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h I 28-17-71 ! AURINO LOPEZ.. .. /�J North Stone Oaks Loop,. Bangor ,c s. PErmit#3438_-89P;E util; MH) ELEC. `9 - 'GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. --------Q' j 28 `Permit 4891-91MHI a,, 1 -71 ,/ ' �• (installation/mh e -- ----_- ra.. _. �� � � �' �� J r r` , lip i 28-17-71 3438-89P,E(MH) 3. •' { „ e. LOPEZ, ,Taurino 175 Stoney,(0akso•Loop, Oroville PERI (util,` MH)'. b` PERK a (6 OWNER CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY I 6 - 1 Address GAS f c Meter By Da` ELECTRI t� Meter By a. �;�a te a Temp. Power Pole \ Called PG&E \ Temp. Else. Service Called PG&E Temp. Gas Service Called PG&E i JOB FINALED (Da� Signature = OK 0=Not OK = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support-Sketc f 3. Sewer; Location -Test -Fall -C/ ncre : ater; Location -Test -Easement Needed (Sketch 7 lectricity; Location-Clearances-Grnd.-/ / Am 6. Gas; Location- st-Wrap: /; P'l- ft. / /"Nat. or/W"L" ft./vP'LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date MORMEHOME INSTALLATION (Plans) OK except #'s 1. Z_Qning Requirements -Setbacks -Easements 2. F otings; Size -Spacing -Marriage Line `� Saae MH Test -Demand -Valve -Connector 4. Ele ncity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector MH Test -Regulator -Connector and Sewer Connected -C/O to Grade -HD Approval 8. nd Electricity Tagged 9. zits` Insp.-Sketch 0. Cert. of Occupancy Card- B ate and -61 Date Card -B1 Date and -B1 Date W 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn:; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -61 Date Card -131 Date 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -81 Date Card -61 Date 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) • = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access, 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors - Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31 Equip Clearances Panels-Motors-Mech E ui Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes (NOTE: An entry must be made each time you visit job site) 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -81 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -61 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico Phone: 891-2751 7 County Center Drive. Oroville —, Pho6: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Zap .3q&g - OWNER PERMIT N6 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 wo I rk is comp I leted. If you have any question pertaining to this matter, or need add I tiona,vexpranation, please contact this office immediately. N WE M InE Date. pec to,'rW--- *__w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 County Center Drive, Orovi Ile — Phone: 536-7541 747 Elliott Road, Paradise — Phone: 872-6307 -CORRECTION NOTICE EW -W - M&M VNER PERMIT NO. A routine inspection indic - ates 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 imatter, or need additional explanation, please contact t is office immediately. A i I k. Date,— tj Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 re PERMIT NO. Address or location of mobilehome 7 P-,/ Owner's name 7-4og A 1 Z__ Owner's address Insignia or hud number 44+44 9)0 Manuf acturer's name Serial numbeybf V.I.N. Year of manufacture--' rp—pro7ing Installation) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 0 Owner,,IYell v� Instal.le IN COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Californla 95965 - Telephone: 916/538-7541 •6 APPLICATION AND PERMIT PERMIT NO. 489=91. A33E33OR PARCEL NU -+ - 9R-1 7-71 ZONING MR "BUILDING PERM T ; Ow aurino Lopez (415) T i PH4�09 S0. FT. OCC. BUILDING ATION DWT5/+3MAdependence Rd., Fremont 94538 CO TRACTOR'S NAME wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO TRUCTION LENDER `lone UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 175 Stoney Oaks Loop, Oroville Permit fee $ 9c; nn 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®X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[N Other ❑ Describe work: (replaces #3439-89) utility #3438-89 3BR Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (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.20®SOe 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.N\ OR ACDNS. ACC. BLDGS. +/22sgft NEW CONSTR. UL ET NON-RESID BRAN CCHH CCIRRC ITS 2,50 ea APPARATUS &) (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the Count of Butte against 9 y x %� g all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County in consequence of the granting of this permit. Rd, 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 70.00 TOTAL FEE $ HAZ. CUA- PARK SCHL .V/ FLD — CDF PAR PD f ) HD -ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above or which fees have been paid. DIR T O PUBLIC WORKS By IT EXPIRES ate Date Q PER Receipt No. 83502 WNITE-O.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUN Y OF BUTTE - DEPARTMEN�T.OF PUBLIC WORKS'- BUILDING DIVISION COUNTY CENTER DRIVE- OROVILLE;, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA (' Permit No.OWNER-- (.'( (f ✓► d �. 0 QP 2_ r; A -1P: No. /Ire R Proposed Building Use B / / �'/� uilding Inspector Date a �~ 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 ....................................... 1 Park fees pal 3. ( n �� 14 1 on* School District fees paid . y. -: ..... 3 I -91 IQw 14. Sanitation approval from HealthYDepartment. 9A!, -,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 'yr22jUlred Pre-Inspec.request to . Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner) ..... 3-1- 91 4. Recorded copy of Agricultural Acknowledgment Statement ...`...... LetterI,B�n�ture aut ri�zation ...... ................ ....... . 26. I ( l,re CaylCe - - When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Z . i 1,0d&,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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 13 , 23 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone il counter by ..date a Contractor, designer, oar, was advised of above required data by_phone_mail_counter by date Plans checked by k10 Date 21 Z71 9 f Plans approved by r2t,4) Date Z-2,7-91 Sets of plans on hold in Copy—DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 95988 - Telephone: 918/538-7541 APPLICATION *AND PERMIT HRMIT N0. c. 9393 _ h ZONING—BUILDING PERMIT wNe/ )_f ct u v11 rl Z �5 M (t�7 SO. FT. OCC. BUILDING VALUATION OWNEe' MAI IN AD R1133 t� !"t^�M0V1 9 53 co1k _ ACTOR'3 NAM `/r/� 1, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C011SIRUCTION LENDER d V1 CFilin UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS g Fee $ 10.00 Permit Fee $ ARC ITECT OR ENGINEERLICENSE 0 NO. Plan Checking Fee $ / Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD ss -© r10 af2 400P►"ovi 1hi 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[]Mobilehome4 Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 5.00 Mobile Home S G W 45.00 .00ea - TYPE OF WORK New ❑ Addition Remo. el ❑ Utilities ❑ Installation 1Other ❑ Describe work: /\E� �Oc C C1 S �' l —cl I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00- i 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS 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.m` OR ADDNS. ( ACC. BLDGS. / , �Z2sgft NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea .—•"' POWER APPARATUS (SINGLE OUTLET CIR.tl Ex. Occup(OUTLETS OR FIXTURES eAL0 ALo 0 3 FIXED APLNS. Ex. Occup. OUTLETS P(RESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation 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 consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ RHAZ. CONST TYPE �O ^— TOTAL FEE $ lvl CUA PARK SCHL FLD cDF PAR Po I HD. IssuE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 315 WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Taurino Lopez 3543 Independence Road Fremont, CA 94538 With reference to the above subject: / / Attached is: OTHER RE: MIDI permit PHONE: 916-538-7541 DATE February 28-1991 A.P. # 28-17-71 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced /X7 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot. plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER school fee receipt Should you have any questions concerning the above, please contact Barbara Wilding of this office. between 3-5 p.m. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville, CA —9.5965 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) 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 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. sod b s • OM t°sm�s �•�! �+ c�pt9^. �n y��� p�► c�,nr, trob e ��rvvoissiora rr+ � ' WE—t.--Al MatbAds & Workmanship Sha11 Be In Aa�rquai-oy dunce with Razogni=ed Good Prac:ti--es card of prescri i.] for th:•a in the Un n'y dui cling; Plum" ing & Meciica�icc�iand P%ti®nal Electrical C©de. [ A deck of a setback \-Jnesala props&' ram the road 015 0{rk hall be c1 int expo centerline s or eq�r svpm et�res ve o�e�an�3 } O� 2 �- F apt .ea o, 500 SpR "I Q' Is %s BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA . PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: (/'el lYe!7 Z-4 2. Installer's Name:..�/;e/it/� 3.' Is the site currently under permit? Yes No [' (If yes, furnish permit number"IJ U� U I ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easeme1. nts? Yes [�JNo (If no, clarify 5. What is the mobilehome electrical rating? --------------- d. Amps 6. What. is the mobilehome site service rating? ------------- CW Amps 7. What is the .mobilehome site circuit breaker rating? ----- t o o Amps G� a 8. Is there any other electric load to be served by the mobilehome site service? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Yes M 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?---------------------------------------------- gas demand?----------------------- - - 21-7 dh0 RT?�'s (BTU) * 12. What is the mobilehome -------------------- *(This information not required if pipe length less than 6 ft. on % natural gas or less than 50 ft. on LPG.) 30? -91 duf ft- -GIC-01 M ER A,.'V �3,W 2-2779 MOBILEHOME SUPPORT DATA t � If other than single wfde, ja Mobilehome Mfr.... 014A r),7plg/y furnish Setup Model No. Ci H-4 � Year /97� Width;7- (ft.) Box Length__jg�_(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) 1. Wood -pressure treated or foundation grade, a 2. Other (specify) SUPPORTS (check one) Hl. Concrete block.n2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams inLine 2 Main Beams Ins -- — — -- — — �— — _Line Tag or Triple Ina 4 Line 1 Line 1 Piers: Line 1 openings: Size -Min- ------------ „x Size -Min. - --------------- �yi n Spacing -Max.- - --- Each Side of Openings From Ends -Max. ------- With Width over --------- line 2 Piers: Line 3 Piers: (Under Bearing Wall only) Size -Min.------------ „ Size-Min------------------- Spacing-Max ---------- ------------------ Spacing-Max.--------- ,_ „ Spacing -Max ---------------- From Ends -Max.------- From Ends -Max -------------- �_ n Line _LRoof Loads: '� y ,7 ,p- K t\o o �y� i 0 1 � Size-Mio.----- -- --- ! r/ C 1 PI -0 „x .,x -,x ,k .. a „x nx I. -,x -k n 1 .Location (From Front) _ _ _ �_ ., _ �_ '_-1 -_ .1 Line 4 Piers: Line 5 Piere: (Under Bearing Calls n y Size -Min------------- ,k Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- , „ Spacing -Max .------- -------- From Ends -Max.------- ,_ „ From Ends -Max -------------- �_ n Line 5 Roof Loads: Size -Min -------- -- ,. "x ,,x ,k n nx ,' ,k nx n ux n ax n Location (From Front) LOPEZ ROOFING 3543 Independence Road Fremont, California 94538 Telephone (415) 657-4709 License No. 356262 r' n aT• md,F..,t•.. 'P' \krf ©��'� Il ©.Mif Tr t ) 1 ` f t Oro, 'Ya' (fir , SiG BUTTt COUNTY SCHOOLS DEVELOPENT FEE CERTIFICATION FORM �� d W ( One Form per Building ) A.P. Number p �/ - ( Building Department No. School District nro UA1,011 _9s City Q County Jurisdiction Property Owner Lone U4 A s t 0 r�© V1 Project Location/Address� 5 33. 8,9�� Subdivision Lot Number _ f.. �!t',..r.�`.. 4 .. Y ,:?t_...,*j c. .. VW -7 c% .,�..,y; _//.,r.si Residential Development: • �' '• � Sq. Footage # of Living ( HI Addition ((Group Units �tE' fQC- S �.I1 1�C2C'l �C�V` r✓�, 1�'/�� 1^t dna G0 l� ea I IOrI N'►Ct�Cd l ipa Commercial/Industrial: Sq. Footage - New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* Ny _ k(Floor- Plans reviewed 'by School DistrictPersonnel)�,�#, District Id No. 9 1 0 1 7 3 0A4y-A U&4_� Vt�A School District certifi s that (Applican e), (Phi e Nu ber) (Stree Address City State has complied with' the requirements of, R _ r by th7) payment' of `$ �'; ,;. rep' 1 District Repre I PAID BY CHECK NO � a BANK 'NO 7*. „i PAID BY CASH htative REMARKS: 1 ,m6 ip Col rion No.g ' square feet. Date white -applicant, yellow -building department, pink -school district . c SCHOOL.FEE (8/88) AP # OWNER Z PERMIT'. ik-2 Mi UTIL.CLEARANCE DATE —c�2 cS— '5? INSPECTOR ELECTRIC GAS Support Struc. Compaction Test.Req. Service Size Other Load Type* Pipe Size Length YESj NO YES NO LP x /k? COUNTY -OF BUTTE - GEP'ARI M,ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND. PERMIT ASSESSOR E= NUMBER ZONI BUILDING PER14 MI OWNER XITELEPHONE SW FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RE55 CO CT A TELEPHONE CONTRACTOR 5 ILI 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 Permit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P R L MA 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 G W 0.00e TYPE OF WORK New❑ Addition❑ Remodel Utilities Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00, Main service 100V OR LESS 600 AMP OR LESS 10.00 (j Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business an • Professions Code and my license Is In full force and effect. icense 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 CCUP.. OR ADDNS. ACC. BLDGS. ,/zQsgft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 6 \SINGLE OUTLET CIR. Ex.00Cu o p UTLETS OR FIXTURE 200e0e BAL®30 Ex. OCCUp. OUTLET S FIXED -((RESID )LNS REA./ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee . $ 3 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 f 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 Coolin g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstrty in consequerr,ce of the granting of this permit. X— Date %� _ I — Signature of Applicant — Owner ! ontractor ❑ 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 TOTAL FEE $ HAZ CUA `� PARK SCHL "c- FL PPD � ` HD u Iss `— This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which fees DIE OR PUBLIC By PERMIT EXPIRES Date ���. the applicable provi- resolutions to do have been paid. WORKS Date "Z-4424) Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO` Buildina Department FRAM: Environmental Health SUBJECT: Sanitation Clearance Owner I Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Ciearance for bedroom immobile home. Other NOTE *** Sanitarian w Water Supply Water Supply Water Supply Date COUNTY OF BUTTE - DEPARTMENT -00 PUBLIC'WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI4-LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET' Ems/ J� Permit No. - OWNER 4d Com' 1 �A%P. o. `-� Proposed Building Use Building Inspector Date ' aI :At time of p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I DATE RECEIVED' APPROVED All items have been subml ............ �� ............ 2. Plot plans in duplicat riplica.. , si ned by preparer of�plans........ 3. Complete plans in d plicate/tr" Cate, signed by prepa'rer of plans . .UO ZIZV 4. Complete engineered s and calcs, with wet signature on plans 5. Hazardous Material Form ............................. ...... , 6. Energy'Design Compliance and supporting documentation ......: C /OM1-7� Ir 7. Statement of Intent for Non -Heated and AC Buildingsi�...........:.. 8. Engineered truss details and layout in duplicate (required prior to plan check, 9. Mobilehome installation data including manufacturer'sinstallation y� ................. �i ........... 3 z ----y - 10. Fees of $ ........ - instructions.......... ........ - " I 11. Chico Urban Area fees paid ....................... il............... 12. Park fees paid ................................... it .............. 13. School District fees paid ............. . 14. Sanitation approval from Health Department 5:' 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) jr 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2 Certificate of Workmans Compensation Insurance .1f .....:.:......... 3. Owner -Builder Verification (Given to owner 0, Mail�to owner ❑) ..... �4. Recorded copy of Agricultural Acknowledgment Statement ......... 6 25. Letter of signature authorization ................' l ............... . 26. I 27. 2w ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickupFat office. Deliver w/inspector. Other- Tj /0-S -7 if mac. Appl icant tI a• Date Copy of plans sent Health Dept., Fire -Dept., Other Date The following data must be submitted prior to permit issuan e: rcle new item not checked above). 1. Index permit for above items,No. dlC ,y 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 by—phone —mal l—counter by date Plans checked by Date Plans approved by �a- Date �A) Z It Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -.Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in'your name and bearing your signature. Please complete and return this information at your earliest -opportunity to avoid. unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 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 I Address . Phone Type of Work Signed: l Property Owner Social Security. Number Date Ib /t — � 9 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. Return to DPW" AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL, DEVELOPMENT Section 26-8.1 of the Butte County Code r.'equires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 90-404819 ; "Rec Fee 5:00. for agricultural purposes, and 'residents Cash 5.00.! of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Records ; use of agricultural chemicals, including, County of ; but not limited to herbicides, pesticides, Butte r 1 and fertilizers; and from the pursuit Candace J. Grubbs ; of agricultural operations including, Recorder but not limited to cultivation, plowing, II 10:51am 6 -Feb -90 ; BG ..1 , spraying, pruning, and harvesting which l - - -- -established occasionally generate dust, smoke, noise, and odor. Butte County has agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL 1: The Southwest quarter of.the Northwest quarter of Section 11, Township 18 North, Range 5 East, M.D.B. & M. Date: It'lW ZI PROPERTY OWNERS: EZ( ori ZQ�N� State ofmo � ) On this the / day of �CrdXe,-' 19 before me, SS. the undersigned Notary Public, personal11 ly appeared County o 11167 C� Z ® Personally known to me. roved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) - 11 — 1,���n,��o„uumuwmum�anuumnm�uw�� subscribed to the within instrument and acknowledged that 5- C OFFICIAL SEAL executed the same for the purposes therein contained. IN WITNESS ERNEST C. CUNNINGHAM WHEREOF, I hereunto set my hand and official seal: r m� NOTARY PUBLIC • CALIFORNIA ALAMEDA COUNTY My Comm. Expires Mer. 27, 1991 �uwuuuuuauunuruir���rmlliiliilili1i91�' L� y Present A.P. No. o2g'i7-�%� Notar ublic EN® OF DOCUMENT 4 , !41 A eoun4 of J3uUa OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Taurino Lopez ADDRESS: 3543 Independence Rd CITY & STATE: Fremont, CA 94538 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: February 25, 1991 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Permit expired, owner has applied for new permit. Permit #3439-89MH AP#28-17-71, Receipt #48363, dated 10-11-89. , Total Permit Fees Paid ---------------------------------- $70.00 Rptnin Building Permit Filin Fee----------------------- 10.00 TOTAL REFUND DUE ---------------------------------------- $60.00 TOTAL $60 00 I, 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. iY Dated this off ,,,,, day of „ 19 /, .. et �i� Calif. v--Z-4C./L-rL4D ..................'............... ...... . . .............. Signature of Claimant I. the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above hav en performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) fo fs�aDated thio........ ................... day of .... ..-4 .:.C:... I9,�f„/ at rove....... Calif. .. .... ..... .._..................... .........................Dnt Heed or Authorize Dept..,.,. Exp. C Code ±.i�tQ-QQ2................... Code ......... 4.2,1.05.Q0 ................... PAYABLE FROM ........'/++Qj.ti5.t:PermltS 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 BUT -(E'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSO - NU ER ..— 20NIN BUILDING PERMIT OWN TE EPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAILING ADDRESS e O TR ACTOR'SNAME TELEPHONE NTRACTO ILING 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 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ISARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeAA Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e . TYPE OF WORK New ❑ Addition ❑ Reenooe1 ❑ Uti Iities ❑ Installation Other ❑ Describe work:�!`fcL _� 11 _ Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 1 OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered /or sale. (Sec. 7044) IrCJ� I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ADDNS. (ACC. BLDGS. ,/z ¢sq ft TLET NEW CONSTRESID, RANCH CIRCUITS) NON-RESID BRANCH.CIRG ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C eAL030 D APPLINIS Ex. Occup. out OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a rtificate of Workmen's Compensation Insurance or a Certificate 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. perntlt 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 Co in consequence the granting of this permit. c,� %� Date /U �f� �/ Signature of Applicant — Owner o for ❑ 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 Q� TOTAL FEE $ HAz I CUA I PARK I SCHL ^� I FID 1 141 1 PD HD 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. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �;.iw1ti: Ypr��'f,��•ed�'.tivrSaR� � �'�..?�;:..►e�;:.�,,"'ice►-�,;wti•1�frlw.rn'4_ COUNTY OF BUTTE==DEPARTMENT'OF' PUBLIC WORKS'- BUILDING DIVISION 7 COUNTY CENTEF�DRVE - OROVILkE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEETA61 Permit No. OWNER�g I.GI--�/Q�� - A. . No� Proposed Building Use C Building Inspector Date`_�� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ' 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 r instructions ................................ .................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......................................... 12. Park fee paid .................................................. 13• School District fees paid .............. 14. Sa : l ation `approval from 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: (B) Parking: ...... PW*20. 8. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required.. Pre-Irispec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifi.cation) ... 22. Certificate of Workmans Compensation Insurance ...... ::......... 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows Mail to owner. Mail to contractor. Telephone and hold for pick1p at office. Deliver w/inspector. Other Applicant- / ,vyr 7,���� Date 7o i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle n 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 by_phone _maiI—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW ove) COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, 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 major labor and materials for construction of the proposed property improvement (yes or no) AJ 0-0 2. I (have/have not) eZ V— 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 f A — J/-9 2 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. tYl' .. .. - • .,� �8-17-71 439-89MHI �E -DEPARTMENT OF PUBLIC WORKS PERMIT o„ pe� Ittir#3 roville, California 95965 -Telephone: 916/538-7541 y ISSUeD ____ - — — "-APPLICATION AND PERMIT ASSESSO NU ER ZON1N - BUILDING PERMIT OWNER TE EPHONE SO. FT. OCC. BUILDING VALUATION �� OWNER MAILING ADDRESS a O TRACTOR'S NAME TELEPHONE NTRACTO (LING 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 ^ dAk9_Le Permit fee $ . PLUMBING PERMIT Filing Fee 1 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF ❑ Duplex[] Mobilehome Other SPECIFY Mobile Home S I G I W 0.00 e TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Util�i�tiess'❑ Installation Other ❑ Permit Fee $ li Describe work: —7 lS� 111 Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' 00V OR L Main service 100 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 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- s tion, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) NEW CONST. / DWELLING OCCUP.L\ OR ADONS. ( ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET U ) . XED A PPLNSOR FIXTORURES ExOccup(o FIXED Ex. Occup. OUTLETS (RESI.D.) EA. Temporary service Mobile Home Facilities y2¢sgft 2.50 ea zosaoC eAL030 2.00 10.00 15.00 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a 9znificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Heating Cooling Hood 3.00 to the W. C. laws of California. Ventilation. 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. 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 Mobile Home Installation Fee $ CLE Energy Inspection Fee $ occ CONST TYPE Q TOTAL FEE $ HAz I CUA PARK I SCHL I FLD J P41 I PD HD ISSUE against said County in consequence the granting of this permit. I —' !.1 _—gy' This permit is hereby issued under the applicable provi- X Date U sions of the Butte County. Code and/or resolutions to do Signature of Applicant — Owner o for ElAgent Elwork indicated above for which fees have been paid.. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. v 7-c TI -T sT WAN 0