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Home My WebLink About030-102-041a - l.� r Ain `. 30-10210 � - 21 =E i -- - , Keith & Ruth � JOHNSON, - 1540 Grand Ave, Oroville,, O i O 1 (utiliti_ es/mh) _ _._ ,_. _._, K, If ELEC 0 GAS /1%afi ��'� COMPACTION TEST -`RE o SUPPORT STRUCT RE D 30-102}1 39aq, I _ JOHNSON, Keith & Ruth I 1540 Grand Ave, Oroville' RI i (garage) CONTR: Don Scribner `~ � 30-102- 1 Permit#1008-91E qZ (electric for garage) 30-102-41 92-833 i JOHNSON ,Keith.& Ruth 1540 Grand - Ave, Oroville mhi �a 92-3069B I 030=10-2-041 . JOHNSON, Keith &iRuth 1540 Grand Ave, Oroville 2 covered decks/mh ' Y 1� i �i I ik i {� IV i� �� . �� li r4 RESIDENTIAL 30-102-41 92-6833MIiI JOHNSON, Keith& Ruth 1540 Grand Ave, Oroville mhi/existing site OFFICE COPY Address GAS Meter By ELECTR Meter By W— IN10 41, 4WOU-1 .1 D .1 OK O=Not OK = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ` 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks Easements 2. otings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricitv: MH Test -Crossovers -Breakers -Clearances '%-i3-Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector 7. Water. and Sewer Connected -C/O to Grade -HD Approval 8. as nd Electricity Tagged -its; Insp.-Sketch 10. Cert. of Occupancy Date �� Card 8-1 ate Card B-1 OaW Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easemen)s 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except k's i I. Zon i ng -Set3acks-Ease men ts-Flood -Slope I 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg ' Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 23. E-lec. Rec--eptacles Spacing -Lights & Switches at Doors - ---------- --------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------- -- - ------------------------------------------------------- ------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size i ! ga. Cu or At -------------------------------- ------- -------- - ---------- 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. 32 Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------- -------------------- -------------- .33 ----- --------------------------------------------- 33 Smoke Detector ------------------------------- ------------------------------------------------- Date Card B-1 Date Card -13- 1 -------------- - ----------------------------------------------- - -- - -- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OIC except n's 34. A.C. Ducts Insulation & Support -------------- -- - ------ --- ------------------ ---------------------------------- 35. -------- - ----- - - - - --- - - -- - ---- 35. Vent Fan: Exhaust above insulation --------- ----- - -- ----------------------------------------- 36. -------------- --- -- - - - -- - --- - -- - --- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------- 37. ---------------------------------- - 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ------------------------------ --------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- ----------------------------------- ------ ------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------ ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except M's 39. SiIs. Proper Material & Anchors ------- ------------------------------------------------------------------------- ---------- 40. Walls Studs -Nailing. - Spacing -&-Bracing-Plates-Sound------------------------------------------- - --- 41. Bearing Wall -s ove-r--G-irders -&- Floor -N-ailng --------------------i---------------------------- 42. Draft Stop in Walls (rat proof) - - ----------------- ---------- I Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ - -------- -------- ------------------ 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors y- 46. Cing. Joist-Ritr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ ----------- 58. Shear Walls: -Nailing -Bolts 59.- Insulation -Walls -Ceilings ----------------------- 60. Infiltration -Walls -Windows ------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- 62 Smoke Detector ------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------ 64. Bedroom Exiting ---------------------- 65. -----65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs -&-Rai-Is 68. Fireplace or Stove Clearances -Hearth ------------� -------------------------- 6J. Elec. Outlets at Wood Panel; Int. & Ext. - - ---- - ... - --- -------------- ------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ - - - - _ . - -------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter ----------- 72.- Garage - -Door: Door Swing -Landing -Closer ------------------------ - 73.-.A.C.-Duct in Garage -Damper 74. Wtr. Htr. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------- ------------- ----------- -------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No 81. Stucco: Brown -Finish ------------------------------- 82. A.C. Unit Disconnect. Electrical. Plumbing ------ ------------------------------ 83. ---------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- -. -- ---------------------------------------------- 84. Water Well; Disconnect, Electrical, Plumbing - - - - - -- - - - - --------------- ------- --------------------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---------------- 87. - - -------- ----------------------------- 87. Glass Protection _.... ------------------------ ------------- 88. Corrections from Previous Inspections - - - - - - --- - ---------------- -------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----- ------ - ------------------- ----------- ---------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- ----- --- 91. Energy Compliance Certificate -Other Certificates -----...----- ------------------------ ---- Date Card B-1 Date Card B-1 -- --- - - - - - ---------------------------- ---- ---- Date Card B-1 Date Card B-1 ------- ------------------------------- -- Date Card B-1 Date Card B-1 Comments at Final: 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- - --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ---- -------------- - ------------------- 19. Shower Pan: Test, First Floor -Tub Access ---------------- ------ -------------------------------------------------------------------------- Date --------- Date ---------------------------- 20. Test -Tub & --Shower,-Second Floor -Tub Access ----------------- -------------------- 21. Gas Pipe: Size & Anchors - Card B-1 Date Card B-1 ------------------------------------------------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection 23. E-lec. Rec--eptacles Spacing -Lights & Switches at Doors - ---------- --------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------ ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------- -- - ------------------------------------------------------- ------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size i ! ga. Cu or At -------------------------------- ------- -------- - ---------- 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. 32 Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------- -------------------- -------------- .33 ----- --------------------------------------------- 33 Smoke Detector ------------------------------- ------------------------------------------------- Date Card B-1 Date Card -13- 1 -------------- - ----------------------------------------------- - -- - -- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OIC except n's 34. A.C. Ducts Insulation & Support -------------- -- - ------ --- ------------------ ---------------------------------- 35. -------- - ----- - - - - --- - - -- - ---- 35. Vent Fan: Exhaust above insulation --------- ----- - -- ----------------------------------------- 36. -------------- --- -- - - - -- - --- - -- - --- 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------- 37. ---------------------------------- - 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ------------------------------ --------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- ----------------------------------- ------ ------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------ ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except M's 39. SiIs. Proper Material & Anchors ------- ------------------------------------------------------------------------- ---------- 40. Walls Studs -Nailing. - Spacing -&-Bracing-Plates-Sound------------------------------------------- - --- 41. Bearing Wall -s ove-r--G-irders -&- Floor -N-ailng --------------------i---------------------------- 42. Draft Stop in Walls (rat proof) - - ----------------- ---------- I Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ - -------- -------- ------------------ 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors y- 46. Cing. Joist-Ritr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------- 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ ----------- 58. Shear Walls: -Nailing -Bolts 59.- Insulation -Walls -Ceilings ----------------------- 60. Infiltration -Walls -Windows ------------------- - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- 62 Smoke Detector ------------------------- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ------------ 64. Bedroom Exiting ---------------------- 65. -----65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs -&-Rai-Is 68. Fireplace or Stove Clearances -Hearth ------------� -------------------------- 6J. Elec. Outlets at Wood Panel; Int. & Ext. - - ---- - ... - --- -------------- ------ 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ - - - - _ . - -------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter ----------- 72.- Garage - -Door: Door Swing -Landing -Closer ------------------------ - 73.-.A.C.-Duct in Garage -Damper 74. Wtr. Htr. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------- ------------- ----------- -------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No 81. Stucco: Brown -Finish ------------------------------- 82. A.C. Unit Disconnect. Electrical. Plumbing ------ ------------------------------ 83. ---------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -- -. -- ---------------------------------------------- 84. Water Well; Disconnect, Electrical, Plumbing - - - - - -- - - - - --------------- ------- --------------------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ---------------- 87. - - -------- ----------------------------- 87. Glass Protection _.... ------------------------ ------------- 88. Corrections from Previous Inspections - - - - - - --- - ---------------- -------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ----- ------ - ------------------- ----------- ---------- 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------------------- ----- --- 91. Energy Compliance Certificate -Other Certificates -----...----- ------------------------ ---- Date Card B-1 Date Card B-1 -- --- - - - - - ---------------------------- ---- ---- Date Card B-1 Date Card B-1 ------- ------------------------------- -- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Z _ �i• ASSESSOR PARCEL NUMBER 30-102-041 ZONING - BUILDING PERMIT OWNER KEITH & RUTH JOHNSON 7,14 TELEPHONE 926-3265 SO, FT, OCC.1 BUILDING VALUATIQW OWNER'S MAILING ADDRESS 30963 SILVER PALM DRIVE HOMELAND CA 92548 CONTRACTOR'S NAME 1011 - PHEASANT RIDGE fl TELEPHONE 877-1000 MAILING D 52d0213 CONTRACT 5500CLARK ROAD PARADISE 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS GRAS?D AVE OROVILLE 95965 1540 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [:1 Duplex[] Mobilehome[2 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationEl Other ❑ Describe work: MH I 2 BEIRM -� •5 /�e� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADDNS. t ACC. 3.64 sq.ft. NEW CONSTR ULTI-OULET ImOUT NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. R Ex. Occup. OUT LETS (RESID )EAJ I 3.00 Temporary service 15.00 me Facilities Mobile Home 15.00 Misc. H g -15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate OConsent 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 1 15.00 Heating Coolin g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyOt Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid ou t in consequence of the granting of this permit. A X Date -.'r-94 ,3 — 7_2_ S'gnature of pplicant — Own e Contractor E]AgentF1sions An OSHA permit is required fore cavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Ener Inspection Fee $ 9Y P occ CONST TYPE I TOTAL FEE $105.00 HAz 1 DFEES I IMP F D CDF PARCEL I PD HD 1// ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated bo for which tees r DI OR P LIC B / P&MIT EXPIR Date applicable provi- resolutions to do have been paid. WORKS Date /` Receipt No. 110303 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ♦... "4+r •.. 1. .. sa. <` .-. �r}w. yYfr ix4,ry •�,. R?.f i41 '".i COUNTY OF BUTTE - DEPARTMEN_T OF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIAi 5 65 - TELEPHONE: 916/538-7541 PERMIT APPAL CATIOW R1 A SHEET Permit No. OWNERfF.l /V A. P. o. G Proposed Building Use % Building Inspector Date 3 �� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. MobileHome installation data including manufacturer's installation instructions....................................................... 3bi2 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... Park fees aid 13. �� f/ School District fees paid .............. Z ` 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business icens val from City of (see City for other re,mt's 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) Pre -Inspection for required...Pre-Insec. request to BuildinggInspe ate) 4Z54-koContractor"s license information (No., Name Style, Classifications . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Copy of plans sent Health.Dept. Fire Dept. Other Date By The following data must be submittd for ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. Z 2. Additional items required: Contracto designer, owner, was advised of above required data by_L16hone—naiI—counter by &-) r esigner, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by .l'W Date 3 ' 2 Plans approved by Date `t �92 Sets of -plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT r PERMIT NO. ASSESSOR C L NUMD D -- Q ZONING BUILDING PERMIT O'NN ER J0 , /�i� /v TELEPHONE� SQ. FT. OCC. BUILDING VALUATION OWN 'S MA ING AD RESS C N RAC TOR'S NAME tl fF54A17 , IDG E L E P HONE CONTRODR'SD/J�J` � MAILING ADDRESS ��S-77�ooa L_ ,U/N/K`NOWN/� �G7 Fireplace CO(NNSSTRUCTION LENDER Total Valuation is Filing Fee $ 15.00 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 $ BUILD I G A�s � ! „ ^ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 us OF STRUCTURE SF ❑ Duplex❑ Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ R/em�odeI F_!Utilities ❑ Insttalllat� Other ❑ Describe work: �r'v 4y� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v0RLESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F-1 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 CONST.( DWELLING OCCUP.&) OR AOONS. ACC. SLOGS. I 3.6Csq.ft. NEW CONSTR. ULTI-OUTLET NON•PESID. BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 @ 76d AL PA FIXED APLNS. Ex. Occup. OUTLETS PIRESIO IREA.) I 3.00 Temporary service 15.00 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant — owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures t over r 39storiesoineheighttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Oro U Energy Inspection Fee $ l OCC CONST TYPE T� F E $ l 00 I HAz OFEES IMP CDF PARCEL PD HD ISSUE This permit is hereby iss ed der the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. G WHITE-O.P.W.. 7ELLOW-A59C790 R, PINK -INSPECTOR, GOLDEN NOD•APPLICANT .�n.t•,rrn.:i�"'rKti.�.l :�e;�S,.;��;w.�.r-^y�1iz��w.� vs9^,er�js y�:f,�„a:+•�q�'i'�N�'"i'S7(^s�rta'�j,.14:r'�'Mf+•^t�..vtw,cv�ty.ar'., R...�.-.?dt.,r,.�,.,v,^G BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number ��"'�!%Z-d� Building Department No. School District 45O �//l/ty `�" . County [--I Jurisdiction Property Owner Project Location/Address" 7 C,' Subdivision Lot Number Resident�'al Development: COUNTYOfa Sq. Footage BUILDING DEPT �,:- # of Living MHI Addition, (Group R) MAK 2 y 1992 Units Commercial/Industrial: a Sq. Footage. New Addition (Including Exterior Roofed Areas) t 3 /,2 Buildirr Department Representative Date r (Floor Pians reviewed by School District Personnel PAID BY CHECK NO. ` REMARKS: V BANK NO /��%ry/tom. iJ P�. JLZ�LI rN PAID BY CASH white -applicant, yellow -building department, pink -school district , SCHOOL.FEE (8/88)/ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 5388-7541 PERMIT NO-;/ Address or loc Owner's name Owner's address Manufacturer's name Serial,number,o V.I Insignia or hud number IqQ3 & :3 4 Year of manufacturer�. IF THE MOBILJEHOME 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. t 5138 •.'e.:"�a'"',�.r:�y.,-.t-•',�-+�.-•l`Nor'�'�+r:.ti.,2'�i:dr'�"��=�•�'-.-=+"-i"`�"n.'F��`Ts"".. ...- _ ��::.r�.S.t,:. Vii^^' -�.—� COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA, - (916) 891-2751 7 County Center Drive, Orovi!le, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, REV 11/81 _ !.. . 1171" L. . '. i.,. TOd m C sc 7 ctb > ale oo TOd m C sc 7 ctb > oo TOd m C sc 0 LA, 1�1' OM -all i' jt yF ZS'fO.J!�M XVA 7 oo 0 LA, 1�1' OM -all i' jt yF ZS'fO.J!�M XVA 10 5� 13l t ll ,t�Q'2-933 N i� �j 1' 1J 36 1 c BUTTE COUNTY \ �5g BUILDING DEPARTMENT, � ' lol�'APP ROVED Vfuc Copy BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-754.1. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: v h ri Sp nJ 2. Installer's Name: R( e P nJ L) 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number Is the site an existing site? Yes No (If yes, furnish two plot plans.) OR P— 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear. of all setbacks and easements? Yes No a (If no, clarify a 5. What is the mobilehome electrical rating? --------------- Amps. 6. What is the mobilehome site service rating? ------------- /U O Amps 7. What is the mobilehome site circuit breaker rating? ---- - / U C) Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No (If yes,identify the load and size: (Load) IS -6 (Amps) 9. What is the mobilehome site gas pipe size? --------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length fro eter or tank to the mobilehome?-=--------------------=---------------------- / (ft.) 12. What is the mobilehome gas demand? ---------------------- ,S-Ov 6 (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA %� r, e ., // If other than single wide',,;,_ ,�.' J Mobilehome Mfr.A�/j�/ � furnish Setup Model No."%d'/ '° ` Year Z VI I Width '2- ) Box Length .5(d (ft.) Tagalong or Expando Size — ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's -'installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)��---�� Concrete block. M2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE 7.1 ne 4 Line 1 �`l Line 1 Piers: Line 1 Openings: Size -Min. ----------- Size-Mio. ------------------ Spacing -Max. --------- 5 ,_ „ Each Side of Openings From Ends -Max-------- '_ 6 With Width Over "-------- rr Line 2 Piers: Size -Min. ------------ Spacing -May.- --------- From Ends -Max .------- Line 3 Roof Loads: Size -Min -------- mAeice? Lo cation (From Front) 00 ipaj�mE Line 4 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ y� Spacing -Max.--------------- From Ends -Max .------------- ._ .. eA"x 30 Z "x 04 •' 2 'k 3 ., Z4',k 36 ., „x ., .k ., „x ,. Size -Min .------------ Spacing -Max.--------- , From Ends -Max .------- ._ n e 5 Piers: (Under Bearing Walls Only) Size -Min -2 -------------- Spacing -Max.--------------- From Ends -Max .------------- Line 5 Roof Loads: Size -Min.------------ _ "xIo"x "x 'k 'k Location (From Front)I "I - I FAX 916877040-2 ; PHEAS:9NT-RIDGE PO1 JIM aid •� -�..._ ..._� �;� �., 0 ad0� r CN CV i V ze `► - --=�=� � of (� '� - . sna wnn .'tje� •' + � II S I �d i• � Y T v. ir 60 u1 � \� � • - 1 � � I1 'o � I � '� w li I. LL. I N. C3 Lo r ^ I O BUTTE C66N 0- UILDING DEPARTMENT APPROVED Typical Pier .Locations UU U U U U —O—Ot---%O•—�O---O--_p I Axle I I Area I --p--o:---rp---o---o---o -- --p —ot—to---o•--p---o--C T Axle I Area Center Line of I -Beams 1 n nr n n n n r F ingle- ection All A, See T -.- - Frame Plus Perimeter Blocking Perimeter Blocks Frame Blocks L Center Beam • Blocks _ Frame Blocks -- Perimeter Blocks —❑—Ot--.IO.--O---O---O— I Axle I I Area I -: --❑--o--�o---o---o---p -- --O'—OI Axle t0---1'--O---O-- Center Line of I -Beams —� —o+Area+`/ .D---a--o= Block each side of all exterior doors. J Block each side of sidewall openings larger than 6 feet. (see Example 1) OR single - section See Table V Frame Blocking Only Figure 2 Table II Pier Spacing, STUD IN RECESSED /J� Capacity and SIDEWALL OR .•SIDEWALL PORCH POST 10" MAX. i Footing Size Tables FOR SKIRTING 4 x 4 OR 2.2 x 4 FLOOR JOISTS ON EDGE (NAILED To find the minimum footing size, first determine TOGETHER) SPAIN 2 FLOOR JOISTS the minimum pier capacity from Table II or III. Section Width Once you know the minimum pier capacity and EXAMPLE I the soil capacity (See Table I on page 6), look up 4 the footing size. in Table IV. 8 Minimum Pier Capacity Table II Frame Blockingonly Perimeter �Blockin-Not-'Re uured Roof Minimum Pier Capacity Maximum Pier Spacing — Feet Section Width Live Load (Ft.), (PSF) 4 6 8 10 8 20 1400 2200 2900 3600 30 1600 2400 3200 4000 10 20 1800 2700 3600 4500 30 2000300-0 4000 _5000 12 20 2100 3200 4200 5300/ 0 2300 3500 4700 5800 14 20 2400 3600 4900 6100 30 2700 4100 5400 6800 16 20 2800 4200 56COUTT566 Wil 30 3100 4700 6200 P, 18 20 3200 4700 900 30 3500 5300 7090 D 4TY ITMENT n 0 Multi -Section Center Beam Supports Labels, located along the centerline on the bottom side of a multi -section home, show where the column supports must be placed. Measure the longest span between these supports and refer to Minimum Pier Capacity Table V. Once the pier capacity has been determined, the minimum footing size can be found in the Footing Size Table 1V. Table V Minimum Pier Capacity Multi -Section Center Beam Blocking BUTTE COUNTY AHP O ED Pier Load & Minimum Pier Capacity — Lbs. Section Roof Width Live Maximum Span To The Next Support — Feet (Ft.) Load (PSF) 5 10 15 20 25 30 35 8 20 600 1200 1800 2400 3000 3600 4200 30 800 1600 2400 3200 4000 4800 5600 40 1000 2000 3000 4000 5000 6000 7000 60 1400 2800 4200 5600 7000 8400 9800 10 20 800 1500 2300 3000 3800 4500 5300 30 1000 2000 3000 4000 5000 6000 7000 40 1300 2500 3800 5000 6300 7500 8800 60 1800 3500 5300 7000- 8800 10500 12300 12 —20_ 900 1800 2600 3500 4400 5300 6100 30 1200 2300 3500 4700 5800 7000 8200 40 1500 2900 4400 5800 7300 8800 10200 60 2000 4100 6100 8200 10200 12300 14300 14 20 1000 2000 3000 4100 5100 6100 7100 30 1400 2700 4100 5400 6800 8100 9500 40 1700 3400 5100 6800 8400 10100 11800 60 2400 4700 7100 9500 11800 14200 16500 16 20 1200 2300 3500 4700 5800 7000 8100 30 1600 3100 4700 6200 7800 9300 10900 40 1900 3900 5800 7800 9700 11600 13600 60 2700 5400 8100 10900 13600 16300 19000 BUTTE COUNTY AHP O ED . , 0 Table III Minimum Pier, Capacity Mme Plus Perimeter Bibckin (Both Frame and' Perimeter Blockinq Required) Q7 Roof Minimum Pier Capacity — Lbs. Section Live Pier Width Load Maximum Pier Spacing — Feet Location (Ft.) (PSF) 4 6 8 10 8 FRAME 900 1300 1800 2200 20 PERIMETER 600 800 1100 1400 FRAME 900 1300 1800 2200 30 PERIMETER - 700 1100 1400 1800 FRAME 900 1300 1800 2200 40 PERIMETER 900 1300 1800 2200 FRAME 900 1300 1800 2200 60 PERIMETER 1200 1800 2400 3000 10 FRAME 1100 1700 2200 2800 20 PERIMETER 700 1100 1400 1800 FRAME • 1100 1700 2200 2800 30 PERIMETER 900 1400 1800 2300 FRAME 1100 1700 2200 2800 40 PERIMETER 1100 1700 2200 2800 FRAME 1100 1700 2200 2800 60 PERIMETER 1500 2300 3000 3800 L-12 FRAME 1300 1900 2600----3200 20 t yP_ERIMETER-------800 -1-200 1.600.c 2000 FRAME 1300 1900 2600 3200 30 PERIMETER 1100 1600 2100 2600 FRAME 1300 1900 2600 3200 40 PERIMETER 1300 1900 2600 3200 _ FRAME 1300 1900 2600 3200 60, PERIMETER 1800 2600 3500 4400 14 FRAME 1500 2200 3000 3700 20 PERIMETER 900 1400 1900 2400 FRAME 1500 2200 3000 3700 30 PERIMETER 1200 1800 2400 3000 FRAME 1500 2200 3000 3700 40 PERIMETER 1500 2200 3000 _ 3700 FRAME 1500 2200 3000 3700 60 PERIMETER 2000 3000 4100 5100 16 FRAME 1700 2600 3400 4300 20 PERIMETER 1100 1600 2200 2700 _ FRAME 1700 2600 3400 4300 30 PERIMETER 1400 2100 2800 3500 FRAME 1700 2600 BUIUCOMOV. 40 PERIMETER 1700 26 3400 4300 18 FRAME 1900 29 tj'MEN 20 PERIMETER 1200 1800 FRAME 1900 2900. 0 30 PERIMETER 1600 2400 3200 _. 3900 FRAME 1900 2900 3900 4800 40 PERIMETER 1900 2900 3900 4800 Q7 r i RESIDENTIAL 030-10-2-041 92-3069B i JOHNSON, Keith &.Ruth 1.1540 Grand Ave, Oroville 2 covered decks/mh I JOB FINALE Signature J=OK O = Not OK Not = Not Readyable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements ' 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L -ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Dat DEC OVERS, CARPORTS, GARAGES, Plans OK except #'s 2-41rzoni Requirements -Setbacks -Easements 2elfo-otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date ( L Card B-1 Date Card B-1 Dat -A=j -Z-Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 V OK O = Not OK = Not Applicable t��'t Ready RESIDENTIAL (; = ^gate UNDERFLOOR (Plans) OK except H'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- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except tr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------- --- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------- ------------------- 19. Shower Pan; Test. First Floor -Tub Access 20. Test -Tub & Shower. Second Floor -Tub Access ----------------------- --------- ---------- 21. Gas Pipe: Size & Anchors --------------------------------------------------------------- ---- Date Card B-1 Date Card B-1 -------------------- --------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -- ----------- --- --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. . ---- - ---------------------------------------------------------------- 26. Equip Ground made up w/Meth. Fasiners-Bond Gas & Water ---- ----------------------------------------------------- ------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFl 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect 31-.-Equip.-Clearances Panels-Motors-Mech. Equip. --------- ---------------------------------------------------------------- _32.- -Closet- Closet - Light -Shower -Light-Spa----Light - ---------------------- ------------------------------------------- 33. Smoke Detector -----------------------------------------------------------------------------..-- Date Card -B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation ----------------------------------------------------------------- 36. ------------------------------- 36. CondenFate Drain & Overflow: Size & Grade -------------------------------------------------------------- - -- -- - - - - - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------------- 38. Attic -Access-&- P-latform if Furnance in Attic ------------- ----------------- ----- -------------------------------------------- Date Card B-1 Date Card B-1 - ----------------- ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------ ------------ 40. - Walls- - - Stud -s --Nailing. Spacing -&-Bracing-Plates-Sound- ---------------------------------------------- ---- 41. Bearing Walls over Girders & Floor Nailing ---------------- ------------------------------------------------------------ 42. Draft Stop in Walls (rat proof) ----- 42.-P - 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) ' Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ ___ _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic - --------------- ----- 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ----------------------- 60. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector --------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------------ 64. Bedroom Exiting -------------------------- 65.--G.-F. I. -- ----------65.G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel. Breaker Sizes & Labels -------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth ---------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71.--Elec.-Outlets & Receptacles at Kit. Counter 72. Garage Fire Door Swing -Landing -Closer -------------------------------------- - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location --- - ------------------------ ---- --- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------------------------------------------------- 7 -Insulation-Foam-Looked in -Attic ❑ Yes --------------------------- - 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes 11No ----- -------------------- 81. Stucco, Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing - - - -- - ----------------------- -- -- ---- ------------------- ---- -- 83. Vents Above Roof; Plb9_ APP liance-Firep lace. -Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. - Exterior- -Elec.--Trim;-G F.I. Receptacle -Underground -- -- ------------------------- ----- - 86. Ventilation Throughout House . - - - ----------- .. -------------- Glass Protection -_--------------------------- 88. Corrections from Previous Inspections - - - - - - --- -- - - ---- ---- - --- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval -------------------- 91. Energy Compliance Certificate -Other Certificates ------ ----------------------------------- Date ---------------------- -----------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: it`, - ? ' �~a'•'-�?w' �`'+' ` `�"'"�.r`!�^t+'4t�.'3fa.i:.,t3%: �: > �- �: ti . . ',. . .�'. : ^`►�e� :.. Vis. � . .. . 6' :f r { COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` t •` 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER, PERMIT NO. c A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. Date 6 L Inspector 4�.e REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 • Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. Z - ASSESSOR PARCEL NUMBER 030-102-041 ZONING AR BUILDING PERMIT OWNER KEITH KET RUTH JOHNSON TELEPHONE 534-3706 SQ. FT. OCC. BUILDING VALUATION 1180 C 15,340 O WNER'S MAILING ADDRESS 1540 GRAND AVE OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 15,340 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1540 GRAND AVE OROVILLE 95965 Permit fee $ 228.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other COVERED DECKS SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 COVERED DECKS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER 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 200A TO 1000AI 37.50 DWELLING OCCUP.tr\ 3.6Q sq.ft. NEW CONST.OR ADDNS. \ / ACC, BLOGS. II NEW CONSTR. ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5•00 APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood #6_50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabilit' s, save, costs, and expenses which may in any way accrue agai scd nsequence of the granting of this permit. X ��i- Date 5'Snature of Ap icont — Owner Contractor ❑ Agent ❑ An OSHA per It is required for avotions over 5'0" deep and demolition or construct- ion of structu. s over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL F E $ 228.75 HAz r– DFEES IMP F CDF PARCEL �— PD IV This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica dab for which fees have been paid. T R OF PUBLIC WORKS By DatePE E PIKES Date — � - Receipt No. 123026 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . Y.A. .-M •i YI'^�-��...�.ry"�.�r'�-4••. .-�'n r ��'m(-"t�/�.. yr+...r,1rltiti., .�tiyT�r. riwy-rl'� -' COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS - BUILDING DIVISION �J OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA'95965 - TELEPHONE (916) 538-75 PERMIT APPLICATION DATA SHEET �eall3. NSo,J A. P. No. 610-/a* ` (�X�� Proposed Building UseG - Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. ,Zalifornia Department of Forestry plan approval/fees. ......... ,,//�� Flood elevation letter (100 year flood by California Engineer. .. 7'C. 14. Sanitation and plot plan approval , /? Health Department . ............ 15. City of Chico plumbing permit. y' 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... Pre -Inspection req.uest 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _) . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. " 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ..................................... . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ........... :......................................... 33. 34. When yqu issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone�� and hold for pickup at office. Deliver with inspector. Other Parcel Creation ?� 2 Acreage Applicant - Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air ollution Date Copy of plans sent Health Dept. \Fire Dept. Other- Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. �. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner; was advised of above required data by _ phone _ mail Counter by4 Date Plans checked by Date Plans approved by Date`7i Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovlller Callfornis 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT - ASSESSOR PARCAL. NUMB RZ BUILDING PERMIT OWNER e,e.-tA J(,sons TELSPRONE s31a'-3 70r. SO. FT, I OCC. BUILDING VALUATION 3tio Dclu OWNER'S MAIL AOR ES3 o j�- fItA O e 600 q55(,,5 I CONTRACTO�WAtd TELEPHONfi CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total VdIUSLIOn Is 3 'a LENDER'S MAILING ADDRESS - - Filing Fee _$ 15,00 Permit Fee $ 50 ARCHITECT OR ENGINEER - LICENSE NO. - Plan Checking Fee •- $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ - BUILDING ADDRESS ��1 0 CI'1 /u0 Le Permit fee PLUMBING PERMIT FilingFee 1 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Q Duplex❑ MobilehomeC] Other C2/ ,40 .8&CZ3 SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S 1 G I W - @ 15.00 ' TYPE OF WORK New &— Addition Ir_} RemodelEl Utilities[ Installation[ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 R LESS Main service 200A OR LESS 1 18.50 Main service 20CATO 1000A, I1 37.50 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 ,4o. Classification L I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) [ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.b� OR AOONS. ACC. BLOCS. 3.60sq.ft. NEW C.ONSTFL ULTI.OUrL`_T NON.7ESIO. 9RANCH CIRC"ITS 1@ 5.00 POWER APPARATUS ] j SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES qAO a 4r4 Ex. Occup. OUTLD TS APPRESiC.) EA.) I 3.00 Temporary service 1 15.00 o Mobile Home Facilities 15.00 Misc. H g I 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for 5100.00 (valuation) or less. [ Ihave 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 FiIingFeel 15.00 Heating Coolin q Hood6.50 Ventilation 1 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 liaoilities, 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 I CONST TYPE TOTAL F�� $ I t+AL 0FEES IMP I F 00 _ COF PARCEL PO HO ISSUE Signature of Applicant — Owner[ Contractor An OSHA permit ss required for excavations over 5'0" ,on of structures over 3 stories in height. - Date Agent C deep and demolition or construct. This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 'Mork indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. 1;2 30a i By _ Date i PERMIT FXPIREs turf. 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) -�L- 2. I (have/have not) X14 i signed an application for a building permit for the proposed work. 3. I have contracted with.the following person (firm) to provide the proposed construction: Name Address City Phone Contractors 'License No. 4. I plan to provide portions of this ,work,' but I have hired the following: _person to coordinate, supervise, and provide the major work: Name Address City _. Phone Contractors ' ticense 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 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. This aeb of pftw & d speaffieawne MUST be kept = the job at all times end it is unlswful to mske any changes or alte moons cm sams.wwwut wTitwmL permission from the Depsrt==t of Pnbli4 lfor]N6 Couinty of Butte. '„be Garage 2q.x28. A(/N. 5 F`r• s�vE,yg�e0 It” 23 7; Ids Bl-1TfE COUNTY Kl1i.DM DE AEF64MEfY'" . g2.3o`q C Pec i, �pX 8 Jn06i lho�e k Roof This aeb of pftw & d speaffieawne MUST be kept = the job at all times end it is unlswful to mske any changes or alte moons cm sams.wwwut wTitwmL permission from the Depsrt==t of Pnbli4 lfor]N6 Couinty of Butte. '„be Garage 2q.x28. A(/N. 5 F`r• s�vE,yg�e0 It” 23 7; Ids Bl-1TfE COUNTY Kl1i.DM DE AEF64MEfY'" . g2.3o`q C RESIDENTIAL r30-102-39 395-91B JOHNSON, Keith & Ruth 1540 Grand Ave, Oroville (garage) CONTR: Don Scribner I JOB FINALE Signature !i J=OK O = Not OK =N tReady MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s P 1. Zoning Requirements -Setbacks -Easements ! 1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders.and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. lectric 8. "g; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = ' Not Applicable RESIDENTIAL (Singllb & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra c-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-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-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 3' -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 - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 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. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral 0 Yes 0 No 77. Insulation -Foam -Looked in Attic 0 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 Dobr-Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor 0 Yes 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters C1 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing 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 (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT E�iMI NO/ nc � ASSESSOR PARCEL NUMBER 30-102-119 ZONING AR BUILDING PERMIT DWNeRith and Ruth Johnson (714) €k u TIM—PIM SQ. FT. OCC. BUILDING VALUATION AID 'Im Dr., Homeland, CA 92348 OW 096 ASkirVer TFa COTR ACTOR'S NAME �on Scribner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO TRUCTION LENDER one UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 80-50 ARCHITECT OR ENGINEER None40-25 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1540 Grand Ave., Oroville130-75 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewMX Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 24 X 28 garage _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under 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 El 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 CONST. / DWELLING OCCUR.& OR ACDNS. \ACC, BLDGS. q it 2/z¢sea NEW RECO N, 0, RANCHUTLET NON•R ESID BRANCH CIRCU, TS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®30¢ BAL93O FIXED APLNS. Ex. OCCup. OUTLETS (RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. DQI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabiliti judgments, costs, and expenses which may in any way accrue against sa' Co n co equence of the granting of this permit. Date X�� — P! Sign lure of Appli nt — Owner,( Contractor ❑ Agent ❑ An SHA permit Is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ r coNST P TOTAL FEE $ 130.75 HAz CLIA PARK SCHL fLD PAR Po HD I ue This permit is nereby issued under si ons of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dateeipt 6r�E-D.P.W.. No. 83815-$130.75 L 7ELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I e �.c��j��9��'Tt;Et'"P'�� i.'�••`�4rlF��?��f.1�, 1"ar�'. ` •,nr °.. - COUNTY OF BUTTE - DEPARTMENT OF �UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - M VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION=D_ATA SHEET Permit No. OWNER , k-Apl t4IAC. P.t; ML So � .. A. P. No. 3o— 10A 3 / Proposed Building Use C-440�r, Building Inspector .��5 Date 2-/3-V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................................,.:. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13 School District fees paid .............. 11 4. Sanitation approval from •i5 40 yiEzT • Health Department S,vJG� 1'S. C'it'y of Chico plumbing permit ..................................... '16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) �* 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 05- /$'3 / and hold for pickup at office. —Del ' iver w./inspector. Other �� eAe /St 4h --X 9-tAAC" S//�k,cl� 1��1-✓F SceiR..+�-eS Date `43' Copy of Haz-Rifat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: e3idW item not checked above). Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date 22— i f Plans checked by Date Plans approved by � Date Sets of plans on hold in File cabinet AP folder ' Copy—DPW 4 COUNTY OF BUTTE J- 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)e-5 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constru ion• / "� Name (°%LItI_ /) .Address City Phone Contractors License No. C) 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name A11A, - Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 1A Social Security Nu'mber' Date -, /3•` zz 140TE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville° California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER OP. - ZONING P BUILDING PERMIT OWNER 0 o r� . �iY TELEPHONE 3a SO. FT. OCC. BUILDING VALUATION -67 /11° m Q AI LIDOR SS OW ER' MN A 30 6'3 t' L1_7_,e 19 - CONTRACTO •5 NAME .- C) [ l3 /v TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation i $ Q16, C7 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ Q, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee _$ e Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ � , •'� PLUMBING PERMIT Filing Fee 10.00 > �O X?, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent �- 5.00 USE OF STRUCTURE SF[:] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W I 10.00eA TYPE OF WORK NewX. Addition❑ �Remodel❑ Utilities❑ Installation❑ Other[] Describe work: 2-TlK ZtZ c/ZA5:& , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR -`LESS 1 OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License License No. Classification F-1 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) E] I, 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."X1&O'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.s , /20sgft New DONS. A NEWCO ULTB OUTLET NIO BRANCH CIRC ITS 2.50 ea _.---- POWER APPARATUS e (SINGLE OUTLET CIR. ) / Ex. Occup(OUTLETS OR FIXTURg,S- ;: (9 Ex. Occup. OUTLETS �RESID )LNS.R A.� 2.00 Temporary service 10.00 ilities Home Fac15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. E]I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection_ purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X — Date _ Signature of Applicant — Owner ❑ Contractor C Agent ❑ An OSHA permit is required For excavations over 5'0" deep -and demolition -or construct- ion Of structures over 3 stories in FLeight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST -TYPE TOTAL FEE $ 3 HA2 CUA PARK I SCHL I FLD I PAR PD HD ISSUE Th's permit is nereby Issued under the applicable provi- _sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date -Receipt No. C/3 g 15'— - Z�0. 7� WNITE-D.P.W.-'FELLOW-ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT RESIDENTIAL -- 30-102-39 `. -- - 216-91P,E •' a JOHNSON, Keith & Ruth 1540 Grand Ave, Oroville (utilities/mh) _ r. NOT W9 -f) WA/" A w i t_c-" G 4D yF-r- T dp7`1i� JOB FINALED (Date) — Signature = Ok =Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except #'s 1. Zoning Requirements -Setbacks -Easements �t Soils; Special MH Support Sk4tcW 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ,_---S-Electricity; Location-Clearenc-Grnd-/ /Amp -Concrete I 6. Ga L ation=Test-Wrap: / ' 'ft. at. or/ /"L"ft./ /"LP 7. Utility Clearance 1 Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; -MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hqt. & Dimensions 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 -BI ockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) INSPECTOR ervice I Other Load ;-T �i Type GAS Pipe Size 7 MStruc. FTest Leri th NO �� 3 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELL -PHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: !,.;-!I L30111" OAI Date: 1, 4..,/ _L Address: Lojbj pr. Acct. '52:3 4 '4A. P. No. Phone:—( -41 0 -*L) No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: •SC -0 0, ctln.lec, 11 0 -.14- 1st Mo. S.C. CJ, t Cir f"! C-1 I i` I' I- 11t1t 0-, L(: 03:..Oj .0 Other -EM Total Fees Collected By: —4/, —ql V_.4_AJ_ A/5 -5,0-d Date: Field Review By:,��_4�ao_4/ _Date: Remarks: .4/ MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). El 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBLIVON: WHITE TIC, YELLOW- APPLICANT, PINK - DPW, GOLDENROD -DPW toTID P-4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0-16 PERMI;ii 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ,APPLICATION AND PERMIT AS SSOR PARCEL NUMBER 3E0-102-39 ZONING . AR BUILDING PERMIT OWNER Keith and Ruth Johnson (714) TELEPHONE 926-3265 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' 30963 Silver Palm Dr., Homeland, CA 92348 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN None 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 A $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1540 Grand Ave., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 1 NAME PARCEL MAP 117-78 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1❑ DuplexMobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W 10.00e 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ffk Installation❑ Other ❑ Describe work: _ Permit Fee $ 40,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VOR AMP ORLESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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- ontract ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP. OR ADDNS. (ACC. BLDGS. 6' , 2/zQsgft NEW CONSTRESID, RANCH TLET NON•RESID BRANCH CIRC ITS CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@80C eAL030 FIXED Ex. OCCup. OUTLETS PIRESID )APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ -37-50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againstoo all liabilit' s, judgments, costs. and expenses which may in any way accrue agains s d C C quence of the granting of this permit.�— X 2 Coll 117 / S gnature of Ap rant — Owner IXJ Contractor ❑ Ag /t ❑ An OSHA pe it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.50 HAz I CUA PARK SCHL I FLD PAR PD o ISSU This permit is nereby issued under sions of the Butte County Code and/or work indicated ab for which fees DI C R/OOLIC BY PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date 4161k Receipt No. 83235 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT •,,'t COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS -BUILDING DIVISION �,- 7 COUNTY CENTER DRIVE - ORQ.VILLECALIFORNIA 95985 - TELEPHONE: 916 /538-7541 PERMIT APPLICAVON DATA SHEET k . %� '�f��°%� OWNER f Permit No. R C' 1 rl CfG(f ►'l V 0 �I A. P. No. � 3 Proposed Building Use /Y Building Inspector Date a At time of permit application, I was advised the following data must be submitted prior -to pe IiTtit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitte .......... --140/-2. Plot plans in duplicate/t 'plica igned by preparer of plans ........ �y,�X-�� 3. Complete plans in duplica a/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid_ ... .. ..... . .. ........ .. 12. Park fees paid ................................................ 13. I School Is ct fees paid ...........I.. . 14. Sanitation approval'#rom -- Health Department 15: City of Chico plumbing permit ................................. I .. 16. Plot plan and business license approval from City of (see City for other requirements) _ t, 17. Planning approval for (A) Use: (B) Parking: ...... n. 8. Improvements may be required. Contact Land Development Section DPW _6 _19. Driveway permit (construction approval required prior to occupancy) _2- 20. Pre -Inspection• for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification_ ... 22. Certificate of Workmans Compensation -Insurance- ................... ..4 .. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement. .. .. �—a��r/� —7/25. 25. Let of signature autho zation I. i 2s. t^a n SSC S... c ... � �' ' �Q rl veL o wi — 27. When you issue the permit, processus follows-, Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Other Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other I Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. . 2. Additional items required: J Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by_w Date �.'3l"�� Plans approved by i'�iU Date 1-1,; P91 `a I Sets of plans on hold in File cabinet AP folder Copy—DPW Keith The Johnsons C111 C1 30963 Siluer Palm Drive Homeland, Co. 92348 (714) 926-3265 k TQ--.,- B�ilding Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit si ature C2 2Gnb AVE location D -3D -/02-02,:P AP # has been issued for the above property. 91 date Ret,ara to DPW AGRICULTURAL STATEIMENT OF ACKNO?4LEDGE4ENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded 199} prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents 91 -003435 - 1-003435of of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit 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: i -x Q �� G � �l�iv . �1.E-Gt-�.. �LGt 2_��'1�I �-��c.�. • fI �� .,G.,v ��i1.,F.� � Ctj c ,C� �. .��) Z"- ��.L7i> �GZ•/l,� � C, � � / � � I�` ' / - 1 i17 .' Date: January 28, 1991 State of California ) SS. County of Butte ) o• y,(p, ,' ro m�;�'•o°o PROPEF OWNERS: eit t Johnson On this the 28th day of January , 19 91 , before me, the undersigned Notary Public, personally appeared ***Keith L. Johnson*** Personally known to me.)a Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknoialedged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. C50 1UV -�3 2 I tary Public RECEIPT11969 OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION ISSUED er 19P 3.0 v 2- ' 3 � � KEITH L. JOHNSON Z D 3 RUTH A. JOHNSON 30983 SILVER PALM DRIVE 714/928-3285 n: HOMELAND, CA 92348 90.7052/3222 -_� Vay to the $ der of - Doliars AMERICAN SAVINGS BANK,fa. : a=: `I he Amencavl Vatriots C9lub _ '3 • � ' ' 1311tEaslFlorlda AvernlaHem923413 ` For <' 1:3222?05 i1: 50933380&6611' 103 r . ,.;,... . • �„�. � Rxky MounUin Bent Nota , t h+ t •� 4 /zs/a I i yo l zs • D Te p6C e1PT TOTAL Te NTATI VQ 6R1S CNeCK 6 ;Tweet PUBLIC Comp- PIPE oTNew APPLICANT RECEIVED FROM ' No. weCelVS0 MAPS INSPBCT SIGNS OOCUMUNTS LIANCII NYCRANT RECEIPT11969 OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION ISSUED er 19P 3.0 v 2- ' 3 � � KEITH L. JOHNSON Z D 3 RUTH A. JOHNSON 30983 SILVER PALM DRIVE 714/928-3285 n: HOMELAND, CA 92348 90.7052/3222 -_� Vay to the $ der of - Doliars AMERICAN SAVINGS BANK,fa. : a=: `I he Amencavl Vatriots C9lub _ '3 • � ' ' 1311tEaslFlorlda AvernlaHem923413 ` For <' 1:3222?05 i1: 50933380&6611' 103 r . ,.;,... . • �„�. � Rxky MounUin Bent Nota , t h+ t •� THERMALITO, IRRIGATION • DISTRICT f� 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 ' TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION,AND CONNECTION PERMIT ; Service Address:. �L." �• r .' r. , Owner's Name: _!1:4j0_ i,:- r.n Date: Address: Acct. No: • I {',�?,i',��.i7L1t (.. s''' �JF:i.'�:1}', NO.: +' , � '•+ y Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees:... •Phone: Application Arrearage Preliminary Review By: Date: ,CSA 26 Remarks: 1 05,u d v w SC -OR r, :Le i..' 1St mo. S" C. oi. F �, , r w1. i 'c, 171, :. ,•r. r.1 I.: �.r. n-' r� r Other 1A • E.: ` "4 1'?x t•;�� .' dL 4 t cL qac' ftitl, ti�i,'11'. +1 ! ', l• u 'r, -+ 'Ir 'V 'ray, z:t- Total Fees;' .' ' r �r rr ,v n..:•� �. �,'��.:� I t. -G.` Collected'By: ' _ A � { .,. •. ' Date: ,, ;�. Field Review By-, Date: Remarks: MONTHLY.$ERVICE'CHARGES'WILC COMMENCE AUTOMATICALLY UPON: 0 Date of TID approval of'completed building sewer (early connection). ,, ❑ 30 days after"date above, or on date of D:P.W. app;roval''of,completed,building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ' 0 .' 180 days after date above; or on date -of D.P.W. approval of completed building sewer, which ever, comes first ("new construction"', after Mar. 5, T974).' DISTRIBUTION: WHITE - TID, YELLOW- APPLICANT, PINK'- DPW, GOLDENROD -'DPW to'TID '+, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916538-7541 -APPLICATION ANn PFRMIT PERMIT NO. 6 AS SSOR PARCEL NUMBER - - - _. __ -' ._ JE ZONING _ —AR-. - _._ .__.---:BUILDING"PERMIT th and Ruth Johnson (714) TELEP"°NE 926-3265 So. FT. OCC. BUILDING VALUATION OW NER'S MAILING ADORE SS S0963 Silver Palm Dr., Homeland, CA 92348 C TRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS CO LENDER UNKNOWN iVOne Fireplace Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. None Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 1540 Grand Ave., Oroville Energy Plan Checking Fee $ Penalty Permit fee $ $ PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBOIVISION NAME PARCEL MAP 1 117-78 Each Trap Solar or heat pump water heater Waterpiping #20.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeER Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G WO.00e 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities MK Installation[] Other ❑ Describe work: Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 61000v OP0 AMP LESS 10.00 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. ADD'L 100 AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.y OR ADDNS. ( ACC. BLDGS. ) , /20sgft NEW CO,NSTR.ULTI.OUTLET NoW-RESIC� BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES e0 (950 eAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.! EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate OXof 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilit_' s, judgments, Osts, and expenses which may in any way accrue s s d C c quence of the granting of this permit. LL A X Date U / y? �/ S gnature of Ap icont - Owner IXl Contractor ❑ Ag t ❑ An OSHA pe it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.50 HAZ CUA PARK SCHL FLO PAR Pe,�X ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83235 WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . �--..:..LLQ • I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM — — ZONI G , BUILDING PERMIT ow% /VL -74 jo ✓ TELEPHONE 17111 -31&5 - SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAI G DORESS X096 I ve r a fn r a 0.4 9�3 C(J7R CTOR'S NAME (/�/l17 vie) ll\� TELEPHONE CONTRAC-TOR'S MAILING ADDRESS Fireplace CONST UCTION LENOER X UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC EC�T/�O(/'"RR ENGINEER LOR LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT ENGINEER'S MAILING ADDRESS Penalty $ D / BUILDING DR�re�11� � ✓c�- Prov; � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEP/1RQ�L II `I 2�? Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • Main service 600V OR LESS 100 AMP OR LESS 10.00 , Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. SLOGS. 2/z¢sgft NEW.CONSTR r ULTI.OUTLET BRANCH CIRCITS 2,50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20@50a SAL@30C Ex. Occup. OUTLETS PIR ES ID )RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L1 Misc. Wiring g 15.00 Permit Fee $ LS WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ` HA2 I CUA PARK I SCHL I FLC I PAR PC I HC ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. YELLow_A=stSSn=. v•v•.i,;o¢--n=. —-l—n—A-1 rAv- YaI 4 My?, Dia w� .l3}/; A setback of 5 ft. from the 'Property lines and a setback from the road Q, centerline shall be clear of ok structures or equipment except for a 2 ft. cave overhang. -r Cb -an ► eaW ra�mtn YaI 4 My?, Dia w� .l3}/; Return to DPW AGRICULTURAL STATEIMM OF ACKNOWLEDGEMENT 9 1-034 3 5 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded, prior to issuance of a building permit. The property described herein is adjacent 91-003435 to land or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, "Candace J. Grubbs and fertilizers; and from the pursuit,-,' Recorder of agricultural: operations including.,.% 2Q-Jatl-Oi but not limited to cultivation, plowing, spraying, pruning, and harvesting ..which occasionally generate:; dust, smoke,`noise'; -and odor. tural zones which have -as a priorit y;use for productive within said zones and on adjacent`p`roperty should be or discomfort from normal, necessary farm operations. Rec Fee 5.00 Cash 5_..00 XX 1 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All fh-at real :property"situate in the County of Butte, State of California, described as follows: / di`z� �?e4 GGy% ap ' ESP Nl AG i 7`0 for 7e. Date: January 28, 1991 .State of California ) ) SS. County of Butte ) � `a..a •''00 o s° RO . , Keith j Johnson On, this the 28th day of January , 19 91 , before me, the undersigned Notary Public, personally appeared ***Keith L. Johnson*** Personally.known to me.YM Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A:P. No. — — — o.o . ■ C OFA Opp, p , Ok FFe A COUNTY OF BUTTE - DEPARTMENT OR PUBLIC WORKS' PERMIT NO. 7 County Center drive - Orovlller California 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT —ASSESSOR PARCEL NUMSER 30-102-39 ZONING AR ' BUILDING PERMIT OWNER :teith Johnson TELEPHONE 426-3265 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 30963 Silver Palm Dr Dome nd, CA 92348 CONTR ACT R'S_- A`!5 Vwh e_IJ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1540 Grand Ave. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 117-78 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Det. Sara SPECIFY { as piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORKyy� New Addition❑ Remodel[]Utilities'g Installation ❑ Other ❑ Describe work: put electrical in garage re BP#395-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under 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. 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 CONST. DWELLING OCCU OR ACDNS. ACC. BLDGS. vh �YdSgft 16.130 NEW CONST R. RANCHULT TLET NON.R ESID BRANCH CIRC ITS CIRCUITS) 2,50 ea (POWER /POWER APPARATUS &) OUTLET CIR. ) I ( Ex. Occup\OUTLETS OR FIXTURES 20@50 53t AL9ALo90 FIXED APLNS.El Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . g 15.00 Permit Fee $ 26.80 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �( I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ L.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 liabili 'es, judgments, costs, and expenses which may in any way accrue agai )d d i t nsequence of the granting of this permit. // Q.. 4 X - Date 7" / Signature of Ipplicant — Owner, Contractor ❑ Agent ❑ An OSHA permit is required for e,ccova�tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 26 $Q HAL.CUA PARK SCHL FLD CDF PAR PD 1 HD. ISSUj� r/ This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work in Gated above for which fees have been a � ,,// paid. DIRM,+T OF PUBLIC WORKS �� J B � D to 01 PERMIT EXPIRES Date -�-- 1 Receipt No. 88618--26.80 WHITE-O.P.W., YELLOW-ASSESSOK, PINK -INSPECTOR, GOLDENROD -APPLICANT W, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Orovllle, CallfQrnla 95965 - Telephone: 916/538.7541 APPLICATION: AND PERMIT ASSESSOR PARCEL NUMBER 30-102-39 ZONING AR BUILDING PERMIT OWNER Keith Johnson TELEPHONE 426-3265 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 30963 Silver Palm Dr Homeland, CA 92348 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1540 Grand Ave. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME 1 PARCEL MAP 1 117-78 Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Det- Qarage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitiesll Installation❑ Other ❑ Describe work: nut electrical in garage re BP#395-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ -Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 9 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.E DWLLING OCCUP. OR ADONS. ACC. BLDGS. ,/2QSgft 16.80 NEW CONSTFL ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 20@030 SALO30 Ex. OCCUp. OUTLETS(RESIFIXED D )RE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 96-80 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): * ❑ The permit is for $100.00 (valuation) or less. a 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 f" 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 FilirlgFee 1 10.00 Heating Cooling g Hood 3.00. Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 liabili 'es, judgments, costs, and expenses which may in any way accrue agai id d i onsequence of the granting of this permit. %� Date 1 ` q� C�� Ignature of pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for a covations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2 2 6.80 HHALcuA PARK scH@ FLD CDF PAR l HO. ISSU , This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work in icated above for which f s have been paid. DIR T OF P L WORKS If B D to /� PERMIT EXPIRES Date Receipt No. 88618-26.80 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, .0LDEHR0D-A1PLICANT 9a- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornva 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �Q— Z- ZONING —e BUILDING PERMIT OWNER E ' sor, TELEPHONE V6 -3Z6: S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING A.DDR 5 309'03 S i l AA r oM CJS Q 2 18 CONTRACTOR'5NAME awNeA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireolace CONST R UC T 1 ;00 LEN DI- UNKNOWN Total Valuation s Fee $ 10,00 LENDER'S MAILING ADDRESSFiling Permit Fan $ ARCHITECT OR EN71NEEP. LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C/ G2 ` O ; e Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT)O. V// SUBDIVISION NAME PARCEL MAP Water piping 5.00 Eachqas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other/)eAeO/Sea tr,47c, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00ea TYPE OF WORK New ❑ Addition, Remodel ❑ /U,ttiilities ❑ Installation❑',�Other❑ Describe work: YV U ��ECr/c!%GA l !N A,49^OZ_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50' CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON-RESID 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. El 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING oc d OR ADONS. ( ACC. BLDGS. , /20sgIt , NEW CON5TR. ULTI.OUTLET BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLO So Ex. OCCup. OUTLETS P(RESID.)FIXED APLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 ±15.00 Permit Fee $ Q Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. - — a -f-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. — ---- - - - -- - ❑ 1 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 g Hood 3.00 Ventilation tion Permit -- 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 taws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes._ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence -of the granting of this permit.- -- X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is. required for excavations over 5'0'—'deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee "_ -' __ $ - occ CONST TYPE TOTAL FEE $-o�(p`• w HAZ. CUA I PARK scHL I FLO CDF__ PAR I Po I I Ho. ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. ---.--DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW-A3eE33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE'- DEPARTMENT.09, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Sd1J A. P. No. 30 _16Z_2 1 // Proposed Bui Iding Use fes!-{�C/��sL`� " �l �� i Iding Inspector Date `t —2 9 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 Materia[ Form. . .............................. . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ........... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Date) When you Issue the permit, process as follows: Mail to owner. Mail to contractor. _Telephone 92�-�7_6�' and hold for pickup at 010 office. Deliver w/inspector. Other 42 Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. v air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit' for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Date Plans approved by File cabinet AP folder Date Copy—DPW 4. J^ 1 �_ ,y 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. r 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)"O'rsigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S , d Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. q� An M&Wrials & Workmwnahip Shall A6 M AMMd&uoe with p e0ognized Good Pre,otiioes s� �&,UqugUty prescribed for the Spec �� aui0cl ft*o uniform Building. Plumbing ftga, and, tbs NSUOna►1 Sly Colo. 3D IBUM COUNTY BUtDING DEPARTMEN ADcQnui-:c -S� I x 4.� In �t rn T I ao� o � 6 � �tl 4Vo N� �t rn T I