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028-460-015
APv} z�"I7=ice" GARY n/ s Swedes Flat Rd., -10—M r"W� of r= Hurleton Swedes Flat Rd. Oroville Permit# 2322-7 P,E (util., MH)S r .e - / GAS SUPPO STRUCTUSE REQ. COMPACTION TEST .RBQ._ 410 28-17-�0 Permit #2936-76E(generator for, #2322-75) MH V- 28-17—J f ermit #2937-76MHTr-- • I s sued j l / 7702 ��A�/•-�Ol�%�% 28-17- Permit#5 0-79E'(ele ser ch) MH�� 28-1 30 1336-91P,E MOORE, Wil 'am 1293 Swedes at Rd, Bangor Cont: Schiedack Const (60-640 mh _util' s) ; - ELEC GAS COMPACTION TEST RE SUPPORT STRUCT REQ V 28-17-130 Y Permit 1768- MHI (mh inst ) _ _ . 28-17-130 Permi: 77-91P ^ 1 (gas pine/mh) ell I FSWEDES 02-3193 IN D AT RD., OROVI NST. 9 t ,, NOTES RESIDENTIAL 028-460-015 ° 02-3193 PERMIT NO. —LMMHl .,.PRICE; JERALD'+'"'""`�"'�'""""' SWEDES FLAT RD., OROVILLE NT: D &,A CONST. SPECIAL CONDITIONS CHECKED BY SRA ` FLOOD CERTIFICATE REQ. ( FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER OFFICE COPY 'Address GAS ��Det� "L Meter By ELECTRIC _ Meter Sa f. JOB FINALED (Date Signature d=pK 0 = Not OK . = Not ReadyaD1e MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4., Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ • P' L 'ft. / /'Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIYt HOME INSTALLATION (Plans) OK except #'s 1Z49ning Requirements -Setbacks -Easements . ootings; Size -Spacing -Marriage Line 3. as; MH Test -Demand -Valve -Connector 4 EI ctricity; MH Test -Crossovers -Breakers -Clearances rairkMH Test -Fall -Flex Connector 6_A1a MH Test -Regulator -Connector 7voOffater and Sewer Connected -C/O to Grade -HD Approval �v �e Downs -Type -Installation Cert. t / . Exits; Insp.-Sketch f . Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) r 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test _ 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped _ 8. Piers -Fireplace Ftp. -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace T1t ;oat Clearance 17. Water Htr.; Vent -Access -Combustion Air Baffle Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 18. Water Pipe; Test & Anchor -Nail Protection Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 19. D.W.V.; Test Fittings & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 20. Shower Pan; Test, First Floor -Tub Access 54. 21. Test Tub & Shower, Second Floor -Tub Access 55. 22. Gas Pipe; Sixe & Anchors 56. 23. Fire Sprinkler; Test 57. Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1. _ Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace T1t ;oat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts . 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows ` Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing' 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection ,_. ', % - 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 - Date; Card B-1 Date Card B-1 Date 'Card B-1 Date Card B-1 Date Card B-1 Comments at Final: -i� ..,_. �.- -'r "•wrr-s-.�rscr-�I'K+1r---•ac-•-- �-.....�r�....-..�--.o,wy-,��• --w.w.ra..+. .,, � � •. -. •.-+.-»y, �-+.,.�� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 CountyCenterDrive - Oroville, CA - (530) 538-7541 ` CORRECTION NOTICE OWNER PERMIT NO. A routine inspe ion indicates that the following violations of butte county Ordinances exist at the above addr and should be corrected. Please notice this office when correction of work is { complete If you have any questions pertaining to this matter, or need additional explanation, please: c/act this office immediately. 1" i1 �,�1 0 Date/ '— REV 10/92 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION - COUNTY CENTER DRIVE OROVILLE, CA 95965 - PHONE (530) 538-7541 APN:�,. 07F-(_/(�o- v/S PERMIT NO.: 02 - 3�5� Owner' Name: Owner's Address: / Mobilehome/Manufacturer: /-/Tifi d%L� Year of Manufacture: 2L U 0 "L t� / eL. / - Serial Number or V.I.W Insignia or HUD Number: D / 3 -7 Jy S`a -Official approving installation: Date: If the mobileh mo a 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 (Rev. 12/96) APPLICATION AND PERMIT J✓ ASSESSOR PARCEL NUMBER 028-460-015 ZONING BU ING PERMIT OWNER PRICE JERALD TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS D S FLAT RD., OROVILLE CA 95966 CONTRACTOR'S NAME D & A CONST. TELEPHONE 533-9643 CONTRACTORS MAILING ADDRESS 1740 FEALTHER RIVER BLVD., QRMUE, CA 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1293 SWEDES FLAT RD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 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: MHI ,-- 1Z AL 4 i` D 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 800V OR LE Main Service 2a 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. (-,'. G � 24 �4 License Class C�{'1 Lic. No. ��ii .7LK 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 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 +-4-k- 1=hcl c5 Policy Number W IIrQ'1a 85—D2_ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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. w�I I ic X Date Jim.__ Signature df Applicant - ❑ Owner ,K Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So DWE200ALLING CCU000A NEW CONST. DWe1.IN0 OCCUP. 3.5QF°: OR ( ACC. BLOT cors. MUL�CC. r =R.ID. CU 97.50 POWER APPARATUS 8 SINOLE OIJTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @': o Ex. Occup. DFI'ETS AEs oEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee J$100,00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143. Qd I�AZ. D F IMP COF P C PD D S This permit is hereby issued un6r of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /� D� Dat l Q Dei Receipt No. 3hLFLEC12 i143 00 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r�"tM"-^�•wcwr��1�'�f�M"7'�'Z��/rV•�"l' ,ff '•��' �. r' � `�,�g,� ? t ht i :r, rt�ry+'�J3f1�.f_ ,'*"vn' , U`!v'`e+.`+"+..,..r ..-.••e---•�f�ierwrr.•,q�fr-T,9..�. ,y,��y 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: �) K ('I I( �f-�( (C r, 'ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: l (-� Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 0,1.. Plot plans, 3 or 4 sets, signed,�y 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 and supporting documentation in duplicate. Manufactured homes:-0jData sheets and installation instructions,,(9)JMarriage line information, �q)j Floor Plan, (I))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 -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 ..................................... +s ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Re aining items needed to issue the permit. (May require additional plan review upon receipt of the f o llowing items.) ' 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ........................................ 1, ,yfr7�16. Sanitation and plot plan approval from the Environmental Health Department in—Z,1 -0z / ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 13K (B)Parking: . (C) Parcel Check: 11-2o— r>2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ncroachment Permit for driveway from the Public Works Dept. (construction approval prior to c g�ncy). 2. e -Inspection for%n 1/p(,1 -" FY, MHO. required ................ Q d�� 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 ..................... :.............................................. T' ❑ 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 Owt er, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone 53 " `' 3 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: l.lJ� 1. Index permit application for the above items numbered: . B.✓Gj ff 2. Additional items required Ze eA•u/ Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑. mail, ❑ counter, by Contractor, designer, own as advised of the above data by, ❑ phone, ❑ mail, '❑ counter, by_ Plans reviewed by: <. Date: iti's Dom. Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellnw' Ruilrlino Ilivicinn .. _ . Plan Check Letter _Date: Date:_ Date: 5 *J► E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.C. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well ✓ Clearance for w they Hold final for: Final clearance O.K. for: NOTE: �r> C` .� ��o cc --,A a n,,af.- 1 I i►. /9 Environmental Hdalth 8/96 ecialist Date .-,.-"'-rww'rL.^sv...iY�I�r•'y..tilph,;:,.le:rsr::,nr'�Y"M--,�':.%+u/`"`tR,r�'w.S*' .. �iY �..sG-�llv.r-�r �r�.�,,;,�l r-.;M:fwz,.;,, .i=�-"�.:,,.;;,-v ,;�Y •f. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES. = BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 410 SCHEDULE OF FEES DUE OWNER I 110 1��I1 d ?� A. P. # PROPOSED BUILDING USE M H DATERECEIPT # DATE REC. 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .......1.�......$ 't 2. SCHOOL DISTRICT FEES /(n �l f I P , ( / �/I � 61 l716Y �► (paid at District Office) (Available after Plan Check) Ui�-� 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid,at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT G Y 1 � 1C.C�( i� . �CJ►�C R�.JC.� DATE J&1' Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) ;4r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES. - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530)538-7541 SCHEDULE OF FEES DUE OWNER t 4 ;�f14 PROPOSED BUILDING USE r v7 H ,1") • }tr'1!'t .% )'Ir '! / � = �; it i< /I7/iIl3! �' 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ ( r 2. SCHOOL DISTRICT FEES �(• r).1, ! �' , c' J>1 F' ;'1�t r� (� _ (paid A Distric,iZffice) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) w Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. ' 4. URBAN AREA FEES (paid at Building Division) Residential ................... x ?' # Units Amt. <? t > ' rCommei tc alq? Et�) ............ x 3 Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAMGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A. P. #t i l "�/ DATE ��/—ir _(J - RECEIPT # DATE REC. CIL 1I -2D-02- G r> 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building peimit-These fees may be changed during the plan checking process. V V APPLICANT �1 t 1 I.t �� \�� - r j PX[E f } Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3;!`4; 5';fi; 7, 8 9, and 10 above may ha a been imposed on your project. You have 90 days from the date of approval ,of the project or from the imposition of the above mentioned items during which yowmabprotest. The requirements for protest are specified in Government Code Section 66020(a). I4t . Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 1 , .•,t'^M1�(�r'"p'�i.�^+l.i%•.j.�ki+-•i-w..7`*�rrv'"�a%�'�TY�^-1'!t'1qe�-:.:...tir;,_.Yl,,,r,....:.^Ff1::..-� •.A�,..�......-�,^a-r.,•.nv-Y -BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM L (One form per Building) Sctiool District (%) i/I Pi tr / r1 I �� /1 �1(U' j'1 Building Department No. A.P. Number�f Jurisdictions � City County Property Owner - ` fetlrl) ld /✓(��v P Property Location/Address C%� �%/ p/�j0 /A4 PA, �('OIA� Subdivision � � /)e(, Residential Development No '6fLiving Units Commercial/Industrial Lot No. \ Sq. Footage (O -roup R) Sq. Footage Date _ (Including Exterior Roofed Areas) moor rians reviewea oy scnool utstnct Personnel) District Identification No. 030072, c t (i i ) School District certifies that VrA(� � nn (Applicant) t n A . t L/f � l O r I 1-176 _ ^Okifi' (Street ED has complied with the requirements of Resolution No. representing i M/) square feet. ve / Paid by Check # Remarks: (State) (Phone (Zip Code) by payment of $ 4742 tJ_� AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), - this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.x)s (10/98)dmm i FROM :FSBOREALTY FAX NO. :5303434880 Nov. 18 2002 12:37PM P2 _ Return to V.P.W. 91� -17703 •/-Oi7'IRII 0 Rye else 8.00 r ®aaaaaiod Qsaoatts 1 Butte 1 Cemame J. Ck be I mm ff Oman WM COIM CODE SECTION 24-202 (A) (3) "_BE RBCORDFA BT ON= (ADDIlTONAL DM 4.=C IX MMU PMUI IWIDEn7AL ZOM) AppiiceneW //,OM Dau 9 jZone APO Building Parsit I I I. dt/.1l�fi�T QJOAr a do declwre, that the dwelling I +� (Building Persit f ) at address (present) /a 9. I �y jtj 4QW &.4 on AP IQlf-.110 /3y is _ 1. intended for the sole occupancy of one adult or two adult persons who are I60 pears of age or over. and the area of floor space of the dwelling unit does not eseeed'640 square feet. Said property In retire particularly des �• cribed in EKhib1t "A" atteebed hereto. I also understand that violations of these provisions are subject to the { i- peneltiea provided to Section 24-63.1 of the Butte Countr Code. Signed anted S-a — 9/ rsfrtet f CAU OMIA BUTTE r" MAY 6`)992' ��.eaw a�. Mau..a�.a • wa«. o+Aao �.�e a i.•tdeba.P.umelb■Poored__-.WJJ.L.Un T, HMIE I I►w.m41y11e0+a19M6101powdroiw.onOnbmsdwtMf ��� Maiseel�eeAaeaa� l twtoryi.me-co►wwthopmo of mmo"rmime)we nab DOOM "MIM i MID" AM old hefthelteperee~"aas". � MrOrwweetpr►MltMi � _ II S NRTNE69 my eed eM e111He eeL ��aela�e�aeaeeaaeea�/ooeel� .. - • #Wft a 0. ago" eeteryl eee. � " . END OF DOCUMENT <'+ FROM :FSBOREALTY FAX NO. :5303434880 Nov. 18 2002 12:37PM P3 e Preliminary Report Order No. BU -202944-3 AM 3. AN EASEMENT AFFECTING THE PORTION OF SAID LAND AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES FOR: ARCHAEOLOGICAL PURPOSES AND OTHER INCIDENTS RECORDED: NOVEMBER 14, 1980, IN BOOK 2569, PAGE 190, OFFICIAL RECORDS. AFFECTS: A SHOWN ON THE PARCEL MAP HEREIN. SAID EASEMENT CONTARVS CONDITIONS THEREIN. 4. EASEMENTS, SET BACK LINES AND NOTE(S) AS SHOWN OR DEDICATED BY PARCEL MAP, RECORDED: APRIL 29, 1981, IN BOOK 82 OF MAPS, AT PAGES) 64, BUTTE COUNTY RECORDS. SEE PARCEL MAP ENCLOSED WITHIN THIS REPORT. ---�5� NOTICE OF COMPLIANCE OF ADDITIONAL DWELLING RECORDED MAY 6, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-17703. REFERENCE IS HEREBY MADE TO THE RECORDED INSTRUMENT FOR A FULL UNDERSTANDING. 6. AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR, RESIDENTIAL DEVELOPMENT, EXECUTED BY: WILLIAM T. MOORE RECORDED: MAY 6, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-17704: . 7. A DEED OF TRUST TO SECURE AN INDEBTEDNESS IN THE ORIGINAL PRINCIPAL SUM OF $18,000.00, AND ANY OTHER AMOUNTS AND/OR OBLIGATIONS SECURED THEREBY DATED: MAY 28, 2002 TRUSTOR: WILLIAM SCOTT LEE, AN UNMARRIED MAN TRUSTEE: MID VALLEY TITLE AND ESCROW COMPANY, A CALIFORNIA CORPORATION BENEFICIARY: HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST RECORDED: JUNE 11, 2002, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2002-29954. CONTINUED Page 3 PRE -INSPECTION REPORT OWNER J a r C.. k A C DATE: LOCATION: i293 J w e -A -e -5 R a t 1,e. A -P. #• � �- y � �- o / �' CONTRACTOR: D 4 A• 0a liz i ,i ZONING: PRE-rNsPETION FOR: New MJ11�° 1,5 i ✓L'� l �C' - f - -- DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE (,�. FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Canmerci&YUUF: Residend&Y# of Units: Currently Occupied Abandoned(Vacant Electric: Yes4 `- No Electric currently On Off Condition of Electric GAu: Natural Propane None_ Currently On Offf Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems ri Comments: ACTION RECOMMENDED: ISSUE: / HOLD FOR Inspect` P 1 Date Sketch buildings on reverse and indicate location on proper: 1'a9 3 'Flo4- of W� ��e_ kPf-t : oag.-u�Qo_ 0\15 � e cN c)t co - a M6 (pec, C C"' • �ec�rwn 0%) l3� PLANNING DIVISION- BUILDING PLAN APPROVAL Use: Date: [1f "o"a. Parking: Landscaping: Other, f" I M-EMEN7 '514041 E W 1 of 13' y,1K bay Replo&n *j Ckwe M "-b i l.tily e Z.., v Y% Y_ Q.a . r' r n r Y RESIDENTIAL 28-17-130 _ - - - - -- 1336-91P,E MOORE, William 1293 Swedes Flat Rd, Bangor Cont: Schiedack Const (60-640 mh utilities) 211- 7 W41 3 . r OFFICE COPY r, Address GAS s Meter By. D ez�fl' • ELECTFV Meter By Da731 JOB FINALED (Dat Signature r_ J=dk O = Not OK = d Not ' = Not Ready MOBILE HOMES ` MISCELLANEOUS Date MO HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s '__1_ . -Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Y 2. Soils Special MH Support Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Electricity; Location -Clea rences-Gr /p -Concrete ocatio t-Wra t / /"L"ft. No Vat. orft./LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors /L,,"7. Utility Clear ce 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh. Date Card B-1 Date Card B-1 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION Plans OK exce t #'s onjpg Requirements -Setbacks Easements Oate Card B-1 Date Card B-1 2 otings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 3. s; MH Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s 4. tricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 4 6. ater; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining ter and Sewer Connected -C/O to Grade -HD -Approval Gas odd E ctricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI .. xi nsp: Sketch 5. Elec.; Pool Lighting; 15 volts-GFI ert. of Occupancy , 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date and B- Date Card B-1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date and B-1 Date Card B-1 ! 9. Health Department Approval 1 ' 1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t J=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready (Siegle &Duplex) ` Date UNDERFLIDOR (Plans) OK except #'s Date FRAMING (Continued) Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instid.; Drive ❑ Yes O No; Walks O Yes O No; Planters 0 Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made C a ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE a / �>'60- - 7 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Aim J G r Ins MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE �y OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. Address or location of mobilehome J~ � p Owner's`nam&(ter! / L4 I A Ma // ne!5 Owner's addre_ps Insignia or hud ni Manufacturer's name Serial number ofVIN10 ' y (-.r lr—SKSkYear of manufacture _ (Official ppr ving In.sicl'IotionY (Dot f IF THr MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED'WHEN THE MOBILEKOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W M.tit'-.�_ ..... ...,.a.'J��•�nwrsi.-.•..i4*:..:-�.��,. ._'t-.,t':�..: •.y ..w,..,. �.tii. aFv... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERING 28-17-130 �`'IR BUILDING PERMI OWNER .- '' WILLIAM MOOR);' TELEPHONE 679-2325 so. FT. occ. BUILDING VALUATION OWNER'S MAILING ADDRESS 1293 Swedes Flat Rd, Bangor 95914 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR 1VOIte T OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1293 Swedes Flat Rd, Bangor Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomenX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Uti •flies ❑ Installations Other ❑ Describe work: MHI 1336-9 60-640 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. )I 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. 1 CONST. // ACC. SLOGS. DWELLING OCCUP.y '/z¢sgft NEW CONSTR U TI.OUTLET NON•RES'D BRANCH CRC., 2.50 ea, POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occu p OUTLETS OR FIXTURES z0 a 30e .ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject % to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation _ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai//r]/§t s�ai-dCounty in consegq a ice of the granting of this permit. !� X� Date — % Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE 70.00 TOTAL FEE $ HAz. CUA ' PARK SC V FLD coF I PAR PD 1 HD. IssuE, This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated above for which fees DI ROOPUBLIC By PERMIT EXPIRES ate applicable provi. resolutions to do have been aid. P WORKS Date _ 9 _ Receipt No. n�g7e WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ;r' n`Yr .i ��� �.Y.l� r -r ..•t--•`. iryti+.:'"x};+F•f Aa, ,6iv3"`"Ri''4ta�i''' NTN' �".."��CSy" Wl�tf'F1✓11'i'f'tYf� �Y+' ��'..,(Tit COUNTY OF BUTTE - DEPARTMENT•OF PUBLIC WORKS - BUILDING DIVISION �7 COUNTY CENTER DRIVE - OROVI�LLE, CALIFOFPIA 95965 - TELEPHONE: 916/538-7541 f "111 PERMIrt-APPLICATION-DATA SHEET' Perm it:No. OWNER �/ 1 L�/la A. P. No.�C� s Proposed Building Use ,��e%� �� � G � Building Inspector & Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . `..... 3. Complete plans in duplicate/triplicate, signed by.preparer. of plans . . 4. Complete, engineered plans and calcs, with wet signature on'plans 5. Hazardous Material Form ........................................... 6. Energy Design supporting - - g Com liance and p pporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings ... ......... .... k ` 8. Engineered truss details and layout in duplicate (required prior to plan check f, 9. Mobilehome installation data including manufacturer's installation instructions ......................... , 10. Fees of $ 11. Chico Urban Area fees paid ..................................... j 12. Park fe aid :....................... . X13. —� ��/� School District fees paid` ............. G 3 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ......... ...... 16. Plot plan and business license approval from City of (see City for other requirements) t,. 17. Planning approval for (A) Use:—(B) -Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for "" required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... s - Z2. Certificate of Wgrk���ompensation Insurance ......... j 23. Owner-Builde 1 atlo owner ❑, Mail to owner* .... —"1 – 5 24. Recorded copy of Agricultural Ack o�fl .edgment Statement ......... 25. Letter of signature authorization - ` 27. When you issue the. per it process as follows: —Mail to ,wner. Mail to contractor. " _Telephone 6and hold for pickup at office. Deliver w/inspector. Other Applicant�/yl�G{ �C�L� Date.6-3-9 Y A Copy of Haz-Mat form sent F Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be sufimittedrior 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 Qf above required data by_phon " il_counter y'�-.date y V, Contractor, designer, owner, was advised of above required data by_phonall—counter by% date I + i Plans checked`by MAJ Date 9 Plans approved by 02AJ � Date & / ' Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this informati< at your earliest opportunity to avoid unnecessary delay in processing and issuing y::_ building permit. No building permit will be issued until this verification is received. ' )1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) J 2. I (have/have not) signed an app ication for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City w Phone Contractors License No. 4. I plan to provide portions mf this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Q `(der _ ll Oct)ct Signed: ` V� Property Owner Social Security umber Date 6 - 3 - �/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A Willl AAILING At 93 S N . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT BER _ / ZONING %9-2 951111 PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION - = •`J CONTRACTOR'S MAILING ADDRESS NEW CONST. DWELLINGoCCU1.•1) oR ADONS. AGC. BLDGS. / Fireplace POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES XED CONSTRUCTION LEND RCIAle Mobile Nome Facilities UNKNOWN e Total Valuation $ Permit Fee Contractor - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Cooling Hood ARCHITECT OR ENGINEER _ permit Fee LICENSE No. Plan Checking Fee $ 1563 Energy Plan Checking Fee occ ARCHITECT OR ENGIN 'S MAILING ADDRESS Penalty $ HAL. I CUA 1 PARK I SCHL BUILDING ADDRESS /a �3 SCti.1 PS ��permittee I $ �r�v PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping, 5.00 Each qas water heater or vent 5.00 USE OFSTRUCTURE SF C1Duplex❑ Mob ilehomeOther iiiiii"'''"''' SPECIFY Gas piping system i - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition I/Ll� Remodel❑ Utilities 4 Describe work: �'` 60 '�L` ��2rn4����3G-9� Installation Other ❑ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 - = •`J CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businesses and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCU1.•1) oR ADONS. AGC. BLDGS. / NEW CONSTR. MULTI—OUTLET NOR—qESID.BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES XED Temporary service Mobile Nome Facilities Misc. Wiring Permit Fee Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Heating Cooling Hood Ventilation permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE TOTAL FEE HAL. I CUA 1 PARK I SCHL I FLO a • I�tfffat>�t� This permit is hereby issued unser the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ 1 work indicated above for which fees have been paid. An OSHA permit is required f r excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stori lin height. Receipt No. �� / 6 By WMITE-D.P.W.. YELLOW -ASS SSOR. PINK -INSPECTOR, GOLD ENROD-AP►LI CANT PERMIT EXPIRES Date_ Date ..'.a... -•..r ..�-�... � r„yr+..-.....r'�.a-+•�^'�'_'..""I�• :%"lAc"1"„y" ..r. ...,..,r� �'f`y..r. _ � � r. .,,� ny7,.�.....-�., ,�,,rl..: .r -"t;. nl..��.c,,, • . - . .-.n r BUTTE COUNT SCHOOLS SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 0,Z8 - 170- 1.3 (One Form per Building) ltxv //�� A.P. Number r::�� 7V' `/_3(/ Building Department No. School District2& A1Wcity D County Jffl Jurisdiction Property Owner �, f/�/)W 4GR �- Project Location/Address / /�,,"V Subdivision Lot Number Residential Development: Sq. FootageQ # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior y Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No.F 910 23h 0791n �1�/ School District certifies that Applicant Name Street Address W / 7 -oa.7d J Phone Number), (Vity) (State) (Zip Code) has complied with the requirements of Resolution No. Io,5-- 90 by he payment of $e7t9. OJ representing 55 square feet. - k1.19 / fUSIEhool District ReDrV-sentative Date PAID BY CHECK NO.`S ~ BANK NO PAID BY CASH �%q o4 REMARKS: white -applicant, yellow -building department, pink -school -district SCHOOL.FEE' 0,4 COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) P 2. I (have/have not)- A,1 signed an application for a building permit for the proposed w c. 3. I have contracted with the following person (firm) to provide the proposed construio Name 2 Address City Phone Contractors License No. 47 4. .•I plan to provide portions of this work, but I•have hired the following person to coordin te, sup rvi��se, and prov-de the major work: Name Rev�.,Q, Jl�f�r �r Address City �iitr,.r1'�� - Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NaAddress Phone Type of Work Signed: Property Owner !,4_11_�-7- Social Security Number Date g/� — 7-9/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety.Code. This verification must be completed and returned to our office before we are per- mitted to is/sue the permit. AP a OWNER M% PERMIT MH UT I INSPEC ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Type Pipe Size Length YES" NO YES NO Load BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County'Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 500 SQ. FT. MINIMUM FOR MOBILES 1. Owner's Name : ''(�J r ///,4/P1 L _! r / o o le -Q- 2. Installer's Name: MV 3. Is the Isite currently under permit? Yes No (If yes, furnish permit number Z,3 �� - C I ) OR Is the site an existing site? Yes No Z (If yes, furnish two plot plans.) 4. Will the mobilehoaie be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /. 00 Amps 6. What is the mobilehome site service rating? ------------- 00 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- Q Amps 8. Is there any other electric load to be served by the mobilehome site 'service? -------------------------------- Yes © No (If yes, identify the lcad and size: (Load) c� (Amps) 9. What is the mobilehome site gas pipe size? --------------'IVO 10. What is the type of gas service? ------------------- Natural E LPG F] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft ) * 12. What is the mobilehome gas demand? ---------------------- 9 / (BTU) 06?1- This information not required if pipe length less than 6 ft. on I natural gas or less than 50 ft. on LPG.) V" OURri -DINGVEPARTMN MOBILEROME SUPPORT DATA // If other than single wide, Mobilehome Mfr. r1l,&t(A)oC9 furnish Setup Model No. Width— A0 (Lt.) Box Length S (ft.) Tagalong or Expando Size, Year 0 6- ft. x ft. On all mobilehomes manufactured aster October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) El1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) D D. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line 2 -� Main Beams Tag or Triple Line 1 Line 1 Piers: Line 1 Openinsts: Size-Min.------------ Spacing-Max - ----------- Spacing-Max- --------- „ From Ends -Max. ------- Line 2 Piers: Size-Min.------------ Spacing-Max ---------- From Ends -Max .------- Line 3 Roof loads: Size -Min.------------ Location (From Front) Line 4 Piers: Size -Min. ------------------ "x Each Side of Openings. With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ 11x„ Spacing -Max .--------------- From Ends -Max .------------- �- Size -Min .------------ Spacing -Max.--------- From Ends -Max -------- Size-Min ------------- Size-Min.------------ Location Location (From Front) (Under Bearing Size -Min .------------------ ,k „ Spacing -Max.--------------- From Ends -Max -------------- ------------- F., COUNTY OF BUTTE - DEPARfMENT OF PUBLIC WORKS l 7 County Center Drive �Orov'illEr, California 9965 - Telephone: 916/538-7541 T APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-170-130 ZONING M -R BUILDING PERM T OWNER William Moore TELEPHONE 679-2325 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1293 Swedes Flat Road, Bangor 95914 CONTRACTOR'S NAME Schiedack Constr. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN C Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 15,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1293 Swedes Flat Road, Bangor Permit fee $ _.5.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. =NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeffT Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home UIX s D W 10.00ea TYPE OF WORK New Addition❑ Remodel[] UtilitjesU Installation❑ Other ❑ Describe work: !Y 94 4*- Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered J for sale. (Sec. 7044) —f� I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.E{\ OR ACDNS. ACC. BLDGS. / yzQsgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030c SAL03o Ex. Occup. OUS TTS P(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities Mobile Home 15.00 Misc. H 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Xains said County in consequence of t e granting of this permit_ ag. �� Date s� Signature of Applicant — Owner` \ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE I TOTAL FEE $ 92.50 rl _ cuA �. PARK _ SCHL FLo coF PA PD i Ho. Issue. This permit is hereby issued under the applicable provl- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date PERJdT EXPIRES Date Receipt NO. 89045-92.50 WHITE-D.P.W.. YELLOW -ASG ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ...tea.. riu�'"�ai.lY11[J' .. L:. _ r, -.—ca,... ,�f'avi"� y; �`""f�+,��.i:'tTj�'^�+'�-�'r�"'-'�v�•'�' ���, .�..3:��."7Y!+�.,ty-%''.:L.a., �Z.%r�`„ i•, :, •( >-, ' _, _ . COUNTY OF BUTTE - DEi .ARTMr=NfO1'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE ORO' j� •a IFORNIA 95865 TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA •SHEET 1 r= Permit No. OWNER I!%1� 0022©a& �/'�d- 130 A. P. No. Proposed Building Use !-t rly Building Inspector �� Date z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance. DATE RECEIVED APPROVED All items have been submitted.'-% I —� 2: Plot plans in duplicate/triplicate, signed by preparer of plans. . . 14-91 . Complete plans in duplicate/triplicate, signed by preparer. of plans .. - 4. Complete engineered plans and calcs, with wet signature on plans... 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ` 8. Engineered truss details and. layout in duplicate. (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation • instructions ............. ............................. . 10. Fees of $ 11. Chico Urban Area fees paid ...................................... '► 12. -13• -14. Park fees paid ...................................................... .� School District fees paid .............. S -1 Oleo - Sanitation approval from Health Department 15. City of Chico plumbing permit .......................: f . 16. ............ Plot plan and business license approval from City of r: • (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) t 20. 21. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... *22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) . . Recorded copy of Agricultural Acknowledgment Statement Letter of signature authorization .................................. . 60- 6k/0 App. - &ez SiGiN�-A-xe A u+h 6 2� ,v When/you issue the ermit, process as follows: Mail to owner. Mail to contractor. l/ Telephone �79'25Z - nd hold for pickup at office. Deliver w/inspector. Other Applicant- _ i.1 /ii �p� .Dated c "y Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date 'By The following data must be submitted p i9r to permit is ance: (Circle new item not checked above). 1. Index permit for above items No. T 2. Additional items required: Contractor, designer, owner, was advised of above required data by phone---- inail—counter b date/ ,% ' Contractor, designer, owner, was advised of above required data by_phone_mail_co nter by date t r I Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ' TO Buildinv Department %FROM: Environmental Health SUBJECT: Sanitation Clearance R4 Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply (✓c°// Hold final for: ;' Water Supply Final clearance O.K. for: Water Supply Clearance for / bedroom z6obile dome. Other NOTE *** Sanitarian Date TO Buildina Department FROM: Environmental•Health SUBJECT: Sanitation Clearance Omer Location AP# Plan Approved for: Sewaqe Disposal Water Supply t✓el� Hold final for: Final clearance O.R. for: Clearance for bedroom obile ome. NOTE * * * Other Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE 06PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovtlle', California 96965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE 1 RN� NUMSILRIL � A - 2 NIN BUILDING PERMIT = W"BR rjlll M Mdwefe— /� O ¢,-ND3-A S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ol %2_q� S�eNe6 R CONTRACTOR*! NAME�ej ch K T EPHONfi CONTRACTOR'S MA14.1 G ADDRESS I,'/1J�/ Fireplace CONSTRUCTION LE D€R,D�� /�� UNKNOWN Total Valuation—F$ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ,�~✓ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /217 3 Sr✓u�l�es 0� Permit fee $ [ .. PLUMBING PERMIT Filing Fee 10.00 CD �S Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping, 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mob le Home S G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)ZrInstallation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 810000 AMP OORSLESS 10.00 16,00 Main service EA. AOD'L 100 AMP 2.50:2160 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑B I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensedcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Ei A ) New h¢sgft UC'TB OUTLET CONSTR.( -'NO-SIO RANCH CIRCUITS) 2.50 eaPOWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 200900 eALa30. Ex. Occup. out OUTLETS (RESID ,REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15 -too Misc. Wiring 9 15.00 Permit Fee $ 5-0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to became subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor 1 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE FEES l 281 q HAZ. I CUA I PARK sct+L I FLO I coF PAR Po t Ho. IssuE C This permit is hereby issued urger sions of the Butte County. Code and/or Work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appticaole provi- resolutions to do fees have been paid. WORKS Date Receipt No. _�� Z� WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 7 J NOM.—All Meftriak i WorlUMMMp Ad of b This set of pians and specifications. MIDST be Accordarme Seth Rw"v ted G°od h oes 104' ' kept on the job at all times and it is unlawful fe ori a qucd*q prescribed for the Specifiml we .0.66 • make any changes or alterations on same with- . _-l_ _ __ a,- 1!_- DL.rLt-- i ���� w�i�w� [4�ir� .rw� I D BUILDING DEPARTMENT APPROVED 1 &ObG4 ► :IUG'? 9U1 -1 nOfpCTK Ian drt�i;#A ! ®aea.pag tia gie 2b*co wrp ._ i►; c4U9OUce A.4V 6cau!'0 ! G log iUi m :*4 NOW—YR P404oaia," ff MaLfixam Y1b 214 N V 4 jonpi!c A�gkA ,a* `i3i;1i41, Cil pi -144G' !uv'r.0 gun Cpavac; Ok gjin iouzz OU tows M11P. Yob; ou yri, lop 94 gif i!wes our gs is nuj a4e�1 W 1pla tis; % bisca 9uq abociticg4iaua tiro 1 pe m a E 0 U a� C co 0 E LL;I m .5 C ' N . co co ESTATE OF CALIFORNIA BUTTE )ss. ACOUNTY OF ) On MAY 6, 1991 before me, the undersigned, a Notary Public in and for said State, personally appeared WILLIAM T. MOOR E personally known to me (or proved to me on the basis of satis 0©4x0000 factory evidence) to be the person(s) whose name(s) is/are sub- f9 D®DIE HULTZ A scribed to the within instrument and acknowledged to me that NOTARY PUBLIC•CAUFORNIA q Buft6 Commy 14 he/she/they executed the same. MYCofntlssfon Expires Fqb, 3, 1995 J a ®a�MaRl9�eA:1tdE3Si���1�'��f��fi0��®� WITNESS my and artd official ea+.� Signature (This area for official notarial seal) J END OF DOCUMENT d 1-7 7 Return to D.P.W. • 91-017703 I Rec Fee Cash 5.00 Recorded- I Official Records I - County. of Butte 1 Candace J. Grubbs I Recorder i 11:11am - 6 -May -91, 1 XX 1 4 NOTICE OF COMPLIANCE f WITH COUNTY CODE SECTION 24-202 (A).(3) - o TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES). Applicant (/J J/ C-/44 j . Moore Date =—qy Zone AP# (02J - :70--/34 Building Permit # I 1d1ifL� /� M /Y%Dv� , .do declare, that the dwelling (Building Permit # ) at address (present) i 2 ',3 a .<Zje_5 J --J94 on AP is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly des- cribed in Exhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties.provided in Section 24-63.1 of the Butte County Code. DwX.Q Signed�'%rr., .rte Dated ,_'a — 91 Attach Notarization Form A i M y � - f 7704 Return to DPW AGRICULTURAL,STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County, Code requires this acknowledgement be recorded - prior to issuance of a building permit. 91-017704 1 Rec Fee 5.00' The property described herein is adjacent I Cash 5.00 to land or included within an area zoned Recorded 1 for agricultural purposes, and residents Official, Records 1 of this property may be subject to incon- County. of veniences or discomfort arising from the Butte 1 use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizer's; and from the pursuit 11:llam 6 -May -91 I XX 1 of agricultural -operations including, _ but not .limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real :property:- situate in the County of Butte, State of California, described as follows: U C Date: PROPERTY OWNERS: (xi //r 4 rrf State of CALIFORNIA) On this the 6TH day of MAY 19 91 , before me, the ) SS. undersigned Notary Public, personally appeared County of BUTTE ) WILLIAM T. MOORE ti ammaaanm®c►o®®mm®amm®em®a I--] personally known to me. FA Proved to me on the basis DODIE HULTa o of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA :to be the person(s) whose name(s) IS ButteCountysubscribed to the within instrument and acknowledged that HE : hAyCommissionExpiresFeb.3,t99s m'xecuted the same for the purposes therein contained. IN WITNESS paaasaa44e41aQaaaalPe6amm■mmlK4HEREOF, I hereunto set my hand and official seal. c Present A.P. No. 0<10 Notary Pub is DODIE HULTZ END OF DOCUMENT R I i' _ _ req ��• 37,5. TT "PERMIT NO. 2322-75p,F • - P E i� M MH UTIL. HERMIT NO. PERMIT EXPIRES :OWNER - Gary Klima CON,TR., LOCATION (A.P. 28-17-59 ) ..Y • n/s Swedes Flat Rd.,z mi. W. of Hurleton Swedes Flat Rd., Oroville Temp. Power Pole Called PG&E Temp.4Elec. Serv. �C�✓✓aAalled PG&E Te p. Gas Serv. ZZ -1 Called PG&E JOB FINALED (Date) j (Signa ure) I . , 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobi.lehome•with a'min vnum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes:a�_-No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? YesX 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 eater and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length �� Width (J% �— Vehicle Serial No. State Identification No. Additional:Informati_on or Comments: a.. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1: Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes14,No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye SX 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) YesA/No 5. I.f_le 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. Bacleflow--_If—coach is---not_.Stat_ e of California approved, does station have baT�ckflow 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 in washing machine standpipe? Yes No D. If e -o no e o —California approved; doe -s -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 i B. Test OK as per following procedure? Yes_ZNo 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 1 soapy water. C. Are all appliance vents properly installed? Yes/\ No- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal I Siding Top out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwalI Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test_, Temp. Gas ��'7 Slab Final Sanitation 76 l Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures 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 �ZQ DATE / REMARKS OR CORRECTIONS 61% atll� /o0 a, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ' OROVILLE, CALIF. - 534-4541 CERTIFICATE OVOCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5; under permit number n?9 -T7" %G for the following location: AIA- Owner����- Owner's Address 1 Mobilehome Mfg. - `�% Model Year -_7_7 Insignia No. Serial No. /777-2--- It is hereby certified for occupancy at the above described location and may be occupied. Director /of,Public Works Date -'��®� 7 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED V —r - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS`=� 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4/ (/Al 3U 6 �Y Date 02— a — Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 4u�ilding permit expires Date BUILDING Owner 4 SQ. FT. OCC. BUILDING VALUATION Mailing Address L Telephone No. Fireplace Contractor ,e Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee I Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 yJ ,A 11.5_14_1 ' Each Trap 1.50 v Repair drainage or vent piping 1.50 Water piping 1.50 d,�-(] Each gas water heater or vent 1.50 .�/�^ �� A. P. No. / M Z g ni Gas piping system 1 - 5 outlets 1.50 /Q. Each additional outlet .30 es C. Sa n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arce Ma{� 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. Plans Recd Parce pprovaI Plans Approval Permit Fee $33,42,1336 NEW ❑ ADDITION ❑ UTI LITIESOTHER ❑ ELECTRICAL No. @ FEE PERMIT PERMIT FILING FEE $3.00 O'D Main service incl. 1 meter 3 Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home [A Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 �159ht fixtures 20 (d2 b 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: 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 Fac ities .5198 Temp. Power Pole 5.00 License No. Classification Misc. wiring �9 jai am exempt from the Contractors License Laws of the State of California. Permit Fee $ a-.ZP is 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 s 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. X � =p�-%� Date Signature of P itee or Agent 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 OF BLIC WORKS (/Al 3U 6 �Y Date 02— a — Receipt No. � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 4u�ilding permit expires Date J / -r COUNTY OF BUTTE — sEPA.RTM7 NT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT c;�,437-76- Owner On '„ /rM A BUILDING SQ. FT. OCC. BUILDING VALUATION Mailing Address `� ©1C 32-5— Itir� V 1 L� -A— Tel hone No. Fireplace Contractor Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address, SL4,e a CAl p ra X PLUMBING No. @ FEE PERMIT FILING FEE $3.00 AAkJ. 6I— A/ard rbA, Sw4do— a Each Trap 1.50 L j,7— r0 �✓ L L �— 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 F Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 BI IRI ;e:Parcel provaI Plan ppravaI Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 •�. I-r/—C, AJ �� (, / G �/ O f PPM r ` Q L.-7 SS ain service 100 AMP OR 600V OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100ER 600V AMP OR LESS 25.00 Main service EA. ADD•L foo AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.COUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET - NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. ( POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex..Occup(OUTLETS OR FIXTURES)6.250 BAL�1 Ex. Occup. ( OUTLETS (RESID )REA) 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 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 o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 authorize representatives of the County of Butte to enter upon the .. ahnVP-mantinnarl nrnnarffnr ; .+;.... A TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of c X Date Signature o ermitee or Agent Receipt No.,L I16 A o?"r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte county Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFOUBLIC WORKS BY Iding permit expires Date 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / / (If .yes, identify the load and size: 00a • )BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - r 7*County Center Drive, Oroville,.CA. 9. PHONE: 534-4541 is the mobilehome site gas pipe size? ----------------------- (in,) MOBILEHOME INSTALLATION SHEET What 1. Owner's name: atq ju F K Li ✓�2 R 2. . � c Installer's name: ts!)b LJi54 If- S ;,.(—(ft.) 3. Is the site currently under permit? Yes No _1 is the gas pipe length from meter or tank to the mobilehome? (If yes, furnish permit number 3a. dam--' %r ) OR Is the site an existing.site? Yes / / No 12. :What (If yes, furnish two (2) plot plans.) (BTU) 4. Will the mobiylehome-be located at least 5 ft. away from septic tank and leach fields and cleat -sof all setbacks and easements? 'Yes 75U No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 6 Amps 6. What is the mobilehome site service rating? --------------------- fps 7. What is the mobilehome site circuit breaker rating? ------------- - Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes No / / (If .yes, identify the load and size: 00a W -(Loa d) 06%('� (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in,) 10. What is the type of gas service? ----------------------------- Natural / / LPG ;,.(—(ft.) 11. What is the gas pipe length from meter or tank to the mobilehome? 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr.. J ` !iI Setup Model No. Year 75 - Width .(ft.) Length . (ft:)-Expando Size ft.x ft. (Draw support details below) . On all mobilehomes'manufactured alter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not .on file with the County of Butte). *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Single. Footings -(check.one) i —IVIKI. Wood :either i pressure treated or Center Center Support fdn.`grade.: Su port ooting Sizes Lo ations (in.) ...... .. - : .,. ,. /,1, 2 -.°Concrete pad. 3 .: Other, - specify ' in. 'T --r 4 - - - - - Supports (check one) Concrete block x / / 2. Concrete piers (ftin .(in! -).(i e)... :..: 3. Steel' piers 1 Other, specify -j Typical Support Footin Size f:� x �(in.)( �) .. .................... in. in. ....... .. ......� ......... - - � � 5_.7 ��c•) Max. Pier:. ... Spacing • _ l ) (in.) (in.) Max. - tt.V1 Overhang �in *If center piers are other than drawn above, draw in locations, spacing, and dimensions. P10+ P I jqq 4P*a�s•17-s9 s wed ez F1 a+- (!J . C% &ewerat Pet. C) r -o 0;1 l e co'.. this set of plans aar-•ffle MUST hie kept on the 4ob at all times and it is unlawful 1b make any changes, or alterations on some withevo written permisson .front the Department of Public Works, county of Nota. w ." H 0 �J � SCS stem y Al L , it/ rhe. Setback shall be 5 ft. troir, rhe side property line and 50 ft. from the centerline of *the road, permitting, .i maximum of A 2 'ft. eave overhann � permit will 6e required forf installation of the mobilehom a�•X LL 0 m 'WtYithin connections4 shall be ft , outsi tion de the rear t n f the mobile home d) side of the rnohile Septic system quir Butt�eCOunty Health to bDe as Per ements. Dept. Re- t�J�4c�'SS � �4•�- � o aG�. BUTTE COUNTY BUILDING DEPARTMENT APPROVED (Aboco+ I5Ac w this 3 cd a a,+ - Coo. P-4) .ke, yew:"w � h 4- t • t r .� F r �.x 7' a ti ' wAD -.; r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone:# 52,4-4541 APPLICATION AND PERMIT X �Date c Signatur IGf Permitee or Agent IL Receipt No. " 6 7 o s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By-(- NJA,&- "r Date 6—Z-7 b ZWkkftg permit expires Date 6— Z 7% BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address # B o x z -- p I~ O v t L L -e. Telep one No. v e____ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address �(/ $�csede6 1 p7 1'a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 A4 Z -c- F k.vLei kf�ld�d�S Each Trap 1.50 ;7/-,a 7- ar Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 • A. P. No. 7 — J Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PlansBld Declar tion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [R ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3,00 rem V A 7—a r— ApreyAt,14/ ,322—) Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. &\ OR ADDNS- ACC, BLDGS. / 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50@2-5 BALO 10q Ex. Occu FIXED APPLNS, OR p•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring Fe✓ 46,zw -T 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 21 $ 2 $ 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. MI 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 authorize representatives of the County of Butte to enter upon the nr —t- fnr i--;- A hnuP-mantinn ori ............... TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of X �Date c Signatur IGf Permitee or Agent IL Receipt No. " 6 7 o s White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By-(- NJA,&- "r Date 6—Z-7 b ZWkkftg permit expires Date 6— Z 7% ;;?�" r-�, Y. ' e�;; `. ",4YC".i>�i��t�� ��4r"''-_ �'J��, `.r'�'� 'es�';�'•� ..a-�-.�rQ,.:�'u�. �i'y''!Fa•f".'',J''w+;+i">%:;`�4t,1�>v;i�,^�`.�,.i'�,. r,. t � i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC -WORKS P MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 -7 -71�-/ APPLICATIdN�A OTERMIT ; ASSESSOR PARCEL NUMBER 28-17-13 ZONING MR BUILDING PERMIT OWNER WT7.1,TAM KY)RF TELEPHONE 679— 125 ,SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1244*1 0swoodtas Flat Rd, %ginignr !95914 Vn1yTOAWri R'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1993 0,14edesElat Road, P.Pnonr Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeA Other XX SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea ''0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: install gas piping minimum f5.001 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service Doov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP, 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.6{\ NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. I +/z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES Zo®Doc eAL030 FIXED APPLNS EX. Occup. OUTLETS (RESID )REA.) 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 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 1 to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.TOTAL 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I / 1. / X� � '�� %Jti. Date X 7' Signature of Applicant — Owner Coniractor 0 Agent An OSHA permit -is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE $ 25.00 HAz. CUA PARK SCHL FLD coF PAR PD I HD, ISSUE This permit is hereby issued unoer tme applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated abo�fe for which fees have been paid. DIRECTOR OF PU LIC WORKS 6/17/91 By y •t' Date PERMIT EXPIRES ate �� Receipt No. 94026 WHITE-D.P.W., YELLOW-ASBEBBOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATID.NAND PERMIT ASSESSOR PARCEL NUMBER 2R-17-110 ZONING BUILDING PERMIT !� OWNER WTT.T,TAM mnnRF. TELEPHONE _ T: 679— 1191; .SQM FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 199.1 Rd. Bangor 95914 �nt RACTOR'S NAME n�cnown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A C TECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1293 Swedes Flat Road, Bangor Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome;X Other XX XX SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S nWT 110.00ea / , 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: install gas piping _ minimum 5.00 Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. FII, 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. tDWELLING OCCUP.ai) OR ADONS. ACC. BLDGS. , h¢sgft NEW WC ON U TI.OUTLI-T NON.R ID, BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. ) EX, Occup(OUTLETS OR FIXTURES e20060t AL030 FIXED APLNS. EX. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation _ Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating I to building construction, and hereby authorize representatives of. the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in con quence of the granting of this permit. /� X Date — `� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE — TOTAL FEocC $ 25.00 HA Z. CUA PARK SCHL FLO CDF PAR PD 1 HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated aboyle for which fees have been paid. ZD REC OR F PU LIC WORKS 44� 6/17/91 BY14 Date PERMIT EXPIRES ate 6/17/92 Receipt No. 94096 WHITE -D. P. W., YELLOW-A98E330R, PINK-INSPECTOR,GOLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Calif`rnia 95965 - Telephone: 916/538-7541 APPLICATION ANR PFRIUIT ASSESSOR PARCEL NUMBER 2 ^� . /,/ �� n l V ZONING t • BUILDING PERMIT ` OWNER W c l (Am- TELEPHONE, 67 2325 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS /-Z53 eweS CONTRACTOR'S NA E U TELEPHONE CONTRACTOR'S MAILING AUDRE53 ' Fireplace CONSTRUCTION LENDER ��� UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER„n �/� LICENSE NO. NC Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' BUILDING ADDRESS 93 S w e Zs F'IA�— Energy Plan Checking Fee $ Penalty Permit fee $ $ E PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 Building sewer 5.00 Mobile Home S G W 10-00 ea TYPE OF WORK New❑ Addition [I Remodel[] Utilities,a Installation❑ Other ❑ Describe work: S/USlil�� 6/15 42,h918 /5'011 Permit Fee $ 5 p Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100AMPORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. AOO'L 100 AMP 2,550 NEW CONST. DWELLING OCCUP.& OR ADONS. � ACC. BLDGS. ) I�2csgft NEW CONST R ULTI.OUTLET N-om' 'ESIO BRANCH CIR C ITS 2.50 ea POWER APPARATUS 6 �SiNG LE OUTLET CIR. ) Ex. Occup\/ OR FIXTURES AL. 30OUTLETS eALO 30 FIXED TS (RE S. OR EX. OCCUp. OUTLETS LNb O,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions:.of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. I : (. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor .••7-- . ....-.a , uo aNNn1;aUUn anD slate inai Ine above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures oveer,3 stories in height. Receipt No. 1 lU2(o ��50 WHITE-O.P.W., YELLOW-ASe E330R, PINK -INSPECTOR. GOLD ENROO-APP,_I CANT mvurla numr Inslallatlon r-ee s Energy Inspection Fee g OCC CONST TYPE 6� TOTAL FEE $ 075 HAZ. I CUA i PARK SCHLI FLU I COF I PAR I PD 11 HO. I ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES mita COUNTY OF BUTTE — DE ARTMENT OF PUBLIC WORKS 7 County Center Drive —i Oroville, Califorrm 95964 Telephate: 34=4541 APPLICATI04 AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I I " 1 X I I r � Date Signature of Permit7ee or Agent —T 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. 'r DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date �� �/ BUILDING Owner [ .'� r. • I t ' � � I ra , SQ. FT. OCC. BUILDING VALUATION Mailing Address J Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ;',}'� _ ' , l f 1R" Plan 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. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd.. Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Permit Fee $ $ r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 f r ( , Single Family ❑ Duplex ❑ Mobil Home Q- Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLOGS.LING Ccup- 'I) 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 of: NEW CONSTR, MULT I.OUTLET NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES g L@; FIXED APstyle Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from th tractors License Laws of the State of California. Permit Fee $ r__ , SU $ ► ( p MECHANICAL No. @ FEE WORK EN'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 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 I Land Development Fee $ TOTAL PERMIT FEE $ i f� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I I " 1 X I I r � Date Signature of Permit7ee or Agent —T 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. 'r DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date �� �/ A7, V& Owner A F_Y K La r1 '7' ti Mailing Address P j . 5 Soy, S'7o C 0R0VIL--IE , GA Contractor _ne4j�15 �UIL,.NiiYa� SO. FT. I OCC. BUILDING VALUATION Mailing Address ELECTRICAL Fireplace FEE Total Valuation e00V OR LEsS 100 AMP OR LESS Main service EA. ADD -L.100 AMP Main service Telephone No. Permit Fee EA. ADD•L 100 AMP Building AddressfJ1S SUue_'D't._SF(-'AT t-7 D' Plan Checking Fee&/or Penalty Permit Fee A APP, (�L( tit .1 G't= NtJQ.I.>`�f�. _ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap Repair drainage or vent piping 1.50 1.50 {{ t�eOV l(.1_ h �± A. P. No. -ro Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s 4C' Saa4a4en Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel M 60' R/W Im rovemonts p Each additional outlet .30 Building sewer 5.00 Parcel Acoroval Plans Approval Lawn sprinkler system 2.00 Ji NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home a-- Others ❑ 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: Permit Fee ELECTRICAL PERMIT FILING FEE Main service e00V OR LEsS 100 AMP OR LESS Main service EA. ADD -L.100 AMP Main service ov100EAMP R P OVOR LESS Main service EA. ADD•L 100 AMP NEW CONST. \ OR ADONS. DWELLING OCCUP. S ACC. SLOGS. NEWCONSTR./ .nm _PFSin- MULT .OUT T \ BRANCH CIRCUITS Ex. OCCUDIOUTLETS OR FIXT11P FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) E Temporary service Mobile Home Facilities MI SC. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. @ FEE $3.00 3. Q 0 5.00 15- (-, U 2.50 Z . S�- 25.00 1.00 ?.50ea 0@255 IALA1 2.00 10.00 15.00 6.25 $ 1 .. $ I @ FEE $3.00 I certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. )( /9,A� �'2�KL Date ' ') Signature(oa! Peerrmitee or Ag nt Receipt No.T White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ Q 5Q This p it is hereby issued under the applicable provisions of the utt County Code and/or resolutions to do work indicated a ve fo which fee have been paid. I� TOR -OF PUBLIC WORKS By—Date �1;4 7 Building permit expires Date `� ���— COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telep>non.e; 514-4541 APPLICATION AND PERMIT / Owner 4 Q 2i K U ji\/l A Mailing Address 12T. 5 `Soy 5"7o 5 I O (ICU V I LAJE GA I'�e3 P3h'n e 7 I 5 I Contractor _ BUILDING SQ. FT. OCC. I BUILDING VAL TION Mailing Address $ Fireplace ELECTRICAL No. Total Valuation FEE ' $3.00. Telephone No. Permit Fee 5.00 Building Address S 5WE'DF-5 ���-T ��' Plant ng Fee&/or Penalty t 2-. 5L Fee PenniFee 25.00 APP, '14 t,4'1 O (Z NueLC--WrJ PLUMBING No.1 @ FEE NEW CONST. ( DWELLING OCCUP. 5C OR ADDNS. ACC. BLDGS. 2PSgft PERMIT FILING FEE $3.00 Each Trap 1.50 NEW CONSTR. POWER APPARATUS a NON-RESID.SINGLE OUTLET CIR. 012XIIJII -C. Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fb#lS Mobile Home Facilities Saa4a"n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 BI Parcel Ap roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IRJ Single Family ❑ Duplex ❑ Mobil Home [9"- Others ❑ 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: License No. Classification I am exempt from the Contractors License Laws of the State of Cal ifomia. 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 o 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 -me tinned property for inspection purposes. Kg,,�tn8A_Q_.Date _l Signature o P� i�e �A�nt Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00. OU Main service 100v OR LESS 100 AMP OR LESS 5.00 Cj O0 Main service EA. ADD'L 100 AMP 2.50 t 2-. 5L Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 5C OR ADDNS. ACC. BLDGS. 2PSgft NEW CONST R. MULTI.OUTL T NON.RESID. ` BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS a NON-RESID.SINGLE OUTLET CIR. EX. Occup{OUTLETSOR FIXTURES 50@29¢ BAL@1 EX. OCCU FIXED APPLNS. OR \ P•(OUTLETS (RESID.) EA/ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ f Va _-y► MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE $ (� This p itis hereby issued under the applicable provisions of the utt County Code and/or resolutions to do work indicated a ve fol whicDeep have been paid. I TOR -OF PUBLIC WORKS By Date 9 l�4 71 Building permit expires Date y r` COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• �'. 8, N. F�51 E . el 'S E. M. U. V. � M. 2 � � `f• • %ols -� �1�•a� off: O 1257.34 13U.7! 1313.79 I t,_ 1254.86 1314.63 1370 24 r 10 �y •-"03: 17� - 19 >�o 0151 2 a I 28 45 9 tZ 1 3 rS I - I W d`7 :0.3_c IS LO 4 LO 3 �4:t_ ^a..�•'t/ LOT 4 2O1.75AC• j#61C- 54.994 4�1 33.25AC ' 49 39114AC 40 05AC 40. AC , 40• AC 1 • 1 106 ��� 39.41,4C ROAD _ a AC v, 10..3 Ac 11 rR --- ��.� ' 1Q 21 1 1 !2 5 7 10 . Il, `� l y 79 c O 61 174 1181 89 4OAC gp OAC i 189 d f 40 f 12 2s90AC 1161 2 16.32 1Y.UZAC JAC .3 SL 29 AC '( �� Si i��� •"► %, ; ' ql /// /03.96• A `0 /8 1333- 2A PM 121 5 79 1279.41 T6 G Ac. , It -93 e.9'� ' w� ,,.e 15.8 AC AC ' t i 1 } ~ ti 16 4. AC 1�� h V� �/ of + Y / 4 ♦ A �I Zr 8o e � •• 37 29Q� 9. d7 o as Ac 3 9 2 R O so t C 19 I 20. MI6 2 ! aAC 119 _ n n 'i? 6 ' N ` R/S 47-37 .1• o� l4 15.13 AC. - 4 AC 40 AC _ o a p 1 4 PM 68_13tia7, 1324.24 8Jd.23. 46 c p. 884.23 /324.25 a m___1b9.7 4 !38 l4! 2 / zJo / O o' r a. /� ! ® •r 9. .. a a m 2 10 ya 14 c •pp,1� n 0 m 12/ v ^�� N �'� 2 /J�► 29 78.23 AC. C4 o ip i p 40 r PN 103- O 14.3 23.22At 11t !4 r•a 40T-33Ac ( 82 �� a r '9� / �+ / I IT 118.25AE. 3 ro.se•r 114 ! CZ•`"'` 4O AC 9.79Ac 13 11 75 19�AI IOA • 1o..4AC $� PM 4t7 ' 15 �►" 3O P 3 e� _ �' RS110-81 ,3 4 % _ �� v 88 .96 m 1319.31 1345.3 q dt m -914 61 10 99 -«: O lA. i77 ! , 17 rraooA'c @4- 171 � CQ Grease 40 AC % \\L-4 \ 40 AC �� Zo 15Ac. =� 3 l y /9.0�? 19.08 =, UPrrr++.1f� MY 1PMIC5 70 � - rth;i 1i - S i 11� ( LNL -53- - 9.98AC 620.45 619.30 ONE I _ ` _4 r. ,239.7) C ` c. '.' Y ' '�L"� `.,•%� ,ly -a4 lop 2 649 ►� �•/' 10.1301* 0.13 AO AC 3 /8/J1 s ¢ a: 40 AC 40 A.C. Al s } s LE Fvlkr L,4-AlE 0 1 1� 1 2 , - - E-� t �` 10.7 �► g 7>E yo j NOTE: THESE PARCELS AR£� FOR ASSESSMENT ' 9.52AC .►2.11 t/NOT vowsrrTUT E LL L _ O � �b� \ \ PURPOSES ONLY AND A/Al' M 1, 9©40AC. 10.15Ac l' 40 AC\,\ r15 3 4 g PARCELS. W. 40AC .. 1'\JI l5O 11 15 9 .O4AC PM 9B-`�!� ' ' 7.93 4c _. ,_;,, .r /y i '` OK,•, C152i9 �/ „ t 9.61 A6 • s10.0AC 93 •!OAC.40 AC r _ 10'9e Ad Assessor's Mop No. 2847 7Ci,.4 County of Butte, Calif. •'' REVISED: 7 - 92 cx� kpkt , 6M>5 v -e -c c 0-ocke". Se4%,A �J\)C:9) pl-- PLANNING DIVISION- BUILDING PLAN APPROVAL Use: ------ Date: 19 Parkin Landscaong- Ji Signature. MTEO- See tW G'#t,-lched Li —Pages M A -A x LU X116 t w I C)E BUTTECOWN 0-b BUILDING DEPARTWr rm P% A PPRO� M 2;to LU w Im L11 w _u LL o m ,6 w IL 0 co LU fn uj 0 LI" tt x -10) 0 M 8(0 o Y. LE 0 6M>5 v -e -c c 0-ocke". Se4%,A �J\)C:9) pl-- PLANNING DIVISION- BUILDING PLAN APPROVAL Use: ------ Date: 19 Parkin Landscaong- Ji Signature. MTEO- See tW G'#t,-lched Li —Pages M A -A x LU X116 t w I C)E BUTTECOWN 0-b BUILDING DEPARTWr rm P% A PPRO� Oa'? --14 �O - r)\S \11 Envlronmopn Health APPRLI� ED U x e�� v IC .6� Ci, 7 r1i DEPAI I r MOBILEHOME -INSTALLATION DATA 1) Owner's Name: Pf i c F_ 2) Assessor's Parcel Number: C), L --i Lo p �( 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No (k] Permit No. 5) Is the site an existing site? Yes jk ] No[ ] (If yes, furnish two plot plans). 6) What is the electrical rating of the mobilehome? /6c--) Amperes. 7) What is the mobilehome site circuit breaker rating? (::) Cc Amperes. 8) What is the electrical rating of the mobilehome site? c:PCcD Amperes. 9) Is the main service remote from the mobilehome site? Yes [ ] No M If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [ ] No [X] If yes, please identify the load and size: a) The mobilehome site: Load- Amperes - b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [X] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" . 13) What is the gas pipe length from the meter or tank to the mobilehome? as (ft.) 14) What is the mobilehome gas demand? B.T.U. *(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). PROCESSPERMIT APPLICATION MO ILEHOIVIE SURPORT DATA Mobile Manufacturer: hcL+'oc-,, i o c3 Manufacture Year: 'LOU Q - If other then single wide, furnishSetup Model Number: IS) I e? Width: (ft) Length: t { ft Tagalong or Expando Size X On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade [yc] Other: SUPPORTS: Concrete block [x.] Other: Provide Tie ®own Specifications for all Mobilehomes: C0 iA-fi Zt PL6 v-'� Pier Footings Sizes and Location SINGLE WIDE ?4LT ,TI -WIDE Line 1 Lane 1 Lane 2 Line 2 Main Bean -is Lin® 2 ------------------------------------ ----- .---- ..------------------------ ....................:... 'me 2 Line l _ _- _ _------ _ Line a Lane 2 ....................................................... Main Beams Line 2 ....................................................... Lane 1 ................................................. �.ine S Tag or Triple c 4 in 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -max: Line 2 Piers: Size minimum: Spacing maximum From ends -max: Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): Line 1 Openings Size minimum: Each side of openings with width over: Line 4 Piers: Size minimum: Spacing maximum From ends -max: [��2lx[ ] Z.' 14 � (� / x Fri PAD : VIA �•"` ss .i -Al .Bil 4E .Vl 66 I .yi! DE � A Oli3 H11tN 3l1:iH-d i � I t I I I i I � I I i I I I i I I I ISI ISI I I I ! I i i I t I � I - I IJIBI— m-- I I I 1 I i I I I r�-I I f SIJ �iJ � r+-� R I�cI I BJ LJJ I ® I I I I � I I I I I i li I r�� I I r9� I�I I I I i I I ' , rJ NOV 14' ,0,2 (THU) 09 45 " GH 'F77777 .i -Al .Bil 4E .Vl 66 I .yi! DE � A Oli3 H11tN 3l1:iH-d i � I t I I I i I � I I i I I I i I I I ISI ISI I I I ! I i i I t I � I - I IJIBI— m-- I I I 1 I i I I I r�-I I f SIJ �iJ � r+-� R I�cI I BJ LJJ I ® I I I I � I I I I I i li I r�� I I r9� I�I I I I i I I ' , rJ 0 0 Ls. 4j, Px `d6jt ca P ; L ° 9 - - e s 4 - e 0 0 Ls. 4j, Px `d6jt Y