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HomeMy WebLinkAbout030-131-02727 AP 30-131-27 dP' R. L . •r -ox on 1263 12th St. , Oro 'l1e /� �. . CONTR: Weir Roofing, Or Permit 4900-75B (reroof) lq&tA) .W 30-131-27 'Wes le U to 1263 12th S Orouille " Permit #2372-$v,O,�P,E(ut il,- ELEC . -lC , GAS SUPPORT STRUCTUlit REQ. COMPACTION TEST REQ. 30-13127 Contr• Holmes Mobile H me Perm'.. 't ssTu'ed i �30-131-27 contr: Holmes Mobile Home Serv., Oro. Permit #2858-80B(new awning/MH) ` 30-131-27 OWNER I L.GOOD IN Co tr: J&D onst. I Permit #1155-84B (open deck/MH) 030--131-027 PERMIT#97-0809 UPTON-,!Wesley 1263 12th St., Oroville -Reroof /SF �/r � �: ;y i �M _:.:� ..7w .+' :.ar.•iwNe,`�:r•��.�.2i •"?.�y�;SN;L'�'"?:P'n'3iS x-4.: ;.s :.r.. +?'z-{: 030-131'027 - PERMIT#97-0809 _ UPTON, Wesley. 1263.12th St:, Oroville Reroof/SF cop/ ;q n _:.:� ..7w .+' :.ar.•iwNe,`�:r•��.�.2i •"?.�y�;SN;L'�'"?:P'n'3iS x-4.: ;.s :.r.. +?'z-{: 030-131'027 - PERMIT#97-0809 _ UPTON, Wesley. 1263.12th St:, Oroville Reroof/SF cop/ ;q COUNTY OF BUTTE- DEPARTMENT OFDEVELpp MENTSERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ` 0WnQ !}S._sEf$OR 34wl� ZONING BU!�DfNGPERMIT WWNLS�,�� �lc�s" TELEPHONE SO. FT. OC BUILDING VALUATION fifiiDWk, OROVILLE CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ U ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • ARCHITECT OR ENGINEERS "LING ADDRESS Plan Checkin Fee $ 28N.G5AD,Q �. H ST, OROVIUE Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑' Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK t. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF/COMP 17 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, oa '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter r . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowSING License Class Lic. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( d ACC. BUDS. 3.50FT. NEW CONST. MULTI.OUTLET NON-RESID. AN I CU @7.50 E ER APPARATUCIRS d L OUR.ET . zu � "00OWNER-BUILDER Ex. Occup. OUTLET OR FIXTURES BALQ .50 FIXED APPLNS. OR 5.00 Ex. Occup. ouTLErs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. %❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With those provisions. Date 4S - c� � � ! ~S 11 —.. ignature of App 'cant - 0lOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiesrin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolute to do work indicated above for which fees have been paid. . in J� By' Date 'f PERMIT EXPIRES ON l Y .? X I IDef Receipt No. �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, �iforniai 95965 - Telephone (916) 538-7541 PFRMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ,�ecCSspgpCEy NU� ' 1 ZONING BU 5RNG PERMIT `�i�$L MLEY LIPTON TELEPHONE SO. FT. OC BUILDING VALUATION `T29SMAiTffl"ft, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ 1020 ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ lL INSADgRYM ST, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 47.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �yy SF ❑" Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REROOF/COMP 17 SQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 AoRLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3.50FT. NEWCO9 NON -RES DT SCI O�C TS @7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'50 BAL @ .50 NS Ex. Occup. ourEEDrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compens 'on provisions of section 3700 of the Labor Code, I shall forthwith' mply I those pr, visions. X� Date%_�_ ner ❑Contractor ❑ Ag t g lure of t -fnheight. An OSHA permit is requiredavations over 5'0" deep and demolition or construction of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dat Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - .Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATIOWAND PERMIT ASSESSOR PARCELNUMM^ — ZONING BUILDING PERMIT TELEPHONE SO. FT. OCC. BUILDING VALUATION 7 :C068RACTOR,3 NAME TELEPHONE . CONTRACTOR'S MAILING ADDRESS cCOrPT�ONi��� , [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ *� pL ?, 60 ARCHITECT OR ENGEER'S MA41NG ADDRESS PI Plan Checking Fee $ BUILDINGADOREss Energy Plan Checking Fee $ $ PERMIT FEE i iotwD. sueolvrsaasNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 1S.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel.E3 hies ❑ Installation ❑ Other Describe Work: PAA Gas piping system 1 - 5 outlets _1S.00 Building sewer 15.00 Mobile Home S G W @20:00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service sowioA,Ess 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70CC) of Civisior, 3 cf he Business and Professions Code, and my license is in full force and effect License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Q 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. Myworkers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 100A TO 1000A 46.00 NEN CONST. DWELLING OCCUP, sa OR ADDNS. A ACC. BUDS. 3.50SO ti ;C.0 o. ' MULTI-o1mET Q-7.50, POWER APPARATUS b SINGLE OUTLET CTR. ' EX. Occup. OUTLET OR FwrunEs SAL (g .30 RXED APPLNS. OR Ex. Occup. ouTLETs RESIo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE, t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. YPE TOTAL FEE $ [yL HAD.TF EES IMP fL000 1 COF PARCEL PO HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Dwa) ReceiptNo. WHITE •O.D.S.•8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANi PERMIT NO. 2858-80B 01* PERMIT EXPIRES OWNER Wesley Upton CONTR. Holmes Mobile Home Serv., Bangor LOCATION (A.P. 30--131-27 1263 12th St., Oroville- J Temp. Power Pole Called PG&E Temp. Elec. Serv-1-1100' Called PG E Temp. Gas erv. Temp. s Calle PG&E E .JOB LED,, (Date (Sigpfature) COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS " BUILDING INSPECTION` RECQRD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor -Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. sUacture Appliances Gas Piping & Test Tem .Gas Slab Final 2 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam w / / FIRE SPRINKLERS Motors Stucco / Final Subpanels Mesh MECHANICAL Grd. Fault Prot. . Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County.,Center orive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT10N AND PERMIT E RMI IX NO. vV O A , ASSES R PARCEL NUMBER Q ZONING G BUILDING PERMAY OW E �`� / �tof, / / v/�J TELEPHONE SO. FT. OCC. BUILDING VALUATION V O POd OWNER'S MAILING ADDRESS r.qNTRACTOC.r J AM ,✓I �. s -e --�/ I645 CPNTOR(_A/V�(OQR'S M� ADDR�$S Q�/ �t•�/� CONSTRUCTION LENDER ��•/( S UNKNOWN , Fireplace Total Valuation $ L S Q .♦J LENDER'S MAILING ADDRESS Permit Fee $ QQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 000 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BIJ� SJG�DDRES$^G ``/ PLUMBING PERMIT Fi ling Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTU/►R�E��p/ I / SF [:1Duplex❑ Mobilehome�Other ��/N�"' 4 SPIICIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Q' -`Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe. work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP,&) 22 sq ft 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 a�td effect. License No.3a/ 3 �1 Classification (G7 ❑ 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) El 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 CONSTR MULTI -OUT LET NON-RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. ( SINGLE OUTLET CIR. 50@250 Ex. Occup(o OR FIXTURES BAL@10¢ FIXED TS (RES. OR (FIXED APPLINIS Ex. Occup. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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 all liabilities, ju gments, costs, and expenses which may in any way accrue against d Cou ty in _co�eauitcefthegranting of this permit. X �l � Date O— 4—�o - Signature of Applicant — Owner ❑ Contractor JK Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 storiesin height. Mobile Home Installation Fee $ Land Development Fee '$ 6tt, TOTAL PERMIT FEE $ Z , occuP. GROUP TYPE of CONST. PARCEL P4 No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOR OF PUBLIC By. P IT EXPIRES Date___ the applicable provi- resolutions to do fees have been paid. WORKS Date- �D �Qo ��-/l� �/S f LReceiptNo. 9z,OS TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I �yPERMIT NO. j�1155-84B . PERMIT EXPIRE&qA o) OWNER W.L. GOODWIN CONTR. JU Construction ASSESSOR PARCEL 30-131-27- LOCATION 0-131-2]-LOCATION 1263 12th St, OroyiI16 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature_ __ = OK = Not OK Not Applicable MOBILEHOMES �' MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except 4's Date DECKS, g,0V1lfRS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements_ onin eq ,irements-_Setbacks-Easements — - - Size -Depth -Spacing -Connectors e�rders and/or Joists=Decking-Bracing-Stairs-Rails _- 2.Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch)_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete oo�"0� d Awn.--.-Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ -5-A147T7AV7"„Columns-Connect ions -Splice -Decal- Enc losures 6. Gas: Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Windows -Doors Card -BI Date Card -BI Date Q3 _ Date -12 -BI -_ Date -- Card-BI - Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's Date _ POOLS (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas: MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI — 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. 5. Drain; MH Test -Fal! -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI — 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged S. Elec.: Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10- Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable T, = Not Ready Date UNDERFLOOR (Plans) OK except N's I. Zoning requirements -Setbacks -Easements _ 2. Fig., Main_;_Soils-Steet-EI_ec. Grnd.- / /" Ftg. Depth - --3. Fig., Garage_ Soils -Steel- / /-' Ftg. Depth--- -__ 4. Fig. Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemv:alls,_Main: Steel-Blockouts-Wrapped-Slab_ _ 6. Stemwalls, Garage; Steel--Blockouts-Wrapped-Slab - - 7. Piers --Fireplace Fig.--Steel- -� - B. D.W.V Fall -Fittings -Test -2 way C/O-Sewer_Test -- _ 9. Gas Pipe: Size -Anchors__ 10. Water Pipe Test -Anchors -Regulator -Service Test- - ___11_. Electric: Underground _._--------_- __-- 12. Plenums & DUCTS; Clearance -Material -Support -Ins. _ 13.- Girders -Sills -Anchor Bolts -Joists -Vents -Cripples RESIDENTIAL (Single and Duplex) --,I Date FRAMING (Contin Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date ued) -- 48. Property Line Firewall &Openings_ - 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits_ _ 50. _Stairs; Width -Headroom_ -Rise -Run -Landing -Fire Protection - 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer - 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts -- --- - _ - ICard -BI Date ' Card -BI_ Date_- - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.: Access -Combust ion Air 15. _Vent- Water Pipe: Test & Anchors -Nail Protection _ _ 16._D.W.V.: Test-Fttngs & Anchors -Nail Protection_ 17. Shower Pan: Test, First Floor -Tub Access_ 18._ _ Test Shower, 2nd Floor -Tub Access___ - 19 _Tub _& Gas Pipe; Size & Anchors Card -BI Date_ - Card -BI Date Card -BI _ _ _ Date - Card -BI Date Date ELECTRICAL (Perrr,it) OK except #'s -____20. Fixture & Transformer Clearance -Iris. Protection 21. Alec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 23. Romex Installed_ Close to Edge of Stu_ds_& C.J. 35. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water - 25. 2 Appliance Circuits in Kitchen & Conductor Size _ 26. _ Subfeed Wire Size / / ga. Cu or AI-A.C. Wire_ Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral r.'Yes No 28. Service -Riser Conductors &_Ground -Main Disconnect - 29. -- Equip. Clearances: ls-_PA_otors-_h_1ec_h. Equip. 30. _Pane Clothes Closet Light -Shower Light - Card B -I Date Card -Bi Date Card B -I Date Card -BI Date Date MECHANICAL (Pern•it) OK except N's - 31. A.C. Ducts_: Insulation _& Support - 32. Vent Fan; Exhaust above Insulation - 33. _Condensate _Drain & Oven_low. Size & Grade__ ---------Vent-115V 34. Furnace -Vent Axess-Comb. Air -Return Air outlet 35. Attic Access & Platform if Furnace in Attic Card -BI - Date Card -BI Date--_- Card-BI Date Card -BI Date Date FINAL (Plans) OK except Us 56. Ext. Sieps-Door & Sidelight Protection -Landings _ 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection_ 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garaoe: Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location _ 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance _ Looked under Floor 0 Yes 75. Following instld.: Drive ❑ Yes [? No; Walks 0 Yes [; No; Planters 0' Yes El No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing _ 80. Exterior Elec. Trim: G.F.I. Receptacle -Underground _ 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged: Gas -Electric - 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - Date FRAMING(Plans) OK except q's Comments at Ftnal: 36. Sills; Proper Material & Anchors - - - - - - - -- ---- --- 37. - 37. Walls: Studs -Nailing. Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Flow Nailing - _ -- - -- - - _-------- ---- ----- --- --- - - 39. Draft Stop in Walls (rat proof) 40. Fue_Stops: Furred Ceilings-Stairs_Chases-Tub 41. Header & Beam --Size & Bearing -- - - - --- ------ -- --- -- - --- ----- - -- - - ----- -- -- 42. Hangars --Post Caps -Anchors -Connectors 43. Cin Joist-Rfti. Ties -Perlin -Roo! Brac.-Truss-Shlhn g. q.-Rfnq. 44. Firepl,:ce Ties or Type A Flue-Fiieplacc. Throat 45. Attic Ar,cess Size & Ronxx Protection -Draft Stop -Ins. Baffles 46, Berm. Winctuv.s of Exiting D0009 --Sill Flyl. & Dinionsions 47. Garage Fire P plea or: Framing - lNOTE'Anentryn-u�t he made each time youviSil lobsite) Card -BI Date Card -BI Date Card -BI _Date - Card -BI --_ Date_ --_-_ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Ftnal: 36. Sills; Proper Material & Anchors - - - - - - - -- ---- --- 37. - 37. Walls: Studs -Nailing. Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Flow Nailing - _ -- - -- - - _-------- ---- ----- --- --- - - 39. Draft Stop in Walls (rat proof) 40. Fue_Stops: Furred Ceilings-Stairs_Chases-Tub 41. Header & Beam --Size & Bearing -- - - - --- ------ -- --- -- - --- ----- - -- - - ----- -- -- 42. Hangars --Post Caps -Anchors -Connectors 43. Cin Joist-Rfti. Ties -Perlin -Roo! Brac.-Truss-Shlhn g. q.-Rfnq. 44. Firepl,:ce Ties or Type A Flue-Fiieplacc. Throat 45. Attic Ar,cess Size & Ronxx Protection -Draft Stop -Ins. Baffles 46, Berm. Winctuv.s of Exiting D0009 --Sill Flyl. & Dinionsions 47. Garage Fire P plea or: Framing - lNOTE'Anentryn-u�t he made each time youviSil lobsite) COUNTY OF BUTTE DEPARTMENT OFABLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAVON ADYERMIT PERMIT NO. '01w 4 PARCEL N MBER ASSESSOR r In- 3 - ZONING BUILDING PERMIT ee/ It QWNERU J TELEPHONE S0. FT. OCC, BUILDING VALLCATIM OWNER'S MAILING ADORES S _ CON ACTOR'S NAME JIFLEPHONE C NTRA •S MA IN ADDRES n6lJ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDiNG ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [� Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New AdditionRemodel Utilities Installation❑ Other ❑ Describe work: 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 NEW CONSTOR A.D.S. L ACCDWELBL GS.LING CCUP.&) 2Y2OSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 2c,2 en�,.�.� �'S License No. V23O�D 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) El 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 CONSTR. ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &' NON.RESID. SINGLE OUTLET CIR. Ex. Occu p�O TS OR FIXTURES zo®SOC a L®30 FIXED FIXED APP LNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ep/f shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue1 again said County in cons uence of the granting of this permit. %� Date �'��— Y- Signature of Applicant — Owner ❑ Contractor P' Agent ❑ An`OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE J $ occuP. GROUP .'_I� I" TYPE OF NST. JPA71_1;/J�0 ,ss. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS '/ Datey/-"i3-F y/ -Z -3_I E_ Receipt No. l9/c5-6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ' PERMIT N0. °- r 42-4eeP E ' s PERMIT EXPIRES./✓/�/ OWNER Fk.' Wesley Upton ' CONTR.. Marsh Construction — Oroville 39-131-27 LOCATION (A.P. ) 1263 12th St., Oroville i Temp. Power Pole Called PG&E t Jamp-t Elec. Serv. I" Called PG&E Temp. Gas Serv. _ ,I Called PG&E JOB 7� FINALED V (Date) (Signature) COUNTY OF BUTTE —.DEPARTMENT OF PUBLIC WORKS. BUILDING INSPECTI O,N'RECORD BUILDING BUILDING (Cont'd) PLUMBING tback Nrewall Sit Piping F ms P a ets t Floor in Bldg. ReAroom Finish 2n\V Floor ootin s Wind4s 3rd loor S mwalI Siding To out Sih Roof ShhthIno Water Pi 'n Pier Roofing Sewer Gara Fdn. Vents Fixtures FootiAs Stemwa I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings V Prov. for physicly handicaped Conformance of ex. structure Y Appliances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio FIRE LACE Final Footings Footina J(LECTRIb.AL Masonry Wall Throat Rou h Relnf. Ste I Final Fixtures FIRE SPRINK Grd. F ult Pri Servile mla. Pole I terior Lath Ventilation Permanent oor Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service _ Elec. Pedestal Water Piping dV Sewer' 7 'b Gas Piping " at YVA MOB16EHOME INSTALLATION --- ---------Support Elec. Continuity _ Water Piping .- Drainage Gas Piping Z— DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobileLio a *(must,sauzl rating of mobilehome with a minimum oflP amp) and'.,other-facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ _ No_ B. Is there proper clearances around panels? Yes No_ C.. Is power supply cord or feeder asGembly properly fused? Yes To_ D. Is continuity test satisfactory as per the following procedure? Yes_I�Pdd'o 1. De -energize electrical wiring system of the mobilehome at the pedestal, 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. t 3. Switch all breakers and switches in.'the mobilehome to the "on" position, 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances,'shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing, 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: �w. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1.' Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes I/No e 3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 50 2 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes_ o_ 5. If more t a single unit, are crossover connections properly installed? (Sec. 5088) Y e s_LZ"'" 6. Water A. Is flexi e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes VNo_ C. Backflow - If coach is not Stat c�f fornia approved, does station have backflow device and pressure -relief valve? Yes_ o_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each, end? Yes --"No B. Does it have minimum 4" per foot slope and is it properly supported? YesV/No C. Are any leaks detected in drainage system after running3-gal s of water through each fixture including washing machine standpipe? Yes No� D. Ifc�Vop t State of Californiaapproved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not ore than 6 ft. long? Note: All piping is to be at least as large as the mobileho gas line inlet without reductions other than the mobilehome connector. Yes o_ B. Test OK as per following procedure? Yes 10_ 1. Open all appliance connector valves. 2. Shut off,appliance burner and pilot valves. 3. Air test with manometer to.10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes �' No COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skywdy and Elliott Road, Paradise — Phone 877-3435 CORRECTIONOTICE 3 r BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i,ispecto(t '#LOW ie -Y j -- Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the CaI'f,o� nia Administrative Code, Title 25, Chapter 5, under permit number // MIS 1 0 for the following location: t0-1 %.2� s -t 4 nV1/1Z Owner ��5� 2t,/ iJ zt-b� n i Owner's Address �� /2 Q Yt3 Mobilehome Mfg. C' 014t4l 0 ?o -S+— Mode 1�E}mQ�s�'� Year W) Insignia No. 17'q 1-7 � 4 17q l%? Serial No. R 2) ive,-5- AID It is hereby certified for occupancy at the above described location and may be occupied. Director of Publ-i-c Works Date Ea ' n - r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 4/ f ASS SOR PARC L NUMB Q— /J?�— 27 ONIN A 7s BUILDING PERMIT OWNER^� r Es.Lw�' /[/ A. /ADDRESS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING CONTRACTOR'S Na.)✓/r-VV('O/V 1AJe LE CONTRACTOR'S MAII,L/IN/'GG ADnDR `SS CONSTRUCTION ENDER UNKNOWN Fireplace Total Valuation is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee $ BUILDING�Ij}p F�, S pf/I S�. //�L/ \/!/� •JG / PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping 10,06 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�ther SPECIFY Building sewer 0,00 Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $ :✓,00 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP Zrs� 2.50NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 22 sq ft CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO and Professions Code and m license is in full force and effect. License No.�%3/SS Classification 1,I�,,i3 ❑ 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 NEWCONSTR MULTI -OUT LET NON .RESID. BRANCH CIRCUITS) 2,50 ea NEW CONSTPOWER APPARATUS &) R D. (SINGLE OUTLET CIR. / NON RES, @ 254y Ex. Occup(OUTLETS OR FIXTURES`` BAL@102 FIXED Ex. Occup.( OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / O Misc. Wiring 6.25 Permit Fee $ ZFj, p Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 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 aid County in consequence of the granting of this permit. Xi�n �� Date -/� ��a Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5.0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ Z�00 �2_O TOTAL PERMIT FEE $ J OCCUP. GROUP TYPE OF CONST. I PARC I PD ND SUE This permit is hereby issued under sions of the Butte County Code and/or work dicated above for which WRE<FO OF PUB y PERMIT EXPI ES Date the applicable to do resolutions to do fees have been . paid. IC WORKS C-^ Date r -- Receipt No. 473 Z� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA9TOV NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMI N0. ASSESSOR PARCEL NUMBER z O /13/_ ZONING BUILDING PERMI OWNER c.c 0-0 T LEPHONE SQ. FT. OCC. BUILDING VA TION OWNE�AI LING AD�r �SS�� , 2ZORw 0�r�� CO NTRAC TOR'S NAME TELEPHONE _ CONTRACTOR'S MAILING ADDRESS P10. OX c(I eq ed 01((e C4 _6- o57 _ CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING DDRESS Permit Fee $ ARCHITECT OR ENGINEER s LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS � 2 ozoViZI&AE PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 L Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [IDuplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: —zro Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR S 00 AMP ORLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELING OR AODNS. ( ACCLBLDGS.CCUPM 22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code d my license is in full force and effect. ��, 13%T , License No. Classification t�—lo� ❑ 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 I'censed contract- ors. (Sec. 7044) 1 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2.50 ea NON.RESID, BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES 50 @� BAL�tOQ Ex. Occup.(OUTLETS FIXED P(RESID ILNS R EA.) \\ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 2.00 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 co struction, and hereby authorize representatives of the Countyof Butte to enter pon the above-mentioned property for inspection purposes. emnify and keep harmless the County of Butte against I also agree to aLin all t' s, costs, and expenses which may in any way accrue gain s d nonsequence of the granting of this permit. X Date Il.��-� Signature of App' nt — Owner ❑ Contractor gent ❑ An OSHA permit i required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.e_—�� Mobile Home Installation Fee $ 00 Land Development Fee $ . �--- TOTAL PERMIT FEE $ �' QO OCCuP. GROUP TYPE OF CONST. PARCEL PD HD 95UE This permit is hereby issued under sions of the Butte County Code and/or work i ' ated above for which OF P BLIC B PERMIT EXP ES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �- Receipt NO. G% WHITE-D.P.W., YELLOW -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT I BUTTE COUNTY .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: GC�GS CJPTO� 2. Installer's name: AO til 2 440911-e- 6019 e ��l/'U/C e- 3. Is the site currently under permit? Yes No / / • (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, ,furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify _ ) 5. What is the mobilehome electrical rating? ----------------------- /60 Amps 6. .What is the mobilehome site service rating? 9-00 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- /00 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes —� No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? -------------- -------------- Natural LPG 'X 11. What is the gas pipe length fro meter tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ----------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) R MOB ILEHOME �WPPbk DATA If other ,than single wide, Mobilehome Mfr. nM lL<,-- El— furnish Setup Model No. SM 5�r/� '� Year l9�fd Width 2 -\ (ft.) Box Length 5_�;L— (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973;^furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single []-..I.—.Wood either. Apressure treated or foundation grade. D O Z 2. Other (specify) (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes Supports (check one) (in.) Concrete block. 2. Other (specify) (in.) (in.) 4 ---Tagalong or Expando,' show support details. 'p=112-.101 (ft.)(in.) (in.) (in.) IZ x30 -- Typical Support Fn—.) (in.) Footing Size (ft.)(in.) (in.) (in.) �- -- Max. Pier Spacing —1; 0 Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) BUrr6..c0uNT BUILDING DEPARTMEN APPROVED *if center piers are other than drawn above, 0 L-)- draw in -locations, spacing,"and dimensions. THERMALITO IRRIGATION DISTRICT 410 GFTAND AVENUE •�� =} OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 71 Owner's Name: Date: Address: �1 .7. Acct. No: y ' A. P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: %' Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: ' �} CSA 26 Remarks: 1 -- SC -OR _ .. . r. I' _,� "'r-- ; titw, L'ht n -t:r. :�. n �c:rc, Un bz-: ox:.:sbt z 1st mo. S.C. L'.) t -tth C4 th ';3y Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed. building sewer (early connection). ❑ 30 days after date above, or on date of D.P:W. approval ofcompletedbuilding 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). _. t DISTRIBUTION: WHITE -TID, YELLOW -APPLICANT, PINK -DPW, GOLDENROD - DPW to TID c' • r� rti Gi. PERMIT N0. fF P E M MH UTIL. PERMIT NO. 1. • 1. A 4900-75B ' PERMIT EXPIRES OWNER R.L. Croxton CONTR. Weir Roofing Co., Oroville LOCATION (A.P. 30-131-27 ) x 1263 12th St., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE — DEPARTMENT`°OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing z Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF. BUTTE—r`DE?"ARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 / Tel ephong: 534-4541 d � APPLICATION AND PERMIT t —�` BUILDING Owner R, ZK SQ. FT. OCC. BUILDING VALUATION s Mailing Address _ -r7tZ Telephone No. Fireplace Contractor Mailing Address Total Valuation Permit Fee Plan Checking Fee&/or Penalty 5 Telephone No. Permit Fee Building Address ._` PLUMBING No.1 @ I FEE ` PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �% ---I `� iZ2 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FEk Sarti-te&era Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 g.- an Parcel Approval Plans Approval Permit Fee $ $ EW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -" 114 11A 4 9,y A 7 Main service incl. 1 meter Additional'meters, each 1.00 Sub -panel (12 or less) (morethan 12) - Single Family Duplex Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b0�al a2 Receps., switches & fix outlets 20025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:' wedAz ' Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of Cali fo a. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. SAI certify that in the performance of the work for which -this permit .is issued I shall not employ any person in any manner O as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnonze representatives or the county or tuiie to enter upon the above-mentioned property for inspection purposes. Date2.h,5 Signature of Permitee or Agent Receipt No. (,,7a3' - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF LIC WORKS By ( Date r ilding permit expires Date I U 6`91 �rp18l at`,�sQl� ea Aq sv on /l J�1 t 3/ ltd —ns `O -11;1! o3 io i I