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HomeMy WebLinkAbout028-300-034` . ' ' �. � 28-30-34 FPrentice Nunn Or Ban GA zo COMPACTIN TEST REQ. AL -6 - iermit . � | . � � � | ` Issue 028-300-034 02-3274 INALE / . - ' � 028-3bo-034 02-3268 STONEHAM, GREGORY 303 BANGOR PARK RD., BANGO REPLACE ELEC. SERVICE PANEL. � . . ' ` . ` \ � ( � � � | ' / ~ ' ^ . _ ) � ' . � . ' . / } ` ' ��J��J�>> ` ��J :ip;fj� ,t'�7r sic,. r�T 'r�'•'.r ^"..�^��';'!!9l►'•Y T"�T",%1� Y, ,� >, err♦ t.'"., g.—�:�.�.:�p ®����^� -• t,;.: f N OFFICE COPY Address C) 362i 4 -n 7 GAS Meter By Date ELECTRIC / (E- Meter By Dae ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N�qq (Rev. 12/96) APPLICATION AND PERMIT (�2 - �2' z -7`t - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER c ;r-ra to TELEPHONE r a_� SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES 0 1, 1' ?. ' "� i. %1 n / CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS „0 n r rBANGOR Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: `'7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. S. s0 3.50F7_ NON R61D. ' MULTI -OUTLET @7,50 a PsINOWER APPARATUS G. oun Er C.. Ex. Occup. OUTLET OR FDCTUREs BAL ®I:w FIXED APPLNS-OR. Ex. Occup. OUTLETS REBID. E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 41 1 certify that in the performance of the work for which this permit is issued, I shall I not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. rf_. I �' X t Date �� .-i " C.-1 _ Signature of Applicant �(YOwner ❑ Contractor ❑ Agent'.,�,�--",�`p~ An OSHA permit is)required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in heigh . MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONSTTYPE . TOTAL FEE $ 143.00 HAZ. D. FEES IMP CDF PARCEL Po HD SPIE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B //,nom �V�ri' ' , f y �D" PERMIT EXPIRES ON oh- the applicable provisions Resolutions to do work been paid. Date �� 5 h- S/63 / pate). Receipt No. 1� AtPTAT� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE, ` j BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES -° 411 Main Street• Chico, CA • (530) 891-2751 _ 7 County Center Drive • Oroville, CA • (530) 538-7541. CORRECTION NOTICE t' OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is. completed. If you have any questions pertaining to this matter, or need additional explanations please contact this office immediately. - 1 r Date Inspector REV 10/92 psi-""?i��""�„�y� �.scry07�?x�y:;:�'7!�Jf.i.•c1,ii*'+�+�SiF.�wiv��Ni.f;�^y��'�1.''�,�' .+ x ` w `3�t - MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION —COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: 01'a- 3Ooe-a3'-j PERMIT NO.: 79• -,y 02. -, 3l7�I Owner's Name: ) 15# Owner's Address: Mobilehome Manufacturer: Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: V/5 L !W40 KO/_? Official approving 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. 513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor +' �'���OY� _a,�•..`"I.'a�.: rr :•iY� �^Vcw"v{��-�✓i/A':. Y.. ..,.�-M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -014 ZONING BUILDING PERMIT OWNER c�rr�t+t r M TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDREs an11 > 1 1) asa - -_ CONTRACTOR'S NAME � �- TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 303 BANGOR PARK RD., RAMOR Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome O Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation O Other O Describe Work: REPLACE E.LEGTRICAL SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '."'.A' OR LESS 23.00 3,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: IF I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors ' to construct the project.re-inspection O 1 am exempt under Sec. , Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) " 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply -with those provisions. - X Date //' r -1 L_ Signature of Aplic'anf-,I];.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. Main Service To L 46.00 WEE200A NEW CONST. DWELLING OCCUP. SO U OR ADONIS. ( & ACC. BLOS. 3.50FT. NON -ROE ID. T. BRANCH CIRCUITS MULTI -OUTLET @7,50 APPARATUs 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL FUCED APPLPS. . OR Ex. Occup. 5.00 ouTLETs RESIDEA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PERMIT FEE $ 66.()() MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE , TOTAL FEE $ 66.00 HA2. ..., I D. FEES IMP FLOOD COF PARCEL PD HD ISSIJS This permit is hereby issued under the applicable provisions of the Butte Zounty Code and/or Resolutions to do work indicat�d aL�ove which fees have been paid. "`///vvv B r j' - t Dat 1' '/D y PERMIT EXPIRES ON t'y Date Receipt No. , /i-1 ti% t!/R il�/� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION / 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/9Z) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-300-034 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I? a BQX BANGOR) _201 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 103 BANGOR PARK ED-, BANCM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: REPLACE ELECTRICAL SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I w@20.00 1 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service 200A OR LESS 23.00 23 . O LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tOooA 46.00So WEU200A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACc. BLDS. SO 3.50FT. T. NON -NEW RESID. MULTI.OUTLET @7.50 OWER APPARATUS a SINGLE OLITLET CIR. Ex. OCCU OUTLET OR FIXTURES zo @ 1.00 B20 g .50 FIXED APPLNS. . OR Ex. Occup. ounETs RESIDEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 pre—inspection 23.00 PERMIT FEE $ 66-00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) J 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 'ions. fo with comply�fth s p7", X. -�__ Date /�— — _ Signa ure Of nt - ` wner ❑ Contractor ❑ Agent An OSHA pe t required for excavations over 5'0" deep and demolition or construction of structures ver 3 stories in heig MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ TAL FEE $ 66.00 CONSaF-EE-S HAZ. FLOOD J.CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable Butte unty Code and/or Resolutions indd a ov whi h fees have been of Pd By Da PERMIT EXPIRES ON provisions to do work paid. ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 Fev.,2(96) APPLICATION AND PERMIT A:SESSORPARCELNUMBER ZONNG BUILDING PERMIT OWI 4 ELFP NE SO. FT. OCC. BUILDING VALUATION v v 0-1 /-- PERMIT4FEE$ELECTRICAL PERMIT Fling Fee 20.00 CONTRACTORS MAILING ADDRESS ORLEsszo.A Fireplace - ------ CONSTRUCTION LENDER Service LENDERS MAILING ADDRESS NEW CONST. OR ADDNS. DWELLING OCCU & ACC. BLDS.3.5CFs•TG, Total Valuation S NEW CONS ' NON-RESID. —'— -- ARCHITECT OR ENGINEER LICENSE NO. Fling Fee Permit Fee $ $ 20.0.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ - BUILDING ADDRESS Energy Plan Checking Fee $ - PERMIT FEE S LOTNO. SUBDNLSIONSNAME PARCEL MAP PLUMBING PERMIT Each Trap Filing Fee 20.00 7,00 — USEOFSTRUCTURE ❑ Duplex ❑ Mobilehome ❑ Other Solar or heat pump water heater#23.00SF Water I in PP g 5.00TYPE SPECIFY Each as water heater or vent5.00 OF WORK New ❑ Addition ❑�Remodel Utilities ❑ installs ❑ O�� ❑ Gas i in s stem 1 • 5 outlets 15.00 Buildin sewer 15.00DE r?be Work: �_/ � Mobile Home SIG W @20.001 *PERAkIT FEE PAU> SRI • SHERIFF OTHER AAbVNT RECeZWb ------------- If POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 SAL @ .50 Ex. OCCU FIXED APPLNS. OR OUTLETS RESID. EA I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 w Wir 223.0011 ERMIT FEE S MECHANICAL PERMIT cling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee 1 $ Energy Inspection Fee $ so 2AA occ RE&MVT NV�coNsr. TYPE � TOTAL FEE $ / NAZ. I D. FEES I IMP FLOOD COF PARCEL PO I HD ISSUETO is " � WWVM 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 ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT Date PERMIT4FEE$ELECTRICAL PERMIT Fling Fee 20.00 Main Service ORLEsszo.A OR LESS 23.00Main Service 200A TO 1000A46.001 NEW CONST. OR ADDNS. DWELLING OCCU & ACC. BLDS.3.5CFs•TG, NEW CONS ' NON-RESID. MULTI.OUTLET @7.501 If POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 SAL @ .50 Ex. OCCU FIXED APPLNS. OR OUTLETS RESID. EA I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 w Wir 223.0011 ERMIT FEE S MECHANICAL PERMIT cling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE I S Mobile Home Installation Fee 1 $ Energy Inspection Fee $ so 2AA occ RE&MVT NV�coNsr. TYPE � TOTAL FEE $ / NAZ. I D. FEES I IMP FLOOD COF PARCEL PO I HD ISSUETO is " � WWVM 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 ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT Date COUNTY OF BUTTE-DEPARTMENT'OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �/ ASSESSOR PARCEL NUMB b ✓ D D✓ Proposed Building Use: i Oil C Counter Technician: a Date: 11 Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,t` y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the p' reparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ned by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for"Non-heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit..................................................................:...... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent- by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ��❑ 2. q* Encroachment Permit fol driveway from the ' ublic Works Dept. (construction approval prior to occupancy). 22? i4:Prenspection for y required ................ p Contractor's license information. (Number Name Style Classification) ...................... 0''24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization .... :............................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been infor ed of the above items and requirements for obtaining a building permit. Applicant: i !, Date: 1. Index permit applic /4 for the above items numbered: 2. Additional items required Plan Check Letter Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: i REQUEST FOR IN ECT) Location: 0 Owner: Comment: it No. Dov arm Contractor: 4 Final Final Final C Fi Date: Call Phone: tr— .w� d 111A� i PLUMB/MECHM.H.I./M.H.U. L�ECTRICBLDG. PRE - Form Rough 9 Rough Fnd/Ftg INSPECTION Frain Ioor Top Out Temp. Service ucco Lath Gas Pi in glTest p in Service Corrections Job Status. wn Temp. Gas ound Final Renewal Woodstove Sewer Piping Well Circuit Verify Utilities POOL Brace Panel Water Piping Ex Mobile Site Insulation Shower Pan Nailing Demo Gunite Bonding Corrections Corrections Corrections Light Niche orrections Ready for nal Inspec. on: 4 Final Final Final C Fi Date: Call Phone: tr— .w� d 111A� i PRE -INSPECTION REPORT W11707MAN � r, .. MTO 13 5 T.•�I . . . . BUILDIIYG INSPECTOR'S REPORT Building Description: Co n nerciallUsage: ResidendaY# of Units: Currently Occupied Abandoned/Vacant Electric: Gas: Yes No Condition of Electric Electric currently On Off Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on reverse and indicate location on proper, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION %_ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541DZ , �PERMIT z71� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRES CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS �M BANGOR -PARK _RD_ RANCOR Energy Plan Checking Fee $ $ PERMIT FEE $43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MHT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR UE Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA TO ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢Fr_ =R61DT MULTI.OUTLET @7,50 OWER APPARATUS SINGLE ourLET C.. Ex. Occup. OU UET OR FIXTURES 00 BAL 6 I 0 Ex. Occup. oFimEDrs-REBID°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forAwith Com l withse pr isions. F X —� _ Date %�d �,� Signa e oq icant - ' caner ❑ Contractor ❑ Agent An OSHA pe it' required for excavations over 60" deep and demolition or construction of structures over 3 storie in heig Mobile Home Installation Fee $ Energy Inspection Fee $ occ CO NST. TYPE TOTAL FEE $ 143.00 ;HA;Z. D. FEES IMP oo CDF PARCEL PD HD S Ve This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I fDate applicable provisions Resolutions to do work been paid. ate 1/1 k 51b 2 ,� d Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 �f':ev.12�96) APPLICATION AND PERMIT I r Aj SESSOR PARCEL NUMBER / 2 ZONING ' J BUILDING PERMIT OWNE ELEP N SO. FT. OCC. BUILDING VALUATION OW S IUNO S __.. CONTRA R' TELEPHONE COM TORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace — S ARCHITECT ValuationECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ BUILDING ADDRESS Plan Checkin Fee $ Energy Plan Checking Fee $ - IAT NO. SUBDIVISIONS NAME PERMIT FEE S — L AP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilehome Other Water piping 15.00 SPECIFY TYPE OF WORK Each gas water heater or vent 15.00 New ❑ Addition ❑ Remodel ❑ 'lues nsfaltation Other ❑ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Describe Work: Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 Main Service EOOV OR LESS 200A OR LESS 23.DD Main Service 200A TO 1000A I 46.001 NEW CONST. ( DWELLING OCCUP. OR ADONS. & ACC. BLDS. 3.5¢R: NEW CONST. MULTI.OIlTLET NON•RESIO. @7.5D POWER APUS 8 SINGLE OUTLET US EX. Occup. OUTLET OR FD(TURES 2O @ 1.00 aAL EX. OCCU FIXED APPLNS. OR OUTLETS RES10. EA I 5.00 PERMIT FEE PAlb Temporary Service 1 23.00 SR� Mobile Home Facilities 20.00 • �-- SHERIFF Misc. Wiring 23.001 OTHER s PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling • Hood 6.50 Ventilation AAkbVNT RECEIYEb PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ wR�� Dcc L ON�T. =TOTALFEEI TOis � _� co� HAZ. D, FEES IMP fL000 COF PAACEL PO I HD i 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 Receip PERMIT EXPIRES ON WHITE-O.D.S.-G.O. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �. COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ,, //`v ASSESSOR PARCEL NUMR o � Proposed Building Use: Counter Technician Date: i Items required in order to apply for a permit. All boxes MUST be checked 00 marked NA in order to a ❑ L. Plot plans, 3 or 4 sets, signed,ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets .of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design an supporting documentation in duplicate. ❑ 6. Manufactured homes (Q�j to sheets and installation instructions, (B) Marriage line informatio4,601r Plan, (D) Tie down or foundation plans, all ir`i dualicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ' ❑ 13. Other ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet....................................... sjx; �y,+15 Statement of Intent for Non -heated and A/C Buildings ............................................. �?_ f,�s❑,�`�16 ~ "Sanitation and plot plan approval from the Environmental Health Department in O"17. City of Chico Plumbing permit ............... ........................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23.• Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31.. Other: When issued Telephone and hold for pickup. I have been informed of the above ite s and requirements for obtaining a building permit. Ap icant: ,,, �� p _ Date�11 Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, d-signer,`owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: i Plan Check Letter ❑ phone, 0 mail, ❑ counter, by Date: _ ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date: _Structural approved by: Date: Yellow: Building Division /r a 13UTTE COUNTY 3ULDING DEPARTME ppRoVE 0 10,7, 3a- 7 L k 6Ur1"E COUNT WILDING DEPARTMEN' /�j�Oz�v7D0 03 L{ a4ecazy S#luloo�y-, 3013 J%ezl, "Fy7j02, L'w- r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 4XII I��� 2. Installer's name: 3. Is the site currently under permit? Yes 777r No (If yes, furnish permit number, 7 d ) 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? ----------------------- (r� a Amps 6. What is the mobilehome site service rating? --=------------------ %ol- 5— Amps 7. What is the mobilehome site circuit breaker rating? ------------- /6 6 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) 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? Z12 (ft.) 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.) a• f (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. //'( /� � Cbl furnish Setup Model No. Year -.72 Width– /J_ (ft.) Box Length h J (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 di (in.) I (in.) jin.) X Lf t.)I (in.) (in.) (in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /Ax_� -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) 0_1 -- Max. Overhang (ft.)(in.). BUTTE COUNTY BUILDING DEPARTMEN'- APPROWE) �� Single F� 1. Wood either A A pressure treated or foundation grade. (ft )(in.) (in.) (i .) 2. Other (specify) Center su ort Center upport location footi sizes Supports (check one) ( ) 1, Concrete block. 2. Other (specify) X (ft.)(in.) n.) (in.) 4—Tagalong or Expando, show support details. -t (ft.)(in.) 'n.) (in.) - (ft di (in.) I (in.) jin.) X Lf t.)I (in.) (in.) (in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /Ax_� -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) 0_1 -- Max. Overhang (ft.)(in.). BUTTE COUNTY BUILDING DEPARTMEN'- APPROWE) �� O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid ttmeoeat�►y in processing and issuing your building permit. No building permit will be issued Iiia db verification is received. personally pl o provide Z4fi`ajor labor and materials for construction of the proposroperty im veru :YESNO 0 4J, HAVE HAVE NOT 0 signed an application for a building permit for tie pcopo'ed wade have contracted with the following person (firm) to provide the proposed eonst:uedm . FJ NAME: ADDRESS: CITY: PHO�E: COIN-kCTOR'S LICENSE NO. I plan- to provide portions of this work, supervise, and provide the major work: ADDRESS: PHONE: but I have hired the following person to coordinate, CM: CONTRACTOR'S 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 XOTF: This Owner -Builder Verification is required by Section 198.31 oad 19432 *Ad California Health and Safety Code. This verification must be towpAWd aid returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION An applicarion for a building permit has been submitted in your name listing yourself as the builder of property, improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of recoed on such a permit. Building permits are not required to be sighed by proper, owners unless they are personally p-1---"16eir own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their lice= number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subconaact, you ihould be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work (iincluding ==rials aid other toss) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be F.nancial risks for you if you do not carry out these obligations, and these risks are espeeialiy serious with respect to worker's compensation insurance. ♦ For mere specii-k information about your obligations under Federal Law, contract the Internal Revenue Service (and, IC You wish, the G.S. Small Business Administration). For more specific information about your obligations under Save Law, ccrcic: the Department of Benefit Payments and the Division of Industrial Accidents. If zt.e maucrure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or Erxoug;h their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permir, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your corununiry er at 1020 N Street, Sacramento, CA. 958 I4. Please complete the -0-- ner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. XLA(6X---1 tel C. Vilira, C.B.O. ger, Building Inspection NOTE: Tlrs Owrter-Builder Information is required by Section 198J0 of the Calijornla Health and Safety CO& OVER a NOTE:—All Materials & Workmanship Shall Be in } .Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 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 permisson from the Department of Public Works, County of Butte. All utili ty conI nections shall bE located within 4 ft. outside the rea third section of the mobile horne on the left (road) side of the mobile home. i o eptic system and location of build - on g drain stub -out. to be as per utte County Health Dept. RP.AKT - uirements. �6 P/1), The 9 - dine of :�fa21 fall e 6N. 4 A permit will be required for the installation of the mobilehome. k shall be 5ft. from the ie and 50 a maxi - road, permitting lve overhang but entirely yo82 - Z,$ �-- BUTTE COUNTY BUILDING DEPARTMENT APPROVED U a a z�g i r '�P,E IT N0. PERMIT EXPIRES Prentice Nunn OWNER CONTR. owner - LOCATION (A.P.0 28-30-34 1 SIS Bangor Park Rd, app. z mi. W.of Ora Bangor Hwy i F I r � Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible 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 C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line 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 9. Electrical ' A. Is service large enough to provide adequate amperage -to mobileaome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pu�ps; 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 No 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 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 card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identiflication No. Additional Information or Comments: Stucco 4 Final 4 Sub anel Mesh MECHANICAL Gird, Fa t Prot. Scrat ` Heatird, Servic Bron CoolAg Te D. Pole PLUMBING L F ish I Du is U der round In rior Lath I V ntllation ermanent oor Closer InaI F nal MOBILEHOME UTILITIES ------------------ Elec. Service Lflec. Pedestal Water Piping -7—,,a 6779 Sewer Gas Piping _ BILEHOME INSTALLATION -- - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS wL CIT attars -6E- Q -k -V CT , A4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC' WORKS BUILDING INSPECTION RECORD BUILDING . BUILDING (Cont'd) , tback 0rewaII it piping Isms Par ets st Floor M In Bldg. Rest om Finish 2 Floor Aotings Windo 3rd)Floor Ste wall SidingX To out Slab Roof SheAVIhing If Water Pi n Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation X. Water Htr. Heaters Slab Carport Footings handicapped pehysicatly Conformance of ex. structure Appliances Gas Piping& Temp. Gas Slab A Final X Sanitation Patio FJAELACIE Final Footings Footing isonry Walls Throat Rough Reinf. Steel Final Fixtures Stucco 4 Final 4 Sub anel Mesh MECHANICAL Gird, Fa t Prot. Scrat ` Heatird, Servic Bron CoolAg Te D. Pole PLUMBING L F ish I Du is U der round In rior Lath I V ntllation ermanent oor Closer InaI F nal MOBILEHOME UTILITIES ------------------ Elec. Service Lflec. Pedestal Water Piping -7—,,a 6779 Sewer Gas Piping _ BILEHOME INSTALLATION -- - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS wL CIT attars -6E- Q -k -V CT , A4 (NOTE: An entry must be made on this form each time you visit the job site.) '�F' ___ COUNTY OF BUTTE — CIEPAR•TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee orAgent Receipt No. _25/ Z ? 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 a" which fees have been paid. , DtRE_C1r14OF PUBLIC WORKS Ua�u — Date 'Jd —W Building permit expires Date 7—,3o "0v BUILDING IV I Owner �eOoWcG N U NiN SQ. FT. OCC. BUILDING tALUATITN Mailing Address PO Aox jgt� 23n; "RA,AAvVC)P_ /Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address S S �� ng Fee&/or Penalty Planit Fee Permit Fee ^ Q.OiC ©eo PLUMBING No.1 @ FEE 1 (, i1 ("T W PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Z� .� ^ 3, a A. P. No. "� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es I W -C. SQrUpn I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EDA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements - Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd I Parcel p roval Plan proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ %YI V FO P �2,— %N ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST I. ACCLBLDGS.CCUP. Y) 20sgft 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: NEW CONSTR. MULTI -OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. (SINGLE OUTLET CIR. 50@ EX. OCcup(OUTLETS OR FIXTURES BAL FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) 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 $ $ MECHANICAL No. @ 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood J 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 U 'r TOTAL PERMIT FEE $ 3 8 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee orAgent Receipt No. _25/ Z ? 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 a" which fees have been paid. , DtRE_C1r14OF PUBLIC WORKS Ua�u — Date 'Jd —W Building permit expires Date 7—,3o "0v COUNTY OF BUTTE BEPAR-TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone; 534-,4541 APPLICATION AND PERMIT autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit a orAgent /�` (✓ Receipt No.7 9 White-D.P.W. - �Ilow-As h4rfso -Inspector - old nrod­p`p cont This permit is hereby issued under the applicable provigglogtLof�0 the Butte County Code and/or resolutions to do work I�Sc @d above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date^ / j 11��/ildinq permit expires Date /—f� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ?d, 23 A•✓ t3� Tele one No. // o 6 Contractor I J ec - Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlanCheckingFee&/or ^� Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 DQ Each Trap 1 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 A zsing $ Planning Water piping 1.50 ad Each gas water heater or vent 1.50 F W. Sat9i n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 v 00 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 pd �� Bldg. Plana..'d Par Plans pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES g OTHER ❑ permit Fee $ ,O $ O( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q 600V OR LESS Q Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home [200' Others ❑ Main service EA. ADD'L 100 AMP 2.50 �0 Sm go- FT_ MINIMLJM FOR MOBILES Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP, s OR ADDNS. ACC. BLDGS. / 20sq 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: %� NEW CONSTR BRANCH CIRCUITS) NON-RESID. (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occur){OUTLETS OR FIXTIIRES I5 L� EQFIXED APPLNS. OR Ex. CCU 2.00 p• OUTLETS (RESID.) EAJ Temporary service 10.00 Mobile Home Facilities 15.00 60 License No. Classification1 Misc. Wiring 6.25 .0 O I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 0 $ Z C 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'sCompensation Insurance. certify that in the performance of the work for which this prmit 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 $ $ 6 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 $ 2Sr TOTAL PERMIT FEE $ autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permit a orAgent /�` (✓ Receipt No.7 9 White-D.P.W. - �Ilow-As h4rfso -Inspector - old nrod­p`p cont This permit is hereby issued under the applicable provigglogtLof�0 the Butte County Code and/or resolutions to do work I�Sc @d above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date^ / j 11��/ildinq permit expires Date /—f� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �REN7r�e- 1,)VA)n/ 7 County Ceintetc. Drive, Oroville, CA. 95965 PHONE: 916-534-4541 7E( DATE 9 $gN6oR� LSA RE: A.P. # With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Labor Code Information List of Codes Enforced OTHER 17-1 We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ a-1,00 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. Plot plans in Structural details in Complete plans in prepared by registered civil architect. Engr. calcs. statement. engineer or sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 695 Oleander Ave., Chico �7 County.Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive', 'Oroville, for Copy of recorded parcel declaration. .Recorded copy of deed showing / / OTHER Should you any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Publi Works Glander JFG:dd Chief Building Inspector l° zit .UTM. CLEARANCE DATE��D FWSPECTOR —(2 ELECS, GAS-- - Support S. truce. s Compaction { Test eg o Senlice Other Pipe Siwe Load T e Sate Length 'YES NO YES NO V14 6 E t E. 6f C 9