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HomeMy WebLinkAbout030-192-010Ed_ 0 4 12P-90RE R, Auston Dodge Ave, Orovillees/MH) ' ELEC 100 ODD he %' S' 90 GAS V cc COMPACTION TEST RE r> 77 SUPPORT STRUCT REQ' 30-192-10 Permit#1295-90MHI,- (installatiorr/i0fto` . p 30-192-10 - 3875-90B CAPLINGER, Austin 1110 Dodge Ave, Oroville (open deck/MH) G U 0� 30-192-10 660-91B, CAPLINGER, Auston & Melba . p 1110 Dodge Ave, Oroville (carport & shop/mh) 030-192-010 05-2970 LA ROSE 1110 DODGE AVE, OR Cont:OWNER ELEC PANEL �\ B07-1497. 030-192-010 RESIDENTIAL SFD-Mobile Home RET EX MH EX SITE PERM FNDN (1456) 1110 DODGE AVE fi r,l LAROSE, PAULA -7 12-7101 F, i L , Ed_ 0 4 12P-90RE R, Auston Dodge Ave, Orovillees/MH) ' ELEC 100 ODD he %' S' 90 GAS V cc COMPACTION TEST RE r> 77 SUPPORT STRUCT REQ' 30-192-10 Permit#1295-90MHI,- (installatiorr/i0fto` . p 30-192-10 - 3875-90B CAPLINGER, Austin 1110 Dodge Ave, Oroville (open deck/MH) G U 0� 30-192-10 660-91B, CAPLINGER, Auston & Melba . p 1110 Dodge Ave, Oroville (carport & shop/mh) 030-192-010 05-2970 LA ROSE 1110 DODGE AVE, OR Cont:OWNER ELEC PANEL �\ B07-1497. 030-192-010 RESIDENTIAL SFD-Mobile Home RET EX MH EX SITE PERM FNDN (1456) 1110 DODGE AVE fi r,l LAROSE, PAULA -7 12-7101 F, i ll�� lv� Gz,r-D V� a4 A-ve BUTTE COUNT' DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-76:16 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-3140 Website: www.buttecounty.net/dds 1 1 Permit No: B07-1497 Issued: 07/11/2007 Address: 1110 DODGE AVE Area: OROVILLE Owner: LAROSE, PAULA APN: 030-192-010 Applicant: RONS MOBILE HOME SMap �P/age: Permit Type: SFD-Mobile Home RET n -1 S Description: EX MH EX SITE PERM FNDN (1456) ALL PLAN REVISIONS MUST BE APPRO' Inspection Type IVR : INSP DATE Setbacks 132 M ' Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Sheanwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Fina — 802 Ph 1!J12f,/A7 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final T 802 AREA 1 SRA Area: No Side Setback: Other Setback: imum Setback From Centerline of Street:. BY THE COUNTY BEFORE PROCEEDING Ins ection Type I .IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks ,,. 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final — **PROJECT FINAL 1 801 1 R, j . Z% 'Project Final is a certificate of Occupancy for (Resiclential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF IS`,UANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy )% COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA • (530) 538-7541 CORRECTION NOTICE rA d LH 11A KOSE, o r7- /49 7 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 01W Tia J100 DO OJO-7- AACCD `%v)e car''3uT IF Date — REV 4/05 Inspector Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR rNSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1110 DODGE AVE Owner: Permit No: $07-1497 APN: 030-192-010 LAROSE, PAULA Issued Date: 07/11/2007 By KEJ Permit type: RESIDENTIAL 1110 DODGE AVE Subtype: SFD-Mobile Home RET OROVILLE, CA 95965 Expiration Date: 07/10/2008 Description: EX MH EX SITE PERM FNDN (1456 (530) 533-3913 Occupancy: Zoning: AR Contractor Applicant: Square Footage: RONS MOBILE HOME SET UP SERVIC RONS MOBILE HOME SET U Building Garage Remdl/Addn 19690 HIRSCH UNIT #1 19690 HIRSCH UNIT #1 ANDERSON, CA 96007 ANDERSON, CA 96007 Other Porch/Patio Total (530)365-6118 (530)365-6118 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B3837 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RONS MOBILE HOME SET UP 898312 / C47 / 06/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed _ / I HEREBY AFFIRM UNDER PENALT�Y a P JURY that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000 ohDn!is'on 3 of the Business and Professions Code, and my license Pursuant to the provisions of the Conlractofs License Law [Chapter 9 (commencing with Section 7000) is in full force and effe of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 07/11/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATIONDECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). �_��f IQ/� I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 17��L1 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 1785708 06/0112008 Policy olicy Number: ExpDate: . Contractor's License Law.). (This section need not be completed if the permit is oris or on�ddollars ($100) es—or s ) ElI AM EXEMPT under Section B. & P.C. for this reason: ElI CERTIFY THAT IN THE PERFORMANCE OF TH WORK FOR WHICH THIS PERMIT IS X 07/11/2007 ISSUED, I shall not employ any perso7n any net so as to become subject to the Workers' Compensation laws of California, and gre'm if I should become subject to the workers' et compensation provisions•of'Sectio , 7.00', e Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 07/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE including death, and property damage caused arising out of, in any way connected with the HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) isry, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby au hori2e representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purpop3lrhereby certify that I am the property Mr or am au rized to act on the property'owners be alf. CONSTRUCTION LENDING AGENCY o04 r 07/11/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee ISIGN] P}i Date the performance of the work for which this permit is issued. (3097 civ. code) OwnerIYXContractor OR: 1:1Agent for Owner for Contractor X ontractor OR:1-1 FILE COPY Lender's Address City State Zip BUTTE COUNTY ©�� I 7, BUTTE DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 '-� A FEE WILL BE REQUIRED AT TIME OF APPLICATION O ---- o' C .` Website: www.buttecounty.neUdds O(N **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name L First ;% `k Mailing Address ® Oc. P_ A E City ,�.,J" State, Zip hon Fax E-mail CONTRACTOR Name ' �1''') S a� G. Address 690 1-1 r 5,c 4 City k WA City State Zip,76 0, P?- ?�S� ' Phone FaxS. E-mail E-mail Lic. # State License Number Class C q7 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name��- Address City State Zip Phone Fax E-mail APP CANT SIGNATURE X PERMIT NO. d), I BIN # PROJECT LOCATION API ® •2 —0 o _U Property Address O OOP � fir- XJ C City s-. WORKER'S COMPENSATI N Policy Number 17 9 (77 ® e Carrier If hiring anyone other than license contractors, a certific to worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: N I Flood Zone SRA I Yes I No Sq FT- Living Garage Open Cov 0 Structure Built without Permits C 0 Proposed Change of Occupanc J b J (Note previous use): For office use only: Zoning I Flood Zone SRA I Yes I No Occ. Type Const. :Z --A t1 yo 11 IL Qy A VA Zqr S40 196 "Skt- rAl 90 NAl q� eOpfpF (S30)36Of nh Coon61. ' Qj � 960�Un; /NC, )t,`1 ax36S r6S r °L 7y. BUTTE COUNTY UILDING DIVISIC N APPkOVE ///0' 1000 CC- AVIC 04\14k eA- 1S56S rk�L- 30 3 -3170 APP 03o p-/"72-o/o - o S> . fe5,eJ V7L- Z&X, \e C Ya gsF�zlw fo=9�F��-pu�w, �,z'-�'�i rn�ilvs �i�.caa�U�, oe Old- -3307 :Z4.A t1 t1 //p F zi f SFR�1�40 969o/ qNo �y�M (S30) 3�,rsonh 00 c ,617(9 617 > C+q 8 -16i 6S 7051 1V s `AA Y E O U I BUILDING DIVIGS APPROVED I � N Xi2 Foundation System -. Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System Xi2 Concrete System Engineer Approval State Approval MANUFACTORED HOME1100EILEMOME FOUNDATION SYSTEM IBBALTH AND SAFETY COI)E, SECTION ISSSI APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Vats of California llPapmta t of Housing and Community Demmlopaw D OF C�. ES AND STANDARDS p (erasure) . SPAM 6 �1 ?kim Plsu Appravat Expttem BUTTE COUNTY - BUILDING DIVISION APPROVED Page 1 of 8 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 - .7l(0/0 0 L6 0 0 0 01 / 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so that the two tubes are connected together. (Figure 1) Figure 1 No,�e rnd °f -1-3/4" Tube J -Bolt Nut & Washer I@) Lateral Struts Strut 0 (flag end) j° 1-1/2" Tube 4-#12x1" Tek Screws ,1/ I -Beam Figure 2 U -Bolt & mounting a U Bracket �.. M 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Xi2 GroundPaft Detail Xi2 Ground Lateral.Syr Part Number 59306 Includes: 5' Strut,:pad"Oudware kit (#59329-1 includes all , and bolts). Longitudinal Hardware Ifit Part Number 59331 Includes: 2 I-beam brace & 2 U -bolts with all nuts :anti Molts. Lateral and Longitudinal! Combination :Part Number 59333 Includes: 5' Strut., Pad, nrgitudinal Strut (#59329), Lateral and Longitudinal hardware Kit with all nuts and bolls. Struts for Longitudinal systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground system Longitudinal Strut & Hardware Kit � Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems L. Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems `2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' S Xi2 Systems Page 4 of 8 r�E DOWN.`` ENGINEERING s' Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,11/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & V%sher Figure 1 BeamClamp Bracket Lonc Xi2 Installation Placement -Beam Longitudinal Strut a � ®moat ®off Concrete Longitudinal Hardware Kit Hoke r -lid °f e4 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 j21_r Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 full thread Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 2 59272-2 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange ,v' 1 !' #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 11/20 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE ?DOWN' ENGINEERING 0 0 0 0 aSTATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT j, REGISTRATION CARD Manufactured Home Decal No: LAL5279 Manufacturer ID/Name Trade Name Model DOM ! DFS RY 09534 FLEETWOOD HM I Exp. Date SANDALWOOD 4522L 01/10/1989 04/24/1989 i Serial Number LabeUlnsignia Number Weight Length Width SPC ' SCC Exempt Use Type CAFW 17A09973SW CAFU17BO9973SW RAD474575 15,600 52' I 14' I I 04 I SFD I LPT RAD474576 13,000 52' 14' Addressee PAULA L LAROSE 22 OLD MILL ROAD BERRY CREEK, CA 95916 Registered Owner(s) PAULA L LAROSE 22 OLD MILL ROAD BERRY CREEK, CA 95916 Situs Address 1110 DODGE WAY OROVILLE, CA 95965 Issued j Total Fees Paid OCT 12, 2000 $82.00 �OvgtNG -9 . ®� sea Z 11 3G� oaf 'Y DEVti� IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 1659736 10302000 2,417 zm�0-��2Z583 I Recorded Official Records County Of BUTTE REC FEE 10.00 CONFORM .00 RECORDING REQUESTED BY ) CANDACE J. GRUBBS i Recorder WHEN RECORDED MAIL TO: ) ROSEMARY DICKSON I PAULA LAROSE Assistant I Maureen 10:28AM 19 -Jun -2008 I Page 1 of 2 C/O THE HENDREN LAw FIRM ) 19 NELSON AVENUE ) OROVILLE, CALIFORNIA 95965 ) SPACE ABOVE FOR RECORDER'S USE THE UNDERSIGNED GRANTOR(S) DECLARE THAT THE DOCUMENTARY TRANSFER TAX IS: -0- /^010 PURSUANT TO R&T CODE SECTION 11911 Bonaf ide Gift [X] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encu m g at ' of sale [X unincorporated areapq Town of Greville - -- /l _ 1�./Lr GRANT DEED 1110 Dodge, Oroville, CA 95965 APN: 030-192-010-0 or Tax - Firm Name FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PAULA L. LANTSBERGER, AUSTON O. CAPLINGER and GEORGIA M. CAPLINGER Hereby GRANT TO: PAULA LaROSE also known as PAULA L. LANTSBERGER, also known as PAULA BOSTWICK the following described real property situate in the, County of Butte, State of California, described as follows: LOTS 11 AND 12, AS SHOWN ON THAT CERTAIN MAP ENTITLED "MAP OF THE DODGE TRACT NO. I", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DECEMBER 12, 1907 IN BOOK 6 OF MAPS, AT PAGE 101. DATE: APRIL 21, 2000 AUSTON O. CAP INGER MAIL TAX STATEMENTS TO: Paula LaRose 1110 Dodge Oroville, California 95965 ED W. HENIREN 1172299 �• NOTARYPUBUC-CAUFORNIAD BUTTE COUNTY 0 1—_ COMM. EXP. FEB. S. 2002 e r STATE OF CALIFORNIA ) COUNTY OF BUTTE ) , ON APRIL •Z 2000, BEFORE ME, NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEAI�2D AtSTON,16. CAPLINGER AND GEORGIA M. CAPLINGER PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SAME IN THEIR AUTHORIZED CAPACITIES, AND THAT BY THEIR SIGNATURES ON THE INSTRUMENT THE PERSONS, OR THE ENTITY UPON BEHALF OF WHICH THE ACTED, EXE UTED THE INSTRUMENT. ED W. HENDREN 0 COMM. * 1172299 NOTARY PUBLIC -CALIFORNIA UP o BUTTE COUNTY Q NOT Y UB IC a CDEKLF-XP. FEB. 5, 2002 j STATE OF CALIFORNIA ) COUNTY OF BUTTE ) ��max 15; / N Apffi ; 2000, BEFORE ME, 4_ 4-erx i^c�v�, A NOTARY PUBLIC IN AND FOR SAID STATE, PERSONALLY APPEARED PAULA LAROSE PROVED TO ME ON THE BASIS OF SATISFACTORY EVIDENCE TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE WITHIN INSTRUMENT AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SAME IN THEIR AUTHORIZED CAPACITIES, AND THAT BY THEIR SIGNATURES ON THE INSTRUMENT THE PERSONS, OR THE ENTITY UPON BEHALF OF WHICH THE PERSONS ACTED EXECUTED THE INSTiUMENT. NOTARY PUBLIC SEAL ED W HENDREN COMM. # 1172299 NO, PUSUC-CAUFORNIA COMMIE COUNTY 0 EXP. FEB. 5, 2002 -+ - AREA Butte County Department of Development Services. gurrf• N ®TES 7 County Center Drive, Oroville, CA 95965 ;• (530) 538-7601 -.-buttecounty neVdds RESIDENTIAL APN: Q 5�(12 OI(:::, Permit No. Owner: Site Address: Contractor. Type of Permit: CI e t• i s CONDITIONS rHFCKFn RY u SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY E] USE PERMIT CONDITIONS 0 SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV.HLTH CLEARANCE= OFFICE COPY j Address GAS Date Meter By ELECTRIC Date I Meter By DATE JOB FINALED: SIGNATURE: )0 6d = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS- DATE I Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning-Setbacks,Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ - Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID EC K S`C O V E RS -CA R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails, 14 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns -CnnctnsSplice-Decal -Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test . 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 4. 0J� c" 41c Pool Drawing .a = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DAIL JUNDERFLOOR 1 ZoningSetbacks-Easements-Flood-Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel -BI ockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 69 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts, Cirnc-MaterialSupport4nsultn _ 14 Girders-Sills-Anchr Bolts,)oists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation s` o`. DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndbi Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws c` DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ga ❑ CU or ❑AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'er m o'e o` PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DAIt IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 4 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes [:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler \o S` a` 41 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP052970 24 HOUR INSPECTION #; (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/31/2005 APN: 030-192-010-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1110 DODGE AVE ORO Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Description: new elec panel Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LAROSE PAULA to its issuance, also requires the applicant for such permit to file a 111 O DODGE AVE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commehcing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom•and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: LA ROSE, PAULA owner of property who builds or improves thereon, and who does 1110 DODGE AVE such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95965 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the B' ss Professions Code Owner: Date:Ap 0— License #: ORKERS' COMPNSATION DECLARATION I hereby affirm under penally 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the 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. �I Date: Applicant: / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit isreby issued•unde a appl' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o do work indicatqjd e ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: ) Address: PERMIT EES ON: Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official f r docume f Butte County. I hereby authorize representatives of Butte County to enter u n the ov mentioned property for inspection purposes. Print Name: ���_G1��/%�� E �1� Signature: Date: ��z� �❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY* OWNER Last Name irst Nam Address City z //P Stat Zip Phone<G Fax E-mail APPLICANT NAME CONTRACTOR Name Phone',,,.—,,,,,,,Fax Address Email City No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Phone',,,.—,,,,,,,Fax Address Email City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Nameo� �� Address City ' St Zip Phone',,,.—,,,,,,,Fax Cross Street Email APPLICANT SJPNATURE IVA For office use only: Zoning Property Address I Flood Zone Cross Street SRA T Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPD5_Z°I BIN # LOCATION 22 AP# O //— 2 -7/-007 Property Address I Ci ' z Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name -Addres. OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSMILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Descriptio or Scope of Work: % Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Rece717 Amount: . Receipt #; Q ?7� Date: to SRA Sheriff SMIP Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit: INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. . 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3... 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). o 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer: ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ia��' os Fu 538-z�y� 1,2 e,�cC� ca -2 1 I d 5llbb£0405'ON/60:Z1'1S/SI:ZI 90OZ l£ 01(NOW) I RESIDENTIAL 30-192-10 660-91B,E CAPLINGER, Auston`N& Melba 1110 Dodge Ave, Oroville (carport & shop/mh) JOB FINALE Signature v=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. 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 OEGKS, COVERS, CARPORTS, GARAGES, Plans OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Fpot ngs; Soils -Size -Depth -Spacing -Connectors -Steel . 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 arports; Windows -Doors �7. Electric 8. Frm ; Sils-Anchors-Studs-Rftrs-Trusses 1ding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date and B- 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-Pane Iboa rds-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 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 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 #'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. 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 -Bloc kouts-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 Flodr-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 O 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. 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 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 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 O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes 0 No; Planters ❑ Yes O 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) . I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-192-10 ZONING AR- BUILDING PERMIT OWNER Auston and Melba Caplinger TELEPHONE 533-3913 SQ. FT. OCC. BUILDING VALUATION 600 M 8 400 OWNER'S MAILING ADDRESS 1110 Dod e Ave. Oroville 1040 COV 10,400 CONTRACTOR'S N AME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 18,800 Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ 134.50 ARCHITECT OR E'J ;NEEP, None LICENSTEN 0. Plan Checking Fee $ 67.$5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1Ave..Oroville Permit fee $ 2 .75 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❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition [3X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: carport/private shop _ Permit Fee $ Contractor ELECTRICAL PERMIT ling Fee 10.00 Main service 100 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 12.50ea, 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 oCCUP.8! , A CC, BLDGS. �z2sgft jr, nn New CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCu 20 ® S0` p OUTLETS OR FIXTURES eALO 30 FIXED APLNS EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C unty ' conse uence of the granting of this permit. X '� Date Signature of Applican — net 9 Contractor ElAgent Elwork An OSHA permit is require forexcavat' ns over 5'0" deep and demolition or construct- ion of structures over 3 sto es in height Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 236.75 HAz. I CUA PARK _ I SCHL I ILD — CDF PAR PDI HD. v ISSUE) 'V/ This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do indicateeabo for which fees have been paid. Dp BLIC WORKS �L Q ByZDate L `' PERMIT EXPIRES L&te \` rdipt No. 83720 � (r�� 3 7&g- — la, d0 �r E-D.P.W.. YELLOW-ASSE330R. PINK -IN PECTOR. GOLDENROD -APPLICANT l i •a.- Aw•r:�+7' ,Y.,;�.r "'! 7�. `z :c f5s i�F.... �j, nv i:)r-.•. ., �,y?r �.!-k.••'. :�+a: ��,.i �,.....gym•-.� r,a .- COUNTY BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OAOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET '« - Permit No. OWNER�IGSi�/V �jZ� <J _ A. P. No. Proposed Building Use Building Inspector Date At time f permit application, I was advised the tollowing 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 documeiitation ......... 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 $ IC-!)ta ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from T 1, D 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 (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When u issue the permit, roc ss as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant n'� - Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by RAJ Date 3-i3-9( Plans approved by J2H Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOL NUMBER -.. ZON' G BUILDING PERMIT OWNER jq V S r /J 9- M01_6& e-APL1 Oe -C -a- TELEPHONIE 533 -39/3 S0. FT. OCC. BUILDING VALUATION KIW- OWNER'S MAILING ADDRESS 100 DObc�E �V95 CONTRACTOR'S NAME O t,)Ij6k TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Perini Fze $ ARCHITECT OR Lv INEER LICENSE NO• Plan Che -:King Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Penult 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[] Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition Remodel❑ Utilities Ins allation❑ .Other_❑ Describe work: 6T Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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.611 OR ADONS. ACC.BLDGS. /Z0sgf NEW_CONSTR MULT'-OUTLET NON.RESID . BRANCH CIRC ITS 2.50 ea ` POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20030t BASO 30 Ex. Occup. OUTLETS IXED PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ . Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAL CUA I PARK T sCHL I FLD I CDF I PAR I i HD• ISSUE This permit is hereby 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 DC O��IT cVnlncl. n-.� Receipt No. _ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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) 2. I (have/have not) HAVE signed an application for a building permit for�the proposed work. 3. I have contracted with the following person construction: Name Address (firm) to provide the proposed Phone Contractors License No. City 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) persons to provide the work indicated: Name Address . Phone Signed: ; Property Owner Social Security umber Date the following 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. COUNTY OF BUTTE - DEPA'RTME� I OF PUBLIC WORKS PERMIT NO. 1 County Center Drive - Oroville, California 15�Telephone: 916/538-7541 APPLICATION ANI P RMIT ASSESSOR P .t EL NUMBER ZONING 30-1'92-10 OWNER BUILDING PERMIT TEL.EPH NI SO. FT. OCC. BUILDING VALUATION N TYPE OF WORK New ❑ Addition gX Remodel ❑ Utilities ❑ Describe work: carport/private shop Installation El Other ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I 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 or 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 C unty conse uence of the granting of this permit. X i� Date r Signature of Applican Contractor ❑ Agent ❑ An OSHA permit is require For excavat' ns over 5'0" deep and demolition or construct- ion of structures over 3 staKes in height :ipt No. 83720-ZZ4-75 LrE-D.P.W.. YELLOW-A33E330R, PINK -IN PECTOR. GOLDENROD -APPLICANT Permit Fee Fireplace CONSTRUCTION LENDERUNKNOWN 2.00 Total Valuation $ 18,800 Filing Fee $ ;0.00 LENDER'S MAILING ADDRESS Permit Fee $ 134.50 ARCHITECT OR EN::INEER Nonp LICENSE NO. Plan Che�;king Fee $ 67.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - roville Permit fee $ 2 .75 PLUMBING PERMIT Filing Fee 10.00 Filing Fee 10.00 Each Trap ^^- �- - er eater 20.00 Water piping 5.00 LOT NO. SU BDI v_51_r1N n•�. - - PARCEL MAP Each pas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeU Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition gX Remodel ❑ Utilities ❑ Describe work: carport/private shop Installation El Other ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason 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 f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I 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 or 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 C unty conse uence of the granting of this permit. X i� Date r Signature of Applican Contractor ❑ Agent ❑ An OSHA permit is require For excavat' ns over 5'0" deep and demolition or construct- ion of structures over 3 staKes in height :ipt No. 83720-ZZ4-75 LrE-D.P.W.. YELLOW-A33E330R, PINK -IN PECTOR. GOLDENROD -APPLICANT Permit Fee $ Contractor 2.00 ELECTRICAL PERMIT Filing Fee 10.00 501 OR LE Main service 100 AMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP. B\ OR ADDNS. 1 ACC. BLDGS. I I�Z¢SQn 5 nn e EX. OCCUp(OUTLETS OR FIXTURES eAi030 FIXED APPLNS. OR Ex. Occup. OUTLETS 4RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy inspection Fee $ OCC I CONST TYPE TOTAL FEE $ 236.75 HAL I CUA I PARK I SCHL I FLD I CDF I PAR I PO j HD ISSUE This permit is hereby issued unser 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 DODGE AVE . 40'0" LXISTING M0131LE EXISTING DECK 24'01' l PROPOSED BUILDING 11 Y1 I. I I I 040TE:—All Materials f; Workmanship Shall Be i- Accordance with `,ecognized Good .Practices a- of a'quality prescribed for thn Specified use in ti- Uniform Builri,ir;q, PILImbinq & Mechanical CM- �''1l;i .t l•1n-(<,r.-$i•'�.1 a;1 rr_._ir�'<?I r'�!'�P.. •bueyaano tined •��. � e .�J ,dQIxO 4uawdrnba ao satinpna�s p aeap aq pHs oullialuaa b pew 9y4 Woa; •4 Qg �o 1:)eq• es a pue scull A4odoxd IM Oui lvc ZS n15 t'o-'r 0? rplorts cirld "PecivwTions i IUZ55i L. @pon tl^�, jC:n Ct GSI tir is s and it is unlawful I la'l a any chc cles ar c','>'frc YioRs on a, ie .vithoul yri'tten perrnission from Vhe Department of PuWr =works. County of 5Uf+O: A 'so h o. 5 tt. fron.-t! pr,perty lines and a sett frgntheyoa"d -enterline shall be clear tructures or -equipment, �� 10-6- 11 ease vn e*I IIt �---� SUM ttaviv AWNG DpAkTmsov, I..I. t�2N MR�MK5. CAPLINGfP CARPORT AND _.GTORA&E BUILDIN& W A R N I N G Each of the following conditions, if applicable to your job site, will require special setbacks and/or design requirements. 1. Excavation and Fills: (1985 UBC, Section 2903(a)) Slopes for fills shall be not steeper than 2 horizontal to 1 vertical. Cut slopes shall be not steeper than 2 horizontal to 1 vertical unless soils investigation report by registered engineer justifies steeper cut slope. Fills to support the foundations of any building or structure shall be placed in accordance with accepted engineering practice. A report of satisfactory placement of fill, (compaction report), will be required to be submitted to the building official' prior to construction. 2. Footings on or Adjacent to Natural or Manmade Slopes: (1985 UBC, Section 2907(d)) The placement of buildings and structures on or adjacent to slopes steeper than 3:1 .shall be setback according to the sketch below, unless an investigation report from a registered engineer demonstrates code intent is satisfied. FOR SLOPES STEEPER THAN 3 TO 1 Face of structure Toe of H/2 slope but need not exceed 15' / - Top of slope H/3 but need not exceed 40' Face of footinI H The above items are provided to call attention to special construction requirements for sloped building sites. Required setbacks due to sloped site conditions may differ from zoning requirements as stamped (or) noted on plans. If setback problems arise from these requirements, a registered engineer may be able to provide an alternate solution by designing for specific site conditions. Plans and details for alternate solutions (stamped and signed by the engineer) shall be submitted for approval prior to construction. 3UM coUN f� ' INC, DEP, R oFN4 11-21 " fo !--d-NA r e 'Ile UJi,*k.,h /rv� ens �/ocur� Tre�lea, /�/ttfvro�l�H�is/uigoo/ �x�-��iol�,wa�t�wooCz•F/off ). ��Zy"n� • I . jC�oov SYSTie� . �, i 2 Alf, K) Re el /�r'�SSUor ?_i�BaT�ee� �I r en In 40 we AVt/Hs 6 "itAr h 1� Foo��c•9 =NT�dZ/OjZ p/g�,�W�O� F�DD2� /%14X• �.cui��ilo /2 •��Ns6wa'S . i Rec/woocl ore pressure T��ofeo✓ `j - � • �XTC✓/or v, dlr s/o6 F,// 12, A4 Ind u 'rs d-�sail ���'��• : . /7 CONCRETE SLAB. TH15 HALF ONL) -/ C-,% t0 c/W Dj= # Z, m / Aj - I il . V/EST ELEVA-T'ioN WORTH ELEYA7(9N PrOvide apprOved flashing at all exterior OPenings; tjpinl. r p K-0 V, E D MR. + MR5. CAPLINGER A P*� STORAGE 13U)LI)INC, Im �z INV\ MK. + MRS. CAP LINGEF, ��-����•� STORAGE BUILDING 3„7 DO.u3LE TOP PLATE 2x4 COLLAR EACH 5'4” MASONltE. TYPE / SHEATH I NG O N 2 X 4 P.T"� ., a FoUuDATI0 M — SCC 0 �v a v •o v 00 -n (NN = u� 3 'P v s X z o � 0 rn ;p, 4� >z z y (J� � Z r� mrm �m r = - �rn n c 1 Z 70 � r" C) �� I o _ r- rn 6. s L C- v� �o 70 o C) rn m J z rnhZ C7 —' cn z 00 -n (NN = u� 3 'P v s X z o � 0 rn ;p, 4� >z z y (J� � Z r� mrm �m r = - �rn 2 O _ ero v rn :m 'D 70 «-- rn rnhZ x O rm x ND O C p Z Z m C) -0 7v 0 70 rri + —{ N .s -, ,O C r Z O N O v rn :m 'D 70 «-- O L'. 'D rn .R C) -0 7v 0 70 #� + —{ .s C) C Z rn cn C) r Z p IC) �— 1 Z m 73 M K. -v- MKS. CAPL INGEK C AK POKT �XISTI NG 1`e1QBILE HOMEI EXI5TING DsrcK 1 yJ ��a OY b >>p 07" SO. X VZ" 06ep rnw �-,v 10'1 PROPOSED GAF PORT P � sde uafs bracing. ,� o� a I � 90- ROOFING OEL 2 , /0 /2 CM I/2 '? cr __ROLL E� Y_W oo Q _ 0-N. C. 0. N .5.Tj 2-A " Q,c T'2 OR STR.D.F D, Z7c * 2 SILVER C44 AT E Nh Po5Ts Sit-vER 0444 Q 2 oe ►► I-40 18 0 -- 18 d AT CENTER P®sus 6 x to MA o� Gt3uA� 4x oN , H RT S¢S �YY P) Provide adequate Fl l�/Pct� Ps `� POST R CH0i;s 24DIA. x 18"D��P 1 (TY P) raf�o P8s9�f ost f:�jai hw n 1 yJ ��a OY b >>p 07" SO. X VZ" 06ep rnw �-,v RESIDENTIAL i�9s'�v 30-192-10 1294-90P,E —� CAPLINGER, Auston ///0 Dodge Ave, Oroville (utilities/MH) Address GAS Meter By_ ELECTRI Meter-B,Y— JOB FINALED (Date) Signature ` OFFICE COPY Dat r Date�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date �( — Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE OWNER PERMIT NO. 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 Date _�V Inspector i• 3 I\�s MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. L / Address or location of mobilehome Owner's name Owner's address Insignia or hud number/ �� Manufacturer's name r L C- l i-�� C� c� Y� j ti Serial number of V.I.N.C A4 L% 7' o (,7c f-< %rear of manufacture lJ} (Official Approving Installati (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION;{ ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE; MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. J=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES Plans OK except #'s Zoning Requirements -Setbacks -Easements IL oils; Special MH Support Sk c Sewe ; Location -Test -Fal O oncrete ter; Location -Test -Easement Needed (Sketch) .,Electricity; Location-Clearences-Grndld mp-Concrete 6. Gas; ation-Test-Wrap: / / L"ft. /X44 at, or/ /"L"ft./ /"LPG 7. Utility Clearance Date _S Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Pians) OK exceat #'s %Oe!n. Zoning Requirements -Setbacks Easements L,±'-F-9otings; Size -Spacing -Marriage Line . Gas; MH Test-Demand-Valve—Connector i i4' Electricity; MH Test -Crossovers -Breakers -Clearances . Drain: MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector `oe7. Water and Sewer Connected -C/O to Grade, HD Approval U-0'-8.'tQas and Electricity Tagged _ .,.Exits; Insp.-Sketch \/f0. Cert. of Occupancy 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-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 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single ` & Duplex) 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-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73' A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 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 Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks ❑ Yes ❑ No; Planters ❑ Yes 0 No Date Card 3-1 Date Card B-1 81. Stucco; Brown-Finish- rown-FinishDate 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 each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PERMIT NO. - 40 ASSESSOR PARCEL•NUMBER 30-192-10 ZONING /� BUILDING PERMIT i OWNER Auston Ca lin er TELEPHONE 5331751 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2900 M ers St. Oroville 5 CONTRACTOR'SNAME , unknown TEL CONTRACTOR'S MAILING ADDRESS - • Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is ' Filing Fee ' $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Z> Dod Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME Dodge Tract #1 PARCEL MAP 30-19 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑. Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewerOtt 5.00 Mobile Home CLU 10.00e TYPE OF WORK �i New❑ Addition[]Remodel❑ Utilities_ylInstallation❑ Other [I Describe work: ' 2 BR _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV 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 BUSIneS$ 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 GOCCUPM oR CONST. DWELLING ADDNS/ 2'h¢sgft NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@80¢ BAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.1 2.00 Temporary service 10.00 'Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 35.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or, a Certificate of Consent to Self -Insure. [g,-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 FiIingFee 10.00 Heating Cooling Hood 3.00 -Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in consequence of the granting of this ip�erm . X i Date 7 2 d Signature of Applicant — Owner ❑ Con_ tractor ❑ 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 go -nn ALSC HAz cuA PARK EE PA HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated a ve for which fees IR TO F PUBLIC BY PE MIT EXPIR Date the applicable provi- resolutions to do , have been paid. WORKS ate ` c) - Receipt No. 64216 WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. . rt COUNTY OF BUTTE - DEPARTMl5N OF' PUBLIC WORKS - BUILDING DIVISION +' 7 COUNTY CENTER DRIVE - OROVILLE,..CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 12 Permit No. OWNER -1-0 A) (f /4 P 4 1 ry6 11�-7 A? A P. No. D9 -0/0 Proposed Building UseW.)4 (J �Bbilding Inspector Date L" -c�-7-1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED AAll items have been submitte Plot plans in duplicate//t' lid , signed by preparer of plans ........ D Complete plans in dup rcate/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 .............. - 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 7Driveway permit (construction approval required prior to occupancy) !S/30 90 t3t r1 0.Pre-Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. _ Recorded copy of Agricultural Acknowledgment Statement ..:...... S 3 25. Lette of signature autho ization ct 3o-90 `7. When you issue the ermit, process as follows: Mail to owner. Mail to contractor. L Telephone and hold for pickup at 04n office. Deliver w/inspector. Other Applicant L� Date W 7 (F -G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items required: to_p�;riQ�tjssuan,cg. (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by lLphone_Jnail_counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall co ter by—date Plans checked by Date Plans approved by Date -5747W Sets of plans on hold in File cabinet AP folder Copy—DPW ., TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance COUNTY OF BUTTE - DEPARItMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965- Telephone: 916/538-7541 APPLICATION AND PERMIT ' PERMIT NO. -- ASSESSOR PARC MB ERO I� (/ ZONING BUILDING PERMIT 0%7 R f%/ j� (� ©iii C / !� C-7 K- TELE PHO / SO. FT. OCC. BUILDING VALUATION MAIESS NG LI O N R'S ADDR qo o S CONTRACTOR �HONE ' CONTR(IACC�TURII'SMAILING ADDRESS F ireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S , Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee rS Energy Plan Checking Fee S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS �nL v f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap "" 2.00 Solar or heat pump water heater 20.00 LOT O. ,1 SUBDIVISION NAME ,��(( �Q��/,,;_' 1 �� 1 '!-'-1 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 J 0.00 ea �a O TYPE OF WORK New ❑ Addition❑ Remodel lities'r-% Installation❑ Other ❑ Describe work: to Permit Fee `' S 0 0 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 OQ Main service EA. ADO'L 100 AMP J 2.50 CONTRACTORS LICENSE LAW -.1 declare under penalty of perjury (check one): ❑NON 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) F -1I, 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.bi) OR AOONS. ACC. BLOCS. r/zcsgft NEW CONSTR. ULT' -OUTLET -R e: SID HR ANC. CIRC ITS 2,50 ea POWER APPARATUS 0 SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES .ALP 0C Ex. Occup. OUTLETS RESID )FIXED APPLN5. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor l WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-� The permit is for 5100.00 (valuation) or less. ❑ I: have placed on file with the County of Butte Building Department. a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 buildingconstruction, and herebyauthorize representatives of the Ct of ounY Butte to enter upon the above-menlloned 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 1n any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicont — Owner ❑ Contractor Lj Agent ❑ An OSHA permit is required for excovotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee 5 Energy Inspection Fee S - -- -- -- C CONT. TVPe- OC--_ f I TOTAL FEES ®4 i MAZ CUA PARK $CHL rLo 1 PFR PO I Ho Issue T :;s permit is nereby 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. L WHITE-D.O.W.. TELLOW-AS5C3304, PiNx-INSPECTO4, GOLDEN -OD -APPLICANT V THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE V OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ;I, Owner's Name: r.. Date: - i kr,, Address: Acct. No: = J -. -• u L ' A.P. No.: Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By- Date: CSA 26 Remarks: - ,, �' -I SC -OR- _ r .. ,.. 1st mo. S.C. .. ' Other Total Fees. > z 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 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).• DISTRIBUTION: WHITE-TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD -DPW to TID i 1ht� eel a4 plans am specifi®11a t be on the job at all times and It b �iawfui tc . lnske eny changes or as from � ���ment o ' out written pem i& Pubic WoA.- of Butts. NATES --AO r i Worf�ma St►ail Be .in Acaoedarroo with Reaogaked C�rMuftes and Cabed for. t=codes we in the umbin Agtwt�ggdo anef . Etechiaod ode. x from to�a setf� � . •.. - SOo00 to cies of \ eRnrot or emorrierd exco for a fit. stwa 0whwV_ 1 _ 2'9 i l IM oufm ev TM U1Li?1NG DEPAFI'rME 'PPR VSD LL ( b�J 5 41w ' AP OWNER_ PERMIT MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC Service Other Size Load•T GAS Pipe a Size Len th SupportFtIR�e Struc. YES NO Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT :90-22076 FOR RESIDENTIAL DEVELOPMENT - Secti9p ,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' to land or included within an area zoned 90-022076, � Rec Fee 5.00 Cash 5.00 for agricultural purposes, and residentE � Recorded of this property may be subject to incon- veniences or discomfort arising from the Official Records use of agricultural- chemicals, including, County of Butte but not limited to, herbicides, -pesticides, Candace J. Grubbs and fertilizers;and from the pursuit of agricultural operations including;, Recorder 1:30pm 30 -May -90 BG i but not limited to cultivation, plowingL_ spraying, pruning, and harvesting which T 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described, as follows: 0004 /�_ 7n �' Ivo - �- Date: PROPERTY OWNERS: r State of ���) On this the ?6" day of 19 �a , before me, SS. the undersigned Notary Public, pers nally appeared County of ) an -mon ® Personally known to me. Proved to me on e DANIEL F. Ht � of satisfactory MMARYPUBLIC— ALIFORN1A tj be the person(s) whose name(s) J a ButteCotmry smbscribed to the within instrument a d ackno ®10i'��'i, ieecuted the same for the purpose t erein 13®ile09NEREOEM ®®BROOM BVM®®*EREOF, I hereunto set my hand an o ficial s the basis evidence. ege tat_ i ai ed IN FITN Present A.P. No ""(",=��1� Notary Pu lic EN® OF DOCUMENT ;s:-e 0 co ut4v OF BUW(�PIC� DEpT . 0 VN r t M 1' r t r ASSESSOR PARCEL NUMBE 30-192-010 OWNER ,Aust -on Cap OWNER'S MAILING ADDRE! 2900 Myers CONTRACTOR'S NAME unknown CONTRACTOR'S MAILING CONSTRUCTION LENDER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICATION AND PE -RMI ZONING AR BUILDING PERMIT TELEPHONE SQ. FT. I OCC. I BUILDING VALUATION LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS LOT NO. SUBDIVISION NAME 12 Dodge Tract #1 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeXX Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Describe work: 2 BR 3165 $ Contractor - TELEPHONE Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP Fireplace NEW CONST. DWELLING OCCUP.h OR ACDNS. ( ACC. BLDGS. ) 2h0sgft UNKNOWN Total Valuation $ (POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES Filing Fee $ 10.00 Temporary service Permit Fee $ 15.00 LICENSE NO. Plan Checking Fee $ Permit Fee Energy Plan Checking Fee $ MECHANICAL PERMIT Penalty $ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 PARCEL MAP Water piping 5.00 30-19 Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 p Building sewer 5.00 I SPECIFY Mobile Home S I G I W 10.00e Installation EX Other ❑ 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 dfor 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 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 2/bf Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againsVsa' County in c msequence of the granting of this permit. 4?0 X �-� Date � Z 7 Signature of Applicant — Own r [?i 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. Receipt No. 64216 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 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 CONST. DWELLING OCCUP.h OR ACDNS. ( ACC. BLDGS. ) 2h0sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 206505 a ALO 30 FIXED APLNS.EX. Occup. OUTLETS (PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE $ , 70.00 HAZ I CUA I PARK 1 SCHL I FLD rPAR A PO I HD This 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. DIRECTOFhOF PUBLIC WORKS By Date ;?--/ 0- F '--- PERU PER EXPIRES Date 'NwtiV- ._i' .� .`rf `:i'••. F ,A.�. �r f"rl `..1'rY 'r.. 4 • � `'§,`-- ' t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i �- 7 COUNTY CENTER DRIVE - ORO\r1LLE, CALIFORr�l�95_94- TELEPHONE: 916/538-7541 OWNER Propose PERMIT APPLICATION DATA SHEET .Permit No. A. P. No. JPO Inspector V,�70c, Date ,,;z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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-.—...... ...... 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 (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..:... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization 26. 27. When you issue the permit, process as follows: —Mail to downer. Mail to contractor. _ Telephone �33—)17S1 and hold for pickup at 0,6 office. Deliver w/inspector. Other Applicant/ � �%��'9-moi Date 17-7 y� Copy of Haz-Mat form sent Health Dept., Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, des Igner/owner, s advised of above required data byK—phone_rnall—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder 1..date /�Z (,g4 y — date Date 7110-910 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - � PERMIT NO. �- _. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541q APPLICATION AND ,PFRW ASSESSOR PARCEL N BER D _ �. ffa_- ZONI - BUILDING PERMIT OWNER .v - ry C Yv - TEL PHo 3 S SO. FT. OCC. .. BUILDING VALUATION - ' OWNER'S MAILING ADDRESS 9Z91� /o0 I1_L_79& Cv I CONTRACTOR'S NAME Dr"�../ ) ,UVJ TELEPHONE CONTRAC R'S MAILING ADDRESS Fireplace ' I CONSTRUCTION LENDER - UNKNOWN Total Valuation S Filing Fee $ 10.) LENDER'S MAILING ADDRESS Permit Fee $ p c.) { ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S BUILDING ADDRESS © U Permit fee $"125.--00 L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME )� Q,0 & !� Te /C 1 I PARCEL MAP 30 — Water piping 5.00 ' Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e I i ! r I 1 I t1 f ' I I TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation R, Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW '.1 declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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.h\ yztsgft OR ADDNS. ACC. SLOGS. NEW CONSTIL nULT1.0UTLET 2.50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS.& SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES I2AL030 °ALe3Ga FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 1 2.00 Temporary service 1 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 5100.00 (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. ❑ 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor ' ' • ' I certify that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - OWnerC Contractor U Agent [I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S .d Energy Inspection Fee__S___ _ -occ cs: ?YPe olw TOTAL FEES HAz cuA PARK scHL FLD I PAR PDJHD Issue T`;s permit is hereby Issued unser the appiicable provi- sions Or 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-A55C550R. P:NK-INSPECTOR- GOLDENPOD-APPLICANT ddy. d3C1 JN ---- - J Wpm luawdiift jo 991M WA ' 1p ivatn Oq 11846 e POW "W04109 � 10 ss to Puv we W �g .5ulgwn{d p� OPO rasoad 4•Ilb o }o- � u{ sn poy�� l °4 � �o�a. �µ!M osuoP�o»� • sowy4 PfeJ P • ul S SNS d{ysuou+�M ' NoPoom. qd---31ON f ` 'eun8 }o A4unoo 'SVOM DWI% t 4dawpedoa 044 U!04 uolsslu�od ! qa -AWM MIS UO suol;Qaayo m Beau" Am 949W $141 pue sewg fie toIFIaµ uo @j • �1 _=W wa1,polilaads PUB ios • VV "D � n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Ins.taller's Nam 3. Is the site currently under permit? Yes No (If yes, furnish permit numbw� %Z9i -�j/� ) OR Is the site an existing site? Yes F] No (If yes, furnish two 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 %t4 No (If no, clarify 5. What is the mobilehome electrical rating? --------------- f Amps 6. What is the mobilehome site service rating? 7. What is the.mobilehome site circuit breaker rating? ----- I DO Amps 8. Is there any other electric load to be served by the mobilehome , site service? -------------------------------- Yes No (If yes, identify the load and size: (Load), — (Amps) .9. What is the mobilehome site gas pipe size? ---------------- • (in. 10. What is thet a of as service? ------------- ---- -- Natural � LPG YP g 11'. What is the gas pipe length from meter or tank to the mobilehome? ------------------------------------ --------- * 12. What is the mobilehome gas demand? ---------------------; (BTU) *(This information'not required if pipe length less than 6 ft. on gatural gas or less than 50 ft. on LPG.) 4, MOBILEHOME,SUPPORT DATA F(echu�od 1 If other than single wide, Mobilehome Mfr. furnitih Setup Model-'No.,.4rj` -1Z Year 98 Width ZSd (ft.) Box Length S'Z_. (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). r _FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one1. Concrete block. � 2.- Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE . MULTI -WIDE L10E I Line 1 Main Beams Line ,Z-� -- -- — — —•—— _ — — tin Main Beams — t — -Line Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ---------- IIJ „x �w Size -Min-------------------- �`2,� 3 Spacing -Max. --------- O , C „ 'Each Side of Openings From Ends -Max. ------- V '_�1'� ,� With Width Over --------- O " Line 2 Piers: Line 3 Piers: (Under Bearing Wal ly) ize-Min.---------- „ Size -Min. ------------ ro7 „x - S--- x L t�z „ Spacing -Max. --------- ,_ Q „ Spacing -Max. _-`i`�.----- ,- „ From Ends -Max. ------- '_ �^ From Ends-Max.--r�`- Line 3 Roof Loads: v G ^ ygo o o Z, r/. J0 Size -Min - ------------ - Z ,x„x „ „x „„x „ -1$1 n Location (From Front) 22- j _ '_ '_ ” fd'_ U Line 4 Piers: Line 5 Piers: Umr Bearing Wa a ON1,7M Size -Min -------- ---- k „ Size-Min------------------- Spacing-Max.--------- , , ` Spacing -Max .--------------- r_ r From Ends -Max.------- „ {t From Ends -Max .------------- Line 5 Roof Loads: Size -Min. ------------ Location (Prom;Front) I _ Y(r- 07/06/90 12:07 DOUBLE WIDE PIERING WORKSHEET No 4av MODEL: ±3Lz,�t, r �.� PSF ROOF LOAD PLANTIP—j_ SEE NOTE SEE PERIMETER PIERING REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE t- — 07 FRONT OF .i, UNIT j SEI: PERIMETER .'':`•, PIERING REQUIREMENTS TABLE NOTE; SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. RIDGE BEAM I POST LOCATIONS PIER LOAD CAPACITY IN LBS. MINIMUM FOOTING SIZE Paerne T_a OArr INITIAL. Posr. 1 sr POs -r MATING Z un pp��- LINE-PIERING �T da PQsr TAKE' TD •15 4m S f0Tr4 7 T}F STt+ E�0 o6r p�j- I'06T Po&r•'-, pp•StPo6I' z SpM 3b XZ4 ZA X 24' �� �r �4 Z7 X 7-44 , x' -�` Y,� –' MATING LINE PIERING TABLE' To T RIDGE BEAM INITIAL. I cr x vo PUSr LOCATIONS 1)057-� p � °A 4TFE S;H {or+ -1 n+ NpraT PST• a6T FUST �'bbT PObr pi7q':'� �Uc.1' PIER LOAD CAPACITY IN LBS. MINIMUM ." - FOOTING SIZE Ne wra Fnntin NOTE: Footing slZes based on 1000PSF soil bearing value. If $all conditions differ seethe piering plan drawing or the Home Technical Installation Manual for method of calculetivn. I ..: PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DUORSIDE WALL' ROADSIDE WALL - JAMB STUDS AT DOOR OPENINGS OVER 24" C� ' � � T-�p !SNA �' �• 1 —� 1 AND 7?l � g A4�--z 1 PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42 - o THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: = u0C,Qtr '.vtntaf_' Owner's Name: Date: ` �`� U Address: r'"= Acct. No: Gtir'111t." CIL. >'"006 A.P. �t }y•_r" 1�.. Phone: n: - No. Units: + Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ t. Arrearage Preliminary Review By: Date: CSA 26 Remarks: \ SC -OR { or, 1st mo. S.C. _ . L C 4 r rlt a 1C+ U. �.: 13� �t L]" (1' C• Other Total Fees ' •' Collected By: %., % �� ti� •rs-aa Date: r/ Field Review By: �.�,s' '/f/C�: ,/1..� �1z> Date: Remarks IV 1,4 - 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 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). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK • DPW, GOLDENROD - DPW to TID e RESIDENTIAL 30-192-10- - -- - - 3875-90B CAPLINGER, Austin j 1110 Dodge Ave, Oroville (open deck/MH) 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/ P 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 S. 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 VERS, dARPORTS, GARAGES, Plans OK except #'s oy N Requirements -Setbacks -Easements . ootin s ils-Size-Depth-Spacing-Connectors-Steel 44�15c­ks; 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; Sht g -Roofing 11.eps-Doors-Landings Date rd B- ate 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- Pane Iboards- 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 HU V & Duplex) 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-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 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 - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 11 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 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 Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes O No; Walks O Yes 13 No; Planters ❑ Yes O 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 each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT O PERMIT NO. 3go ASSESSOR PARCEL NUMBER 30-192-10 ZONING AR . BUILDING PERMIT OWNER Austin Caplinger TELEPHONE 533-3913 SO. FT. OCC, BUILDING VALUATION 1074 Open 10 740 OWNER'S MAILING ADDRESS 1110 Dodge Avenue, Oroville 95965 C NTRACTOR'S NAME 8wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C NSTRUCTION LENDER Ione UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 86.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 43.Z5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1110 Dodge Avenue Oroville Permit fee $ 139.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome x❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -7-5.00 Mobile Home SG W 10.00e TYPE OF WORK New ❑ Addition [I Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Open Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 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 oR T ( DWELL IN GOCCUP.&\ ADDNS/ 2yz¢sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@30 eALo3o FIXED APPLNS Ex. Occup. OUTLETS RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 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 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 c seque ce of the granting of this permit. .� X _ Date /% ",G-/ 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 $ E 139.75 HAz CUA JPARK SCHL �' PAPel' PD V H Issue/ Th;s permit is nereby issued una.er sions of the Butte County Code and/or work indicated above for which fees DIRECTUB LIC By PE IT EXPIRES Date_ ttte applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84253 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'n��"�tr"1',,t-i�"�.�� '�'{ "�t...r''��'r�;�p� ,. {�, `�����"'1.H�`��� •l+. ...t �� ,_,..�< - t.y �` " COUNTY OF BUTTE - DEPARTMEiTOF PJBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV10L'E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. J OWNER V1 00 I ki ef 0 A. P No. — l Proposed Building Use...O4 Building Inspector Date , At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............................._ ........ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design 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 Di rict fees paid .............. 14. Sanitation approval from -%. 1- _ 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 (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone}—and hold for pickup at office. Deliver w/inspector. Other Applican� r��iG'l�W il/,%i�� .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date— ate The The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By— By (Circle new item not checked above), A 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 Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT -SSMSSOR PARCE NUMBER C.. 0 ZONI BUILDING PERMIT , owN RTEL Y a C >r` P o I SO. FT. OCC. BUILDING VALUATION OWN R'S MAILI ADD ESS ) OAv f'o V 11 CQNTRACTOR^'S NAME T TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON TRUCTION LENDER UNKNOWN Total Valuation is Filing Fee 10.00 LEN©R'S MAILING ADDRESS R'S i Permit Fee $ I ARTECT OR ENGINEER V LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ CHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ` PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 rQ c 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 1 SF ❑ Duplex[] Mobilehomey�l Other (� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W-10-OOeE. TYPE OF WORK New❑. Addition Remodel❑ Utiliti ❑ nstallation❑ Other ❑ Describe work: ©�jJL4 Y� C� C i�^ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO-L.100'"AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under of perjury p y p er I y (check one): ' ❑I 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 ._,❑...L,.as.the:..owner;,,or-.my:.empao�rees.wkh--wages as Iheir"sole compen- sation, will do the work and the structure is not intended or offered ❑ 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 OCGuP.e OR AOONS. ( ACC. SLOGS. ) h2sgft NEW CONSTR ULTI.OUTLET NON•RESIO BRANCH CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 0 0 sot 2AL&30 eAL@3oz- Ex. Occup. ou ED APPLNS. R LETS IRESIO,IEA.) 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 5100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ II 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 5 occ CONST TYPE TOTAL AL E FEE 5 HAz cuA PARR PAR JPOJHOJ ISSUE Th;s permit is nereby issued unser sions or 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. 3 WHITE-O.P.W.. TELLOW-A53ESSO11, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OTgNER-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) 2. I (have/have not) U�t _ 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 License No. V 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 „j .. Socialc Security Number Date�I7, 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. DODGE AVE i i i EXISTIN& N0,16. --ACh Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in thip Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. .this set of pions and speciticafians MUST & Kept on tie job C4 Oil Carnes and it is Lmlawfad fo no#« any chandos oar rcatioi;s on same without Atten permission from the Deportment of Puhrtr . Works. County Qf Buffe. A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except . eav o� a�'f' Sum. coulm-Y, WILDING DEPAR ! 'APPROVED Z i—fid MK + MKS. CAPLlNGEP` A Dec►' D� _.i _, } Poor PLAN A I MK, t- MRS . CAPL11JGEk, - .A.P# DECK Abblribw .3 4'6 _EXISTING M051LE NOME PROP055-1) 3' ;r— B'o'j -- -- - "'1 ".F. Z OR BETTER POST of 34 TO 3g„ -E R- hAn! Rive . [fin. Run Run measured too to toe. � n tolerance betwew A ku" & air 0" rige/rw. (TyP) -Dg(yN, ay i6 = l ,.,,� A 1WING 'DEPARTMEN APPRWC STAIRS_ (TY P.) ,O„ 70 $ o„ 2A D. F. #2 o/R� BETTER 2'O"O.G.-) SPt 10.60 OUt �tP svPPoar � Peov�os g o" 9MAX. 3'0" 2„ x¢ _ NAND AND GUARD Rhl I.S (TYP,) • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASS PARCEL NUMBER 30-192-10 OWNER Austin Caplinger ZONING AR TELEPHONE 533-3913 BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 1074 OiDen 10,740 10.00 OWNER'S MAILING ADDRESS 1110 Dodge Avenue, Oroville 95965 NEW CONST./ DWELLING OCCUP.&) OR ADDNS. ( ACC. SLOGS. II 2y2QSQft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea C NTRACTOR'S NAME 8wner _ ' TELEPHONE eAL20003030¢ FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID.IREA.) 2.00 Tumnnrary cprviro 10.00 CONTRACTOR'S MAILING ADDRESS Fireplace CgNSTRUCTION LENDER' !None ]UNKNOWN UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ $6.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 43.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1110 Dod e Avenue Oroville Permit fee $ 139.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.0 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF F-1Duplex❑ Mobilehome0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISI G W O.0.00e TYPE OF WORK `lew❑ . Addition® Remodel❑ Utilities❑ Installation❑ Other Describe work: Open Deck CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ©—i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 Permit Fee $ Contractor 15.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LE 10OVAMP ORSLESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.&) OR ADDNS. ( ACC. SLOGS. II 2y2QSQft NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea _ POWER APPARATUS e (POWER OUTLET CIR. _ ' Ex. Occup(ouT LETS OR FIXTURES eAL20003030¢ FIXED APLNS. Ex. OCCUp. OUTLETS PIRESID.IREA.) 2.00 Tumnnrary cprviro 10.00 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. Eij" I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information s correct. I agree to comply to all County Ordinances and State Laws relating o building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Butte said County inqj*seque ce of the granting of this permit. X ? _ ��.' Date & Signature of Applicant — 110.n.,g 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. P.ece;ct No. 84.253 Mobile Home Facilities 15.00 Misc. Wiring , 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 139.75 HAZ I CUA PARK I SCHI I FSO I PAP PD I HD I ISSUE This 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