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HomeMy WebLinkAbout028-420-076._. _ _ ----w. FF 175-90 -- - - A:P : 28 /� 76 v ROBERT A. KEMPH 4,10 Mission Olive Oroville � � ,, %3 KEMPH, Robert &Margot Permit 2125-73P,E aQ b'1� } • f' 814 Mission Olive Rd, Oroville (utilities for mobil a A Exe on Permit (store hay, 4 whee ers, trailers, misc..-.L - S _ COMPA ON T T REZ. AP 28 CO MH Service, Marysville Permit•#22/x, - I ` Issued Permit ##2572-75P (i stall backflow f t e n 'wa er line-install-tra "� x and vent on sewer) 28 -4? -76 - Y Permit' # 556 78P,E util. ,MH) ELEC GAS / SUPPO T STRUCTURE REQ. f,,SUPPORT, - COMPACTION TEST REQ. /!l 28-�, j 76 E contr: Oroville Pu� & c., OroviffIle Permit #5931-78E(i'ncrease elec.set for #5556-78) w A i 1 1 1 V el '4 COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC.WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965,- Telephohe:.;916/538-7541 jl % APPLICATION `AND PERMIT ---" ASSESSOR PARCEL NUMBER ?.9>— ZONING Intl M vi 5' BUILDING PERMIT OWNER -P TELEPHONE — S0. FT. OCC. BUILDING VALUATION 253750.00 OWNER'S MAILING ADDRESS 814 MISSION 0 'OROVILLE CONTRACTOR'SNAME , DON ',GEOR0-VTTMr TELEPHONE 533-6393 + CONTRACTOR'SMA'IdLIN.G,.._ DDRESS P.O. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3750.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 -- - Each Trap 2.00 I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other y SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other 4i Describe work: _ RE—ROOF WITH # 1 CEDAR SHARES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00v OR LESS 100 AMP OR LESS 1 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 Prof essign Coe and my license is in full fore d effect. 4 22U6 u-10 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.g OR ADONS. ACC. BLDGS. ) , ZhQsgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex.Occu / OR FIXTURES p(O 20®50C eAL030 FIXED A Ex. Occup. OUTLETS P(RE SID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i ence of the granting of this permit. X -'/./i' Date JUNE 15,1990 E]work Signature of Applicant — Owner ❑ Contractor ' PC] Agent/� A h0$HA�permit is,�required for excavations over 5'0" deep and demolition or construct- fon of structure`s.over-3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 54.50 HAZ I CUA I PARK ' I SCHL I FLD I PAR PD HD I ISSUE This permit is nereby issued under sions of the Butte County Code and/or inidre'ated above for which fees , DIRECTq$t F PUBL)f 0011 B y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. T ORKS Date 1,1114 0 Wg Receipt No.#(oi9(,� 9CA 1-11,g. Lb WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillel, California 95965 - Telephone: 916/538-7541 O cam—" ' APPLICATION AND PERMIT Vv ASSESSOR PARCEL NUMBER Z _ _ ZONING NtrA K 5 BUILDING PERMIT OWNER - R.A. KEMPH TELEPHONE 999-7111 A2 SO. FT. OCC.1 BUILDING VALUATION 9 3 14 A K E 3750.00 OWNER'S MAILING ADDRESS 814 MISSION CONTRACTOR'S NAME DON C. GEORC�FTTNC- TELEPHONE 533— CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLF Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3750.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess �'//iSS�v Qi✓� Permit fee $ 54.50 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 gas water heater or vent 5.00 USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FGTW7 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other] Describe work: _ RE—ROOF WITH # 1 CEDAR SHAKES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I.declare under penaltyof perjury p I y (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force d effect. 452266 C—.A License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP,& OR ADDNS. ( ACC. BLDGS. 2/z2sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS .& (SINGLE OUTLET CIR. Ex.Occu Occup( p(OUTLETS OR FIXTURES 20@50t BAL030 FIXED PR Ex. Occup. OUTLETS 1RESID )EA.1 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against. all liabilities, judgments, costs, and expenses which may in any way accrue against said C ty i ence of the granting of this permit. X Date JUNE 15 , 1990 Sig ' ore c Applicant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'Q" deep and demolition or construct- ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 54.50 HAZ CUA PARK SCHL Fro PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work i ted above for which fees DIREC PURL BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. RKS ate C C/ receNo.*UaB 9� !7q�S� P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 9. '.,,Electrical - _57 A.' .,Is service large enough to` provide adequate -amperage -to mobilehome (must equal. ratinga�cf mobilehome with a minimum of 00 amp)«and"other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No .B. `Is there proper clearances around panels? Yes Ae"�No C. Is power supply cord or feeder assembly properly fused? Yesy No D. Is continuity test satisfactory as•per the following procedure? Yes k-_�No —1. De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cordlor feeder assembly conductors, including neutral conductor, have.been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures andt.appliances, shall be tested for continuity from such equipment and the grounding coniuctor. �. Upon completion of the above proced �re, the power supply cord or feeder assembly S conductors shall be connected to thek•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 t'ag services. MOBILEHOME DATA % Manufacturer and/or Namestyle C6 L4141 /ez, t LengthWidth 4 Vehicle Serial No. <s 13 P _6_12.3 i 3 �__e 9 3.1 .State Identificati n No. Additional Information orComments: % G %do e, /s -v �G_5 5 / • ole,. _ V J�40 0Cd 1%d!c t/ R lice L G� r� �lro` A A471 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withrequired 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 �o 4. Is the mobilehome level? (Sec. 5088) Yes' No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes s No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID morin.)? (Sec. 5566) Yes 4--�'No B. Test.- Does water piping withstand working pressure or 50 lbs, air test? Yeses No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? YesP_�No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at.each end? Yes /---No B. Does it have.minimum '" per foot slope and is it properly supported? Yes' -/---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 Z ---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 k No B. Test OK as per following procedure? Yes A-INo 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? Yesy No_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovidle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the t;ounty or butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Addres's Telephone No. Fireplace Contractor ,; Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty 7 Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees „W .Q.:; 'Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plan s,Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ain service incl. 1 meter A ditional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ub-panel (12 or less) (mora than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 4 a Light fixtures b 0 Receps., switches & fix outlets 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: 4,_, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE $ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives or the t;ounty or butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date II COUNTY OF BUTTE — DERAR;TMENT OF PUBLIC WORKS �7 County Center Drive ,Orovelle, California 95965 f Tel ephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Coynty,of Butte to enter upon the above"mentioned roperty for insp ction purposes. r X _ Date �Signoture of Permitee or gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid DIRECTOR OF PUBLIC WORKS BY Date-_�? ,7S^ BaOdiwq. permit expires Date 4� " BUILDING Owner-� (��� i SQ. FT. OCC. BUILDING VALUATION //// Mailing Address �T U (� /Cf"%i 5pl?",k)a Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ { Building Address �® �/ �j,�%Z3/V Qfi1C�� PLUMBING No.1 @ FEE PERMIT FILING FEE —1$3.00 2 QD Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 U Each gas water heater or vent 1.50 A. P. No.Gas %6 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' '-Sanita•tien FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 �'7�T�.Cils �� �T• Water Heater or Space Heater 1.00 ` @2 Light fixtures b01010 Receps., switches & fix outlets 20025` 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: G � .. � � J © Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. ✓ Classification Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware bf 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. r -1I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so...as to become subject to the Workmen's Compensation Laws of• California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ . I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and Statey-Laws relating to building construction, and hereby TOTAL PERMIT FEE $ / authorize representatives of the Coynty,of Butte to enter upon the above"mentioned roperty for insp ction purposes. r X _ Date �Signoture of Permitee or gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid DIRECTOR OF PUBLIC WORKS BY Date-_�? ,7S^ BaOdiwq. permit expires Date 4� " 7 3 J COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone: 534-4541 APPLICATION AND PERMIT / - 75 au0:9 the Co of Butte to enter upon the abr insp io purposes. X Date gent Receipt No. 3 ��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code a o resolutions to do work indicated above for whi""ees�eXien pa1111 IR 01 AALIC WORKS permit expires Date BUILDING Owner O&W7— a_Xi JW SQ. FT. OCC. BUILDING VALUATION Mailing Address 140 _)/ //-)-AJsf-X� l e P -10- -10 qyj, � Q,7 / pT t 05,0#7z (`��/ �/ /� Y (� l, -d � �/L r Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty e Tlephone No. Permit Fee ! Building Address �� [�'6 ���ej� g?1,1'aL, PLUMBING No. @ FEE PERMIT FILING FEE -$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 O Each gas water heater or vent 1.50 A. P. No. / 49 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Se4Eai+en Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,moo EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ T-7-47 Cs NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .j,v Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol21 Receps., switches & fix outlets 20 jW 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of=Bus' ss & Professions Code under the name style of: ", -6 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. y Classification C" Misc. wiring ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against.liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL' No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and Sta w,s relating to building construction, and hereby TOTAL PERMIT FEE $ au0:9 the Co of Butte to enter upon the abr insp io purposes. X Date gent Receipt No. 3 ��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code a o resolutions to do work indicated above for whi""ees�eXien pa1111 IR 01 AALIC WORKS permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC R IS 7 County Center Drive - , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /�� Dy — v Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ildinq permit expires Date (�, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E,,�,tj5 �b.�,y,�,�, Total Valuation Mailing Address ,, j— `'�� Jrt�C �/wD Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ivS, .eJ ©L !/ 27 Each Trap 1.50 _ v Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— —76 ZoningGas &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improve p ovements Lawn sprinkler system 2.00 LST -B'f'dtl. Plans Recd Porcel proval Plans • pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7oO14o49,off/ 49,e /,V,y 7 =73 Main service incl.,11 meter C,,r�g��0) J Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 10 Light fixtures b I20 Receps., switches & fix outlets 25� 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:Water C/�Zc.4 :,.7�C�`'�- (;' /�'d���L��tiLr1��� �/ Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 /, f License No. x+'l %��� Classification L Misc. wiring . ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �J Date 0-90-1) ignat re of Permitee or Agent �d cz TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS. \.�1 %// Y� V /�� Dy — v Receipt No. / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ildinq permit expires Date (�, 9 5' i M03ILEHOME INSTALLATION INFOitMATION SHEET a� as �• Street or Driveway �•rJ a� I I I Mobillhome Gas' I Drain inle� Water Electrical) I -- I, .V) Width = ' m W o ` 0) IN ro u o Y `M N v ' � It oo N' o :•�� rd ON .UO n ro 4-jQ)4J E0 • JJ ri H •ri 44 p cd .a Uu4J (n p.� cUC H Q u a U) ci4d 4) 61 L] 4J O P• �C� O a) 0) C' + O to a) b Z Ef J.J 10 'U O ' � ,C O~3 H w •• N cel •rrf • :N 3J (� w rl y°, rl u a) r. O O y G { rn. �} r -i O M L1 .0 N O 4J 41 't1O N N 'oO ri•^ I ri H •rl (.-' al '.� •ri U U U M O _piJ O Z ® r0 A 04 a) H O . 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P-44uN'J HN° u I r -I r -(i JJ JJc rL( P ri w J, JJ H •r•1 C •H J •ri u O " a a) JJ C H rl 0 JJ ^ C, cd U M H C H o H a) O 'o 4 "4 O a) Cd � 1J U U E cd a) +• ri a N P aJ U r 4 >,, P+ JJ a) H LL u N N cd JJ a) u 4a cd •r4 O cn to as.man.n:+: v.•. - -i C N H -r -1 a) FyJ a it cd H <d P .0 4-1 CO , (1)_ j ° A .0 0) H P., cd >+ W U w Cy x 0 0 A ;� �i • 4.jJ Ham+ ' ri N c+1 7 trl "O ^ C0 t ADDITIONAL CO�D!7'.17S Drain Connector, Describe- t Ki 0 ids Water Connector, Describe .2 — t1 1 LOAD BEARING SUPPORT AND 2OOTING INFOafATIOIv' r Pier Spacing Used Maximum Pier Load Maximum Column Load (multi -units only) s -; Soil Bearing Capacity Footing Dimension Used TYPE OF PIER USED ' �+ Steel Concrete Concrete Block Other i TYPE OF FOOTING MATERIAL USED Pressure Treated Wood Concrete Redwood (Grade) Other Approved Type LOAD BEARING SUPPORTS . I `6718-7819- PE . RMIT NO. t PERMIT EXPIRES d OWNER Robert Kemph f CONTR. Panorama Awnings, Chico 28-19-k LOCATION (A.P. ) 470 Mission Olive Rd., Oroville a f i. fr i t - s R I t } fl h t k Temp. Power Pole } CaIIed,,,F�'G&E Temp.,�lec. Serv. t Oiled PG&E Te p. Gas Serv. Called PG&E JOB `Z FINALED / (Date) (Signature) Setback / Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION�RECORD BU1,LDIn BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Final Sanitation FIREPLACE Final Foot FIRE SPRINKLERS ELECTRICAL Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 2 � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -- - 7 County Center Drive - Oroville, California 95965 Tel ephone;- 534-4441 APPLICATION AND PERMIT auu IVI Icw Ic(JICOCIRaUVV0 UI LIIC LUunly UI DULLU LU CnLUI UPUn Ulu above-mentioned property for inspection purposes. X �' Date i - I to —7 K Signatur f Permitee or Agent Receipt No. zer—�( ?6-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b paid. DIRECTO OF BLIC WORKS By Date//-/ 6 - 7iP Beding/permit expires Date 11-i6 -7.g r. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Ofteeoj✓ .2a0 L Q� Contractor w Mailing Address Fireplace Total Valuation � _elephone No. 3 p) Permit Fee 7 Building Address Plan Checking Fee &/or Penalty Permit Fee 00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ��—l�-�f — AngIf-& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe s' Jlo,— ar2 on FireDept. Fire Zone Use Permit Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer . 5.00 Bldg. Plan�c'd Parcel A rovaI Plans Approval Lawn sprinkler system 2.00 NEW ❑G- ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACC`BL.DGS.CCUP. 4� 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: y � 9y0rz, w A 46", 4 1 %J (,--s NEW CONSTR MULTI.OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS a NON-RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FI TIIPES1 5 L25 Ex. QCCU FIXED APPLNS. OR p. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '3'.+ S-7 $S Classification C -G i License No. Misc. Wiring 6.25 ❑ I am exempt from the Contractors 'License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ i Di auu IVI Icw Ic(JICOCIRaUVV0 UI LIIC LUunly UI DULLU LU CnLUI UPUn Ulu above-mentioned property for inspection purposes. X �' Date i - I to —7 K Signatur f Permitee or Agent Receipt No. zer—�( ?6-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b paid. DIRECTO OF BLIC WORKS By Date//-/ 6 - 7iP Beding/permit expires Date 11-i6 -7.g r. r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534=4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �-• �� +''- 7 for the following location: - Owner J Owner's Address Mobilehome Mfg. -Model �nC XOOF4P Year �n Insignia No. a;3­494W Serial No. �?4/po It is hereby" certified for occupancy at the above described location and may be occupied. Directoorr%of,Public Works � Dated o7S B Y _ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 1 FUN 5556-78P,E PERMIT NO. 0 i t PERMIT EXPIRES Robert A. Kmp OWNER CONTR. owner LOCATION (A.P. 28-19-76 470 Mission Olive Rd., Proville ' ... _.......ted; y r �anon 710 -76 4 Of t f> =- Temp. Power Pole Called &E )1 Temp. EI �y �jetlfCalled PG&E �yW-7 9 ( Com"_ p. Gas Serv. Called PG&E r%%/ (10 9 r F i JOB ,j FINALED c (Date) (Signature) 9. Electrical A. Is service Large enough to provide adequate amperage -to mobilehome (must equal P`_ftng"of. 'mobilehome with a minimum °Q amp),and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes V" 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 completionofrtle above procedure, the power supply cord or feeder assembly ` conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health -Department for.'water and sanitation? 11.' If,everything.okay, sign off card and tagyservices. MOBILEHOME DATAj LSZ.1 Manufacturer and/or Names Length U,C;Width l Vehicle Serial No. '_5 State Identification No. C7(57 Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit quired separation from lot lines and buildings and generally conform to plot plan? Ye 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 pap approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If mothan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fible connector of adequate size and properly installed (1/2".D 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 app s station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains -el A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes �No C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe?.Yes No D. If coach is not State of California appro tation 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 mobileh e gas line inlet without reductions other than the mobilehome connector. Yes o_ B. Test OK as per following procedure? Yeq_ 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. e� C.. Are all appliance vents properly installed? Yes_ No COUNTY OF BUTTE —.DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Vs Fir all SNI Piping Para is t Floor Restro Finish 2 Floor Windows 3rd loor St wall Siding To out Slab Roof Sheatkno Water PI in Piers Roofing 41Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents k If Water Htr. Stemwa I I Insulation X Heaters % Slab Prov. for ph sicall Appliances. p Car ort handica ed/ Conformance of ex. / Gas Piping & Tes Footings structure Temp. Gas .. Slab V Final Sanitation Patio A J`iREIkACE Final Footings Footing > ECTRI AL -,Masonry Walls tFna Rough Reinf. Steel Fixtures Bond Beam FIRE SPRINKLE Motors Framin Water Htr. Stucco Sub ane Mesh MECHANICAL Grd. F It Prot. Scrat " ServiBro n g T mp. Pole F ish is nder round Int for Lath' Vgntilation Permanent D or Closer anal Final OBILEHOME UTILITIES ------------------ Elec. Service & Elec. Pedestal Water Piping 0- , ✓ Sewer Q - Gas PipingF,0 5171TC7 0 67—VA-04— INSTALLATION 7 /Q04—INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,4-eA. I ell) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF,5UTTE — DEPARTMENT OF PUBLIC WORKS • w 7 County CePter Drive — OYoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4P BUILDING Owner (3k7f SO. FT. OCC. BUILDING VALUATION Mailing Address j•4S 5 ` Felephgng,N�,P.�� Contractor �+� I ilie Mailing Address Fireplace Total Valuation A4 Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. '` —� _ ing� Planning Water piping 1.50 Each gas water heater or vent 1.50 F s 9OWWOop Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA arking PPlans Parcel Declar ion Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans R c d I Parcel royal Pla pprovol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 , 600V OR L Main service ESS loo AMP LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ � ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLOGSCCUP. Si)l.22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le f: y . n�• 1 )OUTLETS Lo 19Mb i L° b-mP• Sneoi(° pi NEW RESID,CONSTULT I.OUTL T NON.RESID � BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 1 a X25 Ex. Occup.(FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. V Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 3e� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x wa D to Signature of Permitee or Age Receipt No.�n 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 above 7which fees have een paid. D PU C WORKS s Date Building permit expires Date 05 MOB ILEHOME' SUPPORT .DATA "s 1 If.other than single wide Mobilehome Mfr. 01 ewy X61) furnish Setup Model No. Ebe P Year �q79 Width_(ft.) Box Length(ft:) Tagalong or Expando Size_ ft. x _ft. (SHOW SUPPORT DETAILS BELOW)'.'. On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets,(if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft.)(in. Cente support loca ions. (ft.)(X.) (ft.)(in.) /(ft.)I (in.) in.. in. Center s port footing sizes (in (in.) (in.) (in.) (IV) x (in.)j (in.) Footings (check one) Single �o(� �� ® 1. Wood either pressure treated or foundation grade. 2. Other (specify) T Supports (check one) 1: Concrete block. 2. Other (specify) *Ifcenter piers are other than drawn above, draw in. -locations, spacing, and dimensions. *--Tagalong or Expando, T I show support details. `Ix` o I -- Typical Support in.) (in.) Footing Size am -- Max. Pier Spacing (ft.)(in.) Le—L;i ' �'�� -- Max. Overhang (ft.)(in.) BUTTE COUN i .Y WILDING DEPARTMEN a-PPROV.GD JZAk -c 9. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes Q No (If yes, furnish permit number . S,�76 `�g 1 �� ) 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 1jVk No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome X Yes / / No 7S77 site service? --------------------------------------------------- (If yes, identify the load and size: (Load) (Amp's) a 9. What is the mobilehome site gas pipe size? ---------------------- J (in.) 10. What is the type of gas service? -------- ------------------ '-' Natural / / LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome?� (ft.) 12. What is the mobilehome gas demand? ------------------------------ d (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft'. on jLPG. ) X COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -. Oroville, California 95965 ' Telephone: 534-4541 f S APPLICATION AND PERMIT BUILDING Owner POS& — A , C --A fP . SQ. FT. OCC. BUILDING VALUATION Mailing Address *4102 /A/Z)/,4&S'PeW S /Gba oG/A re Ce- '741V117 Tel gpFj No. 5w, �jf ? Contractor 0A E 2 /1J Mailing Address Fireplace Total Valuation Telephone No. Permit Fee BuildingAddress `T/ /v/ 70 A,'��/� �L�✓� Plan Checking Fee&/or Penalty - Permit Fee )eo4b. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 OO Each Trap 1,50 Zantng Yerificafion On[ Repair drainage or vent piping 1.50 /� A. P. G S" �� / ( �_�' Zoning Planni Water piping 1,50 00 33 bG Each gas water heater or vent 1,50 s S FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 YajD0 EQA Parking Plans Parcel Declaration Parcel M 60' R/W` Improvements Each additional outlet .30 Building sewer 5.00 1&4,00Bldg. PI ns Recd Parce A roval �� -Pp PldirS-Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ 3 a00.$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Jj00 Single Family Duplex Mobil Home Others s v ❑ p ❑ � ❑ 5.00 Main service 10ov OR LESS S,,00 100 AMP OR 00 A Main service EA, ADD•L 100 AMP 2,50 •� 500 SQ. FT. MINIMUM FOR MOBILES Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. Y OR ADDNS. ACC• BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR.S,D, -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS &, NON-RESID• SINGLE OUTLET CIR, EX. OCCUD(OUTLETS OR FIXTURES BAL@1 Ex. Occu P•(FIXED APPLNS, OR OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,p0 License No. Classification Misc. Wiring 6.25 ✓ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 03A0 $ 3 ao WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor IHeatino MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 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. !rrO 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. 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-meplQed property for inspection purposes. �lr Date Signature of ermitee or AgentOoop Receipt No. Io 'Z 2.6 6 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ aZ 5. too TOTAL PERMIT FEE is $ / oo 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. DI EC OF PU LIC WORKS By Date Building permit expires Date This s 4f of flans and specifications MAST bt. NOTE -,—All Materials & ,Workmanship Shall Be in kepi' on the job at all times and it is unlawful tr Accordance with Recognized Good Practices and make .amp changes or alterations on same withow of a quality prescribed for the Specificd use in the written permission from the Department of Pub the National Plum6irical Code.. Codes and Iic Works, County of Butte; . 4 0 tions shall be Ali utility eonne�c the rear located within 4 ft. outside home of the mobile Obile third section side of the ►r on the left ( . Thelft Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, opermitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. �\e0 Qlo��o�°Or I , and location @4 6alldv- 6-stoto be as pee Health Dept. Re - J $Ias�s� dU 1 1 C (J6i` i g1J1LDING DEPARTMElv�� PP���ED •Y::.4 �� FJ -. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � ffzdire,6 -r Date/6 —:I," 2:r Signature of Permii�teo or Receipt No. 18 L r' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Th' rm tis hereby issued under the applicable provisions of e Butte ounty Cod and/or resolutions to do work indicated above for hi fees ave been paid. R /T/%O�R�OF PUBLIC WOR�So J BY ✓l t✓i� Date Is-11?n Building permit expires Date /0 S BUILDING Owner goBE,e7- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor OjQQ �//[ L pU/t/j%J c} El—C'e— I C. Mailing Address P. 0 BOX 971 Fireplace II Total Valuation � G ORO VIUE, �A- �S7,�m J Fey �1 ��j—eG��3 Permit Fee Building Address ?� Plan Checking Fee&/or Penalty Permit Fee 10 "6510 OZ -165 PD. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. 2E; A /9 %lam Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sa4i4a4on Fire Dept. Fire Zone i Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60R/W ' Improvements Each additional outlet .30 Building sewer 5-00 Bldg. a—ns ecn Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER L•of Permit Fee $ $ 111)69CASC ELEer SC2(110E ML ELECTRICAL No.1 @ FEE b / `L )94 l_ .4.1; 6556,--78 PERMIT FILING FEE J$3.00 5,00 Main service 600V OR LESS 100 AMP OR LESS S.OD Single Family ❑ Duplex ❑ Mobil Home Q— Others ❑ Main service EA. ADD -L 100 AMP 2.50 0 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST V ADWECCLBLDGS.CCUP. !) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y TLET NEW RESID.CONSTBRANCH CIRCU NON.R ESI D. � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 91 NON.RESID. SINGLE OUTLET CIR. Ex. OCcuD{OUTLETS OR FIXTIIRES 50@254 BAL@1 Ex. OCCU FIXED APPLNS. OR p. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /�`U� License No. Classification "ld Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , 50 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. thave placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. certify that in the performance of the work for which this rmitis 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ j r�-C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � ffzdire,6 -r Date/6 —:I," 2:r Signature of Permii�teo or Receipt No. 18 L r' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Th' rm tis hereby issued under the applicable provisions of e Butte ounty Cod and/or resolutions to do work indicated above for hi fees ave been paid. R /T/%O�R�OF PUBLIC WOR�So J BY ✓l t✓i� Date Is-11?n Building permit expires Date /0 S DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 H 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ a72-2961, Ext. 58 November 5, 1979 Robert A. Kemp 470 Mission Olive Road Oroville, CA 95965 Dear Mr.. Kemp:'. This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at 470 Mission Olive Road Oroville and identified as A_?�-;z' 28-19-76 = This variance was granted on October 30, 1979 and includes the following conditions: 1. The variance is granted only for a term of one year.. At the end of one year you must apply for a new vari a��ce if the -use is to con- tinue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance auto- matically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed :within 120 days, the County may remove said mobile home and store it at the ovinerls expense. - 3. The mobile home shall be placed o:: the property without violating any of the setback require:-ents of tie zone in which the property is loca ted.. 4. The applicant shall secure all necessary se:wa-e disposal, electrical, plw_bir_g and building permits r_ecessar:,­ to install the mobil.e :co: -e _ Very truly, TTI Van -hart", Direc uor L sion Oi i.nv_ror�enval health LB�T/j_ ✓✓ cc: Clerk of the board l ^nir_,:7 D=part^eLt ui1din Doart went r'-fivi on antal ea_lth N September 19, 1978 Mr. & Mrs. Robert Kemph 470 Misfion Olive -Road Oroville, California Dear Mr.. &, (AI's. Kemph .This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your propera,�y :- located.at 470 Mission Olive Road, Oroville AP#028-19-0-076-0 Street Address AN This variance was granted on_ September 19, 1978 and includes the following. conditions: 1) The variance is granted only for a term of ofte year. At the . end of one year you must apply for a new variance if the use is to continue. 2) If -the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be removed within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the owner's expense. 3) The mobile home shall be placed on the property without violating any of the setback requirements of the zone in which the property is located. 4) The applicant shall secure all necessary sewage disposal,.electrical, plv�;ibing and building permits necessary to install the mobile hone. Very . truly yours,OPP LYNN VNHART, Director. :Division of Enviro;Lnental Health cc: Clerk of the Board Planning Department ./Building Department Oroville Environmental Health COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuivr+ca reNreaenrauves u+ trie uuunty ui nutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. – Yello—Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ . FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping ' 1.50 , Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1 - 5 outlets 1.50 /. Each additional outlet .30 Fees W. C. Sanitation 'Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES 0 OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal(d2o Receps., switches & fix outlets Q 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring :C I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuivr+ca reNreaenrauves u+ trie uuunty ui nutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. – Yello—Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORJ'14� ia authorize re en tives of the County of Butte to enter upon the above -me oned operty for inspection purposes. X ate Signature of Peerrmmitee or gent / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B Y Date _ Building permit expires Dafe ` �— BUILDING Owner �.7 A SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address.540 Z -f � /1)0�`t CA �''� elephoneNo. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address al� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 a. 0-0 �WCJ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1,,S-0 Each gas water heater or vent 1.50 A. P. No. Z }- it '47on, , l S Gas piping system 1 - 5 outlets 1.50 1-6-0 Each additional outlet .30 W. ire Dept. Firezone Use Permit Building sewer. 5.00 EQA Parking Plans ParcelLawn Declaration 60' R/W I Improvements sprinkler system 2.00 / ParcelApproval Plans Approval Permit Fee $ Q,Q $ NEW ❑ ADDITION [J UTILITIES UTILITIES � OTHER ❑ No. @ FEE PERMIT FILING FEE $3.00: --U Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven. 1.00 _512'D / L ✓ Water Heater or Space Heater 1.00 Light fixtures baldlo Receps., switches & fix outlets 25 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: g Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S< --O Temp. Power Pole 5.00 License No. Classification Misc. wiring IN I am exempt from the Contractors License Laws of the State of California. Permit Fee $ f/ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws elating to building construction, and hereby TOTAL PERMIT FEE $. authorize re en tives of the County of Butte to enter upon the above -me oned operty for inspection purposes. X ate Signature of Peerrmmitee or gent / Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B Y Date _ Building permit expires Dafe ` �— i■■.■■■ ■ ■R NUN■�■■■i■■■■■■■■■■■■■.■■■■■ ..s■■.■■■ �■■■■■ ■■■■■.■■■■■■■■■■.■.■■.■ viii■iiiiiiid"-■k.■ii■■c.�i■iiiiiiii�iiiiiiiiiii�■i �■■��■■m�p��N-.i'H'''�■,M,'EEMMiiiiiii Immo"NEEMENUMEMlimmmomm :■.■■im M NNE�M���OEM ABLE 1121 &SOMEONE I■■.■Ill..■■■i.■■� I■11=8 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ..� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 1-7-5--10 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASFASOR PQMRCELN ZONIN M\5— ER r -- PHONE NO. �`� -3 OWN ER'S AD p L�ATION OF BUILDING US 9F BUILDING l t Vl 4-w l�rs �Or a I`cc.` f SIZE OF RUCTURE JYBCS X " I O SP J AY, = — SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_CONCRETE OTHER (Specify) TYPE OF SIDI 1 ROOF COV IN � a FLOG YPE ESTIMATED COST OF CONSTRUCTION $ ==a ?f AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT .So'�a--i SIDES �� ( REAR f AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupa Date1-96? Signature of Ow Permit Fee - $25.00 Receipt No. !�2 The above described AG Building is exempt from a building permit. FLOOD PARCEL P.D. ROOFING ISSUE _ Director of Public Works By Date %/, 7— White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant va- feo .-- .. ._-- ., .^-';--t'7't}}��rYYrti �'1"��"'.T _ � +•� w+re,... `.r.^a-..-i.p COUNTY OF BUTTE - DEPARTM ,j Tf.9F PUBLIC WORKS -BUILDING DIVISI 7 COUNTY CENTER DRIVE - OROVILL' C'A&FORNIA 95965 - TELEPHONE: 916/538-7541 ON PERMIT APPLICATION DATA SHEET J� Permit No. OWNER \D ��� Q'� O��► A. ..No.^ Proposed Building Use Building Inspector Date At time of permit application, I was advised the 1161lowing data must be submitted prior to permit processing and/or issuance: ti 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 . . t 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 $ ........................ 1T1: Chico Urban.Area fees -paid ....................................... 12. Park fees_paid-:.......... ........................................... w School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ............................. 7....... 16. Plot.plan ald,business license approval from City of _ f,(see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . P'e-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy'of Agricultural Acknowledgment Statement ......... 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 pickup at office. Deliver w./inspector. Other Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional. items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by -.date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Sets of plans on hold in Ccpy—DPW Date Plans approved by File cabinet AP folder Date