' / ContractorS'a6�S f Total Valuation Mailing Address 1 11;ce- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address y a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas — G Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Saaitation Fire Dept. Fire Zone Use Permit Buildings sewer 5.00 EQA Parking Flans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Wkc�c d— Parcel royal I Plans& royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ( ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home 42 Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal1@1 Receps., switches & fix outle20 13 25 ts l A in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl5e qIf: pI�� n�/,�4 1Lsc, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. f Classification 6—tll Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ❑ permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby c3' l 3e• C/D TOTAL PERMIT FEE $ 34 OZ auu wiicc IcNlc V11—Uyca UI IIID VUUllty UI OULLO tU UlitC1 UljUfl tilt:above-mentioned propert o inspection purposes. 6x -- Dat,,/ Signature of ermitee or Agent Receipt No.;�' a ✓� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF P BLIC WORKS BY 9;;�Date_ 17 --It- 71 iding permit expires Date 17.11'76 r, MOBILEHONE SUPPORT DATA Mobilehome Mfr. Setup �f�/�E Setup Model No. ,Year %/ Width (ft.) Length - Expando Size ft.x —ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if. not .on file with the County.of Butte). a *If center piers are other than drawn above, draw'in locations, spacing, and dimensions. i) Footings-- ( check . one) Wood either . pressure treated or ,,. fdn. ' grade.: / 2..Cnaar�, rate Tna_d. 3. Gther—,-.specify Supports (check one) / 1. Concrete block 2. (bra *? P. i ezo— ...... 7-1 3. Sial Aiarc specify Typical Support Footing Size Max. Pier. Spacing Max. Overhang SUM COUW: pUjL0jHQv DE?ARTMEW APPROVE® 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No ( If yes, furnish permit number �- D J� 7 ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- A0 Q Amps s� 6. What is the mobilehome site service rating? --------------------- S Amps 7. What is the mobilehome site circuit breaker rating? ------------- O b. Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG % 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) -; PERMIT NO. 6689-78B,E 7 C , 4 PERMIT EXPIRES ;OWNER Bill Current CONTR. owner 28-063-17 LOCATION (A.P.) 7 1/00 P �pWW/S Ahart Rd. mi.N.of ., C Am *=ttt=— t 1, t r J rt _ J � [[f 7 i� �i rI d a i a r� 1' t. G♦ _ Yd F Y Temp.. Power Pole Called PG&E f hemp. Elec. Serv. `L' Called PG&E Te K. Gas Serv. 1 j Called PG&E JOB FINALED ;44 0—t-) (Date) i' (Signature) t a _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ` Stucco Water DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance -with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number-qJIW for the following location:X_ 05 Owner—U ) vv-, �. t t r Owner's Address k•a! rik"t C")K- R_ Ilk ,a_ Mobilehome MfgK';' 1(�sModel Year. - v . Insignia No. Serial No. C'4 10- *4 *n -*� It is hereby certified for occupancy at the above described location and may be occupied. f B Director of PublicWorks Date i`.� f�.�-.11,�� � Y a t 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Whites-Awnur (b 9. Electrical A. Is service large enough to provide adequrate amperage -to mobilehome.(must equal rating of 1.-mobilehome with a minimum of 190 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels. Yes No_�'�i� D C. Is power supply cord or feeder assembly.properly fused? Yes AN D. Is continuity test satisfactory as per the following procedure? Keso 1. De-energize"electrical wiring system of the mobilehome at the pedestal. 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 theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health.Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME I149TALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withirequired separation from lot lines and buildings and generally conform to plot plan? -Yes No 2. Does the mobilehome-have required clearances above ground? (Sec.5085) Yes V-11,40 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 t-`�No U 5. If mor_q/than a single unit, are crossover connections properly installed? (Sec. 5088) Yes V No 6. Water A. Is fley le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes K No B.. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L, --to C. Backflow - If coach isate of California approved, does station have backflow device and pressure -relief va ? s_ 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 'k" per foot slope and is it properly supported? Yes_ZNo C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe?.Yes No D. If coach i t State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents % • „ A 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 mobileh e gas line inlet without reductions other than the mobilehome connector. Yes o B. Test OK as per following procedure? Yes i/No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes f/No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OTbville, CMi°fornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.eyy X Z9Datey?,Vl Signature of Permitee or Agent Receipt No. 1•r!XT f2_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions todo work indicated above for which fees have been paid. PIREtjf OF JVBLIC WORKS B Building permit expires Date— BUILDING Owner 4-42 GN" SO. FT. OCC. BUILDING VALUATION Mailing Address _ i c'E Tel phone No. Contractor . Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Ad r 19 ' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 rQ 6 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �8 — O 3 Off% coning & PI Hing Water piping 1.50 yo, pd Each gas water heater or vent 1.50 F �E. S Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 , Ud EQA Parking pians Parcel Declaration Parcel M 60' R/W Improve nts Each additional outlet .30 Building sewer 5.00 p Bldg. P,larrff�ec'd Parcel A proval Plans p0, 1 Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES I& OTHER ❑ Permit Fee $ -11, oo 13 O!� 1_,0 C E/ j ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� O V Single Family ❑ Duplex ❑ Mobil Home 5Q Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONS. f DWELING OR ADDNST t ACCLBLDGS CCUP. 2¢sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW RES10, / BRANCH CIR T NEW CO ID l BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 9 NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B LU EX. OCCU // FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 dc) License No. Classification Misc. Wiring 6.25 ®,I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d, d2- e WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 2- s Ot TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.eyy X Z9Datey?,Vl Signature of Permitee or Agent Receipt No. 1•r!XT f2_ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions todo work indicated above for which fees have been paid. PIREtjf OF JVBLIC WORKS B Building permit expires Date— COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Cobrny Center Drive' - Oro`viIle, California 95965 Telephone: 534-4541 ;��) APPLICATION AND PERMIT g�— Butte to enter upon the )oses. White-O.F.W. - Tellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and resolutions to do work indicated above for which fees hav# bee paid. DIRECTOR OF PUBLIC WORKS By ate 17— _1 Z— ;�U�Illng permit expires Date BUILDING Owner T Ou AJ -r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor ► / ?'� � Mailing Address)74/0 Fireplace Total Valuation 012 ® Tele hone No. Permit Fee Building Address ®� SOF �[� cJtt AE2 Plan Checking Fee&/or Penalty Permit Fee /,000, /Y- Scgoek 57— PLUMBING No. @ FEE vif ow ,pu C PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ^ ��'� •% Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /� Bldg. Plans ocfi d Parcel oval PI pproval Lawn sprinkler system 2.00 NEW �fADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ MAU�!� ELECTRICAL N0.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP LESS 5•�� Single Family Du lex Mobil Home ❑ g y ❑ p ❑ 0/ others -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADONSNEW T %ACCLBLDGSLING CCUP. Y\ 22sgft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. �/ l%5 -aj Com- NEW CONSTR RANCOUTLET NON.CRESID.ONST BRANCH CIRCUITS% 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 50@25 OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. .4 X 40 � Classification l- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. iecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply. to all County Ordinances and State Laws relating to building construction, and hereby La $ 30, o TOTAL PERMIT FEE $ 30 0 Butte to enter upon the )oses. White-O.F.W. - Tellow-Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and resolutions to do work indicated above for which fees hav# bee paid. DIRECTOR OF PUBLIC WORKS By ate 17— _1 Z— ;�U�Illng permit expires Date 1. Owner's name: : 2. Installer's na 3. Is the site cu (If yes, furnish permit number ) ,R Is the site an existing "site? Yes / / No BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, broville, CA. PHONE: 534-4541 P 1 v c MOBILEHOME INSTALLATION SHEET (This information not required if pipe length less than 6 ft.. on or less than 50 ft. on LPG.) (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? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- l d (2 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 / / No (If yes, identify the load and size: (Load) (Amps) �/V 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service. ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /—(ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft.. on or less than 50 ft. on LPG.) V MOB ILEHOME. SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Q Year r � Width(ft.) Box Length )``� (ft.) Tagalong or Expando Size 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. S ingle 0�01 - L A _X3_01 (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) 012RMI X-75 771 (ft.)(in.) (in.) (in.) (f .)I (in.) (in.) (in.) *If'center piers are other than drawn above, draw in -locations, spacing, and dimensions. Ftin s (check one) 1. Wood either pressure treated or foundation grade. F] 2. Other (specify) S orts.(check one) 1: Concrete block. 2: Other (specify) Tagalong or Expando, show support details. Typical Support in.) -(in.) Footing Size -- Max. Pier Spacing (ft.) (in.) ftw -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED ��5, NOTE:—All Materials & Workmanship Shall Be iri Accordance wil'h Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, plumbing & Mechanical .Codes and Me National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to M1.11", any ch=anges or alterations on same without written permission from the Department of Public Works, County of Butte. Ir. -�r 'he Plicig. Setback shall be 5 ft. from the ide property line and 50 ft. from the ::enterline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely 11 out of oll easements. ('x15 M. P. Septic system and location A64& sai to be as per Butte County Health Dept. Re- quirements. equired ,for, diel mobilehomo, All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. '0/P e) BUTTE COUNTY BUILDING DEr ATMENT APPROVED 1/I N COUNTY OF BUTTE - DEP.ARTINIENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 county center Drive, oroville CA 95965 , Phone: 916-538-7541 SRYCREST 13468 HWY 99 CHICO CA 95926 RE: PERMIT APPLN #94-2812 (MHI/EX SITE) DATE: A.P. # 028-06-3-017 (TOMMY & HELLENA HAYS) With reference to the above subject: . 9/28/95 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. --MSanitation and plot plan approval OROVILLE Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Stvle, Class) or exemption statement. Certificate of Wcrkmans Compensation Insurance. Owner -Builder Verification Form. Recordedccry of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: TIE DOWNS, MFG INST AND PIER ATTACHMENT THE PERMIT. THIS PERMIT APPLICATION EXPIRES 10 10 95 AND CANNOT BE ISSUED AFTER THAT DATE. Should you have any questions concerning the above, please contact of this office. Y rs very t ly, n MCV:ahb GLENN GIBBONS Mic ael C. leira, C.B.O. Man ger, Building Inspectio r„•r3'+� 'w..,. ate- , - .a rrT -S'�. -� •� ..�, � ""�'7�'=Y�+�`G9'j!9 . +Rvr'r�r+►�'"+•r^'�T� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) r. School District 0 (/ � /�/� S Building Department No. A.P. Number Jurisdiction City DKCounty Property Owner Property Location/Address Subdivison Lot No. ra Residential Development 0 ; ' Sq. Footage No. of Living MHI ? ` Addition ( roup R) Units fiag Commercial/Industrial 0 0 Sq. .)New Addition (Including Exterior Roofed Areas) ,�z/.”- 9 Date' ' n A (Floor,.P,lans'reviewed by;School District Personnel) �' • .. ' District Identification No. % (1n _School District certifies that r (Ap icant) ., (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representin square feet. -QDAk School Mirk %epresenta ' e Date P � 1 Paid by Check Number Remarks: L X 04:�� Bank Number _ Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project. ` .is peing reviewed under the California Environmental Quality Act (CEQA), this project may be subject to a additional: school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) r. r COUNTY OF BUTTE - DEP.ARTNiENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 SKYCREST 13468 HWY 99 RECEIVED CHICO CA 95926 SEP 2 9 1995 RE: PERMIT_APPLN #,94=2812-(MHI/EX-SITE)--) DATE: 9/28/95 A.P. #~.028-06-3=017 :(.TOMMY & HELLENA�HAYS)� With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit'application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets; signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. 7�Sanitat ion�-and-plot- plan-approval---�OROVILLE--"--Health -Department. '-City-of-Ch-ico plumbing permit. --- _V` Plot plan and business license approval from City of Biggs/Gridley.. Planning approval for Land Development (a) Improve-ents (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. �n Name Stv le, Class) or exemotion statement. Certificate cF Wor s Compensation s.ranc Owner-Builder verification Form. Recordedccpy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50s subdivision developed or (a) Road improvements completed and (b.) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans.in accordance with changes marked in red. Copy of recorded 60' right-of-way to a public road. Other: 1� TI•E-DOWNS`-MFG�INST;AND-PIER _ATT_�AGHI�4ENT� -- ' THE -PERMIT". --THIS PERMIT -APPLICATION E PIRE 10/10/95 ZND C= BE .:ISSUED -AFTER.' THAT DATE. Should you have, any questions concerning the above, please contact GLENN GIBBONS of this office. Y rs very, tr ly, Mic ael C. Vlieira, C.B.O. MCV:ahb Manager, Building Inspection COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-063-017 ZONING ARMH . • BUILDING PERMIT OWNER TOMMY A & HELLENA HAYS T NE2887 SO FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1578 BONNELL AVE GRIDLEY CONTRACTOR'S NAME SKYCREST 3E42N2694 CONTRACTOR'S MAILING ADORT3468 HWY 99 CHICO, 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10080 AHART RD PERMIT FEE $ 43.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCELMAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 01 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ElUtilities O Installation Other O ifs"[ .1C Describe Work: MH XMI SITE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I BOOV01LESS I 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. OLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. �9J`yj1 Classification �' — y O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 FIXED APP(NS. OR Ex. Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O T>is permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code,.you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Osts, and expenses which may in any way accrue against said County i onsequ c of the granting of this permit. X Date /e, %l7 Signature of Applicant - O Owner Cl Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ IOUNU Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP `--r FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON IDerel Receipt No168924 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION z. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 4ERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-063-017 , ' ZONING 4ARM" BUILDING PERMIT OWNER TOIW A & TTELLENA TTAYS� 94ONE2887 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1576 BONNELL AVE GRIDLEY CONTRACTOR'S NAME SKYCREST TM EP1{g_E2694 (+��1 A468 CONTRACTOR'S MAILING ADDR TTWY 99 CHICO, 95926 , ...: � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER - UCENSE NO. Plan Checking Fee $ 23.W ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 10080 MARSr}1 RD PERMIT FEE S 43.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome IN Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ElRemodel O Utilities 1:1Installation Other O EXl5 ((Q; , Describe Work: M .T=!P SITE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( 6 ACC. BLDS. ) SO, 3.50 FT. =-..CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. d UcenseNo.�,j`�5✓/.� Classification � - S' � O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXEDAPPLNS. OR Ex. Occup. (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O T>is permit is for $100.00 (valuation) or less. Uerhave -placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to t'he Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor - r I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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, judgment Osts, and expenses which may in any way accrue against said County i onsequ c of the granting of this permit. X Date l/ / - %4 Signature of Applicant - O Owh r„ ElContractor O Agent � > An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures oyer 3 stories in height. Mobile Home Installation Fee $ 100100 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) Receipt No 168924 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �1Y _ .r _ ,. r ,,. �.. � T .-- :...r. � � L e}: " � �;.IE � o :' i,r c.. .-,t„-�••:c �...,fr'Mr*r.�a'M`t-ws`^�->!"'"Ki'k{�w�`"il*' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965.- Telephone (916) 538-7541 PERMIT N0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r 028-063-017 , F" ZONING AR - BUILDING PERMIT OWNER TOMMY "- y +1N�Y A & -ELLEA HAYS' 1� j(GRID' 1`491887 SO FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1578 B0NNE� A CiE CONTRACTOR'S NAME SKYCRE,ST ,,. (� �� • : t TF ]^E„�694 ` CONTRACTOR'S MAILING ADDRIf3468 HWTy 99 ,4[IOO,,95926 Rn Fireplace Fireplace CONSTRUCTION LENDER W^.4L:.-r�UNKNOWN ''r" ` TotaValuation S LENDER'S MAILING ADDRESS j Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER -� � _ LICENSE NO. ARCHITECT OR.ENGINEER'S MAILING ADDRESS kyr Plan Checking Fee $ 23.W Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS10080 • MART RD - PERMIT FEE S 43i.00 ' t OROVILL'E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 • 1 i Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP Water piping •15.00 Each gas water heater or vent 15.00 t USE OF STRUCTURE r •._,,I oma' SF ❑ Duplex ❑ Mobileho'O Other'"' me SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 _ TYPE OF WORK �. w ❑ NeAddition O Remodel ❑ Utilities O Installation'Other El ., E.V'y"rta,!y �,•„ Describe Work:.-, MH 21M SITE FEE $ Contractor ; ELECTRICAL PERMIT Filing Fee 20.00 „ • i i - - Main Service 'OVOR LESS ( 200A Ofl LESS ) 2,3.00 Main Service ( 20OA TO 1000A ) 46,00 NEWCONST. DWELLING OCCUP. OR ADDNS. ( : & ACC. BLDS. ) S 3.50 FTO,• NEW CONST.MULTI.OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 • L'L:-,-CONTRACTORS ' £ � ,.:CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I •am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No.' !Zj : a Classification C ., 4, ❑ I, as the owner, or my employees with wages as their sole compensation, will do th6 work, and the structure is not intended or offered for sale. (Sec 7044) O I! as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) 17OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES AL.50 Ex. Occu FIXED APPrNS. OR p (OUTLETS IflES1D.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ©-'rhaveiplaced on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Appjicant: If after making this statement, should you become subject totihe Worker's Compensation provisions of the Labor Code,youu must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation f 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 Butte County Ordinances and California 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, jddgments,.c�osts, and expenses which may in any way accrue against said County in.consequenoe of the granting of 'this permit. X Date -,l/ ;/'Q - r%�-1 Signature of pplicant - ❑ Owner~ ❑ Contractor ❑ Agent z ' ' '' '4.An OSHA permit is required for excavation`s over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ UV Energy Inspection Fee $ ocC CONST. TY TOTAL FEES 143,00I HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the P Y PP applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been aid. P - By Date PERMIT EXPIRES ON (Dare) ReceiptNJ68924 % \ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F'i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-063-017 ZONING ARMIRI BUILDING PERMIT OWNER �i A & HELLENA I1AYS- o�E,� TWW887( SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1578 i OMU AVE VMJJL CONTRACTOR'S NAME S"C"M TM—TTM 1 CONTRACTOR'S MAILING AODRFyS O8 My- 99 / CO, 95926 � �{� 4ril�n! Fireplace P CONSTRUCTION LENDER - UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER k LICENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ n Penalty $ BUILDING ADDRESS 10080 AHART RD PERMIT FEE $ OROVIL1.E PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 5 Other SPECIFY TYPE OF WORK gg New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation -& Other O Describe Work: M 17M SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING CC P. M ADDNS. ( a ACC. BLOS. ) gp, 3.50 FT, NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. LicenseNo..2 S1 --w-,1 Classification , - +s- 30 ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) El am exempt under Sec. Business and Professions Code forthis reason (POW ER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 FIxeD APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 0,1rhave placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 Countyin consequenceof the granting of this permit.X ,�(` t' �.,, Date fs/ u - iA4 of pplicant - ❑ Owner ❑ Contractor ❑ Agent ; An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D. FEES I IMP I FLOOD I COF PARCEL PD HJISSUE This permit is hereby issued under the applicable provSignature of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) 168924 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT iv'�'"iT"lais�,... Sy„�if.1•-n:�y. w,.-T.o.,talrt�t?F'c 7 "t'^f'Pl"�+ia+'nfl#{1:ir»`( t'�%"irSiKW+'+�ytyiscs►Y7r:y lv'c.: wt COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 4�-�" A. P. N, 9 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ -0494'�' 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .. , ....... . i�wmpact fees as shown on attached schedule.CjC j�0L.. O./� ........ ,/ 12. California Department of Forestry plan approval/fees.................. . Flood elevation letter (100 year floodl by California Engineer... ............ . 14. Sanitation and plot plan approval Q& Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. - 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . : .Pr�I�sp*ection request 20. Pre -inspection for required. . . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ...............................:....... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... dtPlan check list . .......................^ .... .... . j]'E D� w J M Fri. o�ST �ICtz A-c�'P��HF- u���,teu1� 34. When y issue the permit, proce s as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. : Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 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 -mail f Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUN'T'Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER PROPOSED BUILDING USE SCHOOL DISTRICT FEES (paid at Distr&epartment) i e�� , SHERIFF FEES ���� (paid at Buildingv Residential...... x =$ unit amt. Commercial (sqft) z =$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt.. Commercial (per sq.ft) x =$ ' sq.ft. amt. RECREATION DISTRICT FEES (paid at District Office) ......................... DRAINAGE DISTRICT FEES (Contact Land Development Division) ::............ SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER A. P.. # 6 ._-017 DATE O �- REC. #_ DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER G /�/ D (/ _N G BUILDING PERMIT OWNER ^ / 1 _ �� �� ���1 /11'D /-/ E- LERfONEa c� SQ FTOCC. BUILDING VALUATION OWNEWS MAILING ADDRESS �_ �� A '& �/%S l�I T� G40 is=F ' CONTRACTOR'S NAME C•� / C 7` TELEPHONE Y.? VZG CONTRACTOR'S MAILING ADORESf3, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER ucDusE No. Plan Checking Fee $ Z ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS fl N A (2- P—a* 72 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 -LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex O Mobilehom ' Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 0 Addition 0 /�Reemodel O Utilities 0 Installation* Other 0 Describe Work: / y) 14 X Zj T -5 1 � PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( 2WA OR LESS ) 23.00 Main Service ( 200A To IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) SO 3.50 Fr: CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 0 I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. ?!Z)-4/,/2 Classification (��) 0 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 0 I am exempt under Sec. Business and Professions Code for this reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 PowER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) B20@1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0 Tbis permit is for $100.00 (valuation) or less. MA"have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 1,9 , Energy Inspection Fee $ occ CONST. TrPE 1 TOTAL FEE $ HA2. 1 D. FEES I IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON !Date/ Receipt No W"TE•D.D.S.- .D. A ARV-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-063-017 -PERMIT#94-2812 HAYS, TOMMY & HELENA 10080 AHART;RD., OROVILLE CONT: SKYCREST''ENTERPRISES MHI EXIST SITE' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES_ BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site.. 028-06.37017.PERMIT#94-2812.-....... tmHAYS, TOMMY & HELENA 10080'AHART"RD,. ,-OROVILLE`"` :vf CONT:_SKYCRES.T..ENTERPRISES. I,,EXIST SITE PERMITTEE MUST CALL FOR INSPECTIONS motings Piers Underground Conduit Pre-Gunite unaerrioor viumDing Underfloor Electrical Underfloor Mechanical Underfloor Framing Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Insu Fireplace Footing Fireplace Throat Scratch and Brown I I Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY addresses`'::> > ......Intormation.....24..: r fns > : i..... Oroville 7 County Center Dr. 538-7541 538-7636 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 1 872-6307 Revised 7/94 - LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION �p�{�, DEPARTMENT OF DEVELOPMENT SERVICES �`'•.f•�li[`!'a5�-:��+f'a' `� ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 • _ y TELEPHONE: 19161538-7541 FAX: (916) 538-2140 Dear Property Owner: We have issued a permit to construct a new building, an addition, or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code' requirements. We will only inspect the construction for conformance with code requirements. It is your responsibility to see that the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to contact this office. Yours very truly, Michael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection ril RE: Attached Building Permit Dear Permittee: butte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this Rgrmit. please contact this office for final inspection, Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Michiael C.' Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments RESIDENTIAL • � 063-017 PERMIT#94-2812- - 1 HAYS, TOMMY & HELENA 10080 AHART RD.; OROVILLE CONT: SKYCREST ENTERPRISES MHI EXIST SITE JOB FINALED (Date) Signature J=OK O = Not OK Not Applic Not ReadyaMe 'MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete .4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except n's 16. Water Htr.; Vent -Access -Combustion Air -Baffle ---------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -- --- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------------- - ---------------- - - -19. Shower Pan; Test, First Floor -Tub Access _--- - - 20. Test Tub & Shower. Second Floor -Tub Access - - - - - - - ----------------------------------- 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection - ------------------- 23. Elec.- Recept-acles Spacing -Lights & Switches at Doors ------- --- ----------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------- -- ----------- -------------- 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------- --- ---- ------------------------------------------------------------ 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / r 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 Light -Spa Light --------------------------------------------------------- ----------------------- -- 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------- - ------------ ------ -- ------------------------------------ ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation --------------------------------- - ------- 36. --------- ---------------------36. Condensate Drain & Overflow: Size & Grade ---------------------------- ------...--- 37.Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38 Attic -Access-&- Platform if Furnance in Attic ----------- ---------------- --------- - ------------------------------------------- Date Card B-1 Date Card B-1 ------------------ --------- -- - ------ ------Date -------------- ------------- ---- - - -- -------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK exceptg's 39. Sils. Proper Material & Anchors - -- ----- --------------------------------------------- ----------- - -------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------- --.------------------------------ ---------- ---------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --- -- .---------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rttr. lies-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic _58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------- Date __Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N'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. -------- 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 Protection •--------------- ------------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No ------------- -- 81. Stucco. Brown -Finish ----------- ----------------------------- ----- 82. A.C. Unit; Disconnect. Electrical, Plumbing ----------------------------------------- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- . - . - • --- - - ------------------------- --- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------- 85. ------------- ----------------85. Exterior Elec. Trim: G.F.I. Receptacle -Underground --- --- - --- - --------------------------------- ------ 86. Ventilation Throughout House - ----- -- ----------------------------------- 87. Glass Protection ------ ------------- ---------- 88. Corrections from Previous Inspections ------------ 89.- Gas -Test-Meters--Tagged; Gas -Electric -------------------- ---------------- 90. Water -&-Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------- Date - - Card B-1 -------------------------- Date Card B-1 --------- - ------------------ Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 �J OROVILL E, CALIFORNIA GENERAL CLAIM CLAIMANTS SKYCREST ADDRESS: 13468 HWY 99 CITY & STATEs CHTCQ rA QSQIA IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CUSTOMER CANCELLED PROJECT. (A.P.#28-063-017, B.P.#94-2812, ' RECEIPT #168924 DATED 10/10/94, OWNER: TOMMY & HELENA HAYS), TOTAL AMOUNT PAID........ ..................... .........$143.00 RETAIN REFUND PROCESSING FEE...............$25.00 RETAIN BLDG FILING FEE.....................$20.00 RETAIN -PLAN CHECK FEE .................. ..$23.00 TOTAL AMOUNT TO BE RETAINED ...........................$ 68.00 I AMOUNT TO BE REFUNDED .............................. TOTAL $75k I. the undersigned. declare under penalty or perjury that the services or articles claimed have b en performed or delivered. and that this claim Is true and correct as stated. 7 .... R -.» » .».1 ».. _..._.»...». Dated this „ day or _� 19 � , st pEQ6 C LL , Calif. c» » Signature of Claimant ••• � I. the undersigned* hereby certify that. to the best of my knowledge, the service• or srtlel a s led ov • b nperrormed or do- t and that there is • Budget Appropriation a or 9peelrle Board Approval 0 (Cheek one for t am Dated ehl. ,,,,, 4TH »»..»» day of �._ OCTOBERM 19 _ 95at »»» 0$0iiille , call(. ,,,»..»_ D partment Heed or Authorised Deputy Dodi' 440-002 ».w c d; Coda 4210500 »»»� PAYABLE PROM CONRUC ION PERMITS » _ »_ ».. ST».».» » » »» .... FUND 00 NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. 08J. CLAIM NO. INV. NO. INV. OATE ENCUMB. GROSS ANI— FOR BUILDING DIVISION USE:. Receipt -Information: Number: Date: IssuedTo, Amount: . Inspection Fee $ f Q' Total Amount Retained $ ../[S TOTAL REFUND DUE $ :2-r �a $ Fees,Retained: , •, -�Processing Fee: + $ - �s, D D — ✓Bldg Filing Fee $ c.2D o c) P1bg Filing Fee $ ` El ec .Fi 1 ing� Fee $ Mech Filing Fee $ Energy P/C Fee $ C> Plan Check Fee $ Inspection Fee $ f Q' Total Amount Retained $ ../[S TOTAL REFUND DUE $ :2-r �a $ REFUND CLAIM APPLICATION CLAIMANT'S NAME Sk ycres �- MAILING ADDRESS / �J (� Vto s, ASSESSOR PARCEL # -D�.� ' 04 PERMIT # a %� RECEIPT NUMBER (S) Request a refund of fees paid on the above receipt number(s) for the following reasons: D U P C US T o M 67 S Dc - c[ D Ld1p 7-0 CA ec('CoEL W4= e,cJlLL Mo AE T v/'(,o OV A IVY 2= 0"D 7yC-- .5XVr-9FS? 50K�011V6 5ys7-&F,1 -T i Please refund any applicable fees in the following categories:' (Check those categories which you wish to have refunded.)- [ Building Permit Fees [ J Sheriff Fees r:1 SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE /• DATE 0 V Please refund any applicable fees in the following categories:' (Check those categories which you wish to have refunded.)- [ Building Permit Fees [ J Sheriff Fees r:1 SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE /• DATE 0 V Medina Frank Antony & Roxanne 10096 Ahart Road Oroville Ca 95966 Dear Mr.. & Mrs. Medina: Ratte, counia LAND OF NATURA1. W EAI TI -1 ANT) R F A U T Y TED'CLEVELAND ASSESSOR COUNTY ADMINISTRATION BUILDING OROVILLE, CALIFORNIA 95965-3382 Telephone: 916/538-7721 March 2, 1992 A. P.#/Account# 028 063 017 It has come to the attention of the Assessor's office that you have suffered a loss in property value due to a calamity. You may be entitled to a reduc- tion in taxes as a result of this loss. In order for us to determine the extent of your loss, and whether your property qualifies for tax reduction under existing laws, it will be necessary for you to file an application for calamity relief with our office. An application is enclosed and must be returned within 60 days. For additional information, please contact our office at (916) 538-7721. Sincerely, TED CLEVELAND Assessor of Butte County By everly7��bw'skV Enclosure z 4 x N `I sin to x5� A/0 221 PERMIT NO. PERMIT EXPIRES_ oleo400 OwNERBILLY RAY CURRENT r ' CONTR. owner ASSESSOR PARCEL 28-063-17 400' 10'LOCATION p0' ( N of School St; Hacut -" -Ca t �3 i, • d _ t ' {1 ' Temp. Power Pole { Called PG&E �? a Temp.- Elec. Service N, 6s- �J 1j 3' �G a� Called PG&E M Temp. GyServicCalJOB FI) Jt Signature i t �� .•---�� __,..tet V = OK 0 = Not O' - = NotAPplicable 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. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., 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 S. 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. 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-Seryice 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 Card -BI Date Date FINAL (Plans) OK except p'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. 16. Water Pipe; Test & Anchors -Nail Protection 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. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 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. 23. Size Boxes No. of Conductors -Stapled - Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• 73. Insulation -Foam -Looked in Attic ❑ Yes 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 At 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 El 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 Card B -I - Date _ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except N's 36. 37. 38. 38. 39. Sills; Proper Material & Anchors _ 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. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shihnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage F i re Protection Framing (NOTE: An entry must be made each time yit jobsite) F r MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements J c OK 0 = Not OK { = Not Applicable MOBILEHOMES = Not Ready i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements m4 Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5 Electricity; Location—Clearances—Grnd.—/ Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /."L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date -60 i?_3 -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL ME INSTALLATION (Plans) OK except q's Card -BI Date Date Card -BI Date ' POOLS (Plans) OK except N's qp4yT Requirements—Setbacks—Easements 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability -&.-48s�H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; 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 at ; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater arend Electricity Ted E. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Ar E ' s; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date d -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date C5 County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 COR ECTION NOTICE 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. . . . . . E 71k - ...............................v...... .......................... O� .............................................................................................. ........................ krU Xz �..•..�.. �rP. �- ..... .......................:........................................................ V01- - r Date's ?........... Inspector ........�............�............... it _ Do Not Remove This Tog COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE 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. 5, under ermit numb /er f >�-' 1(�-` d a f�or.the/.fo`l�lo�wing location:`] s Owners Owner's Addressk2�'�"' Mobilehome MfModel :ter �L-��` Year a� Insignia No. f"J t r }� Serial No. =' 7 — It is hereby certified for occupancy at the above described location and may be occupied. f� f` Director of Public Works ow Date Date / / J",' By Q THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 , 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 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. r Inspector l _ Date O 9. Electrical A. Is service large --enough to provide'adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 mp) and other facilities on lot, i.e., water pumps, garage, cabana,, etc.? Yes' o_ B.' Is there proper clearances'around panels? Yes /wo / , C. Is power supply cord or feeder assembly properly fused. Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes_ o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 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--'hd mobilehome. Upon satisfactory compleftgn'`of theelectrical tests; the,lot or site service equipment may be approved for energizing. 10. Is job'card-'signed by Health Department for water and sanitation? a 11. If everything okay, sign -off card and tag services. ` l MOBILEHOME DATA 5 , Manufacturer and/or Namestyle �✓� . l� Length Width 7 i Vehicle Serial No. l Z State Identification No. Additional Information or Comments: a t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with /equired separation from lot lines and buildings and generally conform to lot plan? Yes , No P 2. 'Does the mobilehome have required clearances above ground? (Sec. 5085) Ye� o 3. Are footings and supports.properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes4Zo_ 4. Is the mobilehome level? (Sec. 5088) Yes2149_ 5'. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6, Water A. Isfle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? 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" per foot slope and is it properly supported? Yes_IZNo C. Are any leaks detected in drainage system after running 3- Ions of water through each fixture including washing machine standpipe?.Yes No If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector ipt more than 6 ft. long? Note: All piping is to be at least as large as the mobil a gas line —let without reductions other than the mobilehome connector. Yes irl- B. Te OK jeow' g pro du e? o 1. Op a conn to valves 2: Shut ce bur`er nd plot valves. 3. Airano e r to 10"-14" water column, or test with slope gauge (minimum 6oz.oz librated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes° No' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NOn >a 7 County Center Drive_7 Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS SSO PA-R.f_6 SI UM.13ER ZO ING� ING S �t RM 1 ow `� I I r TELEPHONE SO. FT. OCC. BUILD G VALUATION O ER'S MAIL NG ADORE 60 00NTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7-6 4-0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRESS r W PLUMBING PERMIT Filing Fee 3.00 y n �� 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 ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins Ilation Other ❑ Describe work: �� t®X I S I w_0 �'I' j Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Sgo_ e Main service EA. ADD'L too AMP 2.50 NEW CONST DWELLING OR ADDNS. ( ACC. BLDGS.CCUPM 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 ® 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 BRAN'OUCH C LET ITS 2.50 ea NEw CONSTR. ( POWER APPARATUS &) NON-RES,D. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@1Oa FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 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 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 a ainst !laidCountyZsequence of he granting of this permit. uit�t G.1 Date �U- 3 — WO Signature of Applicant — Owner❑ Contractor ❑ Agent U21, 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. PARCEL PD HD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF UBLIC P � By 'A/ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " ��� 4yi Receipt No.� 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT c -0 Z o °r, CL.., Cl Co + 0 DCL_ m n� w' `D�-CL �a 0 cnn3 0 -44 } ° 6* -0-. a N Q (D 0 q N Q rt�a CD Q_ (D a_ / 1 N 0 ID C> C O 0 CD '7 0i Q. (D O CSD -+ dJ C CD O to (D o O < CD -t CL i 0 nO d z a O C ry (DOS, S No ,D S n n = O O .� N Q 3� 0 . i "1. b2 C=• r-7:2: A p a_ 3CD +• $�ii CD N --o O M n �. .o r. 0 CD BUTTE COUNTY ,DEPARTMENT OF PUBLIC WORKS', 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's �t / `, T if aiff )� N % name : ,C- 2. Ins tall er's name: 3. Is the site currently under permit? Yes No / / • (If yes, furnish permit number ) ', OR Is the site an existing site? Yes / ( No (If yes, furnish two (2) plot plans.), 40 Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /7C/ No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 0: Amps 7..i What is the mobilehome site circuit breaker rating? ------------- �'`' = Amps 8. Is there any other electric load to be served by the mobilehome • •ti siteservice? --------------------------------------------------- Yes No/x/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- in.) 10. What is the type of gas service? ----------------- --v -- ----- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12'. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required'if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG,.)' MOBILEHOME SUPPORT DATA If other than single wide, -7 1 Alilehome Mfr. I' Y Q 0A furnish Setup Model No. Year Width / �� (ft.) Box Length S^ W (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. Footings (check one) (ft.)(in;) Center su port locatio s* (ft.)(iA-) I II (ft.) (in.) II (ft.)(in.) (ft.)l (stn.) (in.) (in. Center s por footing izes (in. x Single [Zr 1. Wood either pressure treated or foundation grade. E] 2. Other (specify) Supports (check one) Concrete block. ` 2. Other (specify) I4 ---Tagalong or Expando,'` ---+I show support details. (in.) (in.) (in.)I kin.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. /.Z x3 -- Typical Support (in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) , 6.• 1 -- Max. Overhang (ft.)(in.) 5/6 5 8'0 BUTTE couNrr BUILDING DEPARTMENT _ APPROVED z�L `•. r COUNTY 01�' BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -IND PERMIT PERMIT NO. t �w ASSE O - AR L U ER�r ZO ING '- —/ / - BUI DI PER T o R I TELEPHONE SQ. FT. OCC. BUILDING VALUATION 55 V Q WNER'S M ILI G EtywSoU LJ1 CONTRACTOR• NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDR d hq Aknrl Rd MPD / PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEP ARC EL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition Remodel Utilities Insta lation❑ Other ❑ AS Describe work: Vr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee, (j00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP , 2.50NEW CONST. DWELING OR ADDNS. ( ACCLBL GS.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 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 NEWNON-RESIT R BRANCH CIRCTITS 2.50 ea NEWT -Roes o R (SPOWER INGLE OUTLETTUS.&) CIR Ex. Occup(ouTLETs OR FIXTURES 30@� BAL@1oa FIXED APP LNS, 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 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 nin sequence of granting of this permit. aga��OZ Qr � � ,. � V X 2�r�/tsfyl Date /#-/3- Signature of Applicant — Owner Contractor ❑ Agent 19 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. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ( J :l �l� ne/j Receipt No. WHITE-D.P.W., YELLOW-ASSESSOR—�, PINK -INSPECTOR, GOLDENROD -APPLICANT P e t' JOB FlNAU i Signature 28-063-17 FRANK MEDINA 427-91B,E 10082 Ahart Rd, Oroville (open decks, new siding & windows)SF OFFICE COPY Address GAS ^/a Meter By ELECTRIC _ r Meter By Date ,.- \1'J " I/=OK O=Not OK ' Not tReadyable MOBILE HOMES 1. - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /' L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK No Reaic le RESIDENTIAL (Sin'gle &� Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 3Z t 9. D.W.V.; Fall-Fittino-Test-2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 4. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26. Equip% Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. lothes Closet Light -Shower Light -Spa Light Smoke Detector 01J AAO Date and 13-1 C. Date Card B-1 Date 11 Card B-1 Date Card B-1 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. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq (NOTE: An entry must be mac Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5.4 -plywood on Roof Overhang -Attic Vents -Rafter Outriggers V5 5. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 5 . Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings - / 0. Infiltration -Walls -Windows s Date - ( - and B -Z Date Card B-1 Date 'Card 1 Date Card B-1 Date FINAC(Plans) OK except #'s Ext. Steps -Door & Sideli Smoke Detector Vents -Clearance -Comb. Air -Connector - e: Above Floor-Ducts-Mech. Protection Bedroom Exiting . G.F.I. & Bath Fixtures & Tub Access -Spa X, 66-Erc. Trim & Subpanel; Breaker Sizes & Labels �& Rails - _68 --Fireplace or Stove; Clearances -Hearth tlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance pec. Outlets & Receptacles at Kit. Counter Fire Door; Swing -Landing -Closer uct in Garage -Damper 74.' tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. n Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location ec., eceptacles in Garage; (G.F.I.)-Romex Protection X . Insulation -Foam -Looked in Attic Yes _-A4Q=fr0-a-rU Rails & Deck Construction -Post Caps V79.'F n. Vents & Crawl Hole Door -Drainage & Wood -Earth arance Looked under Floor Yes Following instld.; Drive Yes o; Walks 0 Yes o; Planters 0 Yes I*- Al durrn" Rrown-Finish onnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84 ell• Disconnect Electrical Plumbing 85. Ex c. Trim; G.F.I. Receptacle -Underground 6. Ventilation Throughout House Az rias 12"A ..tion o rec ions rom Previg6s Ins ctions 89 s Test -Meters T ed; s -Electric 0. Water & Sewer Connected -C/O to Grade -HD Approval 91. ergy Compliance Certificate -Other Certificates Date _K -qjl Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 comments at Final: I e each time you visit job site) ry 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 'µ 17-7 OW14LA -� PERMIT NO. f A routine inspection indicates that the following violations of County Ordinance y exist at the above address and should be corrected. Please notify this office when correction of work is have an you If completed. p y y question pertaining to this matter, or n dditional ,explanation, please contact this office immediately. ( ''o PA S =i 77 - 'moi :y h.+ __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 i' 7 County Center Drive, Oroville — Phone: 538-7541 f + r. 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ��27 0 �- � 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 correctioD of work is completed. If you have any question pertaining to this maAr, o ed additional explanation, please contact this office immediately. XMIA59710", "'M V ��DateInspector Building Owner Building Location ENERGY INSTALLATION CERTIFICATE i Building Permit /M \ / . 1 DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL/� Material oi%r S� o I-),) Thickness(inches) CEILING Batt -or Blanket Type ,s�Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand- Name 1ho Lrn i n Thermal Resistance(R Value) 1 Brand Name )¢ Thermal Resistance(R Value) Brand Name Number of. Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the aboverbuilding, _ . J_ consistent with approved -building- depar-tmen-t--plans--and attachments- and --con- -- for with requireme--1n1ts,of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved -Building Department plans and attachments have been installed and conform,to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. Lj- "n)C N(,o A,r1c. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE OF BUILDING CONTRACTOR ER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE:OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BWTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO Z-7 — ASSESSOR PARCEL NUMBER 28-063-17 i 11,U ZONING : .; -"" BUILDING PERMIT OWNER Frank Medina TELEPHONE- SO, FT. OCC. BUILDING ALUATI 396 open 1 980 OWNER'S MAILING ADDRESS ' 10096 Ahart Rd, Oroville 95966 est 1,000 CONTRACTOR'S NAME - Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 2,980 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10082, Ahart Rd Oroville Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 or heat pump water heater 20.00 LOT NO. JSolar SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFf2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New ❑ Addition CSX Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: open decks, new siding & windows _ (10x30 & 8x12) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 01 OR L Main service 1000 AMP ORSLESS 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 Bushes$ 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 SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.N OR ADDNS. ( ACC. BLDGS. ) 2/20sgft NEW CONSTR. ULT' -OUTLET NON -RE BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES BAL SOS AL0 30 FIXED APPLES. OR EX. Occup. OUTLETS IR ESI D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15.00 Permit Fee § 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. .� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 - Heating Cooling 9 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 ag ' st said County in consequence of the granting of this permit. a _ 1 a _� r Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOT $ AL FEE .7 92 .75 HAz cuA PARK EE P R P HD This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees D EC OR OF PUBLIC BY /V PE MIT EXPI' ES Date the applicable provi- resolutions to do have been paid. WORKS �j' Date -312 Receipt No. 83487 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT E,. TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance F10 619. 4 ( '/ 21� --Zq�3 - ) -% Omer Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE * * * Water Supply Water Supply ��J Other -enc / �( �zI `�►^ Date Sanitarian y tlrf'ie:J e.'ft' wr COUNTY OF BUTTE - DE!PARTMENT_,OrF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C*AILIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. r OWNER / rA ill A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED { 1. All items have bee mitted. 2. Plot plans i plicate iplicate, signed by preparer of plans ........ 3. Complete p in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... _^ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ................................ .... 12. Park fees paid ..................................................... hoot Distrigt fees paid .............. 1 Sanitation approval from 6 ✓ I ZL ( Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... f 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... J , 25. Letter of signature authorization .................................... 26. 27. When you issue the per it, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ©(` O office. Deliver w. /inspector. Other Applicant I'f 0a'a^—c__ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ___Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p r it 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_-nail counter by ..date Contractor, designer, owner, was advised of above required data _phone mall_ unte y date P checked by Date P ants by W Date Sets of plans on hold in File cabinet AP folder / Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL ,NUMR ZONIN BUILDING PERMIT - OWNER �� _/)c \ Vi 0-, TELE SOFT. OCC. BUILDING VALUATION 3Y6 ^ lok ^PHONE RESS N4 /0096 ILINO�(/h 1 O t -V t/l 769Y J /—NAME t, I 000 C NTR ACTOR'S I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C STRUCTION LENDER V1 C- UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ S' so MA IA C IT'EEy'j`CCT OR ENGINEER LICENSE NO. Pian Checking Fee $ 91as Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1008-0- OCr_t 0 r0 v i Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Ut'-I\ties Installation I Othe (`�j Describe work: C-,YX I � W ,d n 60 O- �;n� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. ,0sgft NEW CONSTR ULTI.OUTLET N O N.R E"D BRANCH CIRC 'ITS 2,50 ea POWER APPARATUS.a. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@30c DAL@300 FIXED Ex. Occup. OUTLET5 (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 %1b Permit Fee $ t �' 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 c'tocc 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0.' deep and demolition or construct- ion of structures over 3Lstories in height. Mobile Home Installation Fee $ Energy Inspection Fee g CONST TYPE AL AL TOTFEE $ HAZ CLIAPARK ELD PAR PD HD Issue 7h;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. LJ ` WHITE-D.P.W.. YELLOW -ASSESSOR, 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 m labor and materials for construction of the proposed property improvementyes r no) 2 2. I hav have not) ���p 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, 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:M Property Owner 1-)C�i 1 I �� Social Security Number Date ;�, -ICA 01 I 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. RESIDENTIAL �92-0225 028-06-3-017 MEDINA, FRANK ER CONTR: OWNOROVILLE 1pp80 AHART RD, ELEC SERV/MH -� JOB FINALE Signature J=OK O=Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RfIrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 , r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RfIrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ft's j 1. Zoning -Setbacks -Easements -Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underqround 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except H's 16. Water Htr.. Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection --- ------------------------ ------------------- 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access --- ---------- ---- ----------- -------------------- 21. Gas Pipe: Size & Anchors ----------------------------------------------------------------------------- Date -------_----Card - - 1---------- Date -----------Card 8-1---- Date - Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. -------- Fixture & Transformer_ Clearance -Ins. Protection - - - ------------------------------ 23. ----------- ----------------------------------------------------------------- Elec. Receptacles Spacing -Lights & Switches at Doors 24. ---------- Size Boxes & No. of Conductors -Stapled --------------------------------------------- 25. ------------------------------ ----- Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ------------ -------------------------------------------------- 27. ------------ 2 Appliance Circuts in Kitchen & Conductor Size!GFI 28. --------------------------------------------------------- Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------- --------------------------------------------- --------------------------------------------29. 29. Range Circ. ! ga. Cu or AI -Oven Circ. ! / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - -----�f130. Service_Riser Conductors & Ground -Main Disconnect 31. ---------- - Equip. Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------ 32. ---- - ---- ----- Clothes Closet Light -Shower Light -Spa Light ----------------------------- 33. ------------------ ------------- Smoke Detector ------------- - Date Card B-1 Date Card B-1 ----------------- - --------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ---------------------------------------------- - -------------- 35. Vent Fan: Exhaust above insulation ---------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------- ....... ........ .- 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet -- - - - -------- ------------------------------------------ 38 Attic Access &Platform ii Furnance in Attic Date --- - -- Card -B-1... - Date Card B-1 - --- ----------------------- ----- ---------- Date Card B-1 Date Card B-1 Date FRAMING(Plans) except Plans OK t k's ( p 39. Sils. Proper Material & Anchors -------- --------------------------------------------------------- - 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound -- --- -- ------------------------------------------------------ -- 41. Bearing Walls over Girders & Floor Nailing --- - --- ----------------------------------------------------------- -- 42. Draft Stop in Walls (rat proof) ---------------------------------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - -- -- - - - - - ----- -- ----------------------- ----------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ------------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----------------- -- _ _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------------------ Date Card B-1 Date Card B-1 ---------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti'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. .F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------- - ----------- 67. Stairs & Rails 68. Fireplace or Stove: Clbarances-Hearth - -- -- - -- - ------------- ____ ------------ 69. Elec. Outlets at Wood Panel; Int. & Ext. - --- - - - ---------------------- 70. ---------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance - --------------------- ----- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage -Fire Door: Swing- Land ing-Close r 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 Protection -------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------- 78. Guard Rails & DeckCo Caps --------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish ----------------------------- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ -------------------------- - -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings .. - .. -- - -- - ------------------------ -- 84. Water Well; Disconnect, Electrical, Plumbing - - - - - -- - - - - - ------------------- -85.- ------------------85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection - .... - - . - .--------------------------------- 88. Corrections from Previous Inspections _.- ------- ------------------- ------------------------ 89. Gas Test -Meters Tagged; Gas -Electric . .... -- ------------------------ ------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval -- - --- -- - - - - ----------------------- ------------------ 9 . Ener Cnm lian e Certificate -Other Certificates J- ' V Date B_1 -Date -- -- Card B-1 Date and B-1 Date Card B-1 ---------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AN:D:PERMIT I ASSESSOR PARCEL NUMBER 28-063-17 ZONING ARMH 1 BUILDING PERMIT 1 OWNER FRANK MEDINA TELEPHONE 743-0744 SO. FT. OCC. BUILDING VAL OWNER'S MAILING ADDRESS 10096 AHART ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ . BUILDING ADDRESS 10080 AHART ROAD OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities KI Installation[] Other ❑ Describe work: REPLACE MAIN SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under enact of penalty perjury y (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 .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A To 1000AI NEW CONST. / DWELLING OCCUP.9 OR ADDNS. 1 ACC. BLDGS. I _37.50 3.6Q sq.ft. NEW C0N5TR ULTI-OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUTLETS ED ARP(RESID )LNS.REA.) I 3.00 Temporary service 15.00 0 Mobile Home Facilities Ho 15.00 Misc. g 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have, placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I 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 aga' st said County in consequence of the granting of this permit. X 1 Date —� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required forccvations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or `Mork indicate bo e f hich fees F PUBLIC BY �z/ PE I EXPIRES Date applicable provi-' resolutions to do have been paid. WORKS D to / 9L Receipt No.103794 WHITE-D.P. W., YELLOW-ASSE390R, PINK -INSPECTOR, GOLDENROD -APPLICANT / ,,,,,: :fir; :'!?'"`sytt"!`�.f" Y�'��:i�N'F:T'•• �. COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION f 7 COUNTY CENTER DRIVE - OROVILLE,.CA IFORNIA 95965 - TELEPHONE: 916/538-7541 b _may. ar PERMIT APPLICATION DATA SHEET Permit No. r OWNER �iQ(N/k- A. P. No. �`�` O 9 Proposed Building Use4&4(� Building Inspector ko Date - Z 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, 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. Hazardous Material Form ......... ................................ 6. Energy Design Compliance and,.supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of r 1 (see City for other requirements) £ r 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 1Z 20. Pre -Inspection for _TQ Ilit/4s required ... Pre-Inspec. request to Building Inspector (Date) 21...Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder. Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of sianature authorization .................... . . . . . . . . . . 26. 27. v When you issue the permit, process as follows: -Mai l to owner. Mail to contractor. _Telephone -7�l3' U ��l�� and hold for pickup at 60-0 office. Deliver w/inspector. Other Applicant �.Date Copy of Hlaz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 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---rnail_counter by _.date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by Date File cabinet AP folder COUNTY OF BUTTE-.Departatent 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. a - 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) ,e 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, 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 Security Number Date /' X27- Q "Z__ 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. _ PRE -INSPECTION OWNER • Na�N- nt LOCATION: to o g© � Jr� F� O IZO CONTRACTOR: DATE A. P. # aU-bCo ZONING �/ "l a PRE -INSPECTION FOR: -FO q- Pre- DAmA(yc\-) 6 L� Mo q'( I -e ;� i t -ef DATE TO INSPECTOR (` 29 - 'I 2 PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY dcole FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED D HAS ELECTRIC �-] HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: f% LrIQ SL.�.', 4- &45 109RM 1 A U he,,v -r- m l G -I .L- iO,Mle ACTION RECOMMENDED: ISSUE Q HOLD FOR OTHER: v, " o e J a '3_ 7 1LiJ Cyt. V1Citi:/1 ^.•," h ` n y a' ^?�� 3- y. i r: ,,. Zj4'-d`j .RR- -71. m 4D0!',w/sofAhar: 90-69E yL° iz;�.r+. .$",.i_+c .�. •,$•.^x.x�t$ akr'°r3�'' _ ,,, °,Ct"Lk, -17 4�.� toff ,w/s" Ahart Rd, . a 1000 "no. o ex, it#,�4396��74P� _ t :.; ) PP chooil" St. $oricut - • �. . new single family) 0MNEWAL) (##grid RENEWAL _ 1 � oL 1GASrr� �GASt 6f..S 'h&'W $UPPOR 28 'STRUCTURE REQ�� „ '� -063-17 Tri�Q' a� "' Permti#2724-91E ,� �•.�v �. aha (elec sery/sf )' .W -R R. , O,NTI Orovi le Tra N1.1 pra ; a Permi 'f"� o 99r76B(retnstalal�awnin $` 1 - ... r.. k ;use "'•rr:y� _"'�. . ., �Gomplete s.ii39674) 00, 91 1Z Wlk ti'L{ ki momNO , , (tit1;MH re�locate5 m RtA ° � ��U,POR 3STRUCTiJRER.E �'�NaO� ', o ' 7.0 o �� . 4° 9" a o 340tr �� OroviJ> Tru ile4r Sa�l�es ` �, ��•�.� ���� V ssued � � � 6��1�,�7 � Y� • Q a � 0 9 m o � �1'�4 8 •� � .�ta�l= xf,i:'re A _ amage �' R ;�''�''�' .fir .: � • ",. , e 28. 17 P " "tj 427=91B, - j MEDINA, Frank.' 1.0082 Ahart_ Rd, Orovi l l e ��� fi a� -ON Moa ifteol.° ,7„Yx.e�� r ,�..... .�. .a.,._._ e_:1,. ,,.o . (•.':� :I -,.-I \'..- , .ui.,1' I �..'�':�,' - _ ......,....- .� oR mµ 5� I h « 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT C_'J �PERMIT NO. �� A ASSESSOR PARCEL NUMBER 28-063-17 ZONING , BUILDING PERMIT OWNER FRANK MEDINA TELEPHONE 743-0741L SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10082 AHART RD OROVILLE CONTRACTOR'S NAME OWNER 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 10089 AHART ROAD OROVULE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other 1i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti litieess [X] Installation El Other ❑ Describe work: MAIN SERVICE F != Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 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(POWER and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5d New CONSTR.(A , h¢sgft UC TII-OUTLET NC` .RES'.. RESID BRANCH CIRC ITS 2.50 ea APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL03o FIXED PR Ex. Occup. OUTLETS (RESID IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin g 15.00 PERIT MIN 25 2.50 Permit Fee $ 25,00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in consequence of the granting of this permit.. X Date Signature of Applicant — Owner Contractor ElAgent 1:1 An OSHA Permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ — 25.00 HAL I CUA I PARK SCHL I FLD I CDF I PAR PD I HD. IS E This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work i ted above for whi s have been paid. DI T OF P WORKS BY Da e PEWT EXPIRES Date Receipt No96881 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT EI COUNTY OF BUTTE - De•par Unent of Public Works 7 County Center "Drcwe, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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 ma' labor andmaterials for construction of the proposed property improvement yes or no)/�"1 2. I D /have not) a.y 2. signed an application for a building permit fore 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, 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 Security Number Date `2 Z 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -_ )� 2 / %ONING BUILDING PERMIT OWNER F A N 11 AAff Dl,tl TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MOAIJ.�IN� ADDRESS HA 4� IZ29 ` DU TO C O144D2 �j2 �5 A TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADORE vv Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK��r New❑ Addition [I Remodel❑ UtilitiesJ� Installation ❑ Other ❑ Describe work: Z77 S 6 Ky/C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 , � O G Main service EA. ADD'L 100 AMP 2.50 - 's 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 CONST.( OR AODNS. DWELLING OCCUP.&ACC. BLOGS. / ) 2�20sq ft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050C is AL,? 30C FIXED PLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /y! //V o7, Permit Fee $ 113-711 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 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 said County in consequence of the granting of this permit. 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 $ cc r CONST TYPE TOTAL FEE $ �� HA CUA I PARK I scHL Fro coF PAAPo Ho. IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt NO.sLs WHITE-O.P.W.. YELLOW-ASOESSOR. PINK- NSPECTOR. GOLOENROO-APPLICANT Bill'Current Rt. 2, Box 2606- Oroville, CA.' 95965 Deer Mr. Current: ;�- . April 15, 1976 RE:. Permit #4396.74 P,E (AP 28-063-17) in October 1974,'die issued you the ,subjset permit for m6bilehome utilities on your property off the west side of Mitt Road in Honcut;,;00t builAing inspector advises that you have not requested inspections for this'woth and that the mobile Is now occupied. Would you please contact this office and arrange to meet an Inspector on the job so we may verify. compliance with code requirements. It appears you have also constructed an -awning on this mobilehome without the required permits and Inspections. Please submit two (2) complote gets of plans on thisawning and request the required p6rwits, and after the permits have been issued, request inspection. Your cooperation in resolving these matters would be appreciated. Should you have any questions concerning the -above, please'cointact us. JF .*dd. cc: Building Inspector Yours very truly,. Clay Castleberry Director of Public Works J.P. Glander Assistant Director 6 0 PERMIT NO. q P. E 7 M MH4396-74P,E *~ _PERMITMIT NO. " PERMIT EXPIRES !�o�-Ae 'OWNER Bill Current 1CONTR-, LOCATION (A.P. 28-063-17 )' v 400'); WAs off Ahart Rd, .app. 1000' Nbf School St., Honcut Temp. Power Pole Called PG&E Temp. Elec. Serv. " Called PG&E Temp. Gas Serv. v. Called PG&E i( JOB ` FINALED r (Date) t e � (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping •Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab ' Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Siihnnnalc Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS •- CORRECTIONS ,. „- . COUNTY OF BUTTE — DEPARTMENT OF PUBLI WORKS / 7 County Center Drive , Orov;lle, California 95 Telephone: 534-4541 APPLICATION AND PERMIT 9� 7,�Z uu, ,� cNicacuiauvca ui L Ir wuiiry vi DULLC to CIRUt uNun MU This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated ^� above for which fees have been paid. X Date *I✓i� 6 DIRECTO OF PUBLIC WORKS Signature of Permitee or Agent B t� 60 76 / Y Date l 7 Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date ...............�.�� �'�./..7..�. UILDING Owner G SO. FT. OCC. BUILDING VALUATION Mailing Address T O x 4 Telephone Np. o —ZAk Contractor 0CAJ C ! Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address _ W PLUMBING No. @ FEE PERMIT FILING FEE $2.00 (� A& 1aQQ G Each Trap 1.50 C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Z _� 2 A. P. No. .7 Aning & tanning piping system 1 - 5 outlets 1.500 Each additional outlet .30 Fe an' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans r e Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans'<'d Parcel ^ pprovals Approval Permit Fee $ $ Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home � Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bat aio Receps., switches & fix outlets 20025 bol 1@ 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump P, UU .Mobil Home Facilities 5.00 p Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 1 f41 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 .Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �I uu, ,� cNicacuiauvca ui L Ir wuiiry vi DULLC to CIRUt uNun MU This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated ^� above for which fees have been paid. X Date *I✓i� 6 DIRECTO OF PUBLIC WORKS Signature of Permitee or Agent B t� 60 76 / Y Date l 7 Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date ...............�.�� �'�./..7..�. { Septic system and location q4 Butte r -fid to be as per County Health Dept. Re- Quiremen.ts. All utilir located y connections shall be third within 4 ft, outside the rear • � ' section o f the on the left (road) side of home home. mohilP r The .y Setback sha11 be 5 --ft. from the -side property line and 50 ft. from, the centerline of the road, .permitting .8UTTE COUNTY This set ** of plans arm"eci�s MUST be maximum of a 2 ft. eave overhan kept on the job at all times and itis: unlawful to a BUILDING DEPARTMENI make any changes or alterations on same withou4 f" written permisson from 'the Department of Public 4` 'Warks, County of Butte. A P RR O V E 4: DEG RATION REGATMU G LOT; OR PARCELS I certify that as owner of the property acquired by deed in Volume QJ4, Page ) � Official Records of Butte County, (AP. arn:' requesting permission to build or install an additional living unit on this property. I will not divide the afore- ,' _ , mentioned property for sale, lease, rent, or financing unless all -applicable•-land-division -laws-and-map- uirement P Q , s -are.-Com plied -with, I am conversant with the present zoning regulations affecting the •-aforementioned property, and declare that I shall not violate same. I represent thcL the proposed use of the additional living unit is r• - arid -that further I -shall .not -change this proposed- use -of -t--additionahe l living unit unless and until'I receive written approval therefor from the County of Butte. . • I fully understand.that pursuant to Chapter 20 of the Butte Count Y , Code and §11535 et seq e Business and Professions Code that ' of the if x, in the future, sell, lease, or finance the area on or adjacent to said a d improvement with fully complying with the applicable laws and ordinances, that I shall be -guilty of .a misdemeanor and therefore sub' ect to the aforesaid penalties and imprisonment pursuant to law. Further, ,' this statement -shall•be-.properly -acknowle _ dged and -recorded at the request - ------of--the-County__of..:Butt e. ..Owner Fs.Y ress _ - it �l iJ iii {` (ALF: U>idl•' �.:� /. j �-�/'' L�_) � I l� 12442244 • Fte '. ' •' �aze� --_. — — a r r a — a - r .. - .. �. a w r STAT Oc CALIFOPUNIA COUNTY OF Butte ) ss • - 0`n>`.t n i s 22nd day of October 19 7 4 before __ ' _e, -Jack E; Stelie -..— _._' - _:`�„ a Notary Public �n and for :..4e , c Butte , Scate of California, residing therein, duly commissioned and sworn, personally appeared Bill Current is known to me. to be the per son wnoSe r.a,;,e su ECribeU to tyle wit ,i11 1nstrumlenc and acknowledged to me that Die— executed the same.czr IN WITNIISS W11, REOF I have hereunto sn - - -. - �- :--- fficial seal in the Count or Butte t my h hand and afflxcd ny Certificate first -above written. the -day and year in this m �4 OFFICIAL SEAL � 1 Cyi ,1iM1? 3UiTE COUNTY . MY CO"„'A!SS!ON EXPIRES NOV. 29. 1917._ END OF DOCUM .• i : '' _ s t' -The foregoing is a full, true land correct copy of - the original recorded in this of CIAL A41 . ... ...... LOUISE KLUENDER Recorder in and for the County of Butte,, State of California. By................................................... *"*'***"* Deputy Date ........ O.Q.T.03ML24t ... 19-7/ . ................. „+i � �� � . ;. � . �s ,� , �� � -� . F ..•` '�r � i � ..�' r - _. ` ._. - 4,;'Y r ! Zia_ ' w�•� . � •�. y ri`� ' `. SS 4 1 .� e ��� � � � ” t t E. Other - -�l . Maintenance' and repair: 2. Fire hazards: 3. Safety hazards: - - - 4. Weather protection: 5. Underfloor and.attic ventilation: 6. Comr.►ents: , F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments:_ - - G. Field Probl lens or Violations 1. Problem or violat ql (give let -e description ; j�l/2�.:�iY✓ 2. What action taA en (gi- a complete de;,� ptiozi) 3.- WWhhatacactipn recommended: / Nom/' infonuation only - fi.le. B. Hold for te:i. (10) days, then write letter. % IC Write Letter. /% D. Other-. Owner: Address: 2-6 D J OF A BUTTE COUNTY DEPARTMENT OF PUBLIC WORKSW �' SPECIAL INSPECTION REPORT PO,41 A. P. Date of Inspection Tenant: Inspector. Building Location: Type of Inspection 1. Housing 2. Financing 3. Change of Occupancy to 4. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: ' 3. Fusing. 4. Comments: - D. Plumbin 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Camnents• (continued on back) ORDER NUMBER. F"m IREG. R.U. INCIDENT NO. EEEllnn • FIRE NUMBER REPORT REG. R.U. NO. thru C-18 (1/80) 2 ORIGIN LOCATION SEC. TOWNSHP5- RANGE MILES DIRECTIOh ❑FROM c3s -4 11wil 3 INCIDENT TYPE R ❑FALSE ALARM El GO TO 10 RESPONSIBILITY (AT ORIGIN) 4A ,DIRECT PF�QT. RE�P.('D.P.R•) 4B STATUTORY — _RQ ✓ STATE ZONE RESPONSIBILITY D WILDLAND BURNED OR THREATENED 02 SCHEDULE A D.P.R. fl,STATE UNPROTECTED DISTRICT OD OTHER AGENCY D.P.R. [J CITY LOCAL ZONE nCOUNTY 0 D SCHEDULE A D.P.R. D U.SF.S. O❑ OTHER AGENCY D.P.R. (Unlncorp) B;L.M. FEDERAL ZONE D Bi1A' D FEOERAL(.... pt. Military) O.P.R. � SCHEDULE A D.P.R.OTHER FEDERAL Z ElMISC./OTHER('ZONE') OTHER %1C AU SE (STARTS IN 00oOROONLY) Did not start In 1 2 5 or a ❑ SMOKING , ❑ EQUIPMENT ❑ LIGHTNING ❑ DEBRIS ❑ PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON YHER/MISC. "NLAND USE(STARTS IN 0 jJ04ONLY) u ^ ED Did not start in V O®or 80 E?06MESTIC ❑ RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTILITY, ELECTRIC 7 DAMAGE ( 1 NO DAMAGE IN /\ n A n TIMBER $/OR YOUNG GROWTH WILDLAND VEGETATION (Other than T$ YG) AGRICULTURAL PROD (Other than T$Y0) DWELLINGS $/OR CONTENTS OTHER STRUCTURES $/OR CONTENTS VEHICLES $ CONTENTS OTHER TOTAL ❑ FOREST -INDUSTRY (]RECREATION (]OTHER INDUSTRY-COMRCL. ❑WILDLAND ❑NON-WILDLAND []OTHER ONLY) (9l'` / y tTART MO. DATE YEAR 12!NTY ` FIRE NAME: p ! C,V.r�E NATIONAL FOREST, FIRE DIST'., CITY W STREET NO., JETC_ � IZ-f s, .lS' `' . X14%40Z'vHIAA/%'/J7, . /ad -1 Number S DAMAGE ON ARRIVAL of (Nearest 100 7 1 VEGETATION FIRE OTHER, GO TO 10 r Veh/Owig 1 2 $/or' B 5 ❑ ❑ SIZE DISTANCE (Origin to head) ACRES ;FEET WEATHER (ESTIMATE AT SCENE) WIND. DIRECTION FROM TEMPERATURE: M.P.H. - of _ L ER PLEASE r L �. 'COF T540,•1;30,Otit@' PERMIT N0. 2399-76B %6 PERMIT EXPIRES Z + OWNER Bill Current . r _ � CONTR. owner . LOCATION (A.P. 28-063-17 . s 400' W/S of Ahart Rd., app. 1000' N. of School StjHo cut off/ ML Temp. Power Pole Called PG&E Temp. Elec. Serv. -), 7-7 Called PG&E Temp. Gas Ca l lleed OBS /E I� /ED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING , . I BUILDING (Cont'd) I PLUMBING Setback / %X Firewall Soil Piping Forms Parapet 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathin Water Piping Piers Y Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwai I Garage Vents Insulation Water Htr, Heaters Slab Carport Footings QL Prov. for physically handica ed Conformance of a structpre 4 Appliances Gas Pi in &Test Tem Gas SlabT na i/ Patio 0zFIREPLACE Final Footings 1 ". Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES INK RS Motors Framing Z Test Water Htr. Stucco Final Subpanels Mesh MECH ICAL Grd. Fault Prot Scratch Heating Service W/. 7 Brown Cooling Temp. INWe ///o7 -h -7A6 , Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer /' Final Final DATE REMARKS OR CORRECTIONS cd (NOTE: An entry must be made on this form each time you visit the job site.) From the Desk of ARLEY H.. SHIELDS 77 (o �� -1 �o..x� x.� S- r q J 1 l COUNTY OF BUTTE — . DF-P.ARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIIe, California 95965 -- � // Telephone: 534-4541 1p APPLICATION AND PERMIT ►rte auuiullcu 1vPIU CflldlJVt!b UI the bounty or butte to enter upon the above-mentioned property for inspection purposes. X 1g"„y Date % Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OALIBLIC WORKS BY i (ding permit expires Date BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION ro Mailing Address Telephon eZ!q Fireplace Contractor e5l,Total Valuation Mailing Address Permit Fee / `3 p 0 Plan Checking Fee& or Penalty 2!0 Telephone No. Permit Fee � b .0 Building Address 450L�v a PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 a 1049010" Each Trap 1.50 CU Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ._ ® Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. M Fire Dept I ire Zone I Use Permit Building sewer 5.00 EQA IParking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 �T 81dg. Plans 'd Parce Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 �-�/ Single Family ❑ Duplex ❑ Mobil Home [a Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLOGS. OCCUP. &) 120 sq ft NEW CONSTF;L MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET SIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)R2- 109 Ex. QCCU FIXED APP LNS. OR p•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 131 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .1 TOTAL PERMIT FEE is 3q. auuiullcu 1vPIU CflldlJVt!b UI the bounty or butte to enter upon the above-mentioned property for inspection purposes. X 1g"„y Date % Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OALIBLIC WORKS BY i (ding permit expires Date a�ot ome. ,r� ® , ISO ' ob��eln E%Z �yGTrG rJ Or / W #J ', -C— 7-0 k)e .4s RP& � Q a`\o}`oe p 2 � � /N S �i4 l to r'16, -J , Gtr •� 3.1�. p l../� c9 F 71142. 17 x4 (",L c5'�e,T iij� stem and location a6boft to be as per :ounty Health Dept. Re- 4#� its. tet'' ��� � ? y• rro "A100 r0 OJ 46 p v. r' oe 5 ,khe o' �• o o'b`oe1311) Nni s pna elm hand'• Se�baX-j toda,e o4e' toper kkM edJ E 7.1 � % 3UILDiNG NOTE:—All Materials & Workmanship Shall Be in Accordance with Recoqnized Good Practices ani of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 4 a � COUNTY � IIeARTM N APPRO be kept on the job at all time; and it is unla vl to make any changes or alterations on same without writtsn permisson from the Department of Public Works, County pf ,Butte 7L'S_ 063v ,/Z fli A z �f fl 0 Eros%^ 3 o \ ) ' . .r 9 P 4 D' o io cy i �v D ;r J vi {yam C O• /.• �� v p P r o mW PI 1�� S .coo, fn 3W f r . ir. O.P I, 3 s3 r n � ' Y J p� J O .rng J � ; Jj'• p ' 6� f' � 6' ,I .r .r c y f :� o f 0.6,r• i•.' P '� r p r f i C P 40- Co. 4,2 P 22_ Ca.. 4_. 3" o• i fli A z �f fl 0 Eros%^ 3 o \ ) ' . .r 9 P 4 11, 01 fl- M if P � Y- � 1� q fl" 7 D ;r J vi {yam C O• /.• �� v p P r o mW PI . .coo, fn 3W LP r . ir. O.P ZA r c 10 p JI P %I C3 C, U' . .r 9 P. S 0 P. W O0 _ 7 JsILL c o 3 ° . .coo, fn 3W 7 ) 1 . ir. O.P rn i P s3 r n � ' Y J p� J f 0 � (.•V S� r r7pP oP v� -., )1:4 / - ' S,ct 1 �dI.➢ �Ip; w N o / 4.00 - sI 00- p4 N ?O11.84W' O14 I.P _ b of s� 1 P? f3o 'I ��S 1 C' d'Wrn W P n•04.11) pP. A O l I X094" nc^ a u 9 0 C, U' `I P. S dl f c u' P � c nPa3 3 ° 1.w, p .coo, fn 1� 7 � (.•V S� r r7pP oP v� -., )1:4 / - ' S,ct 1 �dI.➢ �Ip; w N o / 4.00 - sI 00- p4 N ?O11.84W' O14 I.P _ b of s� 1 P? f3o 'I ��S 1 C' d'Wrn W P n•04.11) pP. A O l I X094" nc^ a u 9 0 G to O, .064'j 2.00.0, GT .. 29i' &° 062• s 12 I ` E r ` - 0 0 Or F 1 0 n 3.o );*z a6 Ev? 0 0 ; �Y�/a U' w Y�ro S dl f c u' P � c nPa3 Jc 1 � •� o .coo, fn 1� 7 ) 1 . ir. O.P rn i pO.ur G J n Y J p� iP )7 O .rng gAr� � a 6' y- o f 9 r P v Y i C P O P y/9 yy P C v S^ E•sm o�j 0 3 G to O, .064'j 2.00.0, GT .. 29i' &° 062• s 12 I ` E r ` - 0 0 Or F 1 0 n 3.o );*z a6 Ev? 0 0 ; �Y�/a U' w Y�ro S dl f c u' P � c nPa3 Jc 1 � •� o r 9 w A S -P c 4.lir Jc 1 � •� o .coo, fn 1� 7 ) 1 P ir. O.P P 9.r°c 0 pO.ur G J n is J p� iP )7 o f C r P v Y i C P O P y/9 C v S^ E•sm o�j o 70 ) n3c..'� r r P.: j0 / f fi F o p t c v CJ + ° X 3, ". / .. P f v / y PP �`f ')°�rl�n �f� C ,- y �O O. T� 'n, �%�; {•��G s� j�7 �-P;r,,N 73 J COUNTY OF BUTTE — D6ARi,-HENT OF PUBLIC WORKS 7 County Center Drive — Orovilie, Caliifornia 95965 ~Telephone: 534-4541 APPLICATION AND PERMIT V1 u�G VVVllly VI pullG lV c11lCI UtlUII Lilt!above mentioned property for inspection purposes. X 2� Date 4 q i Signatures dofJ Permiteeee or Agent Receipt No. 1416 2— 2— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OFABLIC WORKS BY •� mate (ding permit expires Date BUILDIN Owner�L l✓i��L�%/ SO. FT. OCC. BUILDING VALUATION Mailing Address z 13 t2 6oe 4- + Ov/ LL !�� L� �' Tel he No. _ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee VorPenalty Telephone No. A Permit Fee $ Building Address ��D �/ s cJ� �!�%94y- PLUMBING No. FEE PERMIT FILING FEE $3.00 . / �%o 1040 Al 3C'_.1jeed Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N Adf Q 4, 3 -+ 1'7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feyl W.14&V,i-te4 FI re Dept. FireZone Use Permit Building sewer ►3."@!0' EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 d PI s Rec'd 9• Parcel�Val Pp Planss4� Approval Permit Fee $ 'T.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3+00 00V OR LES Main service 100 AMP ORS SLESS 5.00ir S p 44 '713946 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 6 Others ❑ Main service OVEAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OR AODNS. ( ACCLBLDGS.LING CCUP. &) 2¢syft NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @ 251 BAL@1 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RF -SID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q Wo 2-3 p WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor • Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of 11 Workmen's Compensation Insurance. IC1i I certify that in the performance of the work for which this L-ALpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT FEE V1 u�G VVVllly VI pullG lV c11lCI UtlUII Lilt!above mentioned property for inspection purposes. X 2� Date 4 q i Signatures dofJ Permiteeee or Agent Receipt No. 1416 2— 2— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OFABLIC WORKS BY •� mate (ding permit expires Date br M M L C-7�7� �( &.S I his sot of plans UST ba NOTE:—All Mcferiols & Workmanship Shall Be in <Opt on the job at all times and it is Accordance with Recognized Good Practices and make . any changes or alterations on Sam awfvI to o of 0 qu,cilifv prescr*,bPd for +he specified use in the without Uniform Building, Plumbing & Mac'hanical Codes and v0pt" permisson from the Department of pub& the National Electrical Code. Works, Coun!y o Butte. N III times d it is i A' r alterations on Sam U +h (5 W A/ U 00� eoun4 of, qu& -4 OROVILLE, CA,1LIF6RNIA GENERAL CLAIM CLAIMANT: Frank & Roxanne Medina .ADDRESS: 10096 Ahart,Rd. CITY & STATE: Oroville. CAS 95966 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM:` January 20, 1993 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR -SERVICES DATE, DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) -AMOUNT CLAIM NO. Owner has decided not to do work. Permit #92-226MHI, AP#028-063-017,- Receipt #103794, dated 1/27/92. INV. DATE ENCUMB. GROSS AMT. Total Permit Fees Paid---------------------------------$105.00- aid--------------7------------------$105.00- Retain Retain Buildinj Permit Filing Fee ------------ Total Permit Fees Retained--------------- ----- 15.00 TOTAL REFUND DUE ----------------------------- ---------- $.90.00 TOTAL $90 00 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. ........ .......... ...... Dated this .......... :?-K ............. day of 9i, Calif. .. ............. Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been Performed or de- livered and that there is a Budget Appropriations or Specific Board Approval 0 (Check one Dated this ...... �q .................. day of ... 4�!P!A?�Ky ..... 19.9 1 Q at ftQVi le ...... , Calif. .......... . .. ................. ........... "o, �_ -x �v Z'.Head orAutho Deputy Dept Exp. Code ...440-0.0.2 ..A4Q.. 0.0.2 .................... Code ...... .42105QQ ..................... PAYABLE FROM .......Con t .... pp_r-mi.ts ............................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE BUILDING DEPT J A N 2.0 i993 ' v IeA 6 �\L)m or� 11 California Building Officials PRESIDENT WARREN V. O'BRIEN General Manager Department of Building and Safety City of. Los Angeles VICE-PRESIDENT FRED B. CULLUM Building Official City of San Mateo TREASURER WALTER T. LOPES Deputy Director of Public Works County of. Merced SECRETARY DONALD L. WOLFE Deputy Director Department of Public Works County of Los Angeles DIRECTORS JIM GLANDER Chief Building Inspector County of Butte MICHAEL W. BOUSE, C.B.O.' Director Building and Safety Department City of National City TONY C'DE BACA, C.B.O. Assistant Development Services Director/Building Official City of Costa Mesa DONALD E. CLARK,, C.B.O. Building and Zoning Official City of Kingsburg PAST PRESIDENT MILTON A. TROMBORG Community Development Director City of Dinuba j 'r-13 ?C Y' V100"i CALBO CONSULTANTS CONNERILY & ASSOCIATES, INC. 2215 21 st Street Sacramento, CA 95818. (916) 457-1103 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS County Center Drive - Oroville, California 95965 - Telephone: 916/536.7541 APPLICATION AND PERMIT PERMIT NO. 4 Z-� A99 0014 PARCIII.ON 28-063-17 ARMH 1 BUILDING PERMIT OWN7ff FRANK MEDINA =19HON9 743-0744 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 10096 AHART ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ WAR ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee -i— ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS0080 AHART ROAD OROVILLE ; Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEX Other ❑ Describe work: _ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ADDN5. 1 ACC. BLDGS. /) 3.64 sq.ft. NEW CON5TRESID, RANCHUTLET NON-RESID BRANCH CIRC ITS ^ 5.00 l: POWER APPARATUS h (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURESFIXED 20 76 A APLNS OR EX. Occup. OUTLETS P(RESID.) EA.� I 3.00 Temporary service 15.00 Mobile Ho me Facilities 15.00o Misc. H 9 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. Not ce tG Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 9 Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen of the granting of this permit. �7 X l/ srl , �-' l Date / — c� / -- � Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures toverr39storiesoin height.ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S 70,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 105.00 I HAz I DFEES I IMP I FLOOD tDF / PARC PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103794 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC;WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CLIFORNIA 95965°- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. ���/7! V �i..� :. OWNER A. P. No. 6� �� 7 Proposed Building Use /�'' �� CB�GE'�lEBuilding Inspecto Date Zq 7� I Z 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, signed by preparer of plans.�:�.. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 7- 4. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) V 9. Mobilehome installation data including manufacturer's installation instructions....................................................... �..,R.t. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13.School District fees paid .............. V 14. Sanitation approval from __000 Health Department ` 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: Ql< (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector. (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... L,jtter of sigatug.aut�orization ®l4's� ................... 6 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 71/3-01 hey! and hold for pickup at 01U —office. Deliver w/inspector. Other �j Applicant T1 Xal- – Date i S Z Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit issuance: (Circle-new,'im; of checked above). 1. Index permit for above items No -9 / l Cf Z 6 2. Additional items required: Ati7 Pew GS Y G , b is Contractor, designer, owner, was advised of above required data by_phone--nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Dsive, 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) in QA U'_ 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, 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:CX11.P. . Property Owner Social Security Number '� Date / - )i -e[7 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. NOTE:—All Materials & Workmanship- hall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 5�irtt �itJ r A setback of &tt, 8pom the Property lines and a setback of 50 ft. from the road struotures or equipment except This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. U - . J� Mob•�� � o nY/ Location of structures & equipment shall be as shown & clear of all easements. VV 41 vb (L /46 FO eaY /na/,7 V-4 1-n I ,� Ct e n �m1 bu+ r >> arm, o% A ve-yrn ct ck L- 1 4�4 .=- sAC) �T a Y -v LCZ -_ C_Ctr, `4 -e-U-ek-? o Come- . p u- 4-o ncUl+ -0�n- ou nee- (mt- -Thee 0(-4 C rr\ 0 �h 1 �Ue n `c.�� 0.� G� �ua) _c)u4 �n CL n.e Y)+_ STI�u e- SC'..m e 1DT� _.Ong p',-' - moblk-,s mo%t_le-.ct!�i loc0— -,J-6ce- J �-Ojlloy,.e 4 �_►� gin_ I!na,5 !l'1._ _t-/ C'5 p /G a rm C each ;-, , . -Xv, ygal r, v) t v •� lam" r i S �� ��I I s I, �-�-I. �1 41 All :,� r y i + i O , ,� 1 '91 Y Z�ezl A a� &�� �c�n -e 2:19 �1cc 7 Are _w -e re h �� i43 �°a /,;q ( X Y A M v Z, �, hn r � rJ (� �, 14 LK) U i n Ot ryl i �l � s � tc�h ,tre, 4AX Lc-la,4 m0 re Y /i e% C,_ r 1` I 41?- _ 0 AA --Q, w I U6 I 1 -.i1( -Q, LAD can ofu wko u_ _ 1 .® C L ►' e r t n O��OG2 O -�� - Y 60 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr,. �� �i�/f? furnish Setup Model No. 4�J o 4� Year --Z252 Width Z Lf (ft.) Box Length 7 7 (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). FOOTINGS (check one) Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)al. Concrete. block.El2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULT1-WIDE Main Beams Line 2 —— — � Main Beams — — — — — — Line 2 — — Line I Tag or Triple 1.1ne 4 Line 1 Line 1 Piers: Size -Min. ------------ S pac ing -Max - -----------Spacing-Max. ._ From Ende-Max. ------- Line 2 Piers: Size-Min------------- Spacing-Max. ------------Spacing-Max. From:Ends-Max.------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 4 Piers: Size -Min ------------- ,k „ SpaLing-Max.--------- From Ends -Max .------- Line 5 Roof Loads: Size -Min ------------- Location (From Front) Line 1 OpeninAS: , Size -Min - ------------------ Each Side of Openings If With Width Over"""'""""' _ Line _3piers.- (Under Bearing Mail vniy; Size -Min ------------------- k „ Spacing -Max.--------------- r_ „ From Ends -Max -------------- j ,k30 „y .,x ?0 ..,x ., „x „ "x „ ,I Size -Min .------------------ „x „ Spacing -Max.--------------- From Ends -Max -------------- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 9 2. Installer's Name: rlfltiii PS�' 3. Is the site currently under permit? Yes No E� (If yes, furnish permit number ) OR Is the site an existing site? Yes No F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach. fields and clear of all setbacks and easements? Yes D No 1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- /GG 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 No 2 (If yes, identify the load and size: (Load) (Amps) 9_ what is the mobilehome site eas aiae size? -------------- � (in.) 10. What is the type of gas service? ------------------- Natural 11. What is the gas pipe length from meter or tank to the LPG a mobilehome?--------------------------------------------- ,,6 (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 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On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) Wood -pressure treated or foundation grade. El 2. Other (specify) SUPPORTS (check one)[:]1. Concrete. block.a2. Other (specify) �� e I -al- b�-- Pier Footing Sizes and Locations S1NCLE-WIDE MULTI -WIDE i4 -e L1Qe L Main Beams r{ Q 7 Linn _ _ _ _ _ _ _ _ _. � _ _ _ . Line 2 Main Beams Tag or Triple linp 4 e Line 1 Piers: Size -Min- ------------ ,k ?(j „ Spacing -Max- --------- From Ends -Max- ------- Line _2Piers: Size -Min ------------- spacing-Max - ------------Spacing-Max---------- From Ends -Max -------- Line 3 Roof Loads: Size-Min.,4 ' ------ --- % Y ,-3v ,. Location (From Front) � '_G �1 '-� " 4 ' �j%3'{7 " Line 4 Piers: Size -Min .------------ , Spacing -Max.--------- r From Ends -Max -------- Line 5 Roof Loads* Size -Nin. ------------ Location (From Front) Line 1 Openings; , Size -Min- ------------------ .k n Each Side of Openings u With Width Over'--"-'""' _ Line 3 Piers: (Under Bearing Mall unLy/ Size -Min ------------------- .k „ Spacing -Max---------------- From Ends -Max .------------- „x „x „x „x „ Size -Min ------------------- x n Spacing -Max---------------- From Ends -Max .------------- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 n MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: s � f r 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes L] No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes Ei— No FI (If no, clarify 5. What is the mobilehome electrical rating? --------------- /G G Amps 6. What is the mobilehome site service rating? ------------- lGG Amps_ 7. What is the mobilehome site circuit breaker rating? -----/ori Amps 8. Is there any other electric load to be served by the mobilehome site service? ----- --------------------------- Yes No E�- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural F-1 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) " I %a" T G PLY` DOD CC EXT. 6' TYP. r—� 4 �(o nr�2 2"x (o" DECKING (ALT) GIRDERS �1%` T L PL1'W801) CC EY,T./ G) — C-rUARPRAIL fi4"MAY r1Ff` V/ 11 1 /. 4F MAX. GIRDER 3n; 4 X (n' 16-- ClIc Zo F>;MIJG. CLIP_ 17. v� Z2° x 12' STAIR STRINGER. 48'o.c,. MAX. `fDP VIEW R TY HALIDRHIL- N 0 1 H U W N ruR CI,A .I 3/g I BOLT =F�= 9'. --12"-IT' FIEFS 4 �(o nr�2 2"x (o" DECKING (ALT) GIRDERS �1%` T L PL1'W801) CC EY,T./ G) — C-rUARPRAIL fi4"MAY r1Ff` V/ 11 1 /. 4F MAX. GIRDER 3n; 4 X (n' 16-- ClIc Zo F>;MIJG. CLIP_ 17. v� Z2° x 12' STAIR STRINGER. 48'o.c,. MAX. `fDP VIEW R TY 4,,X4" POST- 'r �U%Ib-1,,: bIzAU1\1G. TY0ICf1l. 'r"5' 1 :1✓T/!'i. %r�- �N�i���p,47� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538_754 I HALIDRHIL- N 0 1 H U W N ruR CI,A .I 3/g I BOLT 9'. MOBILE HDME d `OR VEC.K, ;. _ MAX. �. I � s MTL. FRM�I CLIP (EA. SIPE) \ y'"Mli� 4" X In" 4"X4" FO ST 2"X IT, x Inc --- Yr1 BOLTS I;EDWUoO i ,; , ;.. oe 4,,X4" POST- 'r �U%Ib-1,,: bIzAU1\1G. TY0ICf1l. 'r"5' 1 :1✓T/!'i. %r�- �N�i���p,47� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538_754 I i • ► e RSecl I )u; �o vticr ,. y e ►C ff 'Opp-':.� ; , . PST AtiCA s -eT i N is �� 1o�J JOUTTE COUNTY ��pJNG �DEPARTMEN"P APPROVED �o�'t�dYl�t a-19-9� ; s . JOUTTE COUNTY ��pJNG �DEPARTMEN"P APPROVED �o�'t�dYl�t a-19-9�